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1.
PLOS Glob Public Health ; 4(7): e0003380, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39042628

RESUMO

With chronic disease prevalence on the rise globally, surveillance and monitoring are critical to improving health outcomes. Point-of-care (POC) testing can facilitate epidemiological research and enhance surveillance systems in limited resource settings, but previous research has identified bias between POC devices and laboratory testing. We compared the performance of two POC blood analyzers, the iSTAT handheld (Abbott, Princeton, NJ, USA) and the StatSensor Creatinine (Nova Biomedical, Waltham, MA, USA) to concurrent blood samples analyzed at a local laboratory that were collected from 89 agricultural workers in Guatemala. We measured creatinine and other measures of underlying health status with the POC and the lab blood samples. Pearson correlation coefficients, Bland-Altman plots, no intercept linear regression models and two-sample t-tests were used to evaluate the agreement between the POC and lab values collected across three study days and to assess differences by study day in a field setting. On average there was no observed difference between the iSTAT and lab creatinine measurements (p = 0.91), regardless of study day. Using lab creatinine as the gold standard, iSTAT creatinine results were more accurate compared to the Statsensor, which showed some bias, especially at higher values. The iSTAT had good agreement with the lab for sodium and blood urea nitrogen (BUN), but showed differences for potassium, anion gap, bicarbonate (TCO2), glucose, and hematocrit. In this tropical field setting, the research team devised a protocol to prevent the devices from overheating. In limited resource settings, POC devices carry advantages compared to traditional lab analyses, providing timely results to patients, researchers, and healthcare systems to better evaluate chronic health conditions. Technical challenges due to use of POC devices in high heat and humidity environments can be addressed using a standard protocol for transporting and operating the devices.

2.
Womens Health (Lond) ; 20: 17455057231219607, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38553804

RESUMO

BACKGROUND: During the COVID-19 pandemic, distinct population subsets, including pregnant women, have been differentially affected. While over 90% of COVID-19-infected pregnant women experience a benign course, a subset demonstrates marked clinical exacerbation. Symptomatic pregnant individuals, in particular, present a heightened risk of severe disease in comparison to their non-pregnant counterparts. OBJECTIVE: The objective of this study is to systematically evaluate the epidemiological characteristics of COVID-19 in pregnant women, assess related maternal mortalities, ascertain the case fatality rate, and delineate associated risk factors. DESIGN: This is a comprehensive population-based ecological study. METHODOLOGY: A population-based study was conducted to investigate the epidemiological patterns of COVID-19-associated morbidity and mortality in pregnant women in Ecuador from 27 February 2020 to 14 May 2021. RESULTS: A total of 3274 positive COVID-19 cases were identified among pregnant women, with 22 official fatalities, yielding a case fatality rate of 0.67%. The majority of cases were of Mestizo ethnicity (92.66%); however, the highest case fatality rate was noted among indigenous pregnant women (case fatality rate = 1.25%), those aged between 40 and 44 years (case fatality rate = 2.68%), and those with a history of comorbidities (2.08%). Pregnant women residing at lower altitudes (<2500 m) exhibited a higher incidence rate (0.20/100,000) compared to those at higher altitudes (>2500 m), which stood at 0.17/100,000. CONCLUSION: The COVID-19 pandemic has profoundly impacted pregnant women in Ecuador during the first 14 months, particularly those with comorbidities, older age, and of indigenous ethnicity. These factors have heightened their vulnerability and susceptibility to severe COVID-19 infection and subsequent mortality. This underscores the urgency for comprehensive protective measures, including prioritization for vaccination. Further studies are needed to inform tailored prevention strategies and therapeutic interventions for these high-risk groups.


Assuntos
COVID-19 , Complicações Infecciosas na Gravidez , Gravidez , Feminino , Humanos , Adulto , COVID-19/epidemiologia , Mortalidade Materna , SARS-CoV-2 , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/prevenção & controle , Pandemias , Equador/epidemiologia
3.
J Occup Environ Med ; 66(5): 388-394, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38383950

RESUMO

OBJECTIVE: We sought to test whether a 2-week Total Worker Health (TWH) training mapped to TWH education competencies could be administered to a Mexican audience of occupational safety and health professionals and could lead to positive changes to knowledge and behaviors. METHODS: This study used robust program evaluation methods collected before and after each of the nine training days and at the end of the course. RESULTS: Overall course quality received a mean score of 4.6 (SD = 0.6) and 98.8% of participants agreed that their TWH knowledge increased. All participants intended to make at least one change to their professional practice, most frequently helping companies assess their organizational culture to support health, safety, and well-being. CONCLUSIONS: This TWH training was well received and led to positive self-reported increase in knowledge and abilities to influence workers' health, safety, and well-being.


Assuntos
Saúde Ocupacional , Humanos , México , Saúde Ocupacional/educação , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Promoção da Saúde/métodos , Avaliação de Programas e Projetos de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Cultura Organizacional
4.
Rehabil Res Pract ; 2023: 1124661, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38025207

RESUMO

Background: COVID-19 has been one of the most critical public health challenges of recent decades. This disease develops severely in one in five patients, and approximately 5% require admission to a critical care unit. Due to the impact of the sequelae, the Post-COVID-19 Functional Status Scale (PCFS) was developed. This study is aimed at determining the interrater reliability of the Spanish (Colombia) version of the PCFS in adult patients with post-COVID-19 infection. Methods: This is an observational study performed with patients diagnosed with COVID-19. Two evaluators repeated the test-retest of the PCFS scale with knowledge and clinical experience in the care of patients with COVID-19 and had previously applied the test. The PCFS assesses functional limitations at discharge and can be used at 4 and 8 weeks to evaluate practical consequences and determine the degree of disability these patients may have. For interrater reliability, Cronbach's alpha was applied with its respective confidence interval and the Bland-Altman method. A 95% confidence interval (CI) was taken as the basis for the interpretation of the Intraclass Correlation Coefficient (ICC). Results: A total of 112 adult patients participated in the study, aged 51.46 ± 15.94 years. It was evidenced that the survival, constant care, and activities of daily living questions have an ICC of one (1.000) with an ICC (1.000-1.000), demonstrating excellent reliability, while those close to one were instrumental activities, role participation, symptoms, and final score with an ICC 0.918 to 0.984 and an ICC (0.881-0.989). Thus, a homogeneous distribution of the interrater data was evident. Conclusions: Excellent interobserver reliability of the Spanish (Colombia) version of the PCFS in patients with different degrees of functional status was reported.

5.
Sex Reprod Health Matters ; 31(2): 2267202, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37982434

RESUMO

This paper presents the results of formative research conducted from January to June 2020 in the Department of Atlántico, Caribbean region of Colombia, whose findings were used as inputs to design the national strategy for comprehensive sexuality education (CSE) outside school - Tírala Plena - including its curriculum. This is within the framework of the multi-country project coordinated by UNFPA and WHO aimed at generating evidence on the role of facilitators in the delivery of CSE in non-school contexts. The research was carried out in four municipalities in northern Colombia, in rural and marginal urban contexts with conditions of vulnerability for the adolescent population, including a strong presence of migrant populations from Venezuela. A total of 150 male and female adolescents ages 10-17 participated in the formative research. Workshops such as patchwork quilt, body mapping and talking maps were used as methods to gather information. The groups were divided by sex and age (10-13 years old and 14-17 years old). Knowledge, attitudes and social norms regarding adolescent pregnancy, sexually transmitted infections, including human immunodeficiency virus, and gender-based violence, were identified in adolescents (schooled and not schooled, but with minimal or no access to CSE). All of the above enabled us to establish a set of recommendations for the strengthening of the CSE strategy Tírala plena.


Assuntos
Violência de Gênero , Gravidez na Adolescência , Adolescente , Gravidez , Humanos , Feminino , Masculino , Criança , Educação Sexual , Colômbia , Instituições Acadêmicas
6.
Molecules ; 27(12)2022 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-35744919

RESUMO

The purpose of this study was to determine the chemical composition, physical properties, enantiomeric composition and cholinesterase inhibitory activity of the essential oil (EO) steam-distilled from the leaves of the plant Araucaria brasiliensis Loud. collected in Ecuador. The chemical composition was determined by gas chromatography coupled to mass spectrometry (GC-MS) analysis on two capillary GC columns (DB5-ms and HP-INNOWax). Thirty-three compounds were identified in the EO; the main compounds were beyerene (26.08%), kaurene (24.86%), myrcene (11.02%), α-pinene (9.99%) and 5,15-rosadiene (5.87%). Diterpene hydrocarbons (65.41%), followed by monoterpene hydrocarbons (21.11%), were the most representative components of the EO. Enantioselective analysis of the EO showed four pairs of enantiomeric compounds, α-pinene, camphene, γ-muurolene and δ-cadinene. In an in vitro assay, the EO showed moderate inhibitory activity towards the enzyme butyrylcholinesterase (BuChE) (95.7 µg/mL), while it was inactive towards acetylcholinesterase (AChE) (225.3 µg/mL). Further in vivo studies are needed to confirm the anticholinesterase potential of the EO.


Assuntos
Araucaria , Óleos Voláteis , Acetilcolinesterase , Butirilcolinesterase , Equador , Óleos Voláteis/química , Óleos Voláteis/farmacologia
7.
J Expo Sci Environ Epidemiol ; 32(3): 461-471, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-33603096

RESUMO

BACKGROUND: Exposure to environmental metals can cause nephrotoxicity. There is an international epidemic of chronic kidney disease of unknown cause (CKDu). Whether metal exposures contribute to kidney dysfunction in populations at risk for CKDu remains unresolved. OBJECTIVE: Urinary metals (arsenic, cadmium, nickel, and uranium) were examined in 222 sugarcane cutters in Guatemala at three time points over 1 year. METHODS: We explored the relationships between metal concentrations and markers of kidney function using multivariable linear mixed-effect models. RESULTS: Arsenic, cadmium, and nickel were detected in the majority of the 340 urine samples and were generally within limits previously considered to be nonnephrotoxic. Nevertheless, higher urine cadmium was inversely associated with estimated glomerular filtration rate (eGFR) (ß: -4.23, 95% confidence interval [CI]: -6.92, -1.54) and positively associated with neutrophil gelatinase-associated lipocalin (NGAL) (ß: 2.92, 95% CI: 1.20, 4.64). Higher urine arsenic was also inversely associated with eGFR (ß: -4.36, 95% CI: -7.07, -1.64). SIGNIFICANCE: Our findings suggest that exposures to metals, including cadmium and arsenic, might contribute to kidney toxicity seen in workers at risk for CKDu. These findings are consistent with the potential for metal nephrotoxicity at lower than expected levels in the setting of manual work in a very hot environment.


Assuntos
Arsênio , Saccharum , Cádmio , Humanos , Rim , Níquel
8.
Nutrients ; 13(11)2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34836182

RESUMO

Rates of anemia among agricultural workers, who are also at risk for kidney injury and chronic kidney disease of unknown cause (CKDu), are unknown. We evaluated body composition through the sum of three skinfolds among 203 male sugarcane cutters and assessed the relationship of variables related to nutrition, anemia (hemoglobin < 13 g/dL), and elevated hemoglobin A1c (HbA1c ≥ 5.7%) with estimated glomerular filtration rate (eGFR) using linear regression. Eleven percent of workers were at the level of essential body fat (2-5%). Anemia was present among 13% of workers, 70% of which were normochromic normocytic, a type of anemia suggesting potential underlying chronic disease. Anemia was more common among those with lower BMI and fat free mass. The prevalence of elevated HbA1c was 21%. A moderate negative correlation was found between hemoglobin and HbA1c (Pearson's r = -0.32, p <0.01) which suggests that HbA1c values should be interpreted with caution in populations that have high rates of anemia. Twelve percent of workers had reduced kidney function with an eGFR < 90 mL/min/1.73 m2. On average, the eGFR was 18 mL/min per 1.73 m2 lower [(95% CI:-24, -12), p <0.01)] for those with anemia than those without, and 8 mL/min per 1.73 m2 lower among those with elevated HbA1c [(95% CI: -13, -2), p < 0.01]. Results will inform future studies examining the role of anemia in the evaluation of CKDu and interventions to improve nutrition for workers in low-resource settings.


Assuntos
Anemia/epidemiologia , Composição Corporal , Fazendeiros/estatística & dados numéricos , Rim/fisiopatologia , Insuficiência Renal Crônica/epidemiologia , Adulto , Creatinina/sangue , Estudos Transversais , Taxa de Filtração Glomerular , Hemoglobinas Glicadas/análise , Hemoglobinas/análise , Humanos , Rim/lesões , Masculino , Estado Nutricional , Prevalência , Fatores de Risco , Saccharum , Adulto Jovem
9.
Artigo em Inglês | MEDLINE | ID: mdl-33171945

RESUMO

As global temperatures continue to rise it is imperative to understand the adverse effects this will pose to workers laboring outdoors. The purpose of this study was to investigate the relationship between increases in wet bulb globe temperature (WBGT) and risk of occupational injury or dehydration among agricultural workers. We used data collected by an agribusiness in Southwest Guatemala over the course of four harvest seasons and Poisson generalized linear modelling for this analysis. Our analyses suggest a 3% increase in recorded injury risk with each degree increase in daily average WBGT above 30 °C (95% CI: -6%, 14%). Additionally, these data suggest that the relationship between WBGT and injury risk is non-linear with an additional 4% acceleration in risk for every degree increase in WBGT above 30 °C (95% CI: 0%, 8%). No relationship was found between daily average WBGT and risk of dehydration. Our results indicate that agricultural workers are at an increased risk of occupational injury in humid and hot environments and that businesses need to plan and adapt to increasing global temperatures by implementing and evaluating effective occupational safety and health programs to protect the health, safety, and well-being of their workers.


Assuntos
Fazendeiros , Transtornos de Estresse por Calor/epidemiologia , Exposição Ocupacional , Traumatismos Ocupacionais , Saccharum , Guatemala/epidemiologia , Transtornos de Estresse por Calor/etiologia , Temperatura Alta , Humanos , Temperatura
10.
J Occup Environ Med ; 62(12): e696-e703, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33003044

RESUMO

OBJECTIVES: To evaluate impact of electrolyte supplementation on hydration status and health outcomes in Guatemalan agricultural workers performing heavy work under hot climatic conditions. METHODS: A 3-week pragmatic trial was conducted with a group of 50 workers during the 2017 to 2018 sugarcane harvest. Workers received an electrolyte hydration intervention during 2 of the 3 weeks. Blood and urine samples were collected each week. RESULTS: Increased electrolyte intake resulted in less muscle injury. Kidney function was maintained across the intervention period. Workers were adequately hydrated and average electrolyte levels remained in normal ranges. Mild indications of hyponatremia occurred at higher levels of fluid intake. CONCLUSIONS: This trial demonstrates the feasibility of maintaining workers' electrolyte levels under extremely hot and humid conditions while mitigating muscle injury. Electrolyte supplementation should be added to standard workplace water, rest, and shade interventions to protect workers.


Assuntos
Saccharum , Bebidas , Eletrólitos , Fazendeiros , Humanos , Rim
11.
Kidney Int Rep ; 5(9): 1558-1566, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32954081

RESUMO

BACKGROUND: Chronic kidney disease of unknown origin (CKDu) is an epidemic that disproportionately affects young agriculture workers in hot regions. It has been hypothesized that repeated acute kidney injury (AKI) may play a role in the development of disease. METHODS: Latent class mixed models were used to identify groups of Guatemalan sugarcane harvesters based on their daily changes in creatinine over 6 consecutive days in 2018. Exponential smoothing state space models were used to forecast end-of-season creatinine between the identified groups. Percent change in estimated glomerular filtration rate (eGFR) across the harvest was compared between groups. RESULTS: Twenty-nine percent (n = 30) of the 103 workers experienced repeated severe fluctuations in creatinine across shift. The model with multiplicative error, multiplicative trend, and multiplicative seasonality was able to accurately forecast end-of-season creatinine in the severe group (mean percentage error [MPE]: -4.7%). eGFR of workers in the severe group on average decreased 20% across season compared to 11% decline for those in the moderate group (95% confidence interval for difference: -17% to 0%). CONCLUSIONS: Daily fluctuations in creatinine can be used to forecast end-of-season creatinine in sugarcane harvesters. Workers who experience repeat severe daily fluctuations in creatinine, on average, experience a greater reduction in kidney function across the season.

12.
Artigo em Inglês | MEDLINE | ID: mdl-32784623

RESUMO

BACKGROUND: Sugarcane workers in Central America experience a heavy burden of chronic kidney disease of unknown origin. We conducted a pilot study among worker proxies in Guatemala to characterize exposures to particulate matter, silica, heavy metals, and glyphosate, as well as to examine potential nephrotoxic exposures. METHODS: Air, soil, and ash samples were collected and analyzed using scanning electron microscopy, X-ray diffraction, inductively coupled plasma mass spectrometry, and an enzyme-linked immunosorbent assay. RESULTS: The average mass concentration for particulate matter (PM)2.5 and PM100 exposures were 360 µg/m3 (range: 32 to 1500 µg/m3) and 555 µg/m3 (range: 229 to 1170 µg/m3), respectively. The elemental composition of particles was largely silicon. The amount of crystalline silica was below 5 µg, yet the percentage of total silica was ~17% by weight. Putatively, the silica was in the amorphous form. Concentrations of aluminum and calcium ranged from 2-7 µg/m3. Glyphosate was not detectable in analyzed air samples but was detectable at concentrations ranging from 81-165 ppb in soil samples. CONCLUSION: Sugarcane workers are exposed to high concentrations of particulate matter. Future studies should investigate the potential role of silica, heavy metals, and agrochemicals in the etiology of chronic kidney disease in this population.


Assuntos
Doenças dos Trabalhadores Agrícolas/epidemiologia , Poluentes Atmosféricos/efeitos adversos , Monitoramento Ambiental , Exposição por Inalação/análise , Saccharum , Doenças dos Trabalhadores Agrícolas/induzido quimicamente , Poluentes Atmosféricos/análise , Guatemala/epidemiologia , Humanos , Exposição por Inalação/efeitos adversos , Material Particulado/análise , Projetos Piloto , Insuficiência Renal Crônica/induzido quimicamente , Insuficiência Renal Crônica/epidemiologia
13.
Cienc. tecnol. salud ; 7(1): 7-25, 2020. 27 cmilus
Artigo em Espanhol | LILACS | ID: biblio-1118317

RESUMO

El Centro para la Salud, el Trabajo y el Ambiente (CHWE por sus siglas en inglés) inició un proyecto de colaboración con Pantaleon, una empresa agrícola de caña de azúcar en Guatemala, para hacer frente a una epidemia de enfermedad renal crónica (ERC) de causa no tradicional (ERCnT) que afecta a las comunidades agrícolas en Centroamérica y otros lugares. Este artículo describe el conocimiento actual de la epidemia en Centroamérica, las manifestaciones clínicas, el tratamiento y el manejo; las hipótesis actuales de su etiología, la colaboración y el enfoque de CHWE-Pantaleon. Nuestro enfoque de Total Worker Health® (TWH) para abordar la salud renal en Guatemala incluye múltiples estudios de investigación con trabajadores de caña de azúcar, para evaluar la prevalencia, incidencia y factores de riesgo de la lesión renal aguda y la ERC; se incluye también el desarrollo e implementación de medidas de prevención mejoradas e intervenciones para proteger a los trabajadores abordando los factores de riesgo ya conocidos. Se examinan también las necesidades futuras de investigación y las implicaciones globales de la ERCnT, al igual que la producción de bienes y la economía, así como las recomendaciones actuales para las estrategias de prevención ocupacional y comunitaria.


The Center for Health, Work and Environment (CHWE) began a collaborative project with Pantaleon, a Guatemalan sugarcane agribusiness, to address an epidemic of chronic kidney disease of unknown cause (CKDu) that affects agricultural communities in Central America and elsewhere. This paper describes the current knowledge of the epidemic in Central America including clinical manifestations, course, and management, current etiology hypotheses, and the CHWE-Pantaleon collaboration and approach. Our Total Worker Health® (TWH) approach to addressing kidney health in Guatemala has included multiple research studies with sugarcane workers to assess prevalence, incidence and risk factors for acute kidney injury and chronic kidney disease, as well as development and implementation of enhanced prevention measures and interventions to protect workers by addressing known risk factors. Future research needs and the global implications of CKDu including for economy and commodity production are discussed, as well as current recommendations for occupational and community prevention strategies.


Assuntos
Humanos , Masculino , Feminino , Fatores de Risco , Insuficiência Renal Crônica/prevenção & controle , Trabalhadores Rurais , Saúde Ocupacional/economia , Insuficiência Renal Crônica/diagnóstico , Injúria Renal Aguda/prevenção & controle , Guatemala/epidemiologia
14.
Rev. enferm. neurol ; 17(2): 11-22, May-Ago 2018.
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1047113

RESUMO

Introducción: estudios de trayectorias escolares permiten conocer diversas dimensiones de eficiencia escolar para incidir en la planeación y evaluación de la educación superior. Objetivo: determinar la influencia de factores escolares en el rendimiento académico de alumnos de cuarto semestre de enfermería de la Facultad de Estudios Superiores Iztacala. Material y métodos: estudio correlacional con 230 estudiantes de cuarto semestre.Variables: rendimiento académico, factores escolares y sociodemográficas. Se aplicó cues-tionario validado por jueceo de expertos, confiabilidad por Alfa de Cronbach 0.80, previo consentimiento informado, base de datos con SPSS V. 20, análisis inferencial con prueba t de student. Resultados: aplicación de prueba t de student para muestras independientes y comparar promedios entre mujeres y hombres, obteniendo 8.490 y 8.492, p=0.983; la diferencia no es estadísticamente significativa. También se empleó t de student para muestras independientes y asociar cada una de las seis categorías de los factores escolares con el rendimiento académico, obteniendo que no existe diferencia en estadística significativa con ninguna de las categorías de los factores escolares. Conclusiones: aunque no existe diferencia estadísticamente significativa al asociar los factores escolares y el rendimiento académico, es necesario profundizar en este tipo de estudios para identificar factores que sean significativos.


Assuntos
Humanos , Educação em Enfermagem , Desempenho Acadêmico
15.
Perspect. nutr. hum ; 19(2): 167-179, sep.-dic. 2017. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-955314

RESUMO

Resumen Antecedentes: la extracción en frío de aceite de sacha inchi presenta bajo rendimiento, lo que genera aproximadamente un 60 % de torta residual, un contenido variado de grasa y un valor elevado de proteína. Objetivo: evaluar formulaciones de colada elaborados con harina de sacha inchi producida a partir de la torta residual de la extracción del aceite (HTSI). Materiales y métodos: se obtuvo HTSI mediante el acondicionamiento de la torta, molienda y tamizado, luego se incorporó en una formulación de colada sustituyendo el almidón de maíz al 0 %, 25 % y 50 %. Las formulaciones fueron evaluadas fisicoquímica, microbiológica, reológica y sensorialmente con panelistas mayores de 45 años. Resultados: según la Resolución 333 de 2011, la HTSI es buena fuente de proteína, calcio y ácidos grasos omega 3. Las formulaciones de colada presentaron buena calidad microbiológica y fueron aceptadas sensorialmente. La formulación F1 con sustitución del 50 % de almidón de maíz por HTSI fue un líquido que aportó 2,3 % menos energía, 16,3 % menos carbohidratos, 1,4 % más grasa y 90,7 % más proteína que una porción del producto tradicional. Conclusiones: la HTSI puede ser empleada en matrices alimentarias, y aporta proteína de alta digestibilidad a la dieta.


Abstract Background: Cold extraction of sacha inchi oil presents low yield, generating approximately 60% solid residual remnants, which contain a variety of fats and high levels of protein. Objective: Evaluate porridge formulations made with the solid remnants left from the oil extraction of sacha inchi flour (HTSI). Materials and Methods: HTSI was obtained using the solids as dough, then conditioning, grinding, and sieving. The resultant product was then incorporated into a porridge formulation by substitution with corn flour at 0%, 25% and 50%. The formulations were evaluated using physical chemistry, microbiology, and rheology, and additionally were evaluated sensorially in panel with adults aged 45+ years. Results: HTSI is suitable for human consumption, and is a good source of protein, calcium and omega 3 fatty acids. The porridge formulations presented microbiological quality levels and were sensorially accepted by panel participants. Formulation with 50% substitution of cornstarch by HTSI is a liquid, and provides 2.3% less energy, 16.3% less carbohydrates, 1.4% more fat and 90.7% more protein than a portion of the traditional product. Conclusions: HTSI can be used in dietary plans to provide a high quality protein.

16.
J Matern Fetal Neonatal Med ; 30(15): 1836-1840, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27562126

RESUMO

OBJECTIVE: The aim of this study was to determine malondialdehyde (MDA) concentration as an oxidative stress marker and total antioxidant capacity (TAC) in pregnancy before and after perinatal event. METHODS: This study was performed on 200 healthy full-term pregnant women admitted to pregnancy resolution in Maternal-Child Hospital of Durango, Mexico. Oxidative stress and TAC were assessed through detection of lipid peroxidation by quantitation of thiobarbituric acid-reactive substances (TBARS) and TAC through ferric reducing ability of the plasma (FRAP). RESULTS: Our results showed increased levels of MDA after vaginal delivery (VD). TAC was also increased after obstetric event, but it did not differ between VD and caesarean section. CONCLUSIONS: We demonstrated that MDA concentrations are increased two hours after obstetric event, and this increase correlates with VD. The TAC was increased as a compensatory mechanism during obstetric event. Another important finding is that women receiving analgesia administration in VD, as well as dexamethasone administration in caesarean section, experienced a protector effect that decreased MDA levels.


Assuntos
Parto Obstétrico , Malondialdeído/sangue , Estresse Oxidativo/fisiologia , Adulto , Analgesia Obstétrica , Antioxidantes/análise , Biomarcadores/sangue , Cesárea , Dexametasona/administração & dosagem , Feminino , Humanos , Peroxidação de Lipídeos , Masculino , México , Gravidez , Resultado da Gravidez , Substâncias Reativas com Ácido Tiobarbitúrico/análise , Adulto Jovem
17.
Med. U.P.B ; 31(2): 201-205, jul.-dic. 2012.
Artigo em Espanhol | LILACS, COLNAL | ID: lil-689088

RESUMO

El aneurisma del tronco de la arteria pulmonar (AAP) es una patología poco frecuente, clínicamente relevante solo cuando su diámetro excede los 5 cm. El debilitamiento de la pared arterial es una característica del vaso afectado, por lo cual la progresión y subsecuente dilatación del mismo es inevitable. El manejo ha sido controversial, las opciones terapéuticas van desde la observación hasta la intervención, incluida la arterioplastia, reconstrucción arterial con el uso de parches de pericárdico, injertos sintéticos con o sin cambio valvular. Se realiza la intervención para reducir el riesgo de complicaciones como tromboembolismo pulmonar, hipertensión pulmonar y ruptura aneurismática. Se presentan dos casos de pacientes con aneurismas gigantes de la arteria pulmonar y se presenta el tratamiento quirúrgico; en uno de ellos se remplazó el segmento afectado con un injerto de Dacrón, con preservación de la válvula pulmonar, y en el otro paciente se hizo plastia simple de la arteria pulmonar.


Pulmonary Artery Aneurysms (PAA) are a scarce vascular pathology. They become clinically relevant when their diameter exceeds 5 cm. Weakening of the arterial wall is assumed to be intrinsic, rendering dilation and progression unavoidable. There has been controversy over type of treatment as therapeutic approaches vary, ranging from observation to surgical repair with arterioplasty, pericardial patches, graft interposition and allografts. Surgical repair is performed to reduce complications such as pulmonary embolism, pulmonary hypertension, and aneurysm rupture. Here we present two cases of patients with giant PAA and the type of surgical treatment conducted: in one patient, the affected segment was replaced with a Dacron graft (with pulmonary valve preservation), while the other patient was treated with simple arterioplasty.


O aneurisma do tronco da artéria pulmonar (AAP) é uma patologia pouco frequente, clinicamente relevante só quando seu diâmetro excede os 5 cm. O enfraquecimento da parede arterial é uma característica do copo afetado, pelo qual a progressão e subsequente dilatação do mesmo é inevitável. O manejo teve controvérsia, as opções terapêuticas vão desde a observação até os diferentes tipos de intervenção incluindo arterioplastia, reconstrução arterial utilizando parches de pericárdico, enxertos sintéticos com ou sem mudança valvular. Realiza-se a intervenção procurando reduzir o risco de complicações como tromboembolismo pulmonar, hipertensão pulmonar e ruptura aneurismática. Apresentam-se dois casos de pacientes com aneurismas gigantes da artéria pulmonar, e se apresenta o tipo de tratamento cirúrgico realizado, num disso se substituiu o segmento afetado com um enxerto de Dacrón, com preservação da válvula pulmonar, e no outro paciente se realizo plástica simples da artéria pulmonar.


Assuntos
Humanos , Ruptura , Aneurisma/cirurgia , Transplantes
18.
Genet Mol Biol ; 35(2): 435-40, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22888292

RESUMO

DNA from four cattle breeds was used to re-sequence all of the exons and 56% of the introns of the bovine tyrosine hydroxylase (TH) gene and 97% and 13% of the bovine dopamine ß-hydroxylase (DBH) coding and non-coding sequences, respectively. Two novel single nucleotide polymorphisms (SNPs) and a microsatellite motif were found in the TH sequences. The DBH sequences contained 62 nucleotide changes, including eight non-synonymous SNPs (nsSNPs) that are of particular interest because they may alter protein function and therefore affect the phenotype. These DBH nsSNPs resulted in amino acid substitutions that were predicted to destabilize the protein structure. Six SNPs (one from TH and five from DBH non-synonymous SNPs) were genotyped in 140 animals; all of them were polymorphic and had a minor allele frequency of > 9%. There were significant differences in the intra- and inter-population haplotype distributions. The haplotype differences between Brahman cattle and the three B. t. taurus breeds (Charolais, Holstein and Lidia) were interesting from a behavioural point of view because of the differences in temperament between these breeds.

19.
Electron. j. biotechnol ; Electron. j. biotechnol;14(4): 12-12, July 2011. ilus, tab
Artigo em Inglês | LILACS | ID: lil-640507

RESUMO

K-casein gene polymorphisms are of major importance in the dairy industry due to their association with different quality and productive traits (i.e., milk protein). Several methods for genotyping this gene have been proposed; however, none are focused on the simultaneous discrimination of nine K-casein variants. A strategy based on PCR-RFLP was designed to characterize nine K-casein variants (A, B, C, E, F², G, H, I and J) and used to genotype three cattle populations: Gyrholando (3/8 Gyr x 5/8 Holstein), Charolais and Carora. The B variant was the most frequent in the Charolais and Carora breeds, with allelic frequencies of 0.60 and 0.59, respectively. In the Gyrholando breed, four variants were found, with the A variant being the most frequent and E and H the least. The genotyping strategy was effective in detection and differentiation of K-casein variants, and it is proposed for use in laboratories with minimal molecular biology equipment for genotyping and evaluation of the phenotypic effects of nine K-casein variants on milk production and quality.


Assuntos
Bovinos , Animais , Caseínas/genética , Qualidade dos Alimentos , Polimorfismo Genético , Proteínas do Leite/genética , Genótipo , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição
20.
Recent Pat Biotechnol ; 5(3): 199-211, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22360468

RESUMO

In nature, microorganisms can present several mechanisms for setting intercommunication and defense. One of these mechanisms is related to the production of bacteriocins, which are peptides with antimicrobial activity. Bacteriocins can be found in Gram-positive and Gram-negative bacteria. Nevertheless, bacteriocins produced by Gram-positive bacteria are of particular interest due to the industrial use of several strains that belong to this group, especially lactic acid bacteria (LAB), which have the status of generally recognized as safe (GRAS) microorganisms. In this work, we will review recent tendencies in the field of invention and state of art related to bacteriocin production by Gram-positive microorganism. Hundred-eight patents related to Gram-positive bacteriocin producers have been disclosed since 1965, from which 57% are related bacteriocins derived from Lactococcus, Lactobacillus, Streptococcus, and Pediococcus strains. Surprisingly, patents regarding heterologous bacteriocins production were mainly presented just in the last decade. Although the major application of bacteriocins is concerned to food industry to control spoilage and foodborne bacteria, during the last years bacteriocin applications have been displacing to the diagnosis and treatment of cancer, and plant disease resistance and growth promotion.


Assuntos
Bacteriocinas/biossíntese , Bactérias Gram-Positivas/metabolismo , Bacteriocinas/economia , Bacteriocinas/isolamento & purificação , Microbiologia de Alimentos , Conservação de Alimentos , Bactérias Gram-Positivas/classificação , Bactérias Gram-Positivas/genética , Patentes como Assunto
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