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Recientemente se ha retomado el estudio de la villa maritima romana y de la problemática arqueológica del Cabo Trafalgar, el antiguo Promontorium Iunonis (Barbate, Cádiz), con el objetivo fundamental de caracterizar su piscina de acuicultura, única hasta la fecha en Baetica. Se presenta en este trabajo un avance de la campaña de marzo de 2021, que ha deparado múltiples novedades: nos centramos en el estudio del denominado Conchero Oriental, algunos de cuyos restos malacológicos quizás se correspondan con las especies engordadas en estas instalaciones: ostras (Ostrea edulis) y mejillones (Mytilus galloprovincialis). También se ha documentado en detalle el vivero, avanzando en su definición y en su posible carácter compartimentado (piscina loculata). Relevante ha sido también la identificación de piletas para la elaboración de garum y de salazones, lo que permite confirmar la convivencia de acuicultura y conservas piscícolas en este singular yacimiento de la costa del conventus Gaditanus

En este artículo presentamos los recursos di-dácticos diseñados en la museografía del recién estrenado Museo de Vejer, en Cádiz. Junto a ello, la planificación de actividades de difusión está permitiendo acercar la historia y el patrimonio de la localidad a los sectores más jóvenes, funda-mental para su conservación como depositarios de este patrimonio., In this article we present the didactic resources designed in the museography of the recently opened Museum of Vejer, in Cádiz. Along with this, the planning of dissemination activities is making it possible to bring the history and heritage of the town closer to the most youthful sectors, very important for their conservation as depositories of this heritage.

Nous présentons dans ce travail, un panorama synthétique des occupations humaines du Nord du Maroc, en mettant l’accent sur l’association des données anthropologiques et des données culturelles, ceci dans un cadre chronologique compris entre le Paléolithique Moyen (MSA) et le Paléolithique Supérieur. Nous présentons aussi les projets développés, durant ces 15 dernières années, et les résultats les plus intéressants que nous avons obtenus. Pour conclure, nous proposons quelques réflexions sur l’évaluation culturelle et historique des enregistrements archéologiques de la région de Tétouan dans les périodes du Paléolithique Moyen et Supérieur., In this work, we present a synthetic panorama of the human occupations of northern Morocco, with an emphasis on the association of anthropological with cultural records, within the framework of the Middle Palaeolithic (MSA) and the Upper Palaeolithic. We also present the projects developed over the past 15 years and the most interesting results we have obtained. And we conclude bay providing some reflections on the cultural and historical evaluation of the archaeological records from the Tetouan region in the Middle and the Upper Palaeolithic phases., Les résultats et les conclusions de cet article ont été obtenus grâce aux études qui ont été réalisées dans le cadre de la coopération scientifique internationale qui a permis le développement des projets de recherches archéologiques durant les quinze dernières années et qu’on peut résumer comme suit : • Les matières premières dans la préhistoire du détroit de Gibraltar. Code A/2893/05. Entités participantes : Université de Cadix (Espagne) et Université Abdelmalek Essaâdi (Maroc). Durée, de janvier 2006 à décembre 2006. Chercheurs responsables : Salvador Domínguez-Bella et Ali Maate. • Etude des collections du Musée Archéologique de Tétouan (I). Début de l’inventaire général et de l’analyse de certaines collections thématiques. Code : A/6867/06. Entités participantes : Université de Cadix (Espagne), Institut National des Sciences de l’Archéologie et du Patrimoine (Rabat) et Université Abdelmalek Esaâdi (Tanger-Tétouan) (Maroc). Durée, de janvier 2007 à décembre 2007. Chercheurs responsables : Mehdi Zouak et José Ramos-Muñoz. • Les matières premières dans la Préhistoire du détroit de Gibraltar. Code A/6317/06. Entités participantes : Université de Cadix (Espagne) et Université Abdelmalek Essaâdi (Maroc). Durée, de janvier 2007 à décembre 2007. Chercheurs responsables : Salvador Domínguez-Bella et Ali Maate. • Contribution à l’élaboration de la Carte archéologique du Nord du Maroc (Région Tanger-Tétouan). Analyse de faisabilité et conception du projet. Code A/5790/06. Entités participantes : Université de Cadix (Espagne) et Université Abdelmalek Esaâdi (Tanger-Tétouan, Maroc). Durée, de janvier 2007 à décembre 2007. Chercheurs responsables : Darío Bernal et Baraka Raissounni. • Étude des collections du Musée Archéologique de Tétouan (II). Début de l’inventaire général et de l’analyse de certaines collections thématiques. Code A/010823/07. Entités participantes : Université de Cadix (Espagne), Institut National des Sciences de l’Archéologie et du Patrimoine (Rabat) et Université Abdelmalek Essaâdi (Maroc). Durée, de janvier 2008 à décembre 2008. Chercheurs responsables : José Ramos-Muñoz. et Mehdi Zouak. • Proposition pour le remodelage du contenu du Musée Archéologique de Tétouan. Code AP/040139/11. Entités participantes : Université Abdelmalek Esaâdi (Tanger-Tétouan) (Maroc) et Université de Cadix (Espagne). Durée, de janvier 2012 à décembre 2012. Chercheurs responsables : José Ramos-Muñoz. et Ali Maate. • Projet Carte Archéologique du Nord du Maroc. Région de Tanger-Tétouan. Codes : DRCTT/08/328 ; DRCTT/09/267 ; DRCTT/ ; DRCTT/09/279 ; DRCTT/10/314, DRCTT/11/106, IRMHS-TT/12-48, IRMHS-TT/459/12, 0-094-2011 (BOE 314, 30-12-2011). Organismes de financement : AECID, Junta de Andalucía (Groupe PAI-HUM-440), Université de Cadix (Espagne). Entités participantes : Institut Nacional des Sciences de l’Archéologie et du Patrimoine (Rabat), Université Abdelmalek Esaâdi (Tanger-Tétouan) (Maroc) et Université de Cadix (Espagne). Durée, de janvier 2008 à décembre 2012. Chercheurs responsables : Mehdi Zouak, Abdelaziz El Khayari, Baraka Raissouni, Darío Bernal-Casasola et José Ramos-Muñoz. • Convention de collaboration pour la création du Laboratoire d’Archéologie et du Patrimoine Meknassi de la Région Tanger-Tétouan et le développement de la recherche archéologique et patrimoniale. Entités participantes : Université Abdelmalek Essaâdi, Université de Cadix et Direction Régionale de la Culture de la Région Tanger-Tétouan. Durée : du 24 mai 2012 au 24 mai 2017. Chercheurs responsables : Mehdi Zouak, Darío Bernal, José Ramos-Muñoz., Baraka Raissouni, Mostapha Ghottes et Tarek Moujoud. • Análisis de sociedades prehistóricas del Paleolítico Medio al Neolítico Final en las dos orillas del Estrecho de Gibraltar. Relaciones y contactos -HAR2017-8734P- (Ministerio de Economía, Industria y Competitividad -Agencia Estatal de Investigación, co financé par les fonds FEDER. Chercheurs responsables : José Ramos-Muñoz. et Salvador Domínguez-Bella. Nous tennons donc à remercier tous les chercheurs, les experts et les entités scientifiques, financières et administratives, qui ont permis la réalisation de ces projets de recherches archéologiques de 2005 à 2020.

The site of Palomas, Facinas (Tarifa, Cadiz, Spain), was investigated by Breuil and Burkitt in the early 20th century and published in 1929. They identified four assemblages of wall paintings, including Palaeolithic representations in Palomas I. Recently, our team discovered previously unknown Palaeolithic paintings (including hand stencils and other motifs) in Palomas IV. This article presents our preliminary results, including a description and documentation of the main motifs identified. The site is located near the Strait of Gibraltar, which is a region of great archaeological importance for the study of prehistory in the Iberian Peninsula.

This study presents the results of the archaeological investigation in Benzú Cave, located on the North African shore of the Strait of Gibraltar. The archaeological deposits, approximately 1 m deep, belong to two occupational levels dated to the Neolithic and the Bronze Age. A wide range of artifacts was found, and this led to an interdisciplinary study that led us to reach new conclusions concerning the material life, subsistence economy, and environment of the Neolithic and Bronze Age societies in northern Africa and the southern Iberian Peninsula., This study was funded by City Council of Ceuta (65.933/20 [01], 47.849/3 [03], 007086, 77.891/3 [09], 96.478/2 [2010], 0-094/2011, 124.111/3[2011], 23.685/[13]), Plan Nacional I+D, MCYT. (HAR2008-06477-C03-02), Programa de Investigación Juan de la Cierva, Ministerio de Economía y Competitividad, de España (IJCI-2014-20590), and Proyecto de Investigación de I+D (Ministerio de Economía, Industria y Competitividad de España) (HAR2017-87324-P).

In the geohistorical region of the Strait of Gibraltar, which includes the south of the Iberian Peninsula and North Africa, important research has been carried out in recent years. This research has allowed us to document the presence of human groups as early as the Middle Pleistocene. Classical anthropology refers to these groups using various terms Homo Neanderthalensis in the south of Europe and Homo sapiens sapiens in North Africa). The current records exhibit important similarities concerning lithic technology (the so-called ‘Mode 3’, ‘Mousterian’ or ‘Middle Stone Age’), and the exploitation of marine resources. From an anthropological or cultural perspective, both groups were hunter-gatherers with similar lifestyles. Bearing these similarities in mind, three hypotheses are here presented.

The archaeological excavations carried out between August 2007 and July 2008 in the necropolis of Campo de Hockey (transit Vth–IVth millennium BC) documented levels and structures of interest. We report the first data on the grave goods study, with a special focus on the “funerary” as social work investment. The correlations between the “grave goods” (such as social prestige values) and funerary structures can be established. The individual, double or triple characters of these burials imply social effort and sometimes involve an investment of community work. In the study of the necropolis, it has been observed that very few tombs have grave goods elements; this finding is of great interest because it confirms that incipient hierarchisation processes occurred in these Neolithic societies of South Iberia. We emphasise the analysis of so-called exotic products (amber, turquoise, variscite, sillimanite, etc.) as indicators of inequality, focusing on the correspondence between them and the most monumental or complex structures. We also note the importance of the exploitation of marine resources, which is obvious given the insular nature of the settlement, not only for food but also for ornamental purposes.

La presencia de restos de ostreidos en los contextos arqueológicos de época romana en los yacimientos del Círculo del Estrecho es una constante, desde inicios de la presencia romana hasta la Antigüedad Tardía. Incluso en Iulia Traducta (actual Algeciras), tenemos constancia de la existencia de viveros de ostricultura en pleno s. V d.C. La importancia de los restos malacológicos en el contexto de las actividades pesqueras y conserveras romanas es un elemento conocido en la ciudad de Baelo Claudia a través de diversas fuentes. En este trabajo presentamos los primeros datos de una actividad arqueológica realizada en el año 2009 en la muralla oriental de esta ciudad hispanorromana, en la cual se han exhumado diversas estructuras de época imperial. Entre ellas un contexto de abandono de mediados del s. I d.C. con múltiples ostras que denota la importancia del consumo de las mismas. Se presenta en esta comunicación la problemática del depósito, interpretado como desechos alimenticios de un convivium o banquete, así como una serie de inferencias históricas relacionadas con el procesado, consumo e importancia gastronómica de las ostras en esta importante ciudad romana del Estrecho de Gibraltar, centrada en la explotación de recursos marinos.

Las excavaciones arqueológicas llevadas a cabo por el profesor M. Tarradell en los años 50 del siglo pasado en las cuevas de Gar Cahal y Kaf that el Gar (Norte de Marruecos), realizadas con metodología propia de la época, ofrecen datos de gran interés para comprender los procesos históricos acaecidos en el Norte de Marruecos desde las formaciones sociales cazadoras-recolectoras a las clasistas iniciales. La fauna marina de estos enclaves, hasta el momento inédita y depositada en las dependencias del Museo Arqueológico de Tetuán, ha servido para analizar los modos de vida y movilidades de estos grupos sociales prehistóricos. Abordamos su análisis para acercarnos a las especies recolectadas tanto para el consumo como para la confección de adornos-colgantes. Estos datos se enmarcan en el contexto de la región histórica del Estrecho de Gibraltar, donde en la actualidad un equipo de la Universidad de Cádiz viene desarrollando diversos proyectos tanto en el Abrigo y Cueva de Benzú (Ceuta) como en la región norteafricana.

The rock-shelter of Benzú is located near the city of Ceuta in North Africa. At the rock-shelter of Benzú there is a sequence of 7 archaeological levels, which are associated with a clearly defined Mode 3 lithic technology. The similarities with other assemblages found in the south of the Iberian Peninsula are clear. We emphasise the exploitation of marine resources by these hunteregatherer societies from the beginning of the Middle Pleistocene sequence. On the basis of this archaeological evidence and in the context of recent studies on North Africa, this work assesses the possible relationships and contacts between societies on both shores of the historical region of the Straits of Gibraltar.

This article examines the role played by marine resources for hunter-gatherer groups of the Middle/Upper Pleistocene in the geohistorical region around the Straits of Gibraltar, on the basis of new evidence collected at the rock shelter of Benzú (North Africa). The stratigraphic sequence at Benzú has been dated to between 254 and 70 ka. The excavations have revealed the exploitation of marine gastropods and bivalves, alongside fish. The most common taxon in the sequence is the genus Patella. The analysis of the molluscs and their spatial distribution shows that these animals were purposely collected by humans, probably as a food source. In order to contribute to the debate about the origins and scale of the exploitation of marine resources during the Middle and Upper Pleistocene, the evidence collected at Benzú is interpreted within the broader context of North Africa and southern Europe. The similarity of groups of Homo sapiens sapiens in North Africa and Homo sapiens neanderthalensis in southern Europe in terms of lifestyle and subsistence strategies is interpreted as reflecting equally similar social and economic practices, in spite of the diversity of anthropological perspectives on the relationship between humans and the environment currently in vogue., We wish to thank the Spanish Ministry of Culture (Madrid, Spain) for the permission to carry out the excavation (2006: SGPPH/LLB/lms73/06), (2007: SGPPH/LLB/Tmc92/7), (2008: SGPPH/LMS92/07), and the city of Ceuta for funding the project in agreement with the University of Cadiz (Grants numbers provided by the Ciudad Autónoma de Ceuta are: 65.933/20 (01), 47.849/3 (03), 007086, 77.891/3 (09), 96.478/2 (2010), 0-094/2011, 124.111/3 (2011), 23.685/(13)). The excavation also has the support of project HAR2013-43599-P (MINECO).

Desde una toma de postura de la denominada Arqueologia Social abordamos un analisis de la explotacion de los recursos marinos por las ultimas formaciones sociales con modo de produccion cazador-recolector-mariscador y las tribales-comunitarias. Su analisis nos acerca a los modos de vida y modos de trabajo y nos vislumbra, desde parametros netamente socioeconomicos, los procesos historicos acaecidos durante el Mesolitico e inicios del Holoceno en la Banda Atlantica de Cadiz y Bahia de Algeciras.

Dada la infrautilizacion de los tratamientos de prevencion secundaria en pacientes sometidos a cirugia cardiaca, se diseno una intervencion hospitalaria para mejorar su empleo consistente en el compromiso de los miembros del servicio de cirugia cardiaca de cumplimentar antes del alta hospitalaria un formulario que recordaba las indicaciones de los tratamientos recomendados, preguntaba por su prescripcion, la dosis empleada, la causa de no prescribir, si era el caso, y el uso de farmacos alternativos. Su eficacia se evaluo comparando la tasa de utilizacion de los farmacos el ano de su uso, 2003 (n = 341), con la del ano previo, obtenida retrospectivamente (n = 369). El uso de acido acetilsalicilico, estatinas, inhibidores de la convertasa angiotensinica y bloqueadores beta en candidatos ideales aumento en total el 13,4, el 38,3, el 21,8 y el 21,5% respectivamente. En conclusion, una intervencion sencilla y barata fue capaz de mejorar significativamente el empleo de farmacos de prevencion secundaria en pacientes sometidos a cirugia cardiaca.

In this work we used the information of the Annual Hunting Reports (AHRs) to obtain a high‐resolution model of the potential favourableness for wild rabbit harvesting in Andalusia (southern Spain), using environmental and land‐use variables as predictors. We analysed 32,134 AHRs from the period 1993/2001 reported by 6049 game estates to estimate the average hunting yields of wild rabbit in each Andalusian municipality (n = 771). We modelled the favourableness for obtaining good hunting yields using stepwise logistic regression on a set of climatic, orographical, land use, and vegetation variables. The favourability equation was used to create a downscaled image representing the favourableness of obtaining good hunting yields for the wild rabbit in 1×1 km squares in Andalusia, using the Idrisi Image Calculator. The variables that affected hunting yields of wild rabbit were altitude, dry wood crops (mainly olive groves, almond groves, and vineyards), temperature, pasture, slope, and annual number of frost d...

Given that treatment for secondary prevention in patients undergoing cardiac surgery is underused, we devised a hospital intervention to increase its implementation. The intervention involved all physicians in the department of cardiac surgery agreeing to complete a report on each patient before hospital discharge. The document recorded the indications for the recommended treatments, and prompted for details of the drugs prescribed, the doses used, the reasons for not prescribing the recommended drugs, if that was the case, and the use of alternative medicines. The efficacy of the intervention was evaluated by comparing the rate of drug use in the year in which it was introduced (2003, n=341) with retrospective data on the rate in the previous year (n=369). The rates of use of aspirin, statins, angiotensin-converting enzyme inhibitors, and beta-blockers by patients who required them all showed an absolute increase, of 13.4%, 38.3%, 21.8%, and 21.5%, respectively. In conclusion, the introduction of a simple and inexpensive intervention was able to significantly increase the use of drugs for secondary prevention in patients undergoing cardiac surgery.

ObjetivoEn los últimos años se ha visto incrementada la necesidad de implantar sustitutos valvulares en posición tricúspide en nuestro servicio. Se analizan los resultados clínicos y hemodinámicos obtenidos con el xenoinjerto montado de pericardio bovino Carpentier-Edwards en posición tricúspide.MétodosSe seleccionaron desde 1998-2006 aquellos pacientes que precisaban intervención sobre la válvula tricúspide y en los cuales se empleó el xenoinjerto mencionado (n=24). Se analizaron las características de los pacientes y resultados quirúrgicos y ecocardiográficos a medio plazo.ResultadosLa edad media fue de 61,1±6,4 años. El 87,5% de los pacientes había sido intervenido previamente y un 33,3% tenía intervención previa sobre la tricúspide. Todos los pacientes presentaban edemas refractarios a tratamiento médico. El 77,5% de los pacientes precisó cirugía aórtica y/o mitral concomitante. El 54,2% tenía hipertensión pulmonar grave y el 65% dilatación importante biventricular. La supervivencia a los 30 días y al año fue del 79,2 y 62,3%, respectivamente. El 90% de los pacientes presentó al alta una clara mejoría de los síntomas. El ecocardiograma de seguimiento mostró función correcta del xenoinjerto en todos los casos con un gradiente transvalvular medio de 4 (rango 0-8mmHg). No hubo ningún evento relacionado con la prótesis (seguimiento medio de 52,6 meses).ConclusionesEn nuestra serie el xenoinjerto montado de pericardio bovino Carpentier-Edwards presenta una hemodinámica aceptable en posición tricúspide, sin que se hayan producido efectos adversos. El uso de este tipo de válvulasparece adecuado aun cuando se usen prótesis metálicas en otras localizaciones.ObjectiveIn recent years the number of cases of tricuspid valve replacement has increased in our service. We analyze the clinical and haemodinamics results in this group of patients with the Carpentier-Edwards pericardial xenograft.MethodsBetween 1998-2006 all patients receiving this pericardial xenograft were selected (n=24). Baseline clinical characteristic and surgical outcomes were analyzed. An echocardiogram was performed in every patient after discharge.ResultsMean age was 61,1±6,4 years. 87,5% of patients had a previous cardiac intervention; 33,3% of patients had previous tricuspid valve repair. All patients had oedema despite of intensive medical treatment; 77,5% of patients received aortic or mitral surgery at the same time; 54,2% had severe pulmonary hypertension and 65% severe biventricular dilatation. Thirty-day and one year survival was 79,2 and 62,3%, respectively. 90% of patients had clinical improvement after discharge. The echocardiogram showed a proper function of the xenograft with a mean gradient of 4 (range 0-8mmHg). There was no clinical event related to the xenograft (mean follow- up of 52,6 months).ConclusionsIn our series the Carpentier-Edwards pericardial xenograft showed acceptable haemodynamic behaviour in tricuspid position with no adverse events. The use of this xenograft may be a good option even if mechanical prostheses are used in other positions.

We carried out an analysis of the results obtained in patients (n=23) who received a ventricular assist device before heart transplantation between 1988 and 2005. Their mean age was 52.5 (8.4) years. Reasons for inclusion in the transplantation waiting list were postcardiotomy referral (n=10), myocardial infarction (n=5), primary graft dysfunction (n=7), and dilated cardiomyopathy (n=1). Different types of ventricular assist device were used: the Abiomed 5000 (n=13), the Biomed Comunidad de Madrid (n=9), and the BioMedicus (n=1). The mean transplantation waiting time was 3.0 (2.4) days. In-hospital complications were neurological (n=7), infectious (n=12), renal (n=3), hemorrhagic (n=3), and respiratory (n=2). In-hospital mortality was 39.1% (n=9). Kaplan-Meier analysis gave a 1-year survival rate of 55.2% and a 5-year survival rate of 32.2%. In patients who were discharged home, the 1-year survival rate was 92.3%. Careful patient selection is essential for obtaining good results.

Se analizan los resultados obtenidos en los pacientes con trasplante de corazon tras recibir asistencia ventricular entre 1988 y 2005 (n = 23). La edad media fue de 52,5 ± 8,4 anos. Los motivos de inclusion en la lista de trasplante fueron: poscardiotomia (n = 10), infarto de miocardio (n = 5), disfuncion primaria del injerto (n = 7) y miocardiopatia dilatada (n = 1). Los modelos de asistencia fueron BioMed Comunidad de Madrid (n = 9), ABIOMED 5000 (n = 13) y BioMedicus (n = 1). El tiempo en alerta cero fue de 3 ± 2,4 dias. Las complicaciones intrahospitalarias fueron: neurologicas (n = 7), infecciosas (n = 12), renales (n = 3), hemorragicas (n = 3) y respiratorias (n = 2). La mortalidad intrahospitalaria fue del 39,1% (n = 9). El analisis de Kaplan-Meier mostro una supervivencia al ano del 55,2% y a los 5 anos del 32,2%. En los pacientes que recibieron el alta domiciliaria, la supervivencia al ano fue del 92,3%. Una adecuada seleccion de los pacientes es vital para la obtencion de buenos resultados.

[EN] Functional analysis has focused mainly on the study of lithic instruments and to a lesser extent instruments made on animal materials. Using functional analysis we identified ten shell tools from the archaeological sites of Campo de Hockey and SET Parralejos, located in the Atlantic coast of Cádiz (southern Spain). Both sites date to the IV-V millennium BC. The interpretation of use wear present on the surface of the shells has enabled us to establish hypotheses about their use in different productive activities related to processing animal and vegetable materials. The results of this research will help establish a relationship between shell instrument use and a more efficient use of tools in subsistence strategies, as well as increase our knowledge about the mains of production of these tribal communal societies., [ES] La metodología de análisis funcional ha sido aplicada principalmente para el estudio de instrumentos líticos, mientras que su utilización ha sido muy marginal para el estudio de los instrumentos de trabajo constituidos con materia de origen animal. Sin embargo, a través de la aplicación de esta metodología ha sido posible documentar diez instrumentos de concha en los yacimientos de Campo de Hockey y SET Parralejos, ocupaciones del IV-V milenio a. C. situadas en la banda atlántica de Cádiz. La interpretación de las huellas de uso desarrolladas en las superficies de estas conchas ha permitido establecer algunas hipótesis acerca de su participación activa en diferentes procesos productivos relacionados con el procesado de materias de origen animal y vegetal. Estos resultados han posibilitado establecer una relación entre el uso de estos instrumentos de concha y la eficacia de otros instrumentos empleados en las estrategias de subsistencia, contribuyendo a ampliar el conocimiento acerca de los medios de trabajo de estas sociedades tribales comunitarias.

BACKGROUND The incidence of neurological complications in the forearm after radial artery harvesting varies in the literature, ranging from 2% to more than 50%. Also, the areas affected and the type of neurological complications differ a lot. Peripheral nerve injuries may be divided into three types: neuroapraxia (conduction block that recovers within 3 months), axonotmesis (recovers 1 ml/day) and neurotmesis (needs surgery for recovering). We decided to perform a neuroelectrophysiological study, before and after surgery, in peripheral nerves of the forearm to find out the real incidence and the type of lesion after radial artery harvesting. METHODS Fifteen consecutive patients whose RA was going to be harvested were selected. Emergency patients, patients with severe liver or renal dysfunction were excluded. A complete neuroelectrophysiological study was performed in the median, ulnar and radial nerve. The amplitude was measured to check mielina status, whereas with the latency and nerve velocity conduction (NVC) we checked the axonal integrity. An electromyogram was also performed in the forearm muscles. A neurological clinical exploration was also performed. All these tests were performed before surgery and two weeks and two months after surgery. RESULTS Median nerve: A significant decrease in the amplitude that improved over time was registered. This decrease was observed in the motor and sensitive part of the nerve. No changes were observed regarding latency or NVC. Ulnar nerve: A decrease in the amplitude of the sensitive part of the nerve was observed (11.7-9.2-10.4 microV; P=0.006). No changes were observed regarding latency or NVC. Radial nerve: A statistical trend decrease observed regarding NVC of the sensitive part of the nerve branch was found (50.9 m/s vs. 47.1 m/s vs. 47.2 m/s; P=0.10). The electromyogram found no alterations. Clinically, three patients presented sensitive disorders in the median nerve territory and one of these also complained of sensitive disorders in the radial territory. Another patient referred dysesthesias in the ulnar nerve territory. All patients with the exception of one were asymptomatic two months after surgery. CONCLUSIONS Although only a few patients refer symptoms, most patients suffer changes in the peripheral nerves of the forearm (especially in the sensitive part) after RA harvesting. In our study the median nerve and the sensitive part of the ulnar and radial nerve were affected. These changes were temporary, affecting mainly the axon. All these data suggest neuroapraxia as the main peripheral nerve type lesion. We think that physicians and patients must be aware of this.

The ossifying fibromyxoid tumor (OFMT) of soft parts is a rare soft tissue neoplasm of uncertain lineage. The most common metastases are found in the lung. Herein, we present the first case report of pulmonary metastasis of ossifying fibromyxoid tumor with intracardiac extension, which was resected carefully using cardiopulmonary bypass and cardiac arrest. Subsequently pulmonary left lower lobectomy was performed. The patient recovered uneventfully and was discharged in after a few days. Recently, OFMT has been considered as a tumor of intermediate malignancy. We recommend wide surgical excision of primary tumor and radiotherapy. Early follow-up is mandatory.