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BACKGROUND: Urban ethnobotanical research in Costa Rica is rather rare and home gardens are poorly studied so far. Investigating their biodiversity is crucial in gathering knowledge on the uses of this particular flora, especially related to the owners' health. This study therefore explores the diversity and knowledge of medicinal plants of private garden owners from three different urban neighborhoods in Heredia, Costa Rica, an thus far understudied area. METHODS: Semi-structured interviews (n = 61) were conducted with garden owners in three socioeconomically different urban neighborhoods (Central Heredia, Maria Auxiliadora and Bernardo Benavides). Information was collected about medicinal plants cultivated in the garden, treatments, plant part used and mode of administration. All species were identified and their geographical origin was determined. This information was then compared with the available regional and local (ethno)pharmacopoeias to detect possible newly documented uses. RESULTS: The majority or 90% of garden owners who also held knowledge on medicinal plants species were women (n = 30) of all ages (between 26 and 85 years old). A list of 27 species of medicinal plants was obtained from the participants of three urban neighborhoods. In Central Heredia, 74% (n = 20) of the total species were present, in Maria Auxiliadora 33% (n = 9) and in Bernardo Benavides 56% (n = 15). Most plant species were used by the participants to treat respiratory problems (11 spp.), hair and skin problems (9 spp.) and digestive disorders (8 spp.). Some plants were used to treat multiple ailments (10 spp.). About a third of all species (n = 8) were used by the participants to treat disorders that were not indicated in the regional and local pharmacopoeias. More specifically, Aloe saponaria, Blechum pyramidatum, Costus scaber, Impatiens walleriana, Lippia alba, Tradescantia zebrina, Psidium friedrichsthalianum and Solenostemon scutellarioides used for medicinal purposes by the participants were not found in the above-mentioned resources. CONCLUSIONS: The present study provides new information about the use of medicinal plants in a thus far understudied urban area in Costa Rica. We documented new medicinal uses for several plants listed in the regional and local pharmacopoeias as well as for plants not previously reported in an urban environment. In general, there is little information about the types of plants used for medicinal purposes in urban ecosystems in Costa Rica. Although the country has a high endemic diversity of plants, many exotic medicinal plant species were introduced by the Spaniards during the colonization and by Afro-Costa Rican descendants. The present results thus show how the diversity of the medicinal plants used by these garden owners' confirms a socioeconomic gradient and reflects both Costa Rica's colonial history as well as the current epidemiological profile of the country. These findings underline the need for more ethnobotanical research in urban areas in Costa Rica.

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Late blight (LB) caused by the oomycete Phytophthora infestans is one of the most important biotic constraints for potato production worldwide. This study assessed 508 accessions (79 wild potato species and 429 landraces from a cultivated core collection) held at the International Potato Center genebank for resistance to LB. One P. infestans isolate belonging to the EC-1 lineage, which is currently the predominant type of P. infestans in Peru, Ecuador, and Colombia, was used in whole plant assays under greenhouse conditions. Novel sources of resistance to LB were found in accessions of Solanum albornozii, S. andreanum, S. lesteri, S. longiconicum, S. morelliforme, S. stenophyllidium, S. mochiquense, S. cajamarquense, and S. huancabambense. All of these species are endemic to South America and thus could provide novel sources of resistance for potato breeding programs. We found that the level of resistance to LB in wild species and potato landraces cannot be predicted from altitude and bioclimatic variables of the locations where the accessions were collected. The high percentage (73%) of potato landraces susceptible to LB in our study suggests the importance of implementing disease control measures, including planting susceptible genotypes in less humid areas and seasons or switching to genotypes identified as resistant. In addition, this study points out a high risk of genetic erosion in potato biodiversity at high altitudes of the Andes due to susceptibility to LB in the native landraces, which has been exacerbated by climatic change that favors the development of LB in those regions.[Formula: see text] Copyright © 2022 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license.

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Resumen Objetivo: Determinar prevalencia de sobrepeso en los pacientes pediátricos con colelitiasis atendidos en el hospital San Rafael de Tunja durante los años 2010 - 2019. Materiales y métodos: Estudio observacional, descriptivo, de corte transversal y retrospectivo, donde se evaluó las características de colelitiasis en los pacientes menores de 18 años de edad. Se evaluaron variables sociodemográficas, clínicas, imagenológicos y terapéuticas. Resultados: Se revisaron 84 expedientes clínicos de pacientes con diagnóstico de colelitiasis en un periodo comprendido entre el año 2010 al 2019. El 69,1% de la población de género femenino y el 30,9% al género masculino. La edad promedio de los pacientes fue de 15.07 años, la prevalencia de sobrepeso fue 35,7% y de obesidad 21,4%. Las manifestaciones más frecuentes fueron nauseas 85,71%, vómito 84,52% y signo de Murphy positivo en un 83,33%. en el 76% de los ----pacientes los cálculos fueron únicos, con un tamaño promedio de 7,45 mm (con un mínimo de 1 mm y máximo 25 mm). El 26,1% recibió tratamiento conservador, mientras que el 73,8% fue tratado mediante cirugía, de estos, en el 50% de los casos la intervención fue abierta y en el restante por vía laparoscópica de los cuales el 2,43% requirió conversión intraoperatoria. Respecto a las complicaciones las más presentadas fueron, el absceso hepático 2,38% y pancreatitis en un 4,76%. Conclusiones: Más de la mitad de los niños con colelitiasis tenían obesidad (21,4%) y sobrepeso (35,7%), lo cual indica un problema de salud pública ya que puede incidir en otras patologías a futuro, además de ser fuerte predictor de la patología a estudio en este artículo.

Abstract Objective: To determine the prevalence of overweight in pediatric patients with cholelithiasis treated at the San Rafael de Tunja hospital during the years 2010 - 2019. Materials and methods: This is an observational, descriptive, cross-sectional, and retrospective study, in which the characteristics of cholelithiasis were evaluated in patients under 18 years of age. Sociodemographic, clinical, imaging, and therapeutic variables were evaluated. Results: 84 clinical records of patients diagnosed with cholelithiasis were reviewed in a period between 2010 to 2019. A percentage of 69.1% were female and 30.9% were male. The average age of the patients was 15.07 years, the prevalence of overweight was 35.7%, and 21.4% was obesity. The most frequent manifestations were nausea (85.71%), vomiting (84.52%), and Murphy's sign positive (83.33%). In 76% of the patients, the gallstones were unique since these had an average size of 7.45 mm (with a minimum of 1 mm and a maximum of 25 mm). 26.1% of the patients received conservative treatment while 73.8% of them were treated by surgery. From these, 50% of the cases were treated by open surgery and the rest by laparoscopic procedure, of which 2.43% required intraoperative conversion. Finally, the most common complications presented were liver abscess in 2.38% and pancreatitis in 4.76% of the patients. Conclusions: More than the half of children with cholelithiasis were obese (21.4%) and overweight (35.7%), which indicates a public health problem that leads to an increased health risk in this population since they are susceptible to a large set of pathologies associated with this comorbidity.

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AIM: The aim of this study is to describe the prevalence and type of female voiding dysfunction (FVD) in patients with overactive bladder (OAB) who were studied by urodynamics and its relationship with voiding symptoms. METHODS: This is a cross-sectional study of female adult patients with OAB syndrome who underwent UDS in a University Hospital in Chile between January 2015 and April 2020. FVD was defined either as bladder outlet obstruction (BOO) or detrusor underactivity (DU). BOO was established if the Solomon-Greenwell BOO index was higher than 18. DU was diagnosed when the invasive maximum flow rate (Qmax) was ≤15 ml/sec, detrusor pressure at Qmax (Pdet@Qmax) was ≤20 cmH2 O and postvoid residual (PVR) was greater than 10%. Urodynamic data and clinical features were compared between groups. RESULTS: Two hundred and ninety-nine UDS were selected and analyzed. Bladder outlet obstruction was diagnosed in 59 patients (19.7%), whereas DU was found in 10 patients (3.3%). In the multivariate analysis, the logistic regression to predict BOO demonstrated that night-time frequency, the presence of detrusor overactivity and a higher PVR were independent predictors of BOO. Instead, for DU, the only independent predictor was a smaller voided volume in the pressure-flow study. CONCLUSION: Female voiding dysfunction was found in 23% of patients with overactive bladder. BOO is more frequent than DU, and should be suspected in patients with higher night-time frequency, presence of detrusor overactivity and a high PVR. Instead, DU should be suspected in patients with a smaller voided volume.

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BACKGROUND: At our facilities, patients that received embryos using donor oocyte during in vitro fertilization (IVF), usually have had at least one failed attempt to produce at least one euploid embryo with their own oocytes; however, the current debate between using donor over patient oocytes remains inconclusive. We examined the aneuploidy rate and IVF clinical outcomes from embryos derived from either donor or patient oocytes. METHODS: Retrospectively, 973 cycles were examined of patients who underwent a standard IVF protocol. Chromosomal content was determined using Pre-implantation Genetic Testing (PGT) by either microarray-comparative genomic hybridization or Next-generation sequencing from either Day 3 (blastocysts) or Day 5 (trophectoderm) embryo biopsies, respectively. Embryo implantation was confirmed by serum ß-hCG (> 10 m IU/mL/Day 14), whereas clinical pregnancy by a fetal heartbeat (Week 6.5-8). RESULTS: Embryos derived from donor oocytes presented with more monosomies than embryos derived from patient oocytes (41.2% vs. 25.4%, p < 0.05, respectively); however, only Trisomy 7 (0.4% vs. 2.3%, p < 0.05) and Trisomy in X (0.7% vs. 2.3%, p < 0.05) were significantly less present when compared to patient oocyte derived embryos. Interestingly, rates for embryo implantation (46.7% vs. 50.8%, p = 0.35), clinical pregnancy (38.5% vs. 43.1%, p = 0.30), and live birth (30.5% vs. 30.5%, p = 0.99) were similar for embryos derived from donor and patient oocytes. These results did not change when adjusted for the number of embryos implanted. CONCLUSION: Here, we show no significant differences in achieving pregnancy when using donor oocytes. Taking into consideration that aneuploidy rates are > 30% in embryos, independent of the oocyte origin, PGT should be recommended with donor oocytes as well.

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RESUMEN La tuberculosis en el lactante es un cuadro de difícil diagnóstico por las pruebas diagnósticas que muchas veces resultan negativas y por la dificultad de identificar la fuente de transmisión. Se presenta el caso de un lactante varón de un mes de vida que presenta irritabilidad, taquipnea, fiebre, pobre ganancia de peso desde el nacimiento y hepatomegalia, además, tiene el antecedente materno de tuberculosis pre-extensivamente resistente a drogas y reacción granulomatosa tuberculoide con tinción auramina positiva para bacilos ácido-alcohol resistentes en la histopatología de placenta. Ante la sospecha de tuberculosis congénita, es referido al Instituto Nacional de Salud del Niño para estudio diagnóstico y tratamiento; el paciente presenta una evolución clínica favorable y sin reacciones adversas al tratamiento. El diagnóstico de tuberculosis congénita debe considerarse en lactantes con signos clínicos sugestivos de la enfermedad y mantener la sospecha ante la presencia del antecedente materno de infección por Mycobacterium tuberculosis.

ABSTRACT Tuberculosis in infants is a clinical case difficult to diagnose by regular testing which often yield negative results; additionally, the source of transmission is difficult to identify. This work presents the case of a one-month old nursing boy presenting irritability, tachypnea, fever, poor gain weight from birth, and hepatomegaly. Additionally, he had the maternal history of pre-extensively drug- resistant tuberculosis and tuberculoid granulomatosis reaction with positive auramine tincture for acid-alcohol resistant bacilli at histopathology of the placenta. With a suspected congenital tuberculosis, he was referred to the National Children's Health Institute for diagnosis and treatment. The patient showed a favorable clinical evolution and no adverse reactions to treatment. The diagnosis of congenital tuberculosis must be considered in infants with suggestive clinical signs of the disease and such suspicion must be maintained with the presence of a maternal history of Mycobacterium tuberculosis infection.

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Resumen La calidad ambiental contribuye con el bienestar físico y mental de la población. En este sentido las áreas verdes (AV) de las ciudades son espacios esenciales para la convivencia, el deporte, la socialización, y la recreación, entre otros. El objetivo de esta investigación fue determinar las condiciones ambientales de las AV, utilizando indicadores como herramientas para la gestión urbana en dos ciudades de Costa Rica. El área de estudio correspondió a los distritos de Heredia y el Carmen, Costa Rica. Se determinaron las AV existentes utilizando imágenes satelitales Rapid Eye, 2012 mediante análisis espacial y teledetección. Se aplicaron 11 indicadores de áreas verdes urbanas, se identificó la especie, se midió la altura, el DAP y el número de árboles en parques y calles. Además, se realizaron encuestas a los usuarios de las AV públicas, en temas relacionados con accesibilidad y uso de las AV. Se identificaron cinco tipos de AV en el Carmen y seis Heredia. El porcentaje de áreas verdes públicas y privadas correspondió a 36 % y 64 % en el Carmen y 13 % y 87 % en Heredia, respectivamente. El área verde per cápita (m2/hab) fue de 24.6 en el Carmen y de 2.7 en Heredia. Se identificaron 62 especies de árboles en los parques del Carmen y 23 en Heredia. Se contabilizaron 1 105 árboles de 61 especies en las calles, aceras y avenidas del Carmen y 278 individuos de 47 especies en Heredia. En cuanto a la existencia de vegetación ribereña se determinó que los ríos Pirro, Burrio, Torres y la quebrada Negritos mantienen 82, 51, 81 y 14 % del área de protección de sus márgenes en uso conforme. De 11 AV públicas evaluadas, nueve presentaron una accesibilidad física alta. En ambos distritos los ciudadanos encuestados indicaron la necesidad de contar con más AV, resaltando el valor recreativo, ecológico y turístico de estos espacios. Se concluye que los indicadores de AV urbanas evidenciaron diferencias entre las condiciones ambientales en las dos ciudades evaluadas, y la factibilidad de su aplicación como insumo para la gestión ambiental sostenible de los ecosistemas urbanos.(AU)

Abstract Environmental quality contributes to the physical and mental well-being of the population. In this way, the green areas (GA) of the cities are essential spaces for coexistence, sports, socialization, and recreation, among others. The objective of this research was to determine the environmental conditions of green areas, using indicators as tool for urban management in two cities of Costa Rica. The study area corresponded to the districts of Heredia and Carmen, Costa Rica. The existing GA were determined using Rapid Eye satellite images, 2012 through spatial analysis and remote sensing. Eleven indicators of urban green areas were applied, the species was identified, the height, the diameter at breast height (DBH) and the number of trees in parks and streets were measured. In addition, surveys were conducted to users of public GA, on issues related to accessibility and use of GA. Five types of GA were identified in Carmen and six in Heredia. The percentage of public and private green areas corresponded to 36 % and 64 % in Carmen and 13 % and 87 % in Heredia respectively. The green area per capita (m2/hab) was 24.6 in Carmen and 2.7 in Heredia. Sixty-two species of trees were identified in the Carmen parks and 23 in Heredia. There were 1 105 trees of 61 species in the streets, sidewalks and avenues of Carmen and 278 individuals of 47 species in Heredia. Regarding the existence of riparian vegetation, it was determined that Pirro, Burrio, Torres and Negritos streams maintain 82, 51, 81 and 14 % of margin protection areas in conforming use. Eleven of the public GA's were evaluated, nine presented a high physical accessibility. In both districts, the surveyed citizens indicated the necessity to have more GA, highlighting the recreational, ecological and touristic value of these spaces. It is concluded that the indicators of urban green areas showed that there are differences between the environmental conditions in both of the evaluated cities. In addition, the applicability of the indicators is feasible as an input for the sustainable environmental management of urban ecosystems.(AU)

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Resumen En las zonas urbanas, los ríos brindan diversos servicios ecosistémicos, entre ellos, funcionan como corredores biológicos interurbanos, permitiendo a las aves trasladarse y refugiarse en medio de la ciudad. Sin embargo, los altos niveles de contaminación las exponen, e incluso al ser humano, a diversos problemas de salud. De aquí la importancia de realizar diagnósticos ambientales que permitan identificar alteraciones y mitigarlos de forma oportuna. En este estudió se da un primer diagnóstico de la situación parasitaria de las aves silvestres del río Pirro ubicado en un entorno urbano, fragmentado y con altos niveles de contaminación superficial del agua. El muestreo se llevó a cabo en la parte alta y media del río Pirro en Heredia, Costa Rica. Se utilizaron redes de niebla para la captura de las aves, y se les realizó un examen objetivo general (EOG) para revisar su estado de nutrición e hidratación, así como su estado físico; además, se recolectaron muestras de heces para la caracterización de los parásitos gastrointestinales (PGI). Este procedimiento se realizó a 158 aves, correspondientes a 30 especies, se identificaron tres grupos de estos: protozoarios, nematodos y cestodos. Los porcentajes de infección más altos estuvieron representados por los coccidios, con 97.6 %, seguido de los nematodos y cestodos con un 2.4 %. Dentro del grupo de los coccidios se logró identificar: Eimeria spp., Isospora spp., en los nemátodos: a nivel de grupo Strongylida y a nivel de género: Capillaria spp. Y para los céstodos: Choanotaenia spp. El EOG resultó de regular a bueno en todos los individuos capturados sin embargo, mediante el modelo de regresión lineal general (General Lineal Model) se identificó que la cavidad oral de las aves y el estado del plumaje, podrían ser las variables más relacionadas con el porcentaje de infección por parásitos gastrointestinales, esto debido a que la cavidad oral es la vía principal de ingesta para el ave, así como el estado del plumaje evidencia su vigor.

Abstract In urban ecosystems, rivers provide various ecosystem services, among them, serving as interurban biological corridor, allowing birds to move and shelter in the middle of the city. However, high levels of pollution expose them, and even humans, to several health problems. Hence the importance of performing environmental diagnoses that allows to identify alterations and mitigate them in a timely manner. This study provides a first diagnosis of the parasitic situation of wild birds along the Pirro river which is located in an urban environment, fragmented and with high levels of surface water pollution. The sampling was carried out at the upper and middle part of the Pirro river in Heredia, Costa Rica. Mist-nets were used to capture the birds, and a general objective exam (GOE) was conducted in order to evaluate their nutritional and hydration state, as well as their physical state. In addition, stool samples were collected in order to characterize the gastrointestinal parasites (GPI). This procedure was carried out on 158 birds, belonging to 30 species, three PGI groups were identified: protozoa, nematodes and cestodes. The highest percentages of infection were represented by coccidia, with 97.6 %, followed by nematodes and cestodes with 2.4 %. Within the group of coccidios, it was possible to identify Eimeria spp., Isospora spp., in the nematodes: at the Strongylida group level and at the Capillaria spp., and for the cestodes: Choanotaenia spp. GOE resulted regular-to-good in all individuals captured, however, a general linear model was used to identify that the oral cavity and the state of the plumage could be the more linked variables with the percentage of infection by gastrointestinal parasites in birds, due to the fact that the oral cavity is the bird's main route of ingestion, as well as the state of the plumage shows its vigor. Rev. Biol. Trop. 66(2): 788-798. Epub 2018 June 01.

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Tuberculosis in infants is a clinical case difficult to diagnose by regular testing which often yield negative results; additionally, the source of transmission is difficult to identify. This work presents the case of a one-month old nursing boy presenting irritability, tachypnea, fever, poor gain weight from birth, and hepatomegaly. Additionally, he had the maternal history of pre-extensively drug- resistant tuberculosis and tuberculoid granulomatosis reaction with positive auramine tincture for acid-alcohol resistant bacilli at histopathology of the placenta. With a suspected congenital tuberculosis, he was referred to the National Children's Health Institute for diagnosis and treatment. The patient showed a favorable clinical evolution and no adverse reactions to treatment. The diagnosis of congenital tuberculosis must be considered in infants with suggestive clinical signs of the disease and such suspicion must be maintained with the presence of a maternal history of Mycobacterium tuberculosis infection.

La tuberculosis en el lactante es un cuadro de difícil diagnóstico por las pruebas diagnósticas que muchas veces resultan negativas y por la dificultad de identificar la fuente de transmisión. Se presenta el caso de un lactante varón de un mes de vida que presenta irritabilidad, taquipnea, fiebre, pobre ganancia de peso desde el nacimiento y hepatomegalia, además, tiene el antecedente materno de tuberculosis pre-extensivamente resistente a drogas y reacción granulomatosa tuberculoide con tinción auramina positiva para bacilos ácido-alcohol resistentes en la histopatología de placenta. Ante la sospecha de tuberculosis congénita, es referido al Instituto Nacional de Salud del Niño para estudio diagnóstico y tratamiento; el paciente presenta una evolución clínica favorable y sin reacciones adversas al tratamiento. El diagnóstico de tuberculosis congénita debe considerarse en lactantes con signos clínicos sugestivos de la enfermedad y mantener la sospecha ante la presencia del antecedente materno de infección por Mycobacterium tuberculosis.

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AIM: The aim of the study was to identify the presence of eggs of Toxocaraspp. in dog hair and to identify any risk factors associated with this. MATERIALS AND METHODS: A total of 96 dogs were sampled collecting hair from the head, perianal and hindquarters. Epidemiologic data from each animal were recorded to identify risk factors. The samples of hair were washed with solutions of distilled water, phosphate-buffered saline and Tween 20 detergent. Microscopic analysis was subsequently performed for the identification of eggs. RESULTS: Out of the total dogs, 41.7% were positive for the presence of parasite egg in their hair. Toxocara eggs were found in hair from the head (14.5%), tail (20.8%), and limbs (10.4%). Dogs, younger than 12 months old, showed higher values (4.7%) of egg presence in the perianal area (p<0.05). The principal risk factors for the presence of eggs in hair were not deworming (odds ratio [OR]=3.60, p<0.004) and not brushing (OR=2.26, p<0.12). CONCLUSION: These results show that in the state of Mexico there is a high percentage of dogs contaminated with Toxocara spp. eggs in their hair. This should be seriously considered due to the potential problems of toxocariasis and the risk to public health.