Public health policies as regards the elderly in Colombia

A literature review was performed on the laws passed, and adopted in accordance with international regulations, in Colombia and which currently benefit or affect the quality of life of the elderly. Public policies in Colombia are inclined towards the well-being of the elderly, but this documental analysis concludes that the elderly Colombian is unprotected and defenseless against the obstacles and difficult situations due to the biological, political, social, economic and environmental conditions. This makes them vulnerable as it is a scheme that only benefits in cases of poverty and by being a member of the General Social Security in Health system, with transfer of obligations to the family, society and likewise the elderly.     

Linfoma esplénico presentado como pancreatitis aguda en una paciente de 84 años: reporte de un caso

A case is presented of an 84 year-old woman who was admitted to the Emergency Department due to an episode of non-calculous acute pancreatitis. In the aetiological study, the presence of a splenic lymphoma was documented, which had a compressive effect on the pancreas. After resolving the symptoms, she was scheduled for a splenectomy with a good technical result. At six months after admission the patient was in an excellent clinical and functional condition. This case highlights the unusual clinical presentation of this haematological disease, and the need to evaluate all the available therapeutic options in selected elderly patients.     

La neurólisis del nervio mediano en el paciente anciano: evaluación a largo plazo

Purpose

Carpal tunnel release by opening the flexor retinaculum is considered a satisfactory treatment. However, several factors, like ageing, may influence postoperative results. We present the long term outcomes in elderly patients.

Methods

This is an historical prospective long term study of 52 patients who received surgical treatment of carpal tunnel syndrome when they were 65 or older. We have carried out a clinical-functional (with the Levine questionnaire), electromyographic and dynamometric valuation of the patients studied, up to ten years from the surgery.

Results

The results of Levine's questionnaire, revealed favourable data for a mean follow-up of 10.35 years, with a mean improvement in the clinical score of 1.93 points (95% confidence interval [CI]: 1.72-2.17) and in the functional score of 0.83 points (95% CI: 0.68-0.99). Similarly, the electromyographic values showed a significant improvement compared to preoperative ones (mean difference of sensory velocity of 8.43 m/s, 95% CI: 8.17-11.63; mean difference of motor latency of 1.65 ms, 95% CI: 1.24-2.25). The data on grip strength did not reach statistical significance.

Conclusions

In elderly patients, complete section of the carpal transverse ligament, allows maintaining favourable differences in most of the parameters studied, ten years after surgery, making the surgical treatment a recommendable option.     

A distinctive new subspecies of Scytalopus griseicollis (Aves,Passeriformes, Rhinocryptidae) from the northern Eastern Cordillera of Colombia and Venezuela

We describe a new subspecies of Pale-bellied Tapaculo Scytalopus griseicollis from the northern Eastern Cordillera of Colombia and Venezuela. This form differs diagnosably in plumage from described subspecies Scytalopus griseicollis griseicollis and Scytalopus griseicollis gilesi and from the latter in tail length. It is also differentiated non-diagnosably in voice from both these populations. Ecological niche modelling analysis suggests that the new subspecies is restricted to the Andean montane forest and páramo north of both the arid Chicamocha valley and the Sierra Nevada del Cocuy.     

A morphological and phylogenetic analysis of <Emphasis Type="Italic">Ornithodoros marinkellei</Emphasis> (Acari: Argasidae), with additional notes on habitat and host usage

Ornithodoros marinkellei was described from larvae collected on Pteronotus spp. bats in Colombia and Panama. More recently, this tick was reported in the Brazilian Amazon. Because some morphometric differences were observed between O. marinkellei larvae from Colombia and Brazil, it was proposed that further investigations were needed to assess whether the differences could be attributed to intra- or inter-specific polymorphism. Herein, we collected O. marinkellei specimens in the type locality of Colombia, in Brazil, and in a new locality in Nicaragua, expanding the distribution of the species to Nicaragua. Morphometric analysis of larvae and adults, corroborated by a principal component analysis (PCA), indicated that the Brazilian specimens were larger than specimens from Colombia and Nicaragua. Phylogenetic analysis inferred from the mitochondrial 16S rRNA gene showed ticks from Colombia and Nicaragua more genetically related than any of them with ticks from Brazil, although ticks from the three countries grouped in a clade sister to a major clade containing sequences of various Neotropical Ornithodoros species. We concluded that ticks identified as O. marinkellei from Colombia, Nicaragua, and Brazil represent the same taxon, and that the genetic and morphological differences between them are likely to have a geographical bias. We redescribed the nymph of O. marinkellei, which has a vestigial hypostome, probably incompatible with blood feeding. We also report human infestation by O. marinkellei adults. As all reports of O. marinkellei adults have been from hot caves (temperature?>?35 °C), this abiotic condition could be a limiting factor for the occurrence of this tick species.     

Trasplante renal en mayores de 60 años en un hospital de Colombia

Introduction

Kidney transplantation is the treatment of choice in patients with end- stage renal disease. Renal transplantation in without fear of ethical conflicts is the best treatment option in the elderly. The objective is to describe the demographic and clinical characteristics of patients over 60 years old with at least one year of renal transplantation in a single center of Colombia.

Methods

This is a cohort study of patients over 60 years old from a single center in Bogota, Colombia. About 28 patients were analyzed between June 2004 and March 2012.

Results

The mean age was 65 years old, with 89% males. The main cause of chronic kidney disease was diabetic nephropathy, followed by hypertensive nephrosclerosis. Most of them (96.4%) were deceased donor transplants with a mean age of 40 years old, cold ischemia time was 12 hours and there was a mismatch of 3.25 (±1.29). Major comorbidities were hypertension, diabetes, dyslipidemia, and coronary arterial disease. Almost 17% had delayed graft dysfunction. Serum creatinine at 6 and 12 months was 1.27 mg/dl (±0.31) and 1.25 mg/dl (±0.33), respectively. Only 10% of patients had acute cellular rejection. Humoral rejections were not documented. The patient survival at 1 year was 89.7%, and death-censored graft survival was 96.4%. The most frequent cause of death was acute myocardial infarction.

Conclusions

Proper selection of kidney transplant recipients shows satisfactory results in survival, with low morbidity in patients older than 60 years.     

Guidelines for the restoration of the tropical timber tree <Emphasis Type="Italic">Anacardium excelsum</Emphasis>: first input from genetic data

Translocation of trees has been used as a common method to mediate genetic conservation and restoration of forests. However, very few programs include strategies developed to recover or maintain the genetic diversity of the translocated species. Anacardium excelsum is a tree native to the tropics of America that is extensively used in forestry. In Colombia, restoration of forests through the translocation of native species has regained importance, and A. excelsum has been recently included in the National Strategy for Plant Conservation. Thus, in order to define the level of genetic structure and the level of genetic diversity within certain regions where remnants of the seasonally dry tropical forests (SDTF) of Colombia have been retained, we genotyped 106 trees using nuclear inter-simple sequence repeats (ISSR) and sequenced two non-coding chloroplast loci for these specimens. Our ISSR dataset revealed the existence of a gradient in genetic diversity within A. excelsum with the most diverse remnants encountered in the south of the country, while the localities sampled in the Caribbean coast and in the Chicamocha canyon were less diverse. Chloroplast loci also pointed out the very low genetic diversity of A. excelsum from the Chicamocha canyon and we propose to prioritize this area within future conservation programs. Both chloroplast and nuclear markers supported the existence of genetic divergence between distinct regions of Colombia, uncovering genetic differences between inter-Andean, Caribbean, and Chicamocha canyon A. excelsum remnants. Hence, we advise to choose the provenance of seeds or plants carefully before translocation and to consider minimal mixing of material from different regions when initializing restoration programs for A. excelsum, in Colombia.     

Reconociendo el virus del chikunguña

The chikungunya virus (CHIKV) is an Alphavirus that belongs to the Old World group. These arthritogenic viruses cause a febrile illness characterized by arthralgias and myalgias.Although fatal cases during CHIKV infection are rare, the disease may be disabling and generate a broad spectrum of atypical manifestations, such as cardiovascular, respiratory, eye, kidney, and skin complications, among others. When joint pain persists for three or more months, it results in the chronic form of the disease called post-chikungunya chronic inflammatory rheumatism, which constitutes the main disease sequel. CHIKV is not considered a neurotropic virus; however, it can affect the central nervous system, especially in children and the elderly, causing severe and permanent sequelae.CHIKV outbreaks had been previously reported in Africa, Asia, and Europe, but the virus introduction to the American continent was documented until the end of 2013. Since then, the virus has spread to 45 countries and territories causing near two million cases in just two years. This review describes the molecular biology, clinical manifestations, pathogenesis, and significant post-infection complications of CHIKV. Additionally, it collects published information about the outbreak in Colombia and the American continent between 2014 and 2020.     

Helicobacter pylori from Gastric Cancer and Duodenal Ulcer Show Same Phylogeographic Origin in the Andean Region in Colombia

Background

A recent report has shown that the phylogenetic origin of Helicobacter pylori based on multi-locus sequence typing (MLST) was significantly associated with the severity of gastritis in Colombia. However, the potential relationship between phylogenetic origin and clinical outcomes was not examined in that study. If the phylogenetic origin rather than virulence factors were truly associated with clinical outcomes, identifying a population at high risk for gastric cancer in Colombia would be relatively straightforward. In this study, we examined the phylogenetic origins of strains from gastric cancer and duodenal ulcer patients living in Bogota, Colombia.

Methods

We included 35 gastric cancer patients and 31 duodenal ulcer patients, which are considered the variant outcomes. The genotypes of cagA and vacA were determined by polymerase chain reaction. The genealogy of these Colombian strains was analyzed by MLST. Bacterial population structure was analyzed using STRUCTURE software.

Results

H. pylori strains from gastric cancer and duodenal ulcer patients were scattered in the phylogenetic tree; thus, we did not detect any difference in phylogenetic distribution between gastric cancer and duodenal ulcer strains in the hpEurope group in Colombia. Sixty-six strains, with one exception, were classified as hpEurope irrespective of the cagA and vacA genotypes, and type of disease. STRUCTURE analysis revealed that Colombian hpEurope strains have a phylogenetic connection to Spanish strains.

Conclusions

Our study showed that a phylogeographic origin determined by MLST was insufficient for distinguishing between gastric cancer and duodenal ulcer risk among hpEurope strains in the Andean region in Colombia. Our analysis also suggests that hpEurope strains in Colombia were primarily introduced by Spanish immigrants.     

<Emphasis Type="Italic">Batrachochytrium</Emphasis><Emphasis Type="Italic">dendrobatidis</Emphasis> and Chytridiomycosis in Anuran Amphibians of Colombia

In order to investigate the possible presence of the chytrid fungus Batrachochytrium dendrobatidis (Chytridiomycota: Chytridiales) in frogs (Amphibia: Anura) of Colombia, we made a retrospective examination of formalin-fixed specimens preserved in natural history collections. Using the staining technique of hematoxylin and eosin to identify B. dendrobatidis in histological slices, we found evidence of the fungus in 3 of the 53 frog species examined from a total of 672 specimens collected in 17 departments within Colombia between 1968 and 2006. The infected specimens were found dead or dying in recent years in high elevation sites, suggesting that chytridiomycosis (the disease caused by the fungus) may represent a significant threat to Colombian amphibians. We conclude that a more extensive search for B. dendrobatidis in museum specimens and wild-caught frogs should be undertaken as soon as possible, using both histological and molecular genetic techniques, in order to further characterize the geographic and taxonomic extent of infections of B. dendrobatidis.     

Above-ground biomass structure of a Chusquea tessellata bamboo páramo,Chingaza National Park,Cordillera Oriental,Colombia

The present study was carried out in the bamboo (Chusquea tessellata) páramo of Parque Natural Nacional de Chingaza, Eastern Cordillera, Colombia from December 1987 to April 1988. Above-ground biomass structure of bamboo páramo was quantified in 16 plots. These data are compared with previous results on above-ground biomass structure of bunch-grass (Calamagrostis spp.) páramos.The total (non-living and living) above-ground biomass of a Chusquea tessellata bamboo páramo was low (2,625 g DW · m^–2) compared to bunch-grass páramo. Nevertheless, higher values of standing living biomass and litter are found in the bamboo páramo due to the leaf shed of the bamboo. The thick litter layer may inhibit germination and growth of nearby plants.Maximum biomass is found near the ground surface. Cumulative LAI (In transformed) and height in the bamboo vegetation are related parabolically for Chusquea tessellata and linearly for bunch-grass due to differences in leaf distribution. The mean bifacial LAI of living Chusquea tessellata leaves is 2.2 m² · m^–2, whereas it is 2.5 m² · m^-2 for all Poaceae.     

A new species of <Emphasis Type="Italic">Zamia</Emphasis> from Chocó, Colombia (Cycadales,Zamiaceae)

Zamia pyrophylla, a new species from Chocó, Colombia, is described and illustrated. It is compared to Z. amazonum, Z. cunaria, and Z. ipetiensis. It is distinguished by its bright orange and red emerging leaves with leaflets that progressively turn green from the apex to the base as they mature, petioles with branched prickles and with ferruginous pubescence when immature, villous strobilar axes, and adaxial microsporangia.     

<Emphasis Type="Italic">Valeriana neglecta</Emphasis> (Valerianaceae), a new species from Colombia

Valeriana neglecta R. Bernal (Valerianaceae) from the Sierra Nevada de Santa Marta, in northern Colombia, is described as new, and illustrated, based on two specimens collected in 1844. It belongs to subgenus Valeriana sect. Porteria (Hook.) Benth. & Hook f., and differs from other species of the group in its corymboid inflorescence, with dense, capitoid, partial inflorescences, and in its narrowly spathulate leaves that are remotely dentate towards apex.     

Arbuscular mycorrhizal fungi colonize decomposing leaves of<Emphasis Type="Italic"> Myrica parvifolia</Emphasis>,<Emphasis Type="Italic"> M. pubescens</Emphasis> and<Emphasis Type="Italic"> Paepalanthus</Emphasis> sp.

Hyphae and vesicles of arbuscular mycorrhizal fungi (AMF) were found within the decomposing leaves of Myrica parvifolia, M. pubescens and Paepalanthus sp. at three montane sites in Colombia. Hyphae, vesicles, and arbuscule-like structures were also found within scale-like leaves of the rhizomes of Paepalanthus sp. The litter found in the vicinity of the roots was divided into three decomposition layers. The highest AMF colonization occurred in the most decomposed leaves, which were in close association with roots. In contrast, there were no differences in AMF colonization of roots present in the different decomposition layers. Colonization of decomposing leaves by AMF did not differ between the two closely related species M. parvifolia and M. pubescens, nor between two sites (Guatavita and Zipacón, Colombia) differing in soil fertility. Occurrence of vesicles in decomposing leaves was correlated with abundant AMF extraradical hyphae among the leaves. We propose that AMF enter decomposing leaves mechanically through vascular tissue. As a consequence, AMF are well positioned to obtain and efficiently recycle mineral nutrients released by decomposer microorganisms before their loss by leaching or immobilization in soil.     

<Emphasis Type="Italic">Grias theobromicarpa</Emphasis> (Lecythidaceae), a new species from northwestern Ecuador

Grias theobromicarpa, a new species from northwestern Ecuador is described. This species is found in wet forests at ca. 1500 m elevation, and is distinguished by its erect petals that conceal the androecium, filaments fused to form a very distinct staminal tube, anthers that are oblong with cucullate connectives enclosing most of the thecae, and especially by its fruits, which are prominently ridged when fresh. The species is illustrated and its relationship with its closest relative, G. purpuripetala, from southwestern Colombia, is discussed.     

514. Masdevallia Niesseniae

Summary.  The golden‐flowered Masdevallia niesseniae Luer from Colombia is described and illustrated from the type collection.     

Epidemiology and control of malaria in Colombia

Malaria is currently one of the most serious public health problems in Colombia with an endemic/epidemic transmission pattern that has maintained endemic levels and an average of 105,000 annual clinical cases being reported over the last five years. Plasmodium vivax accounts for approximately 70% of reported cases with the remainder attributed almost exclusively to Plasmodium falciparum. A limited number of severe and complicated cases have resulted in mortality, which is a downward trend that has been maintained over the last few years. More than 90% of the malaria cases in Colombia are confined to 70 municipalities (about 7% of the total municipalities of Colombia), with high predominance (85%) in rural areas. The purpose of this paper is to review the progress of malaria-eradication activities and control measures over the past century within the eco-epidemiologic context of malaria transmission together with official consolidated morbidity and mortality reports. This review may contribute to the formulation of new antimalarial strategies and policies intended to achieve malaria elimination/eradication in Colombia and in the region.     

A new <Emphasis Type="Italic">Zamia</Emphasis> (Zamiaceae) from Colombia

Zamia lindosensis, a species of cycad from sandy soils of Amazonas, Colombia, is described and illustrated. It is compared to Zamia amazonum, which has similar habitat requirements, petiole morphology and prickles, leaflet margins, and strobili but with very narrow leaflets.     

The Diversity of Flower Flies (Diptera: Syrphidae) in Colombia and Their Neotropical Distribution

In Colombia, like most Neotropical countries, faunistic studies on flower flies have been occasional and most of them have been primarily focused on taxonomy. Colombia is the second-most species-rich country in flower fly diversity in the Neotropics after Brazil, and has one of the highest numbers of species per unit area (2.49 per 10,000?km²), based on a review of literature and national collections. Including new data presented here, a total of 47 genera and 300 species are recorded in Colombia. The genera Scaeva Fabricius and Lycastrirhyncha Bigot, as well as 101 species are recorded here for the first time. The altitudinal range and the distribution of the flower fly genera in Colombia are presented. A preliminary comparison of the fauna of Colombia with that of other Neotropical countries is given. A historical perspective is also provided in order to illustrate how Colombian Syrphidae knowledge has progressed over the last 168?years. Information presented here will be useful for ongoing and future biodiversity research as well as conservation projects on Syrphidae in the Neotropical region.     

Pigmentación exógena por nitrato de plata: aspectos dermatológicos y toxicológicos,a propósito de un caso

Exogenous pigmentation by silver nitrate is a rare disease whose clinical manifestations appear even years after the contact, making its diagnosis difficult on occasions. It is characterized by the presence of blue-gray macules or plaques on the skin or mucosa in the contact area, sometimes very similar to melanocytic lesions and melanoma, which constitute the main differential diagnosis.We report the case of a male patient from Medellín, Colombia, with a family history of melanoma and the presence of these lesions throughout his body.