Se realiza un análisis crítico con el fin de orientar a los médicos veterinarios en el tema de Leishmaniosis canina. Se realizó una revisión de literatura a partir del año 2005 de manera sistemática considerando artículos científicos donde se tuvieran en cuenta experiencias y reportes de la patogenia, diagnóstico, presentación clínica de la enfermedad, tratamiento, la vacunación, el abordaje de los casos, estrategias de prevención y control y las consideraciones que se deben tener, según el país, ante la sospecha o confirmación de un paciente positivo, entre estos aspectos, la eutanasia. Se presentan las diferentes manifestaciones clínicas de la enfermedad, el diagnóstico, los signos y tratamiento de un paciente sospechoso para leishmaniosis canina, a manera de orientación para el profesional de la clínica veterinaria. La leishmaniosis canina se encuentra presente en diferentes partes del país, por lo que debe considerarse como posible diagnóstico diferencial en la clínica veterinaria, en pacientes con signos dermatológicos y sistémicos que son compatibles con diversas enfermedades. En Colombia, los pacientes diagnosticados con leishmaniosis cutánea podrían ser tratados y tener un pronóstico favorable, mientras que en los caninos con diagnóstico de leishmaniosis visceral debe considerarse la eutanasia por las implicaciones en salud pública.

The objective of this article is to perform a critical analysis and guide veterinarians in the management of canine Leishmaniosis. A systematic literature review was performed between 2005 and 2014 including scientific papers which take into account experiences and reports of: pathogenesis, diagnosis, clinical presentation, treatment, vaccination, prevention and control strategies. We discuss the different aspects of VL management and aspects that should be taken into account depending on the country, after a patient is suspected or confirmed as positive, including the possibility of euthanasia. We describe the different clinical manifestations of the disease, diagnosis, signs and treatment of canine leishmaniosis. Canine leishmaniosis is present in different parts of the country, therefore it must be considered as a possible differential diagnosis in the veterinary clinic, in patients with dermatological and systemic signs that are compatible with various diseases. In Colombia, the patients diagnosed with cutaneous leishmaniasis could be treated and have a favorable prognosis, whereas in canines with diagnosis of visceral leishmaniasis euthanasia should be considered because of the public health implications.

Objective: To estimate cervical cytology coverage for the period 2008-2011 by age groups and health regions from data recorded in the medical records of women attending centers within the Catalan national health system. Methods: The data used to estimate coverage were obtained from the primary care information system. This information was anonymous and included age, center, date, and the results of cytological smears for a total of 2,292,564 women aged 15 years or more. Results: A total of 758,690 smears were performed in 595,868 women. Among women aged 25-65 years, the estimated coverage was 32.4% of the assigned population and was 40.8% in the population attended. Geographical variation was observed, with higher coverage among health regions closer to Barcelona. Abnormal Pap smears increased slightly from 2008 to 2011 (from 3% to 3.5%, respectively, p <0.001). In women with a negative first smear, the mean interval until the second smear was 2.4 years, but only 50% of women with a negative first smear in 2008 attended a second round during the study period. Conclusions: Cervical screening coverage in the National Health Service of Catalonia includes one in three women. Second round participation was poor. Existing computer systems in primary care centers can ensure monitoring of population-based screening programs for cervical cancer. These systems could be used to plan an organized screening program to ensure wider coverage and better follow-up.

Objetivo: Estimar la cobertura del cribado de cáncer de cuello uterino en la población catalana atendida en el Sistema Nacional de Salud durante el periodo 2008-2011, por grupos de edad y región sanitaria. Métodos: Mediante la información registrada en el Sistema de Información de los Servicios de Atención Primaria se estimó la cobertura citológica de las mujeres atendidas por los equipos de atención primaria cuyos centros de atención a la salud sexual y reproductiva pertenecían al Institut Català de la Salut (ICS). Se incluyen 2.292.564 mujeres >15 años de edad asignadas a centros del ICS. La información fue anónima e incluyó edad, centro, fecha y resultado de la citología. Resultados: Se registraron 758.690 citologías correspondientes a 595.868 mujeres. La cobertura en las mujeres de 25-65 años de edad fue del 32,4% en la población asignada y del 40,8% en la atendida. Se observó variabilidad geográfica, con una mayor cobertura en las regiones sanitarias próximas a Barcelona y un ligero aumento de los resultados patológicos durante el periodo 2008-2011 (del 3% al 3,5%, p <0,001). El intervalo promedio entre dos citologías, siendo la primera negativa, fue de 2,4 años, aunque sólo se registró una segunda citología en el 50% de las mujeres. Conclusiones: La cobertura del cribado cervical del sistema público de Cataluña incluye a una de cada tres mujeres. La participación en la segunda ronda fue baja. Los sistemas informáticos existentes en los centros de atención primaria son herramientas que pueden garantizar un seguimiento de la población, y además podrían ser útiles para planificar un cribado poblacional que asegure una buena cobertura y un buen seguimiento.

Objective: To estimate cervical cytology coverage for the period 2008-2011 by age groups and health regions from data recorded in the medical records of women attending centers within the Catalan national health system. Methods: The data used to estimate coverage were obtained from the primary care information system. This information was anonymous and included age, center, date, and the results of cytological smears for a total of 2,292,564 women aged 15 years or more. Results: A total of 758,690 smears were performed in 595,868 women. Among women aged 25-65 years, the estimated coverage was 32.4% of the assigned population and was 40.8% in the population attended. Geographical variation was observed, with higher coverage among health regions closer to Barcelona. Abnormal Pap smears increased slightly from 2008 to 2011 (from 3% to 3.5%, respectively, p <0.001). In women with a negative first smear, the mean interval until the second smear was 2.4 years, but only 50% of women with a negative first smear in 2008 attended a second round during the study period. Conclusions: Cervical screening coverage in the National Health Service of Catalonia includes one in three women. Second round participation was poor. Existing computer systems in primary care centers can ensure monitoring of population-based screening programs for cervical cancer. These systems could be used to plan an organized screening program to ensure wider coverage and better follow-up.

Objetivo: Estimar la cobertura del cribado de cáncer de cuello uterino en la población catalana atendida en el Sistema Nacional de Salud durante el periodo 2008-2011, por grupos de edad y región sanitaria. Métodos: Mediante la información registrada en el Sistema de Información de los Servicios de Atención Primaria se estimó la cobertura citológica de las mujeres atendidas por los equipos de atención primaria cuyos centros de atención a la salud sexual y reproductiva pertenecían al Institut Català de la Salut (ICS). Se incluyen 2.292.564 mujeres >15 años de edad asignadas a centros del ICS. La información fue anónima e incluyó edad, centro, fecha y resultado de la citología. Resultados: Se registraron 758.690 citologías correspondientes a 595.868 mujeres. La cobertura en las mujeres de 25-65 años de edad fue del 32,4% en la población asignada y del 40,8% en la atendida. Se observó variabilidad geográfica, con una mayor cobertura en las regiones sanitarias próximas a Barcelona y un ligero aumento de los resultados patológicos durante el periodo 2008-2011 (del 3% al 3,5%, p <0,001). El intervalo promedio entre dos citologías, siendo la primera negativa, fue de 2,4 años, aunque sólo se registró una segunda citología en el 50% de las mujeres. Conclusiones: La cobertura del cribado cervical del sistema público de Cataluña incluye a una de cada tres mujeres. La participación en la segunda ronda fue baja. Los sistemas informáticos existentes en los centros de atención primaria son herramientas que pueden garantizar un seguimiento de la población, y además podrían ser útiles para planificar un cribado poblacional que asegure una buena cobertura y un buen seguimiento.

O objetivo deste estudo foi determinar variações na qualidade dos pecíolos de aipo (Apium graveolens), cv. Golden Boy, em plantas coletadas aos 80, 87, 94, 101, 108, 115, 122 e 129 dias pós-transplante (DAT). O peso total (TW), comprimento total (TL), número de folhas por planta (LN) e em diferentes zonas na planta (externo, LNZ E, central, LNZ M; interno LNZ I) e comprimento do pecíolo (PL) foram avaliadas a cada data de colheita. A qualidade dos pecíolos de cada zona foi analisada em termos de: cor (ângulo hue), textura (dureza de corte), teor de sólidos solúveis totais (SST) e acidez titulável (TA). Os pecíolos também foram avaliados por meio de análise sensorial pela análise descritiva das características visuais (flexibilidade, compacidade), sabor (sabor e odor característico) e atributos de textura (dureza, crocância, suculência e fibrosidade). Dos 80 aos 129 DAT, TW e TL aumentaram 33 g/DAT e 0,62 cm/DAT, respectivamente. O desenvolvimento das folhas foi detectado até 122 TPD; LNZ I foi o que mais aumentou. PL aumentou durante o desenvolvimento da planta, em especial nas folhas centrais e mais internas, sendo as folhas centrais as mais longas. Ângulo Hue e dureza de corte foram semelhantes nos pecíolos externos e centrais e ambos tiveram valores maiores do que os internos até o 122 e 115 DAT, respectivamente. A suculência aumentou e a flexibilidade diminuiu durante a maturação, sendo que aos 108 DAT foram menos flexíveis e mais suculentos do que aos 80 DAT. Não foram observadas diferenças significativas entre as épocas de colheita nas outras propriedades sensoriais avaliadas. Diferenciação da inflorescência foi detectada aos 115 DAT, causando um aumento na textura, TSS e TA. Rendimento ótimo e equilíbrio de qualidade foram obtidos em 122 DAT. Colheita tardia está associada a plantas maiores, mas também com qualidade inferior de pecíolos, principalmente devido a uma mudança indesejável na textura.

The aim of this study was to determine quality changes in petioles of self-blanching celery (Apium graveolens), cv. Golden Boy, harvested at 80, 87, 94, 101, 108, 115, 122 and 129 days after-transplanting (DAT). Total weight (TW), total length (TL), number of leaves per plant (LN) and by plant zone (external, LNZ E; middle, LNZ M; internal, LNZ I), and petiole length (PL) were evaluated at each harvest time. Petioles quality of each zone in the plant were analyzed in terms of: color (hue angle), texture (cutting force), total soluble solids content (TSS) and titratable acidity (TA). The petioles also were sensorially evaluated by descriptive analysis considering visual characteristics (flexibility, hollowness), flavor (typical flavor and odor) and texture attributes (hardness, crunchiness, juiciness and fibrousness). From 80 to 129 DAT, TW and TL increased 33 g/DAT and 0.62 cm/DAT, respectively. Leaves development was detected until the 122 DAT; LNZ I grew to a greater extent. The PL increased during plant development, mainly in middle and internal leaves; being the middle leaves the longest. Hue angle and cutting force were similar in external and middle petioles and both resulted higher than internal ones until the 122 and 115 DAT, respectively. The juiciness increased and flexibility decreased during maturation, resulting 108 DAT maturity stage less flexible and juicier than 80 DAT. No significant differences between harvesting dates were observed in the other sensory properties evaluated. Inflorescence differentiation was detected at 115 DAT, causing an increase in texture, TSS and TA. Optimum yield and quality balance were achieved at 122 DAT. Delayed harvest is associated with higher plants but also with lower petioles quality, mainly due to an undesirable change in texture.