Resumen: El surgimiento de zonas urbano-industriales en Quito es el resultado de complejos procesos sociales, políticos, económicos y territoriales que, desde las décadas de los años ochenta, operaron según los modelos de desarrollo vigentes. El objetivo del estudio es analizar las características del crecimiento, expansión y consolidación de las zonas urbano-industriales en Quito a partir de dichos modelos en los últimos 30 años (del neoliberalismo al socialismo del siglo XXI). Metodológicamente se siguió un enfoque mixto; para el análisis de documentos legislativos y jurídicos se realizó un análisis de contenido de corte cualitativo, y de forma más cuantitativa se recurrió al mapeo satelital, al recorrido de campo y al uso de fotografías. Finalmente se caracterizó la incidencia de lo urbano en lo industrial y viceversa. Los resultados muestran que la incompatibilidad del uso del suelo, entre lo residencial e industrial, rompe con la lógica del derecho a la ciudad.

Abstract: The emergence of urban-industrial zones in Quito is the result of complex social, political, economic and territorial processes which, since the 80s, have operated based on currently valid development models. The objective of this study is to analyze the characteristics of growth, expansion and consolidation of the urban-industrial zones in Quito based on those mentioned models in the last 30 years (from neoliberalism to 21st century socialism). A mixed approach was methodologically followed for the analysis of juridical and legislative documents, whose content was qualitatively and quantitatively analyzed by the use of satellite mapping, field study and photography. Finally, the impact of the urban on the industrial and vice versa was characterized. The results of this study show that the incompatibility of land use, between residential and industrial, contradict the logic of rightful access to the city

Abstract Vegetarian diets can provide benefits for health, prevention, and treatment of diseases and are appropriate at all stages of the life, when properly advised by specialists in nutrition, to prevent deficits in critical nutrients. Because of this, it is relevant to identify the perception of the role of the nutritionist among vegetarians who have not received professional nutritional advice and planning. A qualitative study focused on life stories was conducted, where 10 vegetarians living in Coquimbo and La Serena participated during 2019, selected through snowball sampling, which involved producing qualitative information through a semi-structured interview. Subsequently, qualitative content analysis was used, and two main categories emerged from this analysis. The first category was the biopsychosocial role of the professional nutritionist, and the second category was suggestions from vegetarians for care. The analysis highlights the importance of the professional nutritionist in the approach to vegetarians or vegans, who expect from professionals an effective link with their community through instances of food education, low-cost advice, the development of technical and personal skills such as continuous updating and empathetic care. The findings of this study can be taken as a guide for the training and updating of professionals, in addition to proposing nutritional measures in the field of public health and contextualized care for vegetarians.

RESUMEN Las dietas vegetarianas pueden proveer beneficios para la salud, prevención y tratamiento de enfermedades, siendo adecuadas en todas las etapas del ciclo vital cuando es correctamente asesorada por un profesional especialista en nutrición, entre los que se encuentran las nutricionistas, a fin de prevenir déficits en nutrientes críticos. Debido a esto, resulta relevante identificar la percepción que elaboran sobre el rol del nutricionista las personas vegetarianas que no han contado con asesoría y planificación nutricional profesional. Se realizó un estudio cualitativo centrado en los relatos de vida, donde participaron 10 personas vegetarianas residentes de Coquimbo y La Serena durante el año 2019, seleccionados mediante un muestreo bola de nieve, lo que implicó producir información cualitativa a través de una entrevista semi estructurada. Posteriormente se utilizó análisis cualitativo de contenido, producto de este análisis surgen dos grandes categorías. Como primera categoría el rol biopsicosocial del profesional nutricionista y segunda categoría sugerencias desde los vegetarianos para la atención. Del análisis se destaca la importancia del profesional nutricionista en el abordaje de personas vegetarianas o veganas, quienes esperan de los profesionales un vínculo efectivo con su comunidad mediante instancias de educación alimentaria, asesorías a bajo costo, el desarrollo de competencias técnicas y personales tales como, la actualización continua y la atención empática. Los hallazgos de este estudio pueden ser tomados como guía para la formación y actualización de profesionales, además de proponer medidas nutricionales en el campo de la salud pública y atención contextualizada a personas vegetarianas.

Abstract Introduction: Bowel endometriosis severely affects a young woman’s quality of life and often requires surgical treatment with bowel resection. This surgery is technically complex due to the tight adhesions of the intestine to the vagina, uterus, and ovaries. The objective of this work is to describe and analyze the surgical and histopathological results of intestinal resections for severe endometriosis during the last 18 years at the Clinical Hospital University of Chile, in relation to the implementation of the multidisciplinary endometriosis unit, based on the year 2011 and the experiences published in Chilean and foreign literature. Method: Retrospective work carried out in a tertiary hospital from 2001 to 2019. The patients were assigned to two groups according to the surgery period: group 2001-2010 and group 2011-2019, after endometriosis unit formation. All patients who underwent bowel resection (discoidal or segmental) for endometriosis by laparotomy or laparoscopy were collected. Normally distributed data are presented as mean ± SD and nonparametric data as median (range). Demographic comparisons of continuous variables are compared using Student’s t test and categorical variables using chi squared or Fisher’s test. Statistical significance was established at p < 0.05. Results: 52 cases were collected. 94.2% of the surgeries were elective. 5.8% were urgent due to intestinal obstruction (all between 2001 and 2010). 75% of the surgeries were laparoscopic. Segmental resection 67.3%, simple discoidal resection 28.8%, double discoidal resection 1.9% and segmental resection and a discoidal resection 1.9%. Histopathology showed involvement of the lesion up to the intestinal mucosa in 7.7%. A marked decrease in pain in the follow-up of the patients. 24% of the patients with a desire for pregnancy and intestinal endometriosis achieved a full-term delivery by IVF or spontaneously. There were four postoperative complications, three of them category II according to the Clavien-Dindo classification, and one category IV A complication with reoperation at 72 h. When comparing both periods, between 2001-2010 the diagnostic tests used were: transvaginal ultrasound (ECO TV) (0%), barium enema (BE) (60%), abdomen pelvis CT (45%) and pelvic resonance (MRI) (20%). Between 2011 and 2019 ECO TV (100%), EB (3%), TAC (3%) RM (66%). In the period 2001 to 2010, the lesions were more infiltrative (greater mucosal and submucosal involvement) (75% vs 16% of intestinal resections (P <0.05)), stenotic (urgent surgery for obstruction), with a higher percentage of resections segmental (100% vs 46.9% (P <0.05) and more days of hospitalization (5.8 ± 2.3 SD vs 4.1 ± 0.9 SD) than in the period from 2011 to 2019. Conclusions: To our knowledge, this is the largest series published in Chile of intestinal resections for endometriosis. These findings demonstrate how the introduction of the multidisciplinary endometriosis unit allows early diagnosis and effective and timely surgical treatment as described in the literature.

Resumen Introducción: La endometriosis intestinal afecta en gran medida la calidad de vida de una mujer joven y habitualmente requiere un tratamiento quirúrgico con resección intestinal. Esta cirugía es técnicamente compleja por las adherencias firmes del intestino a la vagina, el útero y los ovarios. Objetivo: Describir y analizar los resultados quirúrgicos e histopatológicos de las resecciones intestinales por endometriosis grave durante los últimos 18 años en el Hospital Clínico de la Universidad de Chile, en relación con la introducción de la unidad multidisciplinaria de endometriosis, a partir del año 2011, y las experiencias publicadas en la literatura chilena y extranjera. Método: Trabajo retrospectivo realizado en un hospital terciario desde el año 2001 hasta el año 2019. Las pacientes se asignaron a dos grupos según el período de cirugía: grupo 2001-2010 y grupo 2011-2019, luego de la introducción de la unidad de endometriosis. Se recopilaron todas las pacientes a las que se realizó una resección intestinal (discoidal o segmentaria) por endometriosis, por laparotomía o laparoscopía. Los datos distribuidos normalmente se presentan como promedio ± DE y los datos no paramétricos como mediana (rango). Las comparaciones demográficas de variables continuas se hicieron con la prueba t de Student y las de las variables categóricas con las pruebas de ji al cuadrado o de Fisher. La significación estadística se estableció en p < 0,05. Resultados: Se recopilaron 52 casos. El 94,2% de las cirugías fueron electivas. El 5,8% fueron de urgencia por obstrucción intestinal (todas entre 2001 y 2010). Un 75% de las cirugías fueron laparoscópicas. Se realizó resección segmentaria en el 67,3%, resección discoidal simple en el 28,8%, resección discoidal doble en el 1,9% y resección segmentaria y una discoidal en el 1,9%. La histopatología demostró compromiso de la lesión hasta la mucosa intestinal en un 7,7%. Hubo franca disminución del dolor en el seguimiento de las pacientes. El 24% de las pacientes con deseo de embarazo y endometriosis intestinal lograron un parto de término mediante fecundación in vitro o espontáneamente. Hubo cuatro complicaciones posoperatorias, tres de ellas de categoría II según la clasificación de Clavien-Dindo y una de categoría IV A con reintervención a las 72 horas. Al comparar ambos periodos, en 2001-2010 los exámenes diagnósticos utilizados fueron ecografía transvaginal (0%), enema baritado (60%), tomografía computarizada de abdomen y pelvis (45%) y resonancia magnética pelviana (20%), mientras que en 2011-2019 fueron ecografía transvaginal (100%), enema baritado (3%), tomografía computarizada (3%) y resonancia magnética pelviana (66%). En 2001-2010, las lesiones fueron más más infiltrativas (mayor compromiso mucoso y submucoso) (75 vs. 16% de las resecciones intestinales; p < 0,05), estenóticas (cirugías de urgencia por obstrucción), con mayor porcentaje de resecciones segmentarias (100 vs. 46,9%; p < 0,05) y más días de hospitalización (5,8 ± 2,3 vs. 4,1 ± 0,9 días) que en 2011-2019. Conclusiones: A nuestro entender, esta es la serie más grande publicada en Chile de resecciones intestinales por endometriosis. Estos hallazgos demuestran cómo la introducción de la unidad multidisciplinaria de endometriosis permite un diagnóstico precoz y un tratamiento quirúrgico eficaz y oportuno, tal como se decribe en la literatura.

Resumo Justificativa: O delírio pós-operatório é uma complicação séria em pacientes submetidos à cirurgia abdominal de grande porte. Ainda não está claro se as variáveis hemodinâmicas e de perfusão no período perioperatório afetam o risco de delírio pós-operatório. O objetivo deste estudo piloto foi avaliar a associação entre perfusão e hemodinâmica no perioperatório com o surgimento de delírio pós-operatório. Métodos: Estudo prospectivo de coorte de adultos com 60 anos ou mais, submetidos à cirurgia eletiva aberta do cólon. As variáveis multimodais de hemodinâmica e perfusão foram monitoradas, inclusive oxigenação venosa central (ScvO2), níveis de lactato e oxigenação cerebral não invasiva (rSO2), de acordo com um protocolo-padrão de anestesia. O teste exato de Fisher ou o teste t de Student foram usados para comparar os pacientes que desenvolveram delírio pós-operatório com aqueles que não desenvolveram p < 0,05. Resultados: Avaliamos 28 pacientes, 73 ± 7 anos, 60,7% do sexo feminino. Dois pacientes desenvolveram delírio pós-operatório (7,1%). Esses dois pacientes tinham menos anos de escolaridade do que aqueles sem delírio pós-operatório (p = 0,031). Nenhuma das variáveis de pressão arterial no perioperatório foi associada à incidência de delírio. Quanto aos parâmetros de perfusão, ScvO2 foi menor no grupo que apresentou delírio pós-operatório do que no grupo que não apresentou delírio, sem atingir significância estatística (65 ± 10% vs. 74 ± 5%; p = 0,08), mas o delta-ScvO2 (a diferença entre as médias no pós-operatório e intraoperatório) foi associado ao delírio (p = 0,043). As variáveis de lactato e rSO2 no pós-operatório não foram associadas ao delírio. Conclusões: Nosso estudo piloto sugere uma associação entre delta-ScvO2 e delírio e uma tendência à diminuição da ScvO2 no pós-operatório de pacientes com delírio. Estudos adicionais são necessários para elucidar essa associação.

Abstract Background: Post-operative delirium is a serious complication in patients undergoing major abdominal surgery. It remains unclear whether peri-operative hemodynamic and perfusion variables affect the risk for postoperative delirium. The objective of this pilot study was to evaluate the association between perfusion and hemodynamics peri-operative with the appearance of post-operative delirium. Methods: Prospective cohort study of adults 60 years or older undergoing elective open colon surgery. Multimodal hemodynamic and perfusion variables were monitored, including central venous oxygenation (ScvO2), lactate levels, and non-invasive cerebral oxygenation (rSO2), according to a standard anesthesia protocol. Fisher's exact test or Student's t-test were used to compare patients who developed post-operative delirium with those who did not (p < 0.05). Results: We studied 28 patients, age 73 ± 7 years, 60.7% female. Two patients developed post-operative delirium (7.1%). These two patients had fewer years of education than those without delirium (p = 0.031). None of the peri-operative blood pressure variables were associated with incidence of post-operative delirium. In terms of perfusion parameters, postoperative ScvO2 was lower in the delirium than the non-delirium group, without reaching statistical significance (65 ± 10% vs. 74 ± 5%; p = 0.08), but the delta-ScvO2 (the difference between means post-operative and intra-operative) was associated with post-operative delirium (p = 0.043). Post-operative lactate and rSO2 variables were not associated with delirium. Conclusions: Our pilot study suggests an association between delta ScvO2 and post-operative delirium, and a tendency to lower post-operative ScvO2 in patients who developed delirium. Further studies are necessary to elucidate this association.

ABSTRACT The influence on multi walled carbon nanotubes (MWCNT, or simply CNT) as a reinforcement material in an epoxy resin in order to decrease the fatigue crack propagation rate in the 2024 T3 aeronautical Al alloy was studied. CT samples were pre-cracked in a resonant fatigue machine until a 4 mm pre-crack length. Four groups of samples were considered: a non-repaired reference group, two groups repaired with epoxy resin reinforced with two CNT proportions (0.5 and 1 vol %) and a group repaired by the conventional “stop drill” technique. The crack was propagated until a length of 16 mm, measuring the number of cycles to this crack propagation. Resin Hysol EA9320 NA was used, mixing it with the CNT and the hardener, by ultrasonic stirring. S-N curves (stress vs number of cycles) were plotted obtaining an increment of 104% for a 0.5 vol% of CNT, 128% for 1 vol% of CNT and 400% for “stop drill” repairing. These results were referred to the non-repaired samples at the lower load level. These results showed that in repaired samples with CNT reinforced resin, the initiation and propagation of cracks would be delayed, constituting this method a reasonable and convenient repairing procedure useful for aeronautical cracked structures.

RESUMEN Se estudió la influencia de nanotubos de carbono multipared (MWCNT, o simplemente CNT) como material de refuerzo en una resina epóxica con el fin de disminuir la velocidad de propagación de grietas por fatiga en la aleación de uso aeronáutico Al 2024-T3. Se preagrietaron probetas CT en una máquina de fatiga resonante hasta lograr una pregrieta de 4 mm. Se separaron cuatro grupos de probetas: un grupo de referencia sin reparación, dos grupos que fueron reparadas con resina epóxica reforzada con dos dosificaciones de nanotubos de carbono de múltiples capas (0,5 y 1% en volumen) y un grupo reparado con la técnica convencional de “stop drill”. La grieta fue extendida hasta una longitud final de 16 mm, midiéndose el número de ciclos necesarios. La resina utilizada fue Hysol EA9320 NA, la que fue mezclada con agitación ultrasónica con los nanotubos de carbono y el endurecedor. Se trazaron las curvas esfuerzo versus número de ciclos (S-N) obteniéndose un incremento de 104% para el caso de probetas reparadas con polímero con 0,5% de CNT, de 128% en el caso de 1% de CNT y de 400% en el caso de “stop drill”, resultados respecto de las probetas sin reparar en el menor nivel de carga usado. Estos resultados muestran que en probetas reparadas con resina reforzada con CNT, se retardaría la iniciación y propagación de grietas constituyéndose de esta manera en un método alternativo en la reparación de estructuras aeronáuticas agrietadas.

Background Antimicrobial resistance is a worldwide problem. In patients requiring emergency surgery, antibiotics are an important assistance additional to surgical intervention. Objective Analize peritoneal fluid cultures obtaines from patients who underwent emergency surgery. Methods A prospective cohort of emergency abdominal surgical patients were enrolled. Peritoneal fluid cultures were taken and processed according to standarized technique. Results A 39.4% of positive cultures was found. E. coli was the most common bacteria identified. Five positive cultures for P. aeruginosa stand out. E. coli had 25% resistance to ampicillin/sulbactam and 19% for quinolones. Conclusion Resistance found was lower than international reports, but still noteworthy. Knowledge of local bacteria profile and antimicrobial resistance is important for local antibiotic hospital policy.

Resumen Introducción La resistencia a antibióticos es un problema mundial. En los pacientes que requieren cirugía de urgencia, los antibióticos son un apoyo importante concomitante al acto quirúrgico. Objetivo Analizar los cultivos de líquido peritoneal obtenidos de pacientes operados por patología quirúrgica abdominal de urgencia. Materiales y Métodos Se realiza una cohorte prospectiva de los pacientes operados de urgencia. Se tomó cultivo de líquido peritoneal y se procesó según técnica estandarizada. Resultados Se encontró un 39,4% de cultivos positivos. E. coli fue el germen más frecuente. Destacan 5 cultivos positivos para P. aeruginosa. Existe un 25% de resistencia a ampicilina/sulbactam y 19% a quinolonas para E. coli. Conclusión La resistencia encontrada fue menor a lo reportado en la literatura, pero aún destacable. El conocimiento del perfil de bacterias y sus resistencias a antimicrobianos son importantes para las políticas hospitalarias locales de uso racional de antibióticos.

Resumen El presente artículo aborda la interrelación entre el proyecto epistemológico y el ejercicio de la crítica en la obra del pensador palestino Edward Said. Al recorrer varios de sus textos y vinculándolos a reflexiones contemporáneas de otros intelectuales, se busca evidenciar la vigencia de conceptos como análisis contrapuntístico, mundanidad y exilio para comprender las posibilidades críticas del trabajo intelectual contemporáneo.

Abstract This article addresses the interrelation between the epistemological project and the exercise of criticism in the work of the Palestinian thinker Edward W. Said. By going through several of his texts and linking them to contemporary refl ections of other intellectuals, the aim is to show the validity of concepts such as contrapuntal analysis, worldliness and exile t o understand the critical possibilities of contemporary intellectual work.

Background and aims: Men who have sex with men (MSM) infected with human immunodeficiency virus (HIV) have the highest risk of developing anal cancer (AC). The objective of this study was to describe our screening implementation program in this population, and report the prevalence of human papillomavirus (HPV) anal infection, and cytological and histological findings in a Spanish medium-size community (Vigo, Spain). Method: Prospective cohort analysis of 240 HIV-infected MSM. Cellular anal sample and high risk HPV (HR-HPV)-tests were performed to study cytological changes and HPV genotyping. High resolution anoscopy (HRA) was performed in 209 patients. Results were analyzed with respect to epidemiological, clinical and analytical factors. Results: Of 209 patients selected for HRA, the prevalence of HR-HPV anal infection, cytological and histological alterations was 85.6%, 47.5%, and 39.8%, respectively. Sensitivity and specificity for ≥ ASCUS (atypia of squamous cells of undetermined significance) cytology in relation to histological alterations were 61% and 85%, (OR: 8.7; IC 95%: 4.4-17.2), respectively. Observed concordance between high-grade squamous intraepithelial lesion (HSIL) cytology and HSIL anal intraepithelial neoplasia types 2 and 3 (AIN-2/3) histology was 64% (OR: 11.4; IC 95%: 3.6-36.7). One patient with HSIL cytology presented a prevalent anal squamous carcinoma. Conclusions: HRA was feasible with similar results to relevant groups. There was a high prevalence of anal HR-HPV infection, and cytological and histological alterations.

Antecedentes y objetivos: los hombres VIH que tienen sexo con hombres (VIH-HSH) presentan la mayor incidencia de cáncer anal (CA). El estudio tiene como objetivo conocer la prevalencia de la infección anal por virus del papiloma humano de alto riesgo (VPH-AR) y de los hallazgos citológicos e histológicos, así como la implementación de un programa de cribado en el contexto de una ciudad media española, Vigo (España). Método: análisis prospectivo de una cohorte de 264 hombres (VIH-HSH). A los pacientes se les realizó una citología anal y genotipado de VPH-AR para el estudio de la prevalencia de alteraciones citológicas y de la infección VPH-AR. A 209 se les realizó una anoscopia de alta resolución (AAR). Los resultados se relacionaron con variables epidemiológicas, clínicas y analíticas. Resultados: de los 209 pacientes seleccionados, la prevalencia de VPH-AR, alteraciones citológicas e histológicas anales fue de 85,6%, 47,5% y 39,3% respectivamente. La sensibilidad y especificidad para la citología ≥ ASCUS (atipia de células escamosas de significado indeterminado) respecto a las alteraciones histológicas fue de 61% y 85% (OR: 8,7; IC95%: 4,4-17,2), respectivamente. La concordancia observada entre la citología HSIL (lesión escamosa intraepitelial de alto grado) e histología HSIL (AIN-2/3, neoplasia intraepitelial tipo 2 y 3) fue del 64%,(OR: 11,4; IC95%: 3,5-36,7). Un paciente con citología HSIL presentó cáncer escamoso anal prevalente. Conclusiones: la AAR resultó factible y con resultados similares a los de grupos relevantes. Gran prevalencia de la infección anal por VPH-AR y de alteraciones citológicas e histológicas.

Different strategies have been used to overcome the difficulties to produce antimicrobial peptides. Here we used Intein Mediated Purification with an Affinity Chitin-binding Tag (IMPACT-System, New England Biolabs) for the expression of the antimicrobial peptide cecropin to reduce its sensitivity to intracellular proteases and use its inducible self-cleaving capability to remove the carrier. Cecropin was cloned into suitable expression vector pTYB11, and expression induced by IPTG in Escherichia coli ER2566. The use of 22ºC induction allowed the expression of cecropin with its intein carrier in soluble form. Cell extracts were purified by chitin affinity chromatography and intein-mediated splicing of the target protein was achieved by thiol addition, obtaining a final yield of 2.5 mg cecropin/l. Cecropin cleaved from the intein had its proper biologically active form, showing a micromolar antimicrobial activity against Vibrio ordalii, Vibrio alginolyticus and Escherichia coli.

Jasmonic acid (JA) and 12-oxophytodienoic acid (OPDA) are signal molecules involved in the stress and defense responses in plants. A full-length cDNA clon of OPR3 encoding 12-oxophytodienoate reductase 3, key enzyme involved in the biosynthesis of JA from linolenic acid was obtained from a Solanum tuberosum cDNA library. Sequence analysis showed that OPR3 encoded a polypeptide of 400 amino acids with a predicted molecular mass of 43.9 kDa and pI of 7.72. The deduced amino acid sequence of OPR3 showed high similarities to other 12-oxophytodienoate reductases. A peroxisomal signal sequence indicates OPR3 probable location in peroxisome. Levels of OPR3 mRNA accumulated in potato leaves reaching maximum levels within 1 hr of mechanical wounding. Elevated levels of JA were correlated to expression of the OPR3 gene.

Novel doublet molecules of cecropin A from Drosophila melanogaster were designed and constructed combining the regular (CECdir) with the inverted (CECret) coding sequence of the standard CEC A1 gene resulting in the following configurations: CECdir-CECret and CECret-CECdir. These two recombinant molecules were generated using a three-primer driven PCR reaction yielding composite single functional aminoacidic molecules with the coding sequences of CECdir linked in frame with the coding sequence of CECret and vice versa. In order to obtain these constructions, a retropeptide DNA-coding sequence was chemically synthesized to match the expected polarity of the newly generated CECret sequence. Both doublet antimicrobial peptides (drAMPs) were cloned in the T7 promoter driven expression plasmid pET27b+ and expressed in E. coli BL21 without any fusion protein. Only the former recombinant peptide was expressed and purified from cell extracts and its specific activity against two different bacteria showed to be higher than those displayed by their monomer parental counterparts.