Tumors of the oral cavity : CO2 laser management

Cancer of the oral cavity combined with oropharyngeal cancer is the sixth leading cause of death for cancer worldwide. Surgery remains the standard treatment for this disease in early clinical and locally advanced stages. Numerous studies have shown that laser management is useful for premalignant lesions in the oral cavity; however, there is no conclusive evidence that its use is appropriate in cancer of the oral cavity and that results are comparable with traditional surgery. The objective of this study is to determine cancer control after wide local resection with CO2 laser for oral malignant neoplasms. Retrospective study in patients with tumors of the oral cavity who were considered for surgical resection with CO2 laser from January 2006-December 2015. Demographic data, treatment modalities, histopathological diagnosis and clinical stage variables were obtained. All resections were done with the use of the microspot. Patients with cancer of the tongue were not included because a specific protocol for these patients does exist in our institution. There were twenty patients, 10 male and 10 female with a average age of 58 years (range: 20-92 years). Mean age was 53.5 years for females and 63 years for males. Twelve (60%) patients are alive and disease free and four (20%) were lost free of disease. CO2 laser is an acceptable surgical method for the management of small lesions in the oral cavity. We cannot rule out that small lesions of the oral cavity with positive neck could be managed in this manner, adding treatment to the neck, producing an adequate local regional control. However, this hypothesis requires additional studies

Nuevos datos cronoestratigráficos de la Fm. Marismas (Bajo Guadalquivir)

La Formación Marismas forma la parte superior del relleno sedimentario del sector SW de la cuenca del Guadalquivir. Los datos previos sobre el sondeo Lebrija, indicaban que la parte más alta de esta formación tenía edades de hasta 9.6 kyr BP y en la parte inferior eran cercanas o fuera del rango del radiocarbono, pero posterior a la reversión Brunhes-Matuyama. En este trabajo se aportan 17 nuevas dataciones realizadas mediante racemización de aminoácidos en valvas de ostrácodos en este mismo sondeo, con el fin de completar la cronología y el modelo de edad de la parte superior e inferior de la Fm Marismas. El resultado indica que el tramo situado por debajo del metro 56, arroja edades que oscilan entre 164685±14110 y 202830±30255, que se correlacionan con los estadios isotópicos marinos MIS 6-7 del Pleistoceno medio, edad sensiblemente más baja a las inferidas para esta formación en otros puntos de la Cuenca del bajo GuadalquivirEste trabajo se ha realizado dentro del proyecto Guadaltyc (Impacto del clima y la tectónica en el registro sedimentario de la Cuenca del Guadalquivir, (CGL2012-30875).Peer Reviewe

Los gasterópodos terrestres del Cuaternario Superior de Gran Canaria (Islas Canarias)- Land gastropods of the Upper Quaternary in Gran Canaria (Canary Islands)

Hemos estudiado la estratigrafía, cronología y paleontología de ocho depósitos sedimentarios (siete paleodunas y un derrubio de ladera) del Pleistoceno Superior de la isla de Gran Canaria (Islas Canarias). Las paleodunas se caracterizan por una alternancia de dunas y paleosuelos, que varía entre un ciclo en la Playa de Jinámar, y once en el Lazareto (Gando). La cronología de estos depósitos, obtenida por racemización de aminoácidos sobre ejemplares del género Theba y calibrada con 14C, muestra una edad entre 44,4 Ka a 22,2 Ka. La aminoestratigrafía ha permitido asignar estos depósitos a cuatro aminozonas (AM2 a AM5) de las registradas por Ortiz et al. (2006). Las asociaciones fósiles de gasterópodos terrestres están representadas por 20 especies pertenecientes a 8 familias, con un grado de endemismo del 95%. Los cambios faunísticos detectados, con respecto a la actualidad, se refieren a la extinción del 25 % de las especies del Pleistoceno Superior, y a la disminución de la extensión geográfica de algunas especies como Theba arinagae y T. aff. grasseti. - A stratigraphic, chronological and paleontological study of eight sedimentary deposits (seven palaeodunes and a colluvial slide) in the Upper Pleistocene of Gran Canaria (Canary Islands) has been undertaken. The palaeodunes are characterized by dune-palaeosoil alternation, from an only cycle in Playa de Jinámar to eleven in Lazareto (Gando). The chronology of these deposits, obtained by amino acid racemisation and 14C datations in Theba genus samples, displays an age between 44,4 Ka and 22,2 Ka. The aminostratigraphy study appoints to these sediments belong to four amino zones (AM2 to AM5) reported by Ortiz et al. (2006). The land snail fossil assemblages are represented by 20 species belonging to eight families, with an endemic degree around 95%. The detected fossil fauna changes with regard to present fauna reveal an Upper Pleistocene species extinction at about 25% and geographic extension decreasing of some species as Theba arinagae and T. aff. grasset

Large bowel obstruction due to sesame seed bezoar: a case report

peer-reviewedWe report a case of a 79 year old man with a known benign anastomotic stricture presenting with large bowel obstruction. At laparotomy the obstruction was found to be caused by a large sesame seed bezoar. Seed bezoars are well known to cause impaction in the rectum but have never been previously reported to cause large bowel obstruction. We recommend that patients with known large bowel strictures should be advised not to eat seeds as this could ultimately lead to obstruction, ischaemia or perforationPUBLISHEDpeer-reviewe

Intervención educativa para elevar el conocimiento sobre Alfabetización informacional en Residentes de especialidades médicas

Introduction: information Literacy is considered an "ideal vehicle for citizens to acquire skills that enable them to learn throughout life." Objective: to evaluate the effectiveness of the educational program in order to increase the knowledge and self- perception about information competence of the interns of medical specialties: General Medicine (GM) and General Dentistry (GD) of the Teaching Polyclinic "Luis E. de la Paz Reina" in Yara. Granma. Method: it was applied an educational program supported by the implementation of an information literacy program. The variables were: information analysis, information literacy. The sample consisted of 36 interns of GM and GD of 1st year in the period of November, 2014 to March of 2015. Results: we obtained an increase on the interns’ knowledge of medical specialties in fundamental subjects: literature searches, information needs, information literacy, among others. Conclusions: it was proved the effectiveness of the educational program to increase the interns’ knowledge of medical specialties by increasing the level of knowledge with a statistical significance of reliability of 95%, demonstrating the usefulness of Information Literacy course in health professionals.Introducción: la Alfabetización Informacional se considera un "vehículo idóneo para que los ciudadanos adquieran competencias que les faculten para el aprendizaje a lo largo de la vida".  Objetivo: evaluar la eficacia del programa educativo para elevar el conocimiento y autopercepción sobre competencia informacional de los residentes de especialidades médicas: Medicina General Integral (MGI) y Estomatología General Integral (EGI) del Policlínico Docente “Luis E. de la Paz Reina”. Yara. Granma. Método: se aplicó un programa educativo sustentado en la aplicación de un programa de Alfabetización Informacional. Las variables fueron: análisis de la información, alfabetización informacional. La muestra estuvo constituida por los 36 Residentes de MGI y EGI de 1er año en el período de noviembre 2014 a marzo del 2015.Resultados: se logró que aumentara el conocimiento de los residentes de especialidades médicas en temáticas fundamentales: búsquedas bibliográficas, necesidades de información, Alfabetización Informacional, entre otras.Conclusiones: se demostró la eficacia del programa educativo para incrementar el conocimiento de los residentes de especialidades médicas   al   elevar   el   nivel   de   conocimientos con una significación estadística de confiabilidad del 95 %, que demostró la utilidad del curso de Alfabetización Informacional en profesionales de la salud

Ancient DNA reveals differences in behaviour and sociality between brown bears and extinct cave bears

Ancient DNA studies have revolutionized the study of extinct species and populations, providing insights on phylogeny, phylogeography, admixture and demographic history. However, inferences on behaviour and sociality have been far less frequent. Here, we investigate the complete mitochondrial genomes of extinct Late Pleistocene cave bears and middle Holocene brown bears that each inhabited multiple geographically proximate caves in northern Spain. In cave bears, we find that, although most caves were occupied simultaneously, each cave almost exclusively contains a unique lineage of closely related haplotypes. This remarkable pattern suggests extreme fidelity to their birth site in cave bears, best described as homing behaviour, and that cave bears formed stable maternal social groups at least for hibernation. In contrast, brown bears do not show any strong association of mitochondrial lineage and cave, suggesting that these two closely related species differed in aspects of their behaviour and sociality. This difference is likely to have contributed to cave bear extinction, which occurred at a time in which competition for caves between bears and humans was likely intense and the ability to rapidly colonize new hibernation sites would have been crucial for the survival of a species so dependent on caves for hibernation as cave bears. Our study demonstrates the potential of ancient DNA to uncover patterns of behaviour and sociality in ancient species and populations, even those that went extinct many tens of thousands of years ago

Metallothionein in human oesophagus, Barrett's epithelium and adenocarcinoma

The potential of the metal-binding protein, metallothionein, in assessing the progression of normal oesophagus through Barrett's to adenocarcinoma was investigated. Metallothionein was quantitatively determined in resected tissues from patients undergoing oesophagectomy for high grade dysplasia/adenocarcinoma and in biopsies from patients with Barrett's syndrome. In 10 cancer patients, metallothionein concentrations in adenocarcinoma were not significantly different from normal oesophagus, although six had elevated metallothionein concentrations in the metaplastic tissue bordering the adenocarcinoma. In 17 out of 20 non-cancer patients with Barrett's epithelium, metallothionein was significantly increased by 108% (P<0.004). There was no association between the metallothionein levels in Barrett's epithelium and the presence of inflammatory cells, metaplasia or dysplasia. Metallothionein is a marker of progression from normal to Barrett's epithelium but is not increased in oesophageal adenocarcinoma

Cobertura efectiva del manejo de la violencia contra mujeres en municipios Mexicanos: límites de la métrica

El estudio estimó la cobertura efectiva de los servicios en salud de primer nivel de atención para el manejo de la violencia doméstica contra la mujer en tres municipios mexicanos. Se estimó la prevalencia y severidad de la violencia usando una escala validada, y la cobertura efectiva con la propuesta de Shengelia y colaboradores, con modificaciones. Se consideró atención con calidad cuando hubo sugerencia de hacer la denuncia a las autoridades. La utilización y calidad de la atención fue baja en los tres municipios analizados, siendo más frecuente la utilización cuando hubo violencia sexual o física. La cobertura efectiva en Guachochi, Jojutla y Tizimín fue de 29.41%, 16.67% y cero, respectivamente. El indicador de cobertura efectiva tiene dificultades para medir eventos y respuestas no se fundamentan en modelos biomédicos. Los hallazgos sugieren que el indicador puede ser mejorado al incorporar otras dimensiones de la calidad