ABSTRACT Objective: To describe two different degrees of clinical commitment and results in the evolution of infectious endarteritis in patients without a previous diagnosis of aortic coarctation. Case description: Two male patients aged 13 and 9 years old were admitted. The first due to a fever for 2 months, which started after dental cleaning, and the second due to high blood pressure, both patients with asthenia and weight loss. In the first case, the transthoracic echocardiogram showed aortic coarctation, and the transesophageal echocardiogram showed the presence of vegetations in the post-coarctation area, without pseudoaneurysms, with blood culture positive for Streptococcus mitis. This patient was treated for six weeks with crystalline penicillin, resolving the infection without complications. The second case was assessed for high blood pressure with a history of fever, and was treated with antibiotics. When performing a transthoracic echocardiogram, aortic coarctation was observed with a saccular image classified as a pseudoaneurysm by angiography and tomography. Blood culture was negative, and the patient developed an episode of hematemesis whose initial etiology could not be determined. Before surgical repair, he had a second episode of copious hematemesis with hypovolemic shock and death. Comments: We need to have a high index of clinical suspicion to establish the diagnosis of aortic coarctation complicated by endarteritis and start the appropriate antibiotic treatment, always maintaining surveillance for the early detection of pseudoaneurysms.

RESUMO Objetivo: Descrever dois diferentes graus de comprometimento clínico e resultados na evolução de endarterite infecciosa em pacientes sem diagnóstico prévio de coarctação da aorta. Descrição do caso: Dois pacientes do sexo masculino com idades entre 13 e nove anos foram internados. O primeiro por febre durante dois meses, iniciada após limpeza dentária. O segundo por hipertensão arterial. Ambos com astenia e perda de peso. No primeiro caso, o ecocardiograma transtorácico mostrou coarctação da aorta e o ecocardiograma transesofágico revelou vegetações na área pós-coarctação, sem pseudoaneurismas. A hemocultura foi positiva para de Streptococcus mitis. Este paciente foi tratado por seis semanas com penicilina cristalina, resolvendo a infecção sem complicações. O segundo caso foi avaliado pela presença de hipertensão arterial, com história de febre tratada com antibióticos. Ao realizar o ecocardiograma transtorácico, observou-se coarctação da aorta com imagem sacular classificada como pseudoaneurisma pela angiografia e tomografia. A hemocultura foi negativa. O paciente desenvolveu um episódio de hematêmese, cuja etiologia inicial não pôde ser determinada. Antes da correção cirúrgica, apresentou um segundo episódio de hematêmese profusa, com choque hipovolêmico e óbito. Comentários: Devemos ter um alto índice de suspeição clínica para poder estabelecer o diagnóstico de coarctação da aorta complicada com endarterite e iniciar o tratamento antibiótico adequado. É preciso manter a vigilância para a detecção precoce de pseudoaneurismas.

Introduction: Cervical cancer is a public health problem. Objective: To determine the level of knowledge about prevention and risk factors for cervical cancer in women of a technical institute in the city of Cali, Colombia. Methods: Cross-sectional study with the participation of 131 women enrolled in any of the academic programs of the educational institution, to whom a structured survey was applied. Results: The general average of positive answers was 51.7%. The correct knowledge on prevention was calculated in 86.1%, while the knowledge of risk factors was estimated in 34.6%. Conclusions: We found a high level of knowledge regarding cytology and the vaccine against human papillomavirus in questions of preventive methods, but the knowledge on risk factors for the development of cervical cancer was low. These deficiencies could be related to low socioeconomic and academic levels in the population studied.

Introducción. El cáncer de cuello uterino es un importante problema de salud pública. Objetivo. Determinar el grado de conocimiento sobre prevención y factores de riesgo para cáncer de cuello uterino en mujeres de un instituto de educación técnica de la ciudad de Cali, Colombia. Métodos. Estudio de corte transversal, con la participación de 131 mujeres matriculadas en cualquiera de los programas académicos de la institución educativa, a quienes se les aplicó una encuesta estructurada. Resultados. El promedio general de respuestas positivas fue 51,7%. La media de acierto de las variables de conocimiento sobre prevención se calculó en 86,1%, mientras que el promedio de acierto de las variables sobre factores de riesgo se estimó en 34,6%. Conclusiones. Se encontró un nivel de conocimiento alto respecto a la citología y la vacuna contra el virus del papiloma humano como métodos de prevención, pero el nivel fue bajo cuando se consideraron los factores de riesgo para el desarrollo de cáncer de cuello uterino. Estas deficiencias podrían estar relacionadas con nivel socioeconómico y académico bajos en la población estudiada.

Resumen: Antecedentes: Agraz es una baya globosa, de color púrpura intenso cuando está madura. Posee alta capacidad antioxidante comparada con bayas del mismo género, atribuido al contenido de compuestos polifenólicos. Objetivo: Evaluar la composición, actividad antioxidante y algunos parámetros microbiológicos de pulpa de agraz congelada (PAC) y pulpa de agraz liofilizada (PAL) y analizar su comportamiento durante 60 días de almacenamiento. Métodos: Se midieron pH, °Brix, acidez titulable, % humedad, cenizas, grasa, proteína, carbohidratos, calorías totales y actividad acuosa a intervalos de 15 días durante el almacenamiento. En las mismas condiciones se determinó el contenido de fenoles y antocianinas totales mediante Folin-Ciocalteau y método diferencial de pH, respectivamente. La actividad antioxidante mediante FRAP y ORAC. Resultados: no presentaron diferencias estadísticas significativas (p>0,05) durante el almacenamiento en pH, °Brix, aw (liofilizado), % humedad, grasa, cenizas, carbohidratos y calorías totales para PAC y PAL, indicando estabilidad de éstas variables a través del tiempo de almacenamiento. La acidez titulable expresada en mg de ácido cítrico/ml, varió significativamente (p<0,05) a través del tiempo de almacenamiento para PAC y PAL entre 1,65-1,82 y 4,66-4,79 respectivamente. La proteína varió durante el almacenamiento para PAC y PAL entre 1,25-2,10 g y 4,70-5,20 g, y se observó para ambos un aumento significativo entre el día 15 y 60 de almacenamiento. PAC y PAL presentaron pérdidas significativas del contenido de antocianinas, fenoles totales y valor FRAP durante el almacenamiento; sin embargo la PAL conservó hasta el día 60 alto contenido de fenoles totales: 1046 mg eq de ácido gálico/100g), antocianinas totales: 82,64 (mg eq de cianidin-3-glicosido/100g), capacidad reductora (FRAP): 1032,17 mg de equivalentes de ácido ascórbico/100g y valor ORAC 33935 µmol de equivalentes de Trolox/100g. Conclusión: las variables fisicoquímicas analizadas en la PAL fueron estables y se conservó el contenido de compuestos polifenólicos por mayor tiempo comparado con la PAC. Considerando que el agraz tiene dos temporadas de cosecha al año en Colombia (mayo y diciembre), la liofilización es una estrategia que permitirá al productor abastecimiento constante de la fruta para el mercado.

Abstract: Background: Andean berry is a globose berry, deep purple when it reaches its highest degree of maturity. It fruit has a high antioxidant capacity compared to other Vaccinum berries, attributed to the content of polyphenolic compounds. Objectives: To evaluate the composition, antioxidant activity and some microbiological parameters of frozen pulp of Andean berry (PAC) and freeze-dried pulp of Andean berry (PAL) and analyze their behavior during 60 days of storage. Methods: the variables pH, ° Brix, titratable acidity, % moisture, ash, fat, protein, carbohydrates, total calories and water activity (lyophilized) were measured at intervals of 15 days during storage. Under the same conditions the content of phenols and total anthocyanins by Folin-Ciocalteu and pH differential method respectively was determined. The antioxidant activity by FRAP and ORAC. Results: There were no significant differences (p>0,05) during storage in pH, ° Brix, Aw (lyophilized), % moisture, fat, ash, carbohydrates and total calories for PAC and PAL indicating stability of these variables over time storage. Titratable acidity expressed in mg citric acid/ml, varied significantly p (<0.05) over time storage for PAC and PAL between 1.65 to 1.82 and 4.66 to 4.79 respectively. The protein varied during storage for PAC and PAL between 1.25 to 2.10 g and 4.70 to 5.20 g, and was observed for both a significant increase between day 15 and 60 of storage. PAC and PAL showed significant losses of anthocyanins, total phenols and FRAP value during storage; however the PAL retained until day 60 high content of total phenols: 1046 (mg gallic eq/100 g acid), anthocyanins: 82.64 (mg eq of cyanidin-3-glucoside/100g), reducing capacity (FRAP): 1032.17 mg ascorbic acid equivalents /100 g and ORAC value 33935 umol equivalents Trolox/100g. Conclusions: physicochemical variables analyzed in the PAL were stable and content of polyphenolic compounds retained for longer compared to PAC. Whereas Andean berry has two growing seasons a year in Colombia (May and December), freeze-dried is a strategy that will allow the producer constant supply of fruit on the market.

Los vegetales son componentes esenciales de la dieta humana y su procesamiento trae como consecuencia el rápido deterioro ocasionado por el aumento de las reacciones metabólicas, esto hace necesario que se utilicen tecnologías emergentes de conservación. En este trabajo se estudió el efecto de la tecnología de barreras (desinfección, tratamiento térmico, recubrimiento comestible, atmósfera modificada y refrigeración) sobre la vida útil de una mezcla de vegetales mínimamente procesados compuesta por brócoli (Brassica oleracea var. itálica), coliflor (Brassica oleracea var. botrytis), zucchini (Cucurbita pepo L.), chayote (Sechium edule), apio (Apium graveolens) y zanahoria (Daucus carota). Las barreras fueron aplicadas a las hortalizas para luego ser envasadas en dos tipos de bandejas (empaque en atmósfera modificada y empaque en bandeja sello plus). Los vegetales se almacenaron durante 12 días en refrigeración (4 °C y 95% HR), se llevaron a cabo análisis microbiológicos, físico-químicos y sensoriales, y un estudio de vida útil. Los resultados mostraron que el proceso de desinfección con NaClO 100 ppm y el tratamiento térmico de 60 °C durante 2 min, tuvieron efecto en la reducción de la población microbiana para el día cero de evaluación. La calidad general se conservó para los 12 días de almacenamiento, en la zanahoria, chayote, coliflor y apio. La evaluación fisicoquímica presentó diferencias estadísticamente significativas de los parámetros evaluados con respecto al tiempo de almacenamiento. El estudio de vida útil arrojó tiempos de 7 y 5 días para la mezcla de vegetales empacada en bandeja sello plus en atmósfera modificada, respectivamente. La combinación de barreras se muestra como alternativa viable en la conservación de mezclas de vegetales mínimamente procesados.

Vegetables are essential components of the human diet. However, rapid deterioration of vegetables occurs after processing, caused by increased metabolic reactions. Thus, the use of emerging technologies is necessary for vegetable preservation. In this work, the effect of selected barrier technology, including disinfection, heat treatment, edible coating, modified atmosphere and cooling were used for the preservation of a minimally processed vegetable mixture constituted by broccoli (Brassica oleracea var. italica), cauliflower (Brassica oleracea var. botrytis), zucchini (Cucurbita pepo L), vegetable pear (Sechium edule), celery (Apium graveolens) and carrot (Daucus carota). Selected barriers were applied to the minimally processed vegetable mixture. Then, the minimally processed vegetable mixture was placed in two types of trays (modified atmosphere packaging and "Sello plus" packaging). The vegetables were stored for 12 days under refrigeration (4 °C and 95% HR) and microbiological, physicochemical and sensory analysis as well as a shelf-life of the minimally processed vegetable mixture were carried out. The results showed that the disinfection process with NaClO at 100 ppm and heat treatment (60 °C for 2 min) had effect in reducing the microbial population on day zero. The overall quality of carrot, vegetable pear, cauliflower and celery was maintained during 12 days of storage. Physicochemical parameters presented statistical significance in function of storage time. Moreover, minimally processed vegetable mixture had a shelf-life of 7 days when "Sello plus" packaging was used and 5 days when placed in modified atmosphere packaging. Thus, the combination of barriers is shown as viable alternative in the preservation of conservation minimally processed vegetables mixtures.