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1.
Rev. Flum. Odontol. (Online) ; 2(67): 136-156, mai-ago.2025. ilus, tab
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1573237

RESUMEN

Este trabalho teve como o objetivo comparar dois Projetos Políticos Pedagógicos, descrever e analisar o desenvolvimento da visão humanística no curso de graduação em Odontologia da Universidade Federal Fluminense, a partir da ótica dos acadêmicos do referido curso. Realizou-se uma pesquisa descritivo-exploratória com enfoque quanti-qualitativo. A coleta de dados deu-se em 03 etapas, as duas primeiras por meio de categorização dos fatores selecionados pelos alunos e a terceira pelo método denominado grupo focal. As estratégias de análises utilizadas foram a categorização, operações estatísticas simples, análise temática e análise crítica com a literatura revisada. Entre os resultados da pesquisa têm-se: não existe diferença entre a visão humanística dos alunos no período inicial quando comparada com as dos alunos no final do período do ciclo profissional no Projeto Pedagógico Antigo, no Projeto Pedagógico Novo, em curso, os alunos demonstram em sua maioria estar voltados para uma visão mais humanística. Conclui-se que a humanização, do processo ensino-aprendizagem no contexto acadêmico pesquisado, apresenta ainda deficiências, constituindo-se, portanto, em um caminho a perseguir, onde o comprometimento de todos os envolvidos neste processo de transformação e formação tem um papel fundamental.


The aim of this paper was to compare two Pedagogical Political Projects, to describe and analyze the development of humanistic vision in the undergraduate course in Dentistry of the Federal University of Fluminense, from the perspective of the academics of this course. A descriptive-exploratory research with quantitative-qualitative approach was carried out. The data collection took place in 03 stages; the first two by categorizing the factors selected by the students and the third by the method called the focal group. The analysis strategies used were categorization, simple statistical operations, thematic analysis and critical analysis with the reviewed literature. The results of the research are: there is no difference between the humanistic view of the students in the initial period when compared to the students at the end of the professional cycle in the Pedagogical Project. In the New Pedagogical Project, in progress, students demonstrate, in majority, aimed at a more humanistic view. It is concluded that the humanization of the teaching-learning process in the researched academic context still presents deficiencies, constituting, therefore, a path to be pursued, where the commitment of all those involved in this process of transformation and formation plays a fundamental role.

2.
Investig. desar ; 32(2): 296-323, jul.-dic. 2024.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1575125

RESUMEN

RESUMEN Artículo de reflexión que describe el proceso de adopción institucional de la etnoeducación en Colombia y aborda distintas posiciones críticas sobre su forma de implementación. Objetivo general: Describir el desarrollo histórico de la etnoeducación sus logros y desafíos, su articulación desde un enfoque decolonial y la urgencia del giro narrativo desde las voces de los actores, como alternativas para lograr una paz total desde los territorios. Método: Se utilizó el enfoque cualitativo, con método de interpretación hermenéutico para el análisis e interpretación de la información y la realización del artículo de reflexión, desde un análisis crítico. Resultados: Se abordan las percepciones de los estudiosos y los postulados emergentes y contrahegemónicos de las Epistemologías del Sur y el enfoque decolonial que proponen otras alternativas de educación para las minorías étnicas en Colombia. Finalmente, se describe como ejemplo ilustrativo de nuevos paradigmas y referentes profanos, como el Sumak Kawsay o Buen Vivir que forma parte del acervo cultural de los pueblos indígenas en Latinoamérica y se ha convertido en objeto de estudio de la academia con interesantes reflexiones para superar la actual crisis civilizatoria. Conclusiones: Entre las conclusiones obtenidas se tienen: La etno-educación debería ser una propuesta concertada entre el Estado y las organizaciones ético políticas de las minorías étnicas, con miras a superar las diferencias y a adoptar con enfoque decolonial, una educación propia y multicultural como alternativa para lograr una paz estable y duradera en el país.


ABSTRACT Reflection article that describes the process of institutional adoption of ethno-education in Colombia and addresses different critical positions on its implementation. The general objective is to describe the historical development of ethno-education, its achievements and challenges, its articulation from a decolonial approach and the urgency of the narrative turn from the voices of the actors, as alternatives to achieve total peace from the territories. Method: The qualitative approach was used, with a hermeneutic interpretation method for the analysis and interpretation of the information and the realization of the reflection article, from a critical analysis. Results: The perceptions of scholars and the emerging and counter-hegemonic postulates of the Epistemologies of the South and the decolonial approach that propose other educational alternatives for ethnic minorities in Colombia are addressed. Finally, it is described as an illustrative example of new paradigms and profane referents, such as Sumak Kawsay or Good Living, which is part of the cultural heritage of indigenous peoples in Latin America and has become an object of study of the academy with interesting reflections to overcome the current civilizational crisis. Among the conclusions reached are the following: Ethno-education should be a concerted proposal between the State and the ethno-political organizations of ethnic minorities, with a view to overcoming differences and adopting with a decolonial approach, aproper and multicultural education as an alternative to achieve a stable and lasting peace in the country.

3.
Rev. Enferm. UERJ (Online) ; 32: e82186, jan. -dez. 2024.
Artículo en Inglés, Español, Portugués | LILACS-Express | LILACS | ID: biblio-1556466

RESUMEN

Objetivo: identificar quais os instrumentos disponíveis para avaliação multidimensional da fragilidade em idosos com doença cardiovascular, potencialmente aplicáveis durante a realização do Processo de Enfermagem. Método: revisão sistemática conduzida em oito bases de dados/portais, para identificação de estudos que apresentassem instrumentos multidimensionais de avaliação de fragilidade em idosos com doença cardiovascular e que fossem aplicáveis ao processo de enfermagem. Resultados: foram incluídos 19 instrumentos multidimensionais. O Brief Frailty Index for Coronary Artery Disease foi desenvolvido para uso no cuidado cardiovascular de idosos. O Frailty Index for Adults e o Maastricht Frailty Screening Tool for Hospitalized Patients foram desenvolvidos para uso no Processo de Enfermagem. Conclusão: apesar de apenas um instrumento ter sido desenvolvido para o idosos com doença cardiovascular e apenas dois serem aplicáveis ao processo de enfermagem, a maioria deles tem potencial de adaptação e validação para uso nesta população durante a avaliação de enfermagem.


Objective: to identify which tools are available for multidimensional frailty assessment of older adult with cardiovascular disease and which are potentially applicable during the Nursing Process. Method: a systematic review conducted in eight databases/portals to identify studies that presented multidimensional frailty assessment tools for older adult with cardiovascular disease and that were applicable to the nursing process. Results: a total of 19 multidimensional tools were included. The Brief Frailty Index for Coronary Artery Disease was developed for use in the cardiovascular care of older adult. The Frailty Index for Adults and the Maastricht Frailty Screening Tool for Hospitalized Patients were developed for use in the Nursing Process. Conclusion: although only one tool was developed for older adults with cardiovascular disease and only two are applicable to the nursing process, most of them have the potential to be adapted and validated for use in this population during nursing assessment.


Objetivo: identificar qué instrumentos están disponibles para la evaluación multidimensional de la fragilidad en personas mayores con enfermedad cardiovascular, que se puedan aplicar en el Proceso de Enfermería. Método: revisión sistemática realizada en ocho bases de datos/portales, para identificar estudios que presentaran instrumentos multidimensionales para la evaluación de la fragilidad en adultos mayores con enfermedad cardiovascular y que fueran aplicables al proceso de enfermería. Resultados: se incluyeron 19 instrumentos multidimensionales. El Brief Frailty Index for Coronary Artery Disease se desarrolló para usarlo en el cuidado cardiovascular de las personas mayores. El Frailty Index for Adults y la Maastricht Frailty Screening Tool for Hospitalized Patients se elaboraron para ser usados en el Proceso de Enfermería. Conclusión: aunque sólo se elaboró un instrumento para adultos mayores con enfermedad cardiovascular y sólo dos son aplicables al proceso de enfermería, la mayoría de ellos tienen el potencial para ser adaptados y validados para ser usados en esa población en la evaluación de enfermería.

4.
Telemed J E Health ; 2024 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-39358324

RESUMEN

Introduction: Early diagnosis of skin cancer is crucial for improving prognosis. Teledermatology (TD) usage can optimize referrals and reduce waiting times. This study aims to evaluate waiting times at the critical referral nodes in teleinterconsultations that raised suspicion of skin malignancy in the Chilean TD platform of the public health care system. Materials and Methods: A cross-sectional observational study that analyzed asynchronous teleinterconsultations and raised suspicion for skin malignancy following the teledermatologist evaluation was uploaded on the Chilean Ministry of Health's TD platform from January 1 to June 30, 2022. Results: Out of 20,522 teleinterconsultations, 1,853 raised suspicion of skin cancer. Among them, 1,119 patients were assessed by in-person examination, while 669 were still on the waiting list. Response times averaged 3.98 days for TD diagnostic suggestions. Overall referral times averaged 75.98 days from initial teleinterconsultation to the final specialist in-person evaluation. Waiting times showed significant differences among health care services and geographic regions. Discussion: In resource-limited settings, TD serves as a valuable tool to optimize referrals and manage the demand for oncologic dermatological consultation. The long waiting times emphasize the need for targeted interventions, especially in regions with longer delays. Conclusion: While TD has shown to be an effective tool in optimizing referrals, waiting times still exceed international recommendations, even in urban centers. The considerable heterogeneity in referral times within health care services and geographic regions highlights the necessity of establishing standardized referral protocols and explicit deadlines to fulfill teleinterconsultations that raise suspicion of skin malignancy in the Chilean public system.

5.
BMC Res Notes ; 17(1): 299, 2024 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-39380055

RESUMEN

OBJECTIVES: The control chart is a classic statistical technique in epidemiology for identifying trends, patterns, or alerts. One meaningful use is monitoring and tracking Infant Mortality Rates, which is a priority both domestically and for the World Health Organization, as it reflects the effectiveness of public policies and the progress of nations. This study aims to evaluate the applicability and performance of this technique in Brazilian cities with different population sizes using infant mortality data. RESULTS: In this article, we evaluate the effectiveness of the statistical process control chart in the context of Brazilian cities. We present three categories of city groups, divided based on population size and classified according to the quality of the analyses when subjected to the control method: consistent, interpretable, and inconsistent. In cities with a large population, the data in these contexts show a lower noise level and reliable results. However, in intermediate and small-sized cities, the technique becomes limited in detecting deviations from expected behaviors, resulting in reduced reliability of the generated patterns and alerts.


Asunto(s)
Ciudades , Mortalidad Infantil , Densidad de Población , Humanos , Brasil/epidemiología , Lactante , Mortalidad Infantil/tendencias , Ciudades/epidemiología , Ciudades/estadística & datos numéricos , Recién Nacido
7.
Chempluschem ; : e202400455, 2024 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-39326014

RESUMEN

Bis-heterocycles were synthesized via a consecutive one-pot process by a Groebke-Blackburn-Bienaymé reaction (GBB-3CR) followed by Copper-catalyzed Alkyne-Azide Cycloaddition (CuAAC) assisted by alternative sustainable energies (ASE) such as ultrasound irradiation (USI) and mechanical. These efficient and convergent strategies allowed the in situ generation of complex azides functionalized with imidazo[1,2-a]pyridines (IMPs), which was used as a synthetic platform. The target molecules contain two privileged scaffolds in medicinal chemistry: IMPs and the heterocyclic bioisostere of trans-amide bond, the 1,4-disubstituted 1H-1,2,3-triazoles (1,4-DS-1,2,3-Ts).

8.
Entropy (Basel) ; 26(9)2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39330105

RESUMEN

The solvation thermodynamics (ST) formalism proposed by A. Ben-Naim is a mathematically rigorous and physically grounded theory for describing properties related to solvation. It considers the solvation process as the transfer of a molecule ("solute") from a fixed position in the ideal gas phase to a fixed position within the solution. Thus, it removes any contribution to the solvation process that is not related to the interactions between this molecule and its environment in the solution. Because ST is based on statistical thermodynamics, the natural variable is number density, which leads to the amount (or "molar") concentration scale. However, this choice of concentration scale is not unique in classical thermodynamics and the solvation properties can be different for commonly used concentration scales. We proposed and performed experiments with diethylamine in a water/hexadecane heterogeneous mixture to confront the predictions of the ST, based on the amount (or "molar") concentration scale, and the Fowler-Guggenheim formalism, based on the mole fraction scale. By means of simple acid-base titration and 1H NMR measurements, it was established that the predictions of differences in the solvation Gibbs energy and the partition ratio (or "partition coefficient") of diethylamine between water and hexadecane are consistent with the ST formalism. Additionally, with current literature data, we have shown additional experimental support for the ST. However, due to the arbitrariness of the relative amount of solvents in the partition ratio, the choice of a single concentration scale within the classical thermodynamics is still not possible.

9.
Palliat Med Rep ; 5(1): 359-364, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39281183

RESUMEN

Background: Many factors, such as religion, geography, and customs, influence end-of-life practices. This variability exists even between different physicians. Objective: To observe and describe the end-of-life actions of patients in the intensive care unit (ICU) and document the variables that might influence decision-making at the end of life. Materials and Methods: This is a cross-sectional study performed in the ICU patients of a private hospital from March 2017 to March 2022. We used the Philips Tasy Electronic Medical Record database of clinical records; 298 patients were included in the study during these five years (2017-2022). The data analysis was done with the statistical package SPSS version 23 for Windows. Results: A total of 297 patients were included in this study, of which more than half were men. About 60% of our sample had private health insurance, whereas the remaining paid out of pocket. Most patients had withholding treatment, followed by failed cardiopulmonary resuscitation, withdrawal treatment, and brain death, and none of the patients had acceleration of the dying process. The main cause of admission to the ICU in our center was respiratory complications. Most of our samples were Catholics. Conclusions: Decision-making at the end of life is a complex process. Active participation of the patient, when possible, the patient's family, doctors, and nurses, can give different perspectives and a more compassionate and individualized approach to end-of-life care.

10.
Foods ; 13(17)2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-39272584

RESUMEN

For bioactivity studies, it is necessary to use products with a high degree of purity, which may influence the cytotoxic effects. Supercritical technology presents itself as an alternative to obtain these products. Therefore, the objective of this work was to obtain the bioactive compounds of oil and pulp of açaí fat-free supercritical technology and evaluate the cytotoxicity of products in MRC-5 and VERO cells in vitro. The açaí pulp was subjected to extraction with supercritical CO2 to obtain the oil and pulp without fat, under conditions of 323.15 K at 35 MPa, 333.15 K at 42 MPa, and 343.15 K at 49 MPa. The largest yields (51.74%), carotenoids (277.09 µg/g), DPPH (2.55 µmol TE/g), ABTS (2.60 µmol TE/g), and FRAP (15.25 µm of SF/g) of oil and ABTS (644.23 µmol TE/g) of pulp without fat were found in the condition 343.15 K at 49 MPa. The highest levels of compounds phenolics (150.20 mg GAE/g), DPPH (414.99 µmol TE/g), and FRAP (746.2 µm SF/g) of the pulp without fat were found in the condition of 323.15 K to 35 MPa. The fat-free pulp presented high levels of anthocyanins without significant variation in cytotoxicity. The developed process was efficient in obtaining oil rich in carotenoids, and the supercritical technology elucidated an efficient way to obtain açaí fat-free pulp.

11.
Photochem Photobiol Sci ; 23(9): 1735-1747, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39227554

RESUMEN

The mdx mouse phenotype, aggravated by chronic exercise on a treadmill, makes this murine model more reliable for the study of Duchenne muscular dystrophy (DMD) and allows the efficacy of therapeutic interventions to be evaluated. This study aims to investigate the effects of photobiomodulation by light-emitting diode (LED) therapy on functional, biochemical and morphological parameters in treadmill-trained adult mdx animals. Mdx mice were trained for 30 min of treadmill running at a speed of 12 m/min, twice a week for 4 weeks. The LED therapy (850 nm) was applied twice a week to the quadriceps muscle throughout the treadmill running period. LED therapy improved behavioral activity (open field) and muscle function (grip strength and four limb hanging test). Functional benefits correlated with reduced muscle damage; a decrease in the inflammatory process; modulation of the regenerative muscular process and calcium signalling pathways; and a decrease in oxidative stress markers. The striking finding of this work is that LED therapy leads to a shift from the M1 to M2 macrophage phenotype in the treadmill-trained mdx mice, enhancing tissue repair and mitigating the dystrophic features. Our data also imply that the beneficial effects of LED therapy in the dystrophic muscle correlate with the interplay between calcium, oxidative stress and inflammation signalling pathways. Together, these results suggest that photobiomodulation could be a potential adjuvant therapy for dystrophinopathies.


Asunto(s)
Macrófagos , Ratones Endogámicos mdx , Distrofia Muscular de Duchenne , Fenotipo , Animales , Ratones , Macrófagos/metabolismo , Distrofia Muscular de Duchenne/terapia , Distrofia Muscular de Duchenne/metabolismo , Distrofia Muscular de Duchenne/patología , Condicionamiento Físico Animal , Masculino , Estrés Oxidativo , Modelos Animales de Enfermedad , Músculo Esquelético/patología , Músculo Esquelético/metabolismo , Luz
12.
Infect Dis Health ; 2024 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-39306578

RESUMEN

BACKGROUND: Healthcare-associated infections and antibiotic resistance worsen globally. Antibiotic stewardship programs (ASP) aim to optimise infection treatment and curb resistance, yet implementation hurdles persist. This study examined ASP challenges in ICUs. METHODS: This study employed a qualitative methodological design to evaluate the implementation process of an antibiotic stewardship program (ASP) in eight intensive care units (ICUs) across Argentina. Thirty-four semi-structured interviews with healthcare workers (HCWs) were conducted. Interviews were analysed guided by Normalisation Process Theory, examining coherence, cognitive participation, collective action, and reflexive monitoring constructs. RESULTS: Key challenges included insufficient human resources, lack of institutional support, and resistance to change, particularly among staff not initially involved in the study. Despite these challenges, the program saw partial success in improving ICU practices, particularly in antibiotic use and communication across departments. The main strategy implemented in this quality improvement collaborative was the use of improvement cycles, which served as the central component for driving change. However, participation in improvement cycles was inconsistent, and sustainability post-intervention remains uncertain due to workload pressures and the need for continuous education. Concerns about workload and communication barriers persisted. Many participants did not perceive training as a separate component, which led to low engagement. Resistance to change became evident during modifications to clinical guidelines. The intervention had a positive impact on various processes, including communication and record keeping. CONCLUSION: This study underscores the persistent challenges in implementing ASPs in healthcare, emphasising the need for enhanced collaboration, workforce capacity building, and evidence-based practices to overcome barriers and optimize antimicrobial use to improve patient outcomes.

13.
Neurochem Res ; 49(12): 3383-3395, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39302597

RESUMEN

Population aging is a global reality driven by increased life expectancy. This demographic phenomenon is intrinsically linked to the epidemic of cognitive disorders such as dementia and Alzheimer's disease, posing challenges for elderly and their families. In this context, the search for new therapeutic strategies to prevent or minimize cognitive impairments becomes urgent, as these deficits are primarily associated with oxidative damage and increased neuroinflammation. Ferulic acid (FA), a natural and potent antioxidant compound, is proposed to be nanoencapsulated to target the central nervous system effectively with lower doses and an extended duration of action. Here, we evaluated the effects of the nanoencapsulated FA on d-galactose (d-Gal)- induced memory impairments. Male Wistar adult rats were treated with ferulic acid-loaded nanocapsules (FA-Nc) or non-encapsulated ferulic acid (D-FA) for 8 weeks concurrently with d-Gal (150 mg/kg s.c.) injection. As expected, our findings showed that d-Gal injection impaired memory processes and increased anxiety behavior, whereas FA-Nc treatment ameliorated these behavioral impairments associated with the aging process induced by d-Gal. At the molecular level, nanoencapsulated ferulic acid (FA-Nc) ameliorated the decrease in ACh and glutamate induced by d-galactose (d-Gal), and also increased GABA levels in the dorsal hippocampus, indicating its therapeutic superiority. Additional studies are needed to elucidate the mechanisms underlying our current promising outcomes. Nanoscience applied to pharmacology can reduce drug dosage, thereby minimizing adverse effects while enhancing therapeutic response, particularly in neurodegenerative diseases associated with aging. Therefore, the strategy of brain-targeted drug delivery through nanoencapsulation can be effective in mitigating aging-related factors that may lead to cognitive deficits.


Asunto(s)
Envejecimiento , Ansiedad , Ácidos Cumáricos , Galactosa , Ácido Glutámico , Trastornos de la Memoria , Ratas Wistar , Ácido gamma-Aminobutírico , Animales , Ácidos Cumáricos/farmacología , Ácidos Cumáricos/uso terapéutico , Masculino , Envejecimiento/efectos de los fármacos , Envejecimiento/metabolismo , Trastornos de la Memoria/tratamiento farmacológico , Trastornos de la Memoria/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Ansiedad/tratamiento farmacológico , Ansiedad/metabolismo , Ácido Glutámico/metabolismo , Ratas , Encéfalo/metabolismo , Encéfalo/efectos de los fármacos , Nanoestructuras , Nanocápsulas
14.
Biochem Biophys Res Commun ; 733: 150671, 2024 11 12.
Artículo en Inglés | MEDLINE | ID: mdl-39298919

RESUMEN

In the current biopharmaceutical scenario, constant bioprocess monitoring is crucial for the quality and integrity of final products. Thus, process analytical techniques, such as those based on Raman spectroscopy, have been used as multiparameter tracking methods in pharma bioprocesses, which can be combined with chemometric tools, like Partial Least Squares (PLS) and Artificial Neural Networks (ANN). In some cases, applying spectra pre-processing techniques before modeling can improve the accuracy of chemometric model fittings to observed values. One of the biological applications of these techniques could have as a target the virus-like particles (VLP), a vaccine production platform for viral diseases. A disease that has drawn attention in recent years is Zika, with large-scale production sometimes challenging without an appropriate monitoring approach. This work aimed to define global models for Zika VLP upstream production monitoring with Raman considering different laser intensities (200 mW and 495 mW), sample clarification (with or without cells), spectra pre-processing approaches, and PLS and ANN modeling techniques. Six experiments were performed in a benchtop bioreactor to collect the Raman spectral and biochemical datasets for modeling calibration. The best models generated presented a mean absolute error and mean relative error respectively of 3.46 × 105 cell/mL and 35 % for viable cell density (Xv); 4.1 % and 5 % for cell viability (CV); 0.245 g/L and 3 % for glucose (Glc); 0.006 g/L and 18 % for lactate (Lac); 0.115 g/L and 26 % for glutamine (Gln); 0.132 g/L and 18 % for glutamate (Glu); 0.0029 g/L and 3 % for ammonium (NH4+); and 0.0103 g/L and 2 % for potassium (K+). Sample without conditioning (with cells) improved the models' adequacy, except for Glutamine. ANN better predicted CV, Gln, Glu, and K+, while Xv, Glc, Lac, and NH4+ presented no statistical difference between the chemometric tools. For most of the assessed experimental parameters, there was no statistical need for spectra pre-filtering, for which the models based on the raw spectra were selected as the best ones. Laser intensity impacts quality model predictions in some parameters, Xv, Gln, and K+ had a better performance with 200 mW of intensity (for PLS, ANN, and ANN, respectively), for CV the 495 mW laser intensity was better (for PLS), and for the other biochemical variables, the use of 200 or 495 mW did not impact model fitting adequacy.


Asunto(s)
Espectrometría Raman , Virus Zika , Espectrometría Raman/métodos , Reactores Biológicos , Análisis de los Mínimos Cuadrados , Redes Neurales de la Computación , Rayos Láser , Humanos , Infección por el Virus Zika/virología , Animales
15.
Braz J Phys Ther ; 28(5): 101115, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-39321684

RESUMEN

BACKGROUND: Identifying a weak/strong pelvic floor muscle (PFM) contraction in pregnant women may help prevent and treat dysfunctions during late pregnancy and postpartum. OBJECTIVE: To determine whether the Peritron™ manometer can accurately differentiate a weak from a strong PFM contraction and the respective cut-offs for its variables in pregnant women. METHODS: This is a diagnostic accuracy study. Forty-four women in the third trimester of pregnancy participated (mean±SD age: 29±5 years). The reference test was vaginal palpation, and the index test was vaginal manometry (Peritron™ manometer). Variables assessed by vaginal manometry were rest, maximal voluntary contraction (MVC), MVC average, duration, gradient, area under the curve (AUCm), and contraction speed. The Receiver Operating Curve (AUC/ROC) was used to analyze the data and obtain cut-off points for these variables. RESULTS: Perfect discrimination (AUC=1.00) to differentiate between a weak/strong PFM contraction in pregnant women was observed for peak MCV (cut-off: 40.56 cmH2O). The MVC average showed excellent discriminative ability (AUC=0.96; cut-off: 30.66 cmH2O). The gradient variable (AUC=0.85; cut-off: 27.83 cmH2O/s) and AUCm (AUC=0.86; cut-off: 1315.6 cm²*s) showed a good discriminative ability. CONCLUSION: The best variables to discriminate between weak/strong PFM contraction in pregnant women using vaginal manometry were peak MVC, MVC average, gradient, and AUCm.

16.
Heliyon ; 10(16): e36525, 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39258187

RESUMEN

Food security is a pressing issue, emphasizing the necessity for food designs that address the current geopolitical and geoeconomic challenges. This study evaluates the impact of including different percentages (10 %, 20 %, 30 %, and 60 %) of high protein quinoa flour (HPQF) in the development of a new rice-based snack. The aim is to create four snack formulations with a protein content enriched with probiotics, surpassing those currently available in the market. Probiotics Bacillus coagulans were added at a 0.1 % concentration. Once the rice flour and quinoa flour are mixed, they are mixed with the probiotic, to move on to the extrusion process. Following the incorporation of probiotics, the snacks were packaged in a modified atmosphere, and their physicochemical properties, Bacillus coagulans probiotic viability, tolerance to artificial gastroenteric juice (TAGJ), starch digestibility, and sensory acceptance were assessed. Significant differences were observed in the expansion index, with the 60 % inclusion snack exhibiting the least expansion. Despite having a higher density, this snack reached a porosity index similar to that of the 20 % HPQF snack. Achieving a 17 % protein content in the snacks was possible with a 60 % inclusion rate. Texture was notably affected by the inclusion of HPQF, with snacks having higher inclusion levels showing increased hardness. Probiotic viability evaluation consistently remained above 106 UFC/g of snack, while TAGJ exhibited a viability of 75 %. Although HPQF inclusion led to a decrease in the glycemic index (GI), snacks still maintained a GI above 70 %. Regarding antioxidant properties, snacks with 60 % HPQF inclusion displayed superior results, reaching 35.29, 5.52, and 13.74 µmol of AA/g, measured via ABTS, DPPH, and FRAP methods, respectively. These findings demonstrate a heightened antioxidant capacity compared to other formulations. Our results indicate that the new probiotic snack serves as a rich source of protein and probiotics and is well-received sensorially. However, it is worth noting that it falls within the category of high GI foods, prompting the need for future studies aimed at reducing this parameter.

17.
J Toxicol Environ Health A ; 87(24): 989-998, 2024 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-39302011

RESUMEN

Aluminum (Al) may be beneficial to crops, but in excess becomes detrimental to the germination and initial development of seedlings. The main determining indicators are the type of crop and exposure duration. The aim of this study was to examine the influence of Al and of UV-C light on the germination and initial growth of white oats. Seeds were sown on germitest paper in a solution of 100, 200, 300, 400, or 500 mg/L of aluminum chloride and kept in a germination chamber at 20°C for a 12-hr photoperiod. Germination and seedling growth parameters were determined after 5 and 10 days. The seeds were also exposed to two doses of UV-C (0.85 and 3.42 kJ m-2) under aluminum chloride stress (200 mg/L). Data demonstrated that treatment with aluminum chloride significantly decrease in germination at 200 mg/L and total seedling length at 100 mg/L. Exposure of seeds to UV-C light under excess Al (200 mg/L) did not show a significant effect on germination and growth compared to control (non-irradiated). Results indicated that exposure to high concentration of Al in the medium adversely altered germination and initial growth of white oat seedlings. Although UV-C light alone was not detrimental to the germination process, treatment with UV-C light also failed to mitigate the toxic effects of Al.


Asunto(s)
Aluminio , Avena , Germinación , Plantones , Semillas , Rayos Ultravioleta , Germinación/efectos de los fármacos , Germinación/efectos de la radiación , Avena/crecimiento & desarrollo , Avena/efectos de los fármacos , Avena/efectos de la radiación , Rayos Ultravioleta/efectos adversos , Semillas/efectos de la radiación , Semillas/efectos de los fármacos , Semillas/crecimiento & desarrollo , Plantones/crecimiento & desarrollo , Plantones/efectos de los fármacos , Plantones/efectos de la radiación , Aluminio/toxicidad , Cloruro de Aluminio/toxicidad
18.
Podium (Pinar Río) ; 19(2)ago. 2024.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1569406

RESUMEN

Los procesos formativos, complejos por su propia naturaleza social, parten de los contextos en que se desarrollan y de las características psicopedagógicas, sociológicas, culturales y fisiológicas de los que intervienen como componentes personales. El ámbito educativo ecuatoriano, consciente de lo anterior, evidenció en los últimos años el desarrollo de estrategias encaminadas a cumplir estándares básicos de inclusión, reconocidos por organismos internacionales y materializados en acciones pedagógicas y curriculares en todos los niveles formativos. La investigación propuesta estuvo dirigida a perfeccionar la escala evaluativa para la inclusión, en la asignatura Educación física, de los estudiantes con necesidades educativas especiales asociados a una discapacidad, en Ecuador. Se utilizaron los métodos de análisis-síntesis y modelación; además, el análisis documental y una encuesta a docentes del área para profundizar en las características fenomenológicas del objeto de investigación. La estadística descriptiva facilitó el procesamiento de la información y la determinación de regularidades, lo que sustentó la propuesta del sistema de acciones, para el perfeccionamiento de la escala evaluativa inclusiva para la Educación Física.


Os processos de formação, complexos pela sua natureza muito social, partem dos contextos em que se desenvolvem e das características psicopedagógicas, sociológicas, culturais e fisiológicas de quem intervém como componentes pessoais do processo. O contexto educacional equatoriano, consciente do exposto, tem evidenciado, nos últimos anos, o desenvolvimento de estratégias que visam atender aos padrões básicos de inclusão reconhecidos pelos organismos internacionais e materializados em ações pedagógicas e curriculares em todos os níveis educacionais. A pesquisa proposta teve como objetivo aperfeiçoar a escala de avaliação para a inclusão, na disciplina de Educação Física, de alunos com necessidades educacionais especiais associadas à deficiência, a partir de uma visão holística, no contexto equatoriano. Métodos de análise-síntese e modelagem foram utilizados para o estudo teórico prático do processo avaliativo em Educação Física. Além disso, a análise documental e um levantamento de professores da área, para a análise das características fenomenológicas do objeto de pesquisa, que subsidiaram a proposta do sistema de ações para o aprimoramento da escala de avaliação inclusiva para a Educação Física.


The training processes, complex due to their very social nature, start from the contexts in which they develop and the psycho-pedagogical, sociological, cultural and physiological characteristics of those who intervene as personal components. The Ecuadorian educational field, aware of the above, has demonstrated in recent years the development of strategies aimed at meeting basic inclusion standards, recognized by international organizations and materialized in pedagogical and curricular actions at all educational levels. The proposed research was aimed at perfecting the evaluation scale for the inclusion, in the Physical Education subject, of students with special educational needs associated with a disability, in Ecuador. Analysis-synthesis and modeling methods were used; in addition, documentary analysis and a survey of teachers in the area to delve into the phenomenological characteristics of the research object. Descriptive statistics facilitated the processing of information and the determination of regularities, which supported the proposal of the system of actions, for the improvement of the inclusive evaluation scale for Physical Education.

19.
Int J Biol Macromol ; 278(Pt 1): 134602, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39127282

RESUMEN

This study evaluates the feasibility of using enzymatic technology to produce novel nanostructures of cellulose nanomaterials, specifically cellulose nanospheres (CNS), through enzymatic hydrolysis with endoglucanase and xylanase of pre-treated cellulose fibers. A statistical experimental design facilitated a comprehensive understanding of the process parameters, which enabled high yields of up to 82.7 %, while maintaining a uniform diameter of 54 nm and slightly improved crystallinity and thermal stability. Atomic force microscopy analyses revealed a distinct CNS formation mechanism, where initial fragmentation of rod-like nanoparticles and subsequent self-assembly of shorter rod-shaped nanoparticles led to CNS formation. Additionally, adjustments in process parameters allowed precise control over the CNS diameter, ranging from 20 to 100 nm, highlighting the potential for customization in high-performance applications. Furthermore, this study demonstrates how the process framework, originally developed for cellulose nanocrystals (CNC) production, was successfully adapted and optimized for CNS production, ensuring scalability and efficiency. In conclusion, this study emphasizes the versatility and efficiency of the enzyme-based platform for producing high-quality CNS, providing valuable insights into energy consumption for large-scale economic and environmental assessments.


Asunto(s)
Celulasa , Celulosa , Nanosferas , Celulosa/química , Hidrólisis , Nanosferas/química , Celulasa/química , Celulasa/metabolismo , Endo-1,4-beta Xilanasas/química , Endo-1,4-beta Xilanasas/metabolismo
20.
World J Microbiol Biotechnol ; 40(10): 308, 2024 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-39172263

RESUMEN

Studies have shown that a diverse and metabolically active microbiota exists throughout different stages of coffee processing, from pre- to post-harvest. This microbiota originates from both the cultivation and processing environments. Additionally, microorganisms from the soil can be found on the fruit due to the transfer between them. This study reviews the microbiota present in Arabica coffee fruits and the soils where the plants are grown. It examines how microbial profiles are related to coffee variety, altitude, cultivation region, and processing method, and establishes a connection between the microbiota in soil and fruit. A diverse microbiota was observed in both coffee fruits and soils, with similar microorganisms identified across different growing regions, processing methods, and coffee varieties. However, exclusive detections of some microorganisms were also observed. These differences highlight the influence of terroir on coffee's microbial composition, confirming that environmental conditions, genetic factors, and processing methods shape coffee microbiota. Since microbial development during coffee fermentation can affect the beverage's quality, the data presented in this review offer valuable insights for researchers and producers. Understanding the influence of processing methods, coffee varieties, and cultivation regions on coffee microbiota enables the selection of specific fermentation conditions or starter cultures to enhance terroir characteristics or adjust microbial populations to favor or introduce microorganisms beneficial for coffee quality.


Asunto(s)
Bacterias , Coffea , Café , Frutas , Microbiota , Microbiología del Suelo , Frutas/microbiología , Coffea/microbiología , Bacterias/clasificación , Bacterias/genética , Bacterias/aislamiento & purificación , Bacterias/metabolismo , Café/microbiología , Fermentación , Suelo/química
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