Abstract INTRODUCTION Improved recovery protocols were implemented in surgical specialties over the last decade, which decreased anesthetic and surgical stress and the incidence of perioperative complications. However, these recovery protocols were introduced more slowly for cardiac surgeries. The most frequent complications in cardiac surgery are related to patient clinical status and the characteristics of the surgical procedures involved, which are becoming more varied and complex every day. The first version of the enhanced recovery program for cardiac surgery was published in 2019, but its recommendations were based on only a few studies, and scant research has evaluated its implementation. Randomized and controlled clinical trials for these protocols are scarce, so research that summarizes the results of studies with other methodological designs are useful in demonstrating their benefits in cardiovascular surgery services in Cuba and in other limited-resource settings. OBJECTIVE Estimate the effectiveness of improved recovery protocols in the perioperative evolution of patients undergoing cardiac surgery.

El presente trabajo muestra dos análisis moleculares sobre la filogenia de los cérvidos neotropicales. En uno se secuenció la región control del mtDNA (D-loop) de seis especies de Odocoileinae, utilizándose las secuencias de dos Muntiacinae como elementos externos. Se evidenciaron los siguientes resultados: La secuencia de una Mazama americana, de origen mexicano, presentó una fuerte relación filogenética con las diversas secuencias estudiadas de Odocoileus, contrario a lo esperado ya que, a priori, debería haberse asociado con las secuencias analizadas de otros ejemplares de Mazama de origen boliviano. Esto pone en evidencia que este género no es monofilético. A su vez, las secuencias de los ejemplares bolivianos de Mazama formaron una agrupación con secuencias de Pudu puda y O. bezoarticus. Una secuencia de O. virginianus, del área central de Colombia, presentó más relación con la secuencia de un O. hemionus norteamericano que con las restantes secuencias analizadas de O. virginianus, también de origen colombiano. Esto puede reflejar varias explicaciones hipotéticas, tales como la existencia de haplotipos ancestrales comunes entre ambas especies de Odocoileus, hasta la hibridación en Norteamérica entre ambos taxones antes de su penetración en Sudamérica. Los análisis de máxima parsimonia presentan una especial relación entre los Muntiacinae y el clado de los ciervos sudamericanos. El segundo análisis filogenético hizo uso de 16 marcadores nucleares microsatélites. Aunque, en principio, estos marcadores no son los más recomendables para estudios filogenéticos intergenéricos, los resultados muestran, al igual que el ADN mitocondrial, una mayor relación entre M. americana y O. virginianus que entre la primera especie y M. gouzaoubira.

Phylogenetic relationships among Neotropical deer genera (Artiodactyla: Cervidae) by means of DNAmt sequences and microsatellite markers. The current work shows two molecular phylogenetic analyses on Neotropical deers. In the first analysis, the mitochondrial control region (D-loop) was sequenced in six Odocoileinae species from Latin America, using the sequences of two Muntiacinae as outgroups. The results obtained were as follows: A sequence of Mazama americana showed a striking relationship with several sequences of Odocoileus in contrast to that expected, since this M. americana haplotype, from a Mexican origin, was not associated with several Bolivian Mazama sequences analyzed. This could put forward that this genera is not monophyletic. On the other hand, these Bolivian Mazama formed a clade with Pudu puda and Ozotoceros bezoarticus. Likely, an Odocoileus virginianus sequence from the Central area of Colombia showed a more strong relationship with a Northamerican O. heminonus sequence than with the other O. virginianus sequences of Colombian origin as well. This could be explained by means of various different hypotheses. The first is the existence of common ancestral haplotypes between both species. Another one is the reiterative hybridization among both Odocoileus species before the migration of O. virginianus from North America to South America. Moreover, the maximum parsimony analysis showed an intense relationship between the Muntiacinae and this Neotropical Cervidae clade. In addition, and adding credence to the relevant polyphyletism found in Mazama by means of the mitochondrial control region DNA sequences, a second analysis with 16 DNA microsatellite loci also showed a higher genetic relationship between M. americana and O. virginianus, than between the first species regard to Mazama gouazoubira. Rev. Biol. Trop. 55 (2): 723-741. Epub 2007 June, 29.