The start of Child and Adolescent attention to gender dysphoria is very recent. In our Unit, it has objectified a growing increase in such demand over recent years.

As a typical example would be a patient of 13 years following gender dysphoria begins to present school failure and behavior problems at home with emotional instability.

According to the recommendations of the Group Identity and Sexual Differentiation (GIDSEEN) after early detection is to guide parents towards a comprehensive treatment at a specialized interdisciplinary teams and a psychosocial approach to improve the quality of life, decrease mental comorbidity and gender dysphoria own. Having no such care in our community has been necessary to make a referral to another community to attend this demand.

Currently it is giving adequate attention to these cases, but except for referral to another community. However, as we are seeing progression care in our area in the future could be feasible. Therefore, we consider as a first step dysphoria quantify each case in our area.

A Banach algebra $A$ is said to be a zero Jordan product determined Banach algebra if, for every Banach space $X$, every bilinear map $\unicode[STIX]{x1D711}:A\times A\rightarrow X$ satisfying $\unicode[STIX]{x1D711}(a,b)=0$ whenever $a$, $b\in A$ are such that $ab+ba=0$, is of the form $\unicode[STIX]{x1D711}(a,b)=\unicode[STIX]{x1D70E}(ab+ba)$ for some continuous linear map $\unicode[STIX]{x1D70E}$. We show that all $C^{\ast }$-algebras and all group algebras $L^{1}(G)$ of amenable locally compact groups have this property and also discuss some applications.

This paper considers Banach algebras with properties 𝔸 or 𝔹, introduced recently by Alaminos et al. The class of Banach algebras satisfying either of these two properties is quite large; in particular, it includes C *-algebras and group algebras on locally compact groups. Our first main result states that a continuous orthogonally additive n-homogeneous polynomial on a commutative Banach algebra with property 𝔸 and having a bounded approximate identity is of a standard form. The other main results describe Banach algebras A with property 𝔹 and having a bounded approximate identity that admit non-zero continuous symmetric orthosymmetric n-linear maps from An into ℂ.

Although it is accepted that impaired placental perfusion in complicated pregnancy can slow fetal growth and programme an increased risk of cardiovascular dysfunction at adulthood, the relative contribution of reductions in fetal nutrition and in fetal oxygenation as the triggering stimulus remains unclear. By combining high altitude (HA) with the chick embryo model, we have previously isolated the direct effects of HA hypoxia on embryonic growth and cardiovascular development before hatching. This study isolated the effects of developmental hypoxia on cardiovascular function measured in vivo in conscious adult male and female chickens. Chick embryos were incubated, hatched and raised at sea level (SL, nine males and nine females) or incubated, hatched and raised at HA (seven males and seven females). At 6 months of age, vascular catheters were inserted under general anaesthesia. Five days later, basal blood gas status, basal cardiovascular function and cardiac baroreflex responses were investigated. HA chickens had significantly lower basal arterial PO2 and haemoglobin saturation, and significantly higher haematocrit than SL chickens, independent of the sex of the animal. HA chickens had significantly lower arterial blood pressure than SL chickens, independent of the sex of the animal. Although the gain of the arterial baroreflex was decreased in HA relative to SL male chickens, it was increased in HA relative to SL female chickens. We show that development at HA lowers basal arterial blood pressure and alters baroreflex sensitivity in a sex-dependent manner at adulthood.

Let A and B be C*-algebras, let X be an essential Banach A-bimodule and let T : A → B and S : A → X be continuous linear maps with T surjective. Suppose that T(a)T(b) + T(b)T(a) = 0 and S(a)b + bS(a) + aS(b) + S(b)a = 0 whenever a, b ε A are such that ab = ba = 0. We prove that then T = wΦ and S = D + Ψ, where w lies in the centre of the multiplier algebra of B, Φ: A → B is a Jordan epimorphism, D: A → X is a derivation and Ψ: A → X is a bimodule homomorphism.

The partial contributions of reductions in fetal nutrition and oxygenation to slow fetal growth and a developmental origin of cardiovascular disease remain unclear. By combining high altitude with the chick embryo model, we have previously isolated the direct effects of high-altitude hypoxia on growth. This study isolated the direct effects of high-altitude hypoxia on cardiovascular development. Fertilized eggs from sea-level or high-altitude hens were incubated at sea level or high altitude. Fertilized eggs from sea-level hens were also incubated at high altitude with oxygen supplementation. High altitude promoted embryonic growth restriction, cardiomegaly and aortic wall thickening, effects which could be prevented by incubating eggs from high-altitude hens at sea level or by incubating eggs from sea-level hens at high altitude with oxygen supplementation. Embryos from high-altitude hens showed reduced effects of altitude incubation on growth restriction but not on cardiovascular remodeling. The data show that: (1) high-altitude hypoxia promotes embryonic cardiac and vascular disease already evident prior to hatching and that this is associated with growth restriction; (2) the effects can be prevented by increased oxygenation; and (3) the effects are different in embryos from sea-level or high-altitude hens.

The separating subspace of any Lie derivation on a semisimple Banach algebra A is contained in the centre of A.

The main theorem states that a bounded linear operator $h$ from a unital $C^{\ast}$-algebra $A$ into a unital Banach algebra $B$ must be a homomorphism provided that $h(\bm{1})=\bm{1}$ and the following condition holds: if $x,y,z\in A$ are such that $xy=yz=0$, then $h(x)h(y)h(z)=0$. This theorem covers various known results; in particular it yields Johnson's theorem on local derivations.

Molecular methods for the detection and typing of hepatitis A virus (HAV) strains in sewage were applied to determine its distribution in Cairo and Barcelona. The study revealed the occurrence of different patterns of hepatitis A endemicity in each city. The circulating strains characterized, whether in Cairo or Barcelona, were genotype IB. The effects of a child vaccination programme and the increase in the immigrant population on the overall hepatitis A occurrence in Barcelona were evaluated. While vaccination contributed to a significant decrease in the number of clinical cases, the huge recent immigration flow has probably been responsible for the re-emergence of the disease in the last year of study, in the form of small outbreaks among the non-vaccinated population.

The main theorem states that all Lie and Jordan derivations from a von Neumann algebra $\frak{A}$ into any Banach $\frak{A}$-bimodule are standard. Moreover, this statement is proved for some other classes of algebras. Our approach is based on the algebraic theory of functional identities and the strong degree, and is combined with analytic tools.

We prove that every Lie derivation on a symmetrically amenable semisimple Banach algebra can be uniquely decomposed into the sum of a derivation and a centre-valued trace.

By the end of December 2000, the epidemiological system ‘Alert’ of the Public Health Institute in Tirane reported an outbreak of acute gastroenteritis. The outbreak involved children in Tirane and in the rural area. In total, 2722 children were seen in Tirane Hospital and 982 (56·4%) were treated for acute gastroenteritis. The age group with the highest morbidity was 0–5 years (89·7%), followed by the 6–9 (6·2%) and 10–15 years age groups (4·1%). The distribution of acute gastroenteritis cases, which occurred along the same water distribution system, suggests a waterborne origin. The nucleic acid amplification confirmed the co-circulation of different genotypes of rotavirus, mainly P[8]G9 and P[8]G3, responsible for the outbreak. Other enteric viruses such as astrovirus serotype 1, adenovirus and Norovirus, genogroups I and II were detected. Co-infections with different rotavirus genotypes and even with different enteric viruses were detected in several samples.

The question of when a $\phi$-derivation on a Banach algebra has quasinilpotent values, and how this question is related to the noncommutative Singer–Wermer conjecture, is discussed.

Reproductive characteristics at high altitude are described based on the reproductive histories of 720 Aymara women, collected in 1998 and 1999 in a group of twelve peasant communities at a mean altitude of 4000 m in the Bolivian Altiplano. The reproductive pattern is shaped by a late onset of childbearing, associated with a rather short reproductive span and large birth intervals. Environmental conditions could explain the particularly late age at menarche of rural girls compared with their urban counterparts, whereas the age at first birth is likely to be under cultural control. The short reproductive span appears to result from a large mean interval between last birth and menopause, which is essentially determined by cultural decisions. The birth intervals, which are longer than in many traditional societies, could be the result of a slower restoration of postpartum fecundability induced by the hard way of life inherent in the Altiplano (including poor sanitary and nutritional conditions and high workload), perhaps aggravated by hypoxia. However, a secular trend in fertility is perceptible, towards earlier menarche, earlier age at first birth, increasing reproductive span and a slight increase in live births and surviving offspring, which is probably the result of a slow improvement in living conditions. The existence of birth control on the one hand, and a total fertility rate averaging six live births among the couples who do not practise contraception on the other, are other arguments against the hypothesis of a low natural fecundity in these Aymara groups.

HLA class I and class II alleles have been studied for the first time in the Turkish-speaking Tuvinian population, which lives in Russia, North of Mongolia and close to the Altai mountains. Comparisons have been done with about 11000 chromosomes from other worldwide populations, and extended haplotypes, genetic distances, neighbor joining dendrograms and correspondence analyses have been calculated. Tuvinians show an admixture of Mongoloid and Caucasoid characters, the latter probably coming from the ancient Kyrgyz background or, less feasibly, more recent Russian Caucasoid admixture. However, Siberian population traits are not found and thus Tuvinians are closer to Central Asian populations. Siberians are more related to Na-Dene and Eskimo American Indians; Amerindians (from nowadays Iberian–America) are not related to any other group, including Pacific Islanders, Siberians or other American Indians. The ‘more than one wave’ model for the peopling of the Americas is supported.

We prove that if A and B are semisimple Banach algebras, then the separating subspace of every Lie isomorphism from A onto B is contained in the centre of B.