Reverse-flow anterolateral thigh flap for knee soft-tissue reconstruction: case report

The reconstruction of the injured tissue around the knee is a complex procedure for the plastic and orthopaedic surgeon. The objective is to provide an acceptable function and aesthetic result. Successful wound management includes meticulous debridement, planning and proper execution of the surgical procedure. An 11-year-old male patient with a right patellar fracture using an anterolateral thigh flap with reverse flow to cover the skin defect. For such purposes, the reverse flow anterolateral flap is an effective, trustworthy and well-documented option. The correct obtaining and implantation of the flap reduces the morbidity of the donor site, offers options in size and design, an adequate length of the pedicle and the possible combination with the fascia lata in case it is required. The versatility of the reverse flow anterolateral flap makes it a possible therapeutic alternative in reconstructive surgery since it is aesthetic and functional for the reconstruction of tissue near the knee joint

Hallazgos interesantes en madres con niños con Sinovitis de Cadera

La Sinovitis transitoria de cadera (STC) continúa siendo un diagnóstico de exclusión en la clínica pediátrica y las causas que la originan muchas veces no pueden ser demostradas.En el siguiente trabajo se presentan 22 niños con diagnóstico de Sinovitis transitoria de cadera, atendidos consecutivamente entre los años 1997 – 1999 en la consulta externa de Reumatología del Hosp General Docente “Aleida Fernández Chardiet” de Provincia Habana. Se aplicó una encuesta en dos partes: la primera dedicada a recoger datos del paciente relacionados con la STC y la segunda con los resultados del examen físico realizado a sus respectivas madres. Predominaron en los afectados y sus madres el color de piel blanca y predominó el sexo masculino entre los pacientes. La edad promedio de los niños estudiados fue de 4.5. El 72% de las madres cumplían criterios de hipermovilidad articular y un 50% presentaron deformidades en miembros inferiores. Se comentan estos hallazgos

1601P Ideal cardiovascular health (ICVH) in patients with a recent diagnosis of colorectal cancer (CRC)

Background: Cardiovascular events are an important cause of mortality in patients cured of colorectal cancer and are also potential complications of new therapies for metastatic CRC. The American Heart Association’s “Simple 7” offers a practical public health conceptualization of cardiovascular health. They include healthy behaviours: non-smoking, active physical activity (MVPA > 150 min/w), healthy diet and low body mass index (BMI); and health factors: no hypertension, no diabetes, no hypercholesterolemia. Whereas factors are non-modifiable, behaviours can be changed. Studies have shown that prevalence of ideal cardiovascular health in the US is only 0.1%. Methods: Patients with a recent diagnosis of CRC who accepted to participate were prospectively evaluated. BMI, blood pressure, glucose and cholesterol were measured at the hospital. Physical activity was objectively evaluated with accelerometers. Adherence to a healthy diet was evaluated through the PREDIMED (adherence to Mediterranean diet) questionnaire. Information about smoking and past cardiovascular disease or risk factors was obtained from the clinical record. Results: 91 patients were recruited between March 15 and March 17. 36% were metastatic. Age 65 (25-81), 69% male 31% female, BMI 26.2 ±3.6, Waist 95,6 ±12 cm, mean MVPA 350±248 min/wk, mean sedentarism 3394±1123. 9% had a history of CV disease (ischemic, cerebrovascular, heart failure). 34% were classified as high CV risk. Only one patient showed an ICVH. Conclusions: The prevalence of ICVH in a population of Spanish CRC patients was 1%. This population was overall compliant with PA recommendations, adhered to a healthy diet and less than 10% smoke in the last year. Hypertension was the most prevalent risk factor. Overweight was the most prevalent unhealthy behaviour. Interventions should be aimed at reducing BMI. Interventions exploring programs with vigorous physical activity and diet modifications in CRC survivors are warranted.Sin financiación13.930 JCR (2017) Q1, 9/223 Oncology5.599 SJR (2017) Q1, 4/134 Hematology, 35/2878 Medicine (miscellaneous), 9/378 OncologyNo data IDR 2017UE

A Coffee Berry Borer (Coleoptera: Curculionidae: Scolytinae) Bibliography

Native to Africa, the coffee berry borer, Hypothenemus hampei (Ferrari) (Coleoptera: Curculionidae: Scolytinae), has gradually invaded most coffee-growing areas worldwide. Adult females colonize the coffee berry and oviposit within galleries in the coffee seeds. Larvae and adults consume the seeds, resulting in drastic reductions in yields and quality, negatively affecting the income of approximately 20 million coffee-growing families (~100 million people) in ~80 countries, with losses surpassing more than $500 million annually (Vega et al. 2015). It has become evident that the coffee berry borer scientific community could greatly benefit from having access to a bibliography of the literature related to the insect. Such an information source would allow scientists to find out what research areas have been explored throughout the many coffee berry borer-infested countries after more than 100 years of research on the topic. It could also help to direct lead future research efforts into novel areas, and away from topics and ideas that have been thoroughly investigated in the past