[Laparoscopic gastrostomy in critical polytrauma patients].

Introduction: In critical ill patients, a hypermetabolic state develops in response to the aggression received, which leads to a rapid process of malnutrition, and has been associated with increased morbidity and mortality. The preferred enteral feeding way is through an endoscopic gastrostomy, an alternative procedure is the laparoscopic approach.

Methods: Data was collected Between January 2016 and March 2019, of patients admitted to the Intensive Care Unit of the Hospital de Urgencias de Córdoba.

Endozoochory of (Cocoplum) by (Gopher Tortoise) facilitates rapid germination and colonization in a suburban nature preserve.

Some large-seeded plants lack effective seed dispersal agents when they are introduced as ornamental plants to new areas, but can rapidly colonize a landscape if seed dispersal functions are restored. We examined whether (Gopher Tortoise) facilitated the spread of (Cocoplum; Chrysobalanaceae) over a 14-year period in a suburban nature preserve (in Jupiter, FL, USA) by: (i) comparing germination patterns among gut-passed, hand-depulped and whole fruit treatments, and (ii) testing hypotheses about environmental predictors of the spatial distribution of , including information about movement pathways and burrow locations. While we did not find a significant difference in the total proportion of seeds that germinated in each treatment, time to event analysis revealed that seeds that were found in faeces germinated significantly earlier than seeds that were hand-depulped or that were planted as whole fruits, supporting a lone scarification effect.

[Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma].

Background: nonoperative treatment (TNO) is suggested in blunt abdominal trauma in stable patients without necessarily addressing surgical trauma injuries. Among the tools used, it has highlighted the angioembolization as a method of stopping bleeding or potentially bleeding lesions. The existence of more than one lesion may be possible to treat this way.

Biogeography in a continental island: population structure of the relict endemic centipede Craterostigmus tasmanianus (Chilopoda, Craterostigmomorpha) in Tasmania using 16S rRNA and COI.

We used 16S ribosomal RNA (rRNA) and cytochrome c oxidase subunit I (COI) sequence data to investigate the population structure in the centipede Craterostigmus tasmanianus Pocock, 1902 (Chilopoda: Craterostigmomorpha: Craterostigmidae) and to look for possible barriers to gene flow on the island of Tasmania, where C. tasmanianus is a widespread endemic. We first confirmed a molecular diagnostic character in 28S rRNA separating Tasmanian Craterostigmus from its sister species Craterostigmus crabilli (Edgecombe and Giribet 2008) in New Zealand and found no shared polymorphism in this marker for the 2 species.

Intergenic exchange, geographic isolation, and the evolution of bioluminescent color for Pyrophorus click beetles.

Gene duplication is an evolutionary process in which the emergent property of the whole can become greater and different than the sum of its parts. One potential outcome for gene duplication is for loci to evolve different, yet related functions. In this case, intergenic exchange can shuffle blocks of differentiated nucleotides between paralogues to create new alleles and phenotypes rather than simply homogenize loci.

[Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia].

Background: There are a number of unnecessary laparotomies in penetrating trauma, with a non worthless percentage of complications. When the peritoneal injury is identified, surgical exploration of the abdomen should be evaluated.

Objective: Evaluate the penetration of the peritoneum, using a diagnose method with direct vision.

[Utility of digital thoracotomy in chest trauma].

Background: toracostomy in thoracic trauma is a good opportunity for the digital exploration of pleural cavity.

Objectives: To evaluate the utility of digital exploration during chest tube insertion in thoracic trauma.

Setting: Hospital de Urgencias.

Hawthorn-infesting populations of Rhagoletis pomonella in Mexico and speciation mode plurality.

Categorizing speciation into dichotomous allopatric versus nonallopatric modes may not always adequately describe the geographic context of divergence for taxa. If some of the genetic changes generating inherent barriers to gene flow between populations evolved in geographic isolation, whereas others arose in sympatry, then the mode of divergence would be mixed. The apple maggot fly, Rhagoletis pomonella, has contributed to this emerging concept of a mixed speciation mode "plurality.

[Diagnostic and therapeutic options for traumatic sternal fractures].

Background: Sternal fractures are uncommon injuries observed in the direct impact of the sternum against the steering wheel in car accidents with the likelihood of associated thoracic injuries.

Objectives: To present our experience in the management of blunt sternal fractures.

Location: Hospital de Urgencias de Córdoba.

Integrating biogeographic and genetic approaches to investigate the history of bioluminescent colour alleles in the Jamaican click beetle, Pyrophorus plagiophthalamus.

Bioluminescent colour in the Jamaican click beetle, Pyrophorus plagiophthalamus, is an ideal system for studies moving from gene to landscape to gain a holistic understanding of the molecular, ecological, and historical bases for adaptation. Previous studies have established the genetics of bioluminescent colour variation in the beetle to the level of the nucleotide base pair in the target gene luciferase. Three different luciferase colour alleles affecting ventral light organ colour [yellow-green (vYG), yellow (vYE), and orange (vOR)] were found segregating in P.

Mayr, Dobzhansky, and Bush and the complexities of sympatric speciation in Rhagoletis.

The Rhagoletis pomonella sibling species complex is a model for sympatric speciation by means of host plant shifting. However, genetic variation aiding the sympatric radiation of the group in the United States may have geographic roots. Inversions on chromosomes 1-3 affecting diapause traits adapting flies to differences in host fruiting phenology appear to exist in the United States because of a series of secondary introgression events from Mexico.

[Abdominal wall endometriosis: case report].

Endometriosis is defined as the presence of endometrial glands and stroma outside uterus. This ectopic finding occur in the abdominal wall among 0,03% to 1% of women with prior gynecologic surgery, particularly after cesarean section. Most frequently, endometriosis is present as a palpable mass, painfull during menstrual period, near surgical scar.

Darwinian natural selection for orange bioluminescent color in a Jamaican click beetle.

The Jamaican click beetle Pyrophorus plagiophthalamus (Coleoptera: Elateridae) is unique among all bioluminescent organisms in displaying a striking light color polymorphism [Biggley, W. H., Lloyd, J.

Peritoneal abscess formation four years after laparoscopic cholecystectomy.

Peritoneal gallstone spillage occurs frequently during laparoscopic cholecystectomy when the gallbladder is accidentally opened. Many authors have reported peritoneal abscess formation as a complication of this surgical situation. We describe a case of late peritoneal abscess formation, developing 4 years after laparoscopic cholecystectomy, and the surgical management thereof.