Abstract INTRODUCTION: Laboratory and clinical features of childhood tuberculosis (TB) are non-specific and establishing an accurate diagnosis remains a challenge. This study evaluated a Single tube nested-PCR (STNPCR) to detect genomic DNA of Mycobacterium tuberculosis complex in blood and urine. METHODS: Biological samples were obtained from children (<15 years old) with clinical suspicion of pulmonary and extrapulmonary TB at public hospitals in Recife-Pernambuco, Brazil. Cultures yielded negative results in a majority of childhood TB cases, which are generally paucibacillary. A set of clinical, epidemiological, radiological, and laboratory criteria with evident clinical improvement after anti-TB treatment were frequently used to define childhood TB cases. RESULTS: Ninety children with clinical suspicion were enrolled in this study (44 with TB and 46 without TB). The pulmonary TB group had 20 confirmed cases and 46 negative controls, while the extrapulmonary TB group had 24 confirmed cases. The STNPCR showed sensitivities to pulmonary and extrapulmonary TB of 47.4% and 52.2% (blood) and 38.8% and 20% (urine), respectively. Considering the low performance of STNPCR on separate samples, we decided to perform a combined analysis (parallel sensitivity analysis) of the results from blood and urine samples. The parallel sensitivity increased to 65% in blood and 62.5% in urine. The specificity in both samples ranged from 93.5-97.8%. CONCLUSIONS: Although STNPCR showed moderate sensitivity, the specificity is high; therefore, the test can be used as an auxiliary tool to diagnose TB in children. It is a rapid test that demonstrated better performance than other diagnostic tests in paucibacillary samples as it does in childhood tuberculosis.

The authors report a case of a 38-year-old HIV-positive woman, with subcutaneous nodules on the thoracic region with 3 months of evolution. Clinical, laboratory, and epidemiological features were evaluated and associated with apparent damage to the T11-T12 vertebrae, identification by imaging tests, positivity in a polymerase chain reaction-based test, and reactivity to the Mantoux tuberculin skin test (PPD-RT 23). The patient was diagnosed with osteoarticular tuberculosis and received treatment for a year, and clinical cure was achieved.

Neotropical Rhagoletis species are arranged in four groups: nova,psalida,striatella and ferruginea, which include 18 species. On both sides of the Andes, the evolution of morphological differences among these groups has been suggested to be related to the Andes uplift process. In order to test this hypothesis, a phylogenetic analysis of morphological and molecular data was performed. The results suggest that: 1) Neotropical species of Rhagoletis constitute a separate group from Paleartic and North American species, with the only exception being a member of the striatella group having a certain association with the northern species. 2) Neotropical species seem to form a monophyletic clade, although statistical support for this is weak. 3) The split of South American Rhagoletis from other groups was dated at 4.333 million years ago, which is before the emergence of a continuous landbridge between Central and South América. 4) Within species distributed in South América, morphological and molecular data were coincident, placing species of the ferruginea group separate from the other Neotropical Rhagoletis. 5) The divergence of the ferruginea group from the other groups was dated at 3.882 million years ago, which is before the last uplift of the Andes. These results suggest that diversification of the ferruginea,psalida and nova groups, on each side of the Andes, was the result of a vicariant separation followed by dispersal and isolation processes. Thus, these results support the hypothesis that the Andes uplift has played an important role in Neotropical Rhagoletis diversification.

Las especies de Rhagoletis neotropicales han sido agrupadas en cuatro grupos: nova,psalida,striatella y ferruginea, constituyendo 18 especies. Se han descrito diferencias morfológicas entre estas especies a ambos lados de la cordillera de los Andes que podrían relacionarse con el proceso de levantamiento cordillerano. En este trabajo se evalúa esta hipótesis usando análisis filogenético de atributos morfológicos y moleculares. Los resultados muestran que: a) las especies Neotropicales de Rhagoletis constituyen un grupo separado de las especies Palearticas y Norteamericanas, con la excepción de un miembro del grupo striatella el cual presenta cierta asociación con las especies Norteamericanas; 2) Las especies Neotropicales parece conformar un clado monofilético; 3) La separación de los grupos Sudamericanos de otros grupos fue estimada en 4.333 millones de años antes del presente, proceso anterior a la emergencia del puente de tierra entre América Central y Sudamérica; 4) Dentro de las especies con distribución Sudamericana, los caracteres morfológicos y moleculares coinciden en ubicar algunas especies del grupo ferruginea separadas de especies de Rhagoletis Neotropicales. 5) La separación del grupo ferruginea fue estimada en 3.882 millones de años antes del presente, evento que precede al último levantamiento de los Andes. La diversificación de los grupos ferruginea,psalida y nova a uno y otro lado de la cordillera de los Andes parece responder inicialmente a un proceso vicariante y posteriores eventos de dispersión y aislamiento. Estos resultados sugieren que el levantamiento de los Andes habría participado en los patrones de diversificación de las Rhagoletis Neotropicales.

Esta investigación tuvo como propósito principal caracterizar los marcos de referencia de los maestros que favorecen la comprensión de las matemáticas en estudiantes de primaria en 10 colegios de Bogotá. Se utilizó una investigación de tipo cualitativo, en la cual se identificaron estudiantes que evidenciaban un desempeño académico en el área de matemáticas por encima del promedio, luego se recogió información a través de la observación en el aula y de la entrevista semiestructurada a los maestros. Se utilizó el análisis de contenido de tipo categorial y las matrices de cotejación. Como resultado se evidenció el papel predominante de la afectividad, los contextos inmediatos y la historia de vida de los estudiantes en los marcos de referencia de los maestros.

The aim of this research was to characterize the reference framework of teachers that favour mathematical comprehension at the elementary level in ten schools in Bogotá. A qualitative research was used in which the students who showed performance above average were identified. The information was then gathered through direct classroom observation and semi- structured interview of the instructors. A categories analysis as a type of content analysis was also used. As a result, the predominant roll of affectivity was found out together with immediate contexts, and the life history of the students in the reference framework of the teachers.