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The death of a loved one can occur at any stage of life and can have a profound clinical impact on the patient. During childhood and adolescence, smoking has a functional impact on key aspects of family, school, and social life. The negative effects of parental death on children's mental health and its prevalence are unknown. Therefore, this systematic literature review aimed to describe the effects of parental death on children's mental health and its prevalence. The PubMed/Medline, WoS, and Cochrane Trials databases were searched for articles on patients aged 4-18 years. This review examines three articles. Anxiety and depression were identified as the predominant mental health outcomes, with a prevalence ranging from 7.5 % to 44.67 % of the mental health consequences associated with parental death.

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INTRODUCTION: Teledermatology (TD) is a health tool based on the application of information and communication technologies (ICT) for the care of skin diseases at a distance, allowing a better connection between primary care professionals (PCP) and specialized care. The objective of this study was to analyze the characteristics of the teleconsultations made to our service in a period of 2years (January 1, 2018 to December 31, 2019). MATERIAL AND METHODS: The data was obtained from a TD system with dermoscopy that allows teleconsultations to be carried out asynchronously. Data were analyzed over 24months. The variables studied were the health centre of origin, the diagnostic suspicion of the PCP, the time and type of response, and the clinical judgment issued by the dermatologist. RESULTS: Between January 1, 2018 and December 31, 2019, a total of 3,294 teleconsultations were received. 24.76% were referred to the dermatology consultation, while 25.63% required subsequent follow-up electronically. The most frequent diagnostic suspicion by the PCP was that of benign pathology (54.71%). The most frequent dermatological clinical judgment was that of seborrheic keratosis (20.19%), followed by actinic keratosis (14.02%), acquired common melanocytic nevi (13.24%) and basal cell carcinoma (8.98%). CONCLUSIONS: The TD system is a useful tool that allowed a quick response to a high percentage of consultations, helping to avoid unnecessary referrals and easy communication between primary and specialized care. It also allows prioritizing those patients with malignant tumour pathology.

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The objective of the present work was to characterize the morphostructural architecture of bovine biotypes that are mostly used in milk production in southern Chile. Measurements were carried out in 26 dairy farms located in the provinces of Osorno and Ranco, in Los Lagos and Los Ríos regions, respectively. In each farm, four animals were randomly selected from the herd; 104 four year-old cows were measured. Cows were classified into four biotypes: Holstein Friesian (HD), Overo Negro (OD), hybrid Friesian Holstein (HM) and hybrid Overo Negro (OM), according to the opinion of the owner or administrator. Nine body measurements were taken: head length (HL), head width (HW), withers height (WH), rump height (RH), bicostal diameter (BD), longitudinal diameter (LD), rump width (RW), rump length (RL) and dorso-sternal diameter (DED). Data were analyzed by principal component analysis (PCA) and the Fisher LSD test. The evaluated animals seem to converge around a basic architecture derived from cultural selection patterns regardless of the racial biotype. This architecture could be typical of grazing systems or be influenced by aspects of selection additional to those directly related to production. The data suggest that the body architecture of the dairy cattle evaluated would respond to selection patterns more than to racial biotypes. It was also seen that measures such as DED, RW and LD have a greater incidence than the other variables within the observed common selection patterns. Finally, within the evaluated animal population, two selection patterns coexist, one represented by small size body architecture and another one that, although despite its larger dimensions, also represents a small dairy animal in comparison to the sizes reported for Holstein Friesian breed in other areas.

El objetivo de este trabajo fue caracterizar la arquitectura morfoestructural de los biotipos bovinos que mayoritariamente se utilizan en la producción de leche en el sur de Chile. Para ello se realizaron evaluaciones en 26 predios lecheros ubicados en las provincias de Osorno y Ranco, en las regiones de Los Lagos y Los Ríos, respectivamente. Se midieron 104 animales clasificados en cuatro biotipos según lo declarado por los ganaderos: Holstein Friesian (HD), Overo negro (OD) y cruzamientos de Holstein Friesian (HM) y Overo Negro (OM). En cada animal se determinaron nueve medidas corporales: longitud de la cabeza (HL), ancho de la cabeza (HW), alzada a la cruz (WH), alzada a la grupa (RH), diámetro bicostal (BD), diámetro longitudinal (LD), ancho de la grupa (RW), longitud de la grupa (RL) y diámetro dorso-esternal (DED). Los datos se analizaron mediante análisis de componentes principales (PCA) y el test de Fischer LSD, usando para ello el programa XLstat pro. De acuerdo a los resultados se puede concluir que, independiente del biotipo racial, los animales evaluados parecen converger en torno a una arquitectura básica derivada de patrones de selección fenotípica con un componente cultural que pudiera ser propia de los sistemas de pastoreo, o influenciada por aspectos de selección adicionales a los relacionados directamente a la producción. En este sentido, los datos indican que la arquitectura corporal del ganado lechero respondería más a patrones de selección que a biotipos raciales. También se apreció que la profundidad (DED), el ancho de grupa (RW) y el largo (LD) presentan una mayor incidencia que las demás variables evaluadas dentro de los patrones de selección común observados. Finalmente, fue posible apreciar que al interior de la población animal evaluada coexisten dos patrones de selección. Uno representado por una arquitectura corporal de pequeño tamaño y otro que, si bien exhibe mayores dimensiones, también representa un tipo de animal lechero de menor tamaño en comparación a las dimensiones que alcanzan los biotipos relacionados a la raza Holstein Friesian en otras zonas.

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The present study aimed to assess the degree of body architecture differentiation between Creole goats, two introduced breeds and their hybrids in semi arid areas of the north of Chile. The study was carried out between 2012 and 2015. One hundred and eighty five adult female goats belonging to 17 herds from the Coquimbo region were used. Ten animals of the Saanen breed and 10 animals of the Anglo nubian breed belonging to two hatcheries and 165 Creole and hybrid goats belonging to small farmers were measured. The animals were categorized into pure breed (20), hybrid (52) and creole (113). Eight body measurements were taken: head length (HL), head width (HW), longitudinal diameter (LD), bicostal diameter (BD), dorsal-sternal diameter (DSD), rump width (RW), rump length (RL) and whithers height (WH). Data were submitted to principal component analysis (PCA) and Fisher LSD test, using the XLSTAT-Pro Statistic software. The analysis indicated the existence of homogeneity subsets within the population, without a common architectural pattern for the entire population. The Creole biotype showed a smaller body architecture than the two breeds and hybrids with which it was compared, which could be an adaptative result. It is possible to assess that the Creole biotype has a differentiated body architecture with respect to the introduced goat breeds and the animals hybridized in different proportions. In addittion, it was observed that Creole goats maintain distinctive characteristics and they are differentiable even of the individuals with different degrees of hybridization.

El presente estudio tuvo por objetivo identificar si existe diferenciación en la arquitectura corporal entre caprinos Criollos, razas introducidas y rebaños hibridados con las mismas. El estudio se llevó a cabo entre 2012 y 2015 en la región de Coquimbo, Chile. Ciento ochenta y cinco cabras fueron estudiadas, pertenecientes a 17 rebaños distintos. Se midieron 10 animales de raza Saanen y 10 animales de raza Anglo nubian presentes en dos criaderos, y 165 animales Criollos e híbridos en predios de productores. Ocho medidas corporales fueron determinadas: longitud de la cabeza (HL), ancho de la cabeza (HW), diámetro longitudinal (LD), diámetro bicostal (BD), diámetro dorso-esternal (DSD), ancho de la grupa (RW), longitud de la grupa (RH) y alzada a la cruz (WH). Los datos de medidas se analizaron mediante análisis de componentes principales (PCA) y test LSD de Fischer con el programa estadístico XLSTAT Pro. Los resultados indican que las diferencias entre variables refllejan la existencia de subcojuntos de homogeneidad dentro de la población, no apreciándose un patron arquitectónico común para toda la población. De esta manera, el biotipo Criollo presenta una arquitectura corporal más reducida que las razas con las que se compara en este estudio, lo cual pudiera ser una respuesta adaptativa. En este sentido, es posible afirmar que el biotipo Criollo presenta una arquitectura corporal diferenciada respecto de las razas introducidas a la región y a los animales hibridados en distintas proporciones con dichas razas, con lo cual es posible observar que mantiene características distintivas y que es diferenciable incluso de distintos grados de hibridaje presente en dicha población.

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Difteria es una enfermedad infecciosa bacteriana producida por Corynebacterium diphtheriae, es altamente contagiosa, prevenible por vacunas, con importantes complicaciones agudas y alta mortalidad. Objetivo: Describir las características clínicoepidemiológicas y el manejo médico de los pacientes con diagnóstico de Difteria ingresados en el Servicio de Enfermedades Infecciosas del Adulto del Hospital Universitario de Caracas (HUC) en los años 2017 y 2018. Metodología: Estudio de casos, analítico, retrospectivo, de revisión de historias clínicas. Resultados: Ingresaron 27 pacientes de los cuales se encontraron 22 historias clínicas y se excluyeron 2. De los 20 pacientes 13 (65 %) ingresaron en el año 2017 y 7 (35 %) hasta mayo del 2018. Predominó el género masculino 11 (55 %). La mayoría eran procedentes del Distrito Capital 9 (45 %), seguido del estado Miranda 8 (40 %). El promedio de edad fue de 26 años. La mayoría 8 (40 %) no tenían reportes de datos epidemiológicos en la historia clínica, 7 (35 %) negaron viajes recientes, 3 (15 %) estaban vacunados. La mayoría de los pacientes consultaron por fiebre, odinia y odinofagia 13 (65 %), seguido de fiebre y odinia 6 (30 %), el 100 % tuvo membrana blanco grisácea como clínica primaria, seguido de edema de cuello 10 (50 %). La ubicación de las membranas fue más frecuente en amígdalas palatinas 15 (75 %), con 9 casos (45 %) de formas extensivas a úvula, paladar blando y paredes de orofaringe. Las complicaciones al ingreso fueron respiratorias 9 (45 %) y neurológicas 1 (5 %). El tratamiento fue penicilina cristalina en 12 casos (60 %) y antitoxina diftérica (ATD) en el 100 %, la mayoría administrada en las primeras 24 hrs 9 (45 %). Un paciente presentó polineuropatía y 1 falleció por insuficiencia respiratoria. Conclusiones: El HUC es un centro de referencia y es pertinente determinar las características clínico-epidemiológicas y el manejo médico de los pacientes hospitalizados con diagnóstico de difteria, en el contexto de la actual epidemia.

Diphtheria is a bacterial infectious disease caused by Corynebacterium diphtheriae, it is highly contagious, preventable by vaccines, with important acute complications and high mortality. Objective: To describe the clinical-epidemiological characteristics and medical management of patients diagnosed with Diphtheria admitted to the Adult Infectious Diseases Service of the Hospital Universitario de Caracas (HUC) in the years 2017 and 2018. Methodology: Case study, analytical , retrospective, review of medical records. Results: 27 patients were admitted, of which 22 clinical records were found and 2 were excluded. Of the 20 patients, 13 (65%) entered in 2017 and 7 (35%) up to May 2018. The male gender predominated 11 (55 %). Most were from Distrito Capital 9 (45%), followed by Miranda 8 (40%). The average age was 26 years. The majority 8 (40%) had no reports of epidemiological data in the clinical history, 7 (35%) denied recent trips, 3 (15%) were vaccinated. The majority of patients consulted for fever, odinia and odynophagia 13 (65%), followed by fever and odinia 6 (30%), 100% had grayish white membrane as primary clinic, followed by neck edema 10 (50%) . The location of the membranes was more frequent in palatine tonsils 15 (75%), with 9 cases (45%) of extensive forms to the uvula, soft palate and walls of the oropharynx. Complications at admission were respiratory 9 (45%) and neurological 1 (5%). The treatment was crystalline penicillin in 12 cases (60%) and diphtheria antitoxin (DAT) in 100%, the majority administered in the first 24 h 9 (45%). One patient presented polyneuropathy and 1 died due to respiratory failure. Conclusions: The HUC is a reference center and it is pertinent to determine the clinical-epidemiological characteristics and medical management of hospitalized patients diagnosed with diphtheria, in the context of the current epidemic.

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Adult atopic dermatitis is a chronically recurring inflammatory dermatosis which presents in various forms. Some of these forms develop mostly in adults such as head and neck dermatitis and chronic hand eczema. Even though the diagnosis is clinical it frequently requires further investigations to exclude differential diagnosis. Once confirmed, it is crucial to classify its severity and exclude other comorbidities. Treatment includes general measures such as the use of emollients and soap substitutes which are applicable in all cases regardless of its severity. Other therapeutic options include topical corticosteroids, topical calcineurin inhibitors, phototherapy and immunosuppressants. Their use will depend on the degree of severity and specific characteristics of each individual. Newer biologics have proven to be a safe and effective alternative, and seem to be a promising option in cases of adult atopic dermatitis refractory to conventional treatments. (AU)

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Intense selection for production traits has improved the genetic gain of important economic traits. However, selection for performance and carcass traits has led to the onset of locomotors problems and decreasing bone strength in broilers. Thus, genes associated with bone integrity traits have become candidates for genetic studies in order to reduce the impact of bone disorders in broilers. This study investigated the association of the RUNX2 and TNFSF11 genes with 79 traits related to performance, carcass composition, organs, and bone integrity in a paternal broiler line. Analyses of genetic association between single-nucleotide polymorphisms (SNPs) and traits were carried out using the maximum likelihood procedures for mixed models. Genetic associations (P < 0.05) were found between SNP g.124,883A>G in the RUNX2 gene and chilled femur weight (additive plus dominance deviation effects within sex) and with performance traits (additive within sex and additive effects). The SNP g.14,862T>C in the TNFSF11 gene presented genetic associations (P < 0.05) with additive plus dominance deviation effects within sex for performance traits. Suggestive genetic associations (P < 0.10) were found with abdominal fat and its yield. Selection based on SNPs g.14,862T>C in TNFSF11 and g.124,883A>G in RUNX2 could be used to improve performance and carcass quality traits in the population studied, although SNP g.14,862T>C was not in Hardy-Weinberg equilibrium because it was not undergoing a selection process. Furthermore, it is important to validate these markers in an unrelated population for use in the selection process.

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Pernio (chilblains) is an inflammatory condition classically characterized by localized erythema and swelling of acral sites upon exposure to cool and damp conditions. It is reported a case of a 59-year-old otherwise healthy woman with acute primary perniosis. She had a 3-day history of lesions on the toes brought on by cold, damp weather. On initial presentation, a biopsy sample was taken of a hallux lesion, and the patient was given a trial course of oral pentoxifylline, topical corticoid and nifedipine therapy. Follow-up at 2 weeks showed complete relief of symptoms and the biopsy results confirmed the diagnosis. Pentoxifylline therapy has been shown to be effective and should be considered the standard of care in the treatment of perniosis along with conservative environmental measures.The etiology and pathogenesis of perniosis are reviewed and discussed, as well as differential diagnoses and treatment options. (AU)

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The body shape of an animal population determines ranges of biological functionality and productive use. In sheep, meat productivity is closely related with the body size of the animal. Some sheep breeds are used in terminal crossbreeding to give the lamb favorable dimensional characteristics, but it is necessary to go deeper on the study of the relationships between morphostructure and productive aptitude of these breeds, since discrepancies could be due to the environmental effects or the degree of differentiation between the original pool of different breeds and the local populations. The study aimed to evaluate the morphostructural characters in four sheep breeds in Chile and discuss their relationship with the productive functionality of the body architecture. Two hundred and seventy-eight sheep belonging to Texel, Dorset, Coopworth and Suffolk Down breeds were used. Eleven body measurements (heart girth circumference, rump width, rump length, width of the cranium, length of the cranium, dorsal-sternal diameter, bicostal diameter, longitudinal diameter, cannon bone circumference, height at rump and height at withers) were taken. Nine zoometric indices (body index, cephalic index, thorax index, thorax depth index, pelvic index, longitudinal pelvic index, transverse pelvic index), metacarpal thorax index and metacarpal costal index) were composed from the individual measurements. The most important morphostructural relationships that contribute to explain the variability of the format of the four breeds of sheep studied were expressed by the metacarpal-thoracic index, the metacarpal-costal index, the thorax index and the bicostal index. Moreover, the breeds showed a high dispersion; the zoometric indices only partially explained the variability of the body format, expressing high format heterogeneity in influential variables as the metacarpal-thoracic index, the metacarpal-costal index and the body index. This could be because these racial populations are subjected to processes of differentiation within each breed.

La forma del cuerpo de una población animal determina rangos de funcionalidad biológica y su uso productivo. En las ovejas, la productividad de la carne está muy relacionada con el tamaño del cuerpo del animal. Algunas razas de ovejas se utilizan en cruzamientos terminales para dar al cordero características dimensionales favorables, pero es necesario profundizar en el estudio de las relaciones entre morfoestructura y aptitud productiva de estas razas, ya que las discrepancias podrían deberse a los efectos del medio ambiente o al grado de la diferenciación entre la piscina original de diferentes razas y las poblaciones locales. Este trabajo tuvo como objetivo evaluar los caracteres morfoestructurales en cuatro razas de ovinos en Chile y la relación de la funcionalidad productiva con la arquitectura del cuerpo. Se utilizaron 278 ovejas, raza Suffolk Down, pertenecientes a Texel, Dorset, Coopworth. Se tomaron 11 mediciones en el cuerpo (circunferencia del corazón, ancho del lomo, rabadilla, ancho del cráneo, longitud del cráneo, diámetro esternaldorsal, diámetro bicostal, diámetro longitudinal, circunferencia de hueso de la caña, altura de cadera y altura a la cruz). Nueve índices zoométricos (índice corporal, índice cefálico, índice de tórax, índice de profundidad del tórax, índice de la pelvis, índice pélvico longitudinal, índice transversal de la pelvis, índice metacarpiano del tórax e índice metacarpiano costal) fueron determinados a partir de mediciones individuales. Las relaciones morfoestructurales más importantes que contribuyen a explicar la variabilidad del formato de las cuatro razas de ovejas estudiadas se expresaron por el índice metacarpiano-torácico, el índice metacarpiano-costal, el índice de tórax y el índice bicostal. Por otra parte, las razas mostraron una alta dispersión de los índices zoométricos que explican sólo parcialmente la variabilidad del formato de cuerpo, la alto heterogeneidad de formato en las variables influyentes como el índice metacarpiano-torácica, el índice metacarpiano-costal y el índice del cuerpo. Esto podría ser debido a que estas poblaciones raciales son sometidos a procesos de diferenciación dentro de cada raza.

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Milk fat composition is important to consumer health. During the last decade, some fatty acids (FA) have received attention because of their functional and beneficial effects on human health. The milk FA profile is affected by both diet and genetics. Differences in milk fat composition are based on biochemical pathways, and candidate genes have been proposed to explain FA profile variation. Here, the association between DGAT1 K232A, SCD1 A293V, and LEPR T945M markers with milk fat composition in southern Chile was evaluated. We selected five herds of Holstein-Friesian, Jersey, Frisón Negro, Montbeliarde, and Overo Colorado cows (pasture-grazed) that received strategic supplementation with concentrates and conserved forages. We genotyped the SNPs and calculated allele frequencies and Hardy-Weinberg equilibrium. Milk fat composition was determined for individual milk samples over a year, and associations between genotypes and milk composition were studied. The most frequent variants for DGAT1, SCD1, and LEPR polymorphisms were GC/GC, C, and C, respectively. The DGAT1 GC/GC allele was associated with lower milk fat and protein content, lower saturated fatty acid levels, and higher polyunsaturated FA (PUFA), n-3 and n-6 FA, and a linolenic acid to cholesterolemic FA ratios, which implied a healthier FA profile. The SCD1 CC genotype was associated with a low cholesterolemic FA content, a high ratio of linolenic acid to cholesterolemic FA, and lower conjugated-linolenic acid and PUFA content. These results suggest the possible modulation of milk fat profiles, using specific genotypes, to improve the nutritional quality of dairy products.

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