Varietal richness of grapevine (Vitis vinifera L.) from the Majes Valley, Peru: Identification, morphological characterization, ampelographic and genetic analysis

The “Majes Valley” in the province of Castilla – Arequipa Region, with a tradition in the production of wine and pisco, from grapevines introduced in the mid-sixteenth century, which are still preserved by some producers, with little knowledge of the varietal richness they possess, generating confusion in the identification of varieties and devaluing their winegrower potential. In this work, a varietal survey was carried out by wine-growing areas, characterizing the local varieties of old vineyards, with 14 primary descriptors recommended by the OIV-2009 and genetically identifying a sample of 11 phenotypes with the use of 9-SSR molecular markers when compared in the VIVC international database record. Seven wine-growing areas of the valley and 39 varieties with local names were identified, initially forming 13 groups of different names, which when analyzed by means of the canonical discriminant analysis and of main component, high inter- and intra-group phenotypic variability is evidenced due to the influence of some characters. In the analysis of the berry color the blue-black coloration predominates. Four varieties registered in the VIVC were genetically identified, corresponding to ´Listan Prieto` (syn. Negra Criolla and Moscatel), ´Quebranta` (syn.Vinera), ´Muscat Hamburg` (syn.Italia Negra) and ´Jacquez` (syn. Borgoña Majeña) and 2 unregistered varieties “Cantarita” and “Aceituna de Cotahuasi”. A varietal diversity with characteristics of interest in viticulture and plant breeding is observed, with contribution to the varietal identity of known and new creole varieties, contributing to the heritage value of the vine.El “Valle de Majes” en la provincia de Castilla - Región Arequipa, posee una tradición en la producción de vino y pisco, a partir de vides introducidas a mediados del siglo XVI, que aún conservan algunos productores, con escaso conocimiento de la riqueza varietal que poseen, generando confusión en la identificación de variedades y desvalorando su potencial vitivinícola. En este trabajo se realizó una prospección varietal por zonas vitivinícolas, caracterizando las variedades locales de viñedos antiguos, con 14 descriptores primarios recomendados por la OIV-2009 e identificando genéticamente una muestra de 11 fenotipos con uso de marcadores moleculares 9-SSR al ser comparados en el registro de base de datos internacionales VIVC. Se identificaron siete zonas vitícolas del valle y 39 variedades con nominación local, formando inicialmente 13 grupos de diferentes nombres, que al ser analizadas mediante el análisis discriminante canónico y de componentes principales se evidencia alta variabilidad fenotípica inter e intragrupal por la influencia de algunos caracteres. En el análisis del color de baya predomina la coloración azul-negro. Se identificaron genéticamente 4 variedades registradas en el VIVC que corresponden a ´Listan Prieto` (sin. Negra Criolla y sin. Moscatel), ´Quebranta` (sin.Vinera), Muscat Hamburg (sin. Italia Negra) y Jacquez (sin. Borgoña Majeña) y 2 variedades no registradas “Cantarita” y “Aceituna de Cotahuasi”. Se observa una diversidad varietal con características de interés en la vitivinicultura y fitomejoramiento, con aporte en la identidad varietal de conocidas y nuevas variedades criollas, contribuyendo al valor patrimonial de la vid.EEA MendozaFil: Bardales, Roxana. Universidad Nacional de San Agustín de Arequipa, PerúFil: Yana, Isaac. Universidad Nacional de San Agustín de Arequipa, PerúFil: Cuadros, Luis. Universidad Nacional de San Agustín de Arequipa, PerúFil: Ramos, Eduardo. Universidad Nacional de San Agustín de Arequipa, PerúFil: Torres, Maria del Rocio. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Mendoza; Argentin

Riqueza varietal de vid (Vitis vinífera L.) del Valle de Majes, Perú: Identificación, caracterización morfológica, análisis ampelográfico y genético

The “Majes Valley” in the province of Castilla – Arequipa Region, with a tradition in the production of wine and pisco, from grapevines introduced in the mid-sixteenth century, which are still preserved by some producers, with little knowledge of the varietal richness they possess, generating confusion in the identification of varieties and devaluing their winegrower potential. In this work, a varietal survey was carried out by wine-growing areas, characterizing the local varieties of old vineyards, with 14 primary descriptors recommended by the OIV-2009 and genetically identifying a sample of 11 phenotypes with the use of 9-SSR molecular markers when compared in the VIVC international database record. Seven wine-growing areas of the valley and 39 varieties with local names were identified, initially forming 13 groups of different names, which when analyzed by means of the canonical discriminant analysis and of main components, high inter- and intra-group phenotypic variability is evidenced due to the influence of some characters. In the analysis of the berry color the blue-black coloration predominates. Four varieties registered in the VIVC were genetically identified, corresponding to ´Listan Prieto` (syn. Negra Criolla and Moscatel), ´Quebranta` (syn.Vinera), ´Muscat Hamburg` (syn.Italia Negra) and ´Jacquez` (syn. Borgoña Majeña) and 2 unregistered varieties “Cantarita” and “Aceituna de Cotahuasi”. A varietal diversity with characteristics of interest in viticulture and plant breeding is observed, with contribution to the varietal identity of known and new creole varieties, contributing to the heritage value of the vine.El “Valle de Majes” en la provincia de Castilla - Región Arequipa, posee una tradición en la producción de vino y pisco, a partir de vides introducidas a mediados del siglo XVI, que aún conservan algunos productores, con escaso conocimiento de la riqueza varietal que poseen, generando confusión en la identificación de variedades y desvalorando su potencial vitivinícola. En este trabajo se realizó una prospección varietal por zonas vitivinícolas, caracterizando las variedades locales de viñedos antiguos, con 14 descriptores primarios recomendados por la OIV-2009 e identificando genéticamente una muestra de 11 fenotipos con uso de marcadores moleculares 9-SSR al ser comparados en el registro de base de datos internacionales VIVC. Se identificaron siete zonas vitícolas del valle y 39 variedades con nominación local, formando inicialmente 13 grupos de diferentes nombres, que al ser analizadas mediante el análisis discriminante canónico y de componentes principales se evidencia alta variabilidad fenotípica inter e intragrupal por la influencia de algunos caracteres. En el análisis del color de baya predomina la coloración azul-negro. Se identificaron genéticamente 4 variedades registradas en el VIVC que corresponden a ´Listan Prieto` (sin. Negra Criolla y sin. Moscatel), ´Quebranta` (sin.Vinera), Muscat Hamburg (sin. Italia Negra) y Jacquez (sin. Borgoña Majeña) y 2 variedades no registradas “Cantarita” y “Aceituna de Cotahuasi”. Se observa una diversidad varietal con características de interés en la vitivinicultura y fitomejoramiento, con aporte en la identidad varietal de conocidas y nuevas variedades criollas, contribuyendo al valor patrimonial de la vid

Angiosome study of the first digital feet space, for reconstruction of the digital tip

Background: The concept of angiosome explains the anatomical variations that exist between the vessels of different regions of the body and helps to understand the contributions of arterial blood supply to the skin and adjacent structures, dividing the human body into three-dimensional vascular blocks.Methods: This was an observational and descriptive study. In both lower extremities of 5 corpses with adequate tissue preservation in the operating room attached to the teaching area of the National Institute of Forensic Sciences in Mexico City. Angiosome study of the medial neurocutaneous flap of the second toe of both feet was performed.Results: The average, in centimeters, of the surface of the flaps was 1.57 cm x 2.47 cm, the average diameter of the inter-metatarsal digital artery was 1.1 millimeters and the average diameter of the veins draining the angiosome was 1.4 millimeters. The most constant anatomy was that of the nerve, which was present in all cases, with the digital nerve forming the neurosome of the flap.Conclusions: To obtain optimal results in microsurgery transfers, it is necessary to have a technique that is quick for harvesting the flap and with adequate systematization so as not to injure the neurovascular bundle, this is achieved through complete anatomical knowledge, without forgetting the main variants

Therapeutic alternatives for the prevention of intra peritoneal adhesions

Intestinal adhesions are bands of fibrous tissue created by the intimate contact of two injured surface tissues; these appear in 93% of the patient undergoing intra-abdominal or gastrointestinal surgery. The comorbidities associated with the formation of adhesions have an impact on quality care offered to patients, leading to an increase in healthcare. Goals of this study was to perform a review that includes different therapeutic alternatives in basic and clinical research to prevent the formation of postoperative abdominal peritoneal adhesions. A bibliographic search was conducted in different databases including Pub med, Medline, Cochrane, science direct, from the years 2000 to 2018 using the keywords: gastrointestinal adhesions, small bowel obstruction, prophylaxis, treatment. Only experimental and clinical articles were selected. The development of peritoneal adhesions in most of the experimental studies occurred with cecal abrasion, studying the effect of biodegradable materials, drugs and gels such as mXG Hydrogel. Nanofiber membranes, agents created with recombinant technology such as periostin antisense oligonucleotide and aerosol applications such as polysaccharide 4DryField PH, are positioned to replace in the future the actual limited mechanical barriers application commonly used in abdominal surgery such as seprafilm and interceed. There are several anti-adhesion agents in experimental phase with different mechanism of action that could be used in the short term to prevent the formation of post-surgical intestinal adhesions. The inclusion of gastrointestinal surgeons in basic research is increasing and necessary with multidisciplinary collaboration. It is expected in short term the study and development of a greater number of materials to minimize tissue trauma and decrease the formation of post-surgical adhesions

Effectiveness of autologous lipoinjection into the hand to improve function in patients with scleroderma: pilot study

Background: Scleroderma is a rare disease of the tissues that is characterized for being inflammatory and developing fibrosis in the skin. Typically, this disease affects middle-aged women.Methods: A study was conducted in which 10 patients with scleroderma with involvement in the sclerotic stage were included. One of the hands was chosen randomly for treatment with fatty graft processed by Coleman technique and the other hand, physiological solution was placed. Patients were evaluated at 45 and 90 days after the procedure using the Cochin Hand Functional Scale (CHFS) questionnaire, modified Rodnan scale for the skin (mRSS), grip strength with dynamometer and measurement of fingertip to palm of hand in flexion.Results: The average of CHFS before treatment was 42.30 and 25.70 at 90 days p=0.007. The average strength in the experimental hand before treatment was 11.67 and 14.58 at 90 days p=0.007, in the control hand p=0.873. The mean finger-palm tip distance before treatment was 44.80 and from 36.00 to 90 days p=0.019, in the control hand p=0.149. There is a significant difference in the degree of severity at 90 days of the mRSS of the back of the hands p=0.011 and phalanges p=0.000 between the patients with lipoinjection and physiological solution.Conclusion: Significant improvement was observed in patients with scleroderma treated with autologous lipoinjection

Dose volume histogram constraints in patients with soft tissue sarcomas of the extremities and the superficial trunk treated with surgery and perioperative HDR brachytherapy

Background: Wound healing complications (WHC), osteoradionecrosis (ORN), and nerve damage (ND) are common adverse effects in adult patients with soft tissue sarcomas of the extremities and the superficial trunk treated with surgery and perioperative high dose rate brachytherapy (PHDRB) alone or combined with external beam radiotherapy (EBRT). Rationale: Analysis of the treatment factors contributing to these complications can potentially minimize their occurrence and severity. Patients: A total of 169 patients enrolled in two parallel prospective studies were included in this analysis. Previously Unirradiated cases (Group 1; n = 139) were treated with surgical resection, 16–24 Gy of PHDRB and 45 Gy of EBRT. Adjuvant chemotherapy was given to selected patients with high-grade tumors. Previously irradiated cases (Group 2; n = 30) were treated with surgical resection and 32– 40 Gy of PHDRB without further EBRT. Methods: Patient factors, tumor factors, surgical factors, PHDRB factors and EBRT factors were analyzed using Cox univariate and multivariate analysis. Results: In Previously Unirradiated cases, WHC, ORN and ND occurred in 38.8%, 5.0% and 19.4%. Multivariate analysis indicated that WHC increased with CTV size (p = 0.02) and CTV2cm3 Physical dose (p = 0.02). ORN increased with Bone2cm3 EQD2 67 Gy (p = 0.01) and ND was more frequent in patients with TV100 DVH-based dose (tissue volume encompassed by the 100% isodose) 84 Gy (p < 0.01). In Previously Irradiated cases, WHC, ORN and ND occurred in 63.3%, 3.3% and 23.3%. Multivariate analysis showed that WHC was more frequent in patients with Skin2cm3 Lifetime EQD2 84 Gy (p = 0.01) and ND was more frequent after CTVD90 Physical Doses 40 Gy (p < 0.01). Conclusions: WHC in Previously Unirradiated patients can be minimized by using a more conservative CTV definition together with a meticulous implant technique and planning aimed to minimize hyperdose CTV2cm3 areas. In Previously Irradiated patients WHC may be mimimized considering Lifetime EQD2 Skin2cm3 doses. ORN can be reduced by using the Bone2cm3 EQD2 constraint. ND occurs more frequently in patients with large tumors receiving high treated volume doses, but no specific constraints can be recommended due to the lack of peripheral nerve definition during brachytherapy planning

What is the best term in Spanish to express the concept of cancer-related fatigue?

Introduction: Fatigue is one of the most frequent symptoms in patients with cancer. No adequate term in Spanish has been defined to describe the English concept of fatigue. Aim: To identify the most suitable Spanish words that define the concept of fatigue and to check psychometric characteristics. Method: Consensus with professional experts on Spanish words that best suit the English concept of fatigue. A prospective study on oncologic patients was also undertaken, which included an evaluation of the intensity of fatigue through visual numeric scales (VNS) where the words had been previously selected. The fatigue subscale of the Functional Assessment of Cancer Therapy-Fatigue (FACT-F) questionnaire was taken as a reference. Results: The experts highlighted the words cansancio, agotamiento, and debilidad (tiredness, exhaustion, and weakness) as the terms that best defined the concept of fatigue. In the psychometric assessment study, 100 patients were included, of which 61 (61%) presented diagnostic values for cancer-related fatigue in the FACT-F fatigue subscale (score 34/52 or lower). The VNS for the chosen terms obtained a high correlation with the FACT-F fatigue subscale results: cansancio (tiredness) r = −0.71, agotamiento (exhaustion) r = −0.74, debilidad (weakness) r = −0.74, with no statistical differences between them. For the detection of fatigue by means of the VNS, tiredness (cutoff point ≥4/10) gave sensitivity (S) 0.90 and specificity (E) 0.72; exhaustion (cutoff point ≥3/10) S 0.95 and E 0.90 and weakness (cutoff point ≥4/10) S 0.92 and E 0.72. The ROC curve was 0.88 for tiredness, 0.94 for exhaustion, and 0.92 for weakness, with no significant difference between the areas mentioned. The terms cansancio, agotamiento, and debilidad (tiredness, exhaustion, and weakness) are suitable for defining the English concept of fatigue in Spanish, and should be the preferred option for inclusion in evaluation tools

Delta-24-RGD combined with radiotherapy exerts a potent antitumor effect in diffuse intrinsic pontine glioma and pediatric high grade glioma models

Pediatric high grade gliomas (pHGG), including diffuse intrinsic pontine gliomas (DIPGs), are aggressive tumors with a dismal outcome. Radiotherapy (RT) is part of the standard of care of these tumors; however, radiotherapy only leads to a transient clinical improvement. Delta-24-RGD is a genetically engineered tumor-selective adenovirus that has shown safety and clinical efficacy in adults with recurrent gliomas. In this work, we evaluated the feasibility, safety and therapeutic efficacy of Delta-24-RGD in combination with radiotherapy in pHGGs and DIPGs models. Our results showed that the combination of Delta-24-RGD with radiotherapy was feasible and resulted in a synergistic anti-glioma effect in vitro and in vivo in pHGG and DIPG models. Interestingly, Delta-24-RGD treatment led to the downregulation of relevant DNA damage repair proteins, further sensitizing tumors cells to the effect of radiotherapy. Additionally, Delta-24-RGD/radiotherapy treatment significantly increased the trafficking of immune cells (CD3, CD4+ and CD8+) to the tumor niche compared with single treatments. In summary, administration of the Delta-24-RGD/radiotherapy combination to pHGG and DIPG models is safe and significantly increases the overall survival of mice bearing these tumors. Our data offer a rationale for the combination Delta-24-RGD/radiotherapy as a therapeutic option for children with these tumors. SIGNIFICANCE: Delta-24-RGD/radiotherapy administration is safe and significantly increases the survival of treated mice. These positive data underscore the urge to translate this approach to the clinical treatment of children with pHGG and DIPGs

Radioterapia estereotáctica

La radioterapia con técnica estereotáctica es una modalidad de radioterapia externa que utiliza un sistema de coordenadas tridimensionales independientes del paciente para la localización precisa de la lesión. También se caracteriza porque los haces de irradiación son altamente conformados, precisos y convergentes sobre la lesión que hacen posible la administración de dosis muy altas de radioterapia sin incrementar la irradiación de los órganos o estructuras sanas adyacentes. Cuando el procedimiento se realiza en una sesión de tratamiento se denomina radiocirugía y si se administra en varias sesiones se denomina radioterapia estereotáctica. Se precisa de sistemas de fijación e inmovilización del paciente especiales (guías o marcos estereotácticos) y dispositivos de radioterapia capaces de generar haces muy conformados (acelerador lineal, gammaknife, cyberknife, tomoterapia, ciclotrones). La radioterapia estereotáctica moderna utiliza marcas radioopacas intratumorales o sistemas de imágenes de TAC incluidos en el dispositivo de irradiación, que permiten una precisa localización de las lesiones móviles en cada sesión de tratamiento. Además, los avances tecnológicos hacen posible coordinar los movimientos de la lesión en la respiración con la unidad de radioterapia (gaiting y tracking) de forma que pueden estrecharse al máximo los márgenes y por lo tanto excluir un mayor volumen de tejido sano La radiocirugía está indicada principalmente en lesiones cerebrales benignas o malignas menores de 3-4 centímetros (malformaciones arteriovenosas, neurinomas, meningiomas, metástasis cerebrales) y la radioterapia estereotáctica se administra fundamentalmente en tumores de localización extracraneal que requieran una alta conformación y precisión como cáncer precoz de pulmón inoperable y metástasis hepáticas.Stereotactic radiotherapy is an external radiation modality that uses a system of three dimensional references independent of the patient to achive a precise location of the lesion. Stereotactic radiotherapy generate highly conformal, precisely focused radiation beams to administer very high doses of radiation without increasing the radiation to healthy surrounding organs or structures. When the procedure is carried out in one treatment session the procedure is termed radiosurgery, and when the treatment is administered in several fractions, the radiation modality is termed stereotactic radiotherapy. Special systems of patient immobilization (guides or stereotactic frames) are required together with radiotherapy devices capable of generating conformal beams (lineal accelerator, gammaknife, cyberknife, tomotherapy, cyclotrons). Modern stereotactic radiotherapy techniques employ intratumoural radio-opaque fiducials or CT image systems included in the irradiation device, which make possible a precise location of mobile lesions in each treatment session. Besides, technological advances permit breathing synchronized radiation (gating and tracking) for maximum tightening of margins and excluding a greater volume of healthy tissue. Radiosurgery is mainly indicated in benign or malign cerebral lesions less than 3-4 centimetres (arteriovenous malformations, neurinomas, meningiomas, cerebral metastases) and stereotactic radiotherapy is basically administered in tumours of extracraneal location that require high conformation and precision, such as inoperable early lung cancer and liver metastasis

Intensity-modulated radiation therapy (IMRT) vs. 3D conformal radiotherapy (3DCRT) in locally advanced rectal cancer (LARC): dosimetric comparison and clinical implications

<p>Abstract</p> <p>Purpose</p> <p>To compare target dose distribution, comformality, normal tissue avoidance, and irradiated body volume (IBV) in 3DCRT using classic anatomical landmarks (c3DCRT), 3DCRT fitting the PTV (f3DCRT), and intensity-modulated radiation therapy (IMRT) in patients with locally advanced rectal cancer (LARC).</p> <p>Materials and methods</p> <p>Fifteen patients with LARC underwent c3DCRT, f3DCRT, and IMRT planning. Target definition followed the recommendations of the ICRU reports No. 50 and 62. OAR (SB and bladder) constraints were D5 ≤ 50 Gy and Dmax < 55 Gy. PTV dose prescription was defined as PTV95 ≥ 45 Gy and PTVmin ≥ 35 Gy. Target coverage was evaluated with the D95, Dmin, and Dmax. Target dose distribution and comformality was evaluated with the homogeneity indices (HI) and Conformity Index (CI). Normal tissue avoidance of OAR was evaluated with the D5 and V40. IBV at 5 Gy (V5), 10 Gy (V10), and 20 Gy (V20) were calculated.</p> <p>Results</p> <p>The mean GTV95, CTV95, and PTV95 doses were significantly lower for IMRT plans. Target dose distribution was more inhomogeneous after IMRT planning and 3DCRTplans had significantly lower CI. The V40 and D5 values for OAR were significantly reduced in the IMRT plans .V5 was greater for IMRT than for f3DCRT planning (p < 0.05) and V20 was smaller for IMRT plans(p < 0.05).</p> <p>Conclusions</p> <p>IMRT planning improves target conformity and decreases irradiation of the OAR at the expense of increased target heterogeneity. IMRT planning increases the IBV at 5 Gy or less but decreases the IBV at 20 Gy or more.</p