Losartan potassium and hydrochlorothiazide are often combined in pharmaceutical formulations for the treatment of hypertension. Therefore, the determination of these compounds in a single run is highly desirable for rapid quality control applications. The present study describes an ultra-fast (ca. 85 injections h-1) and environmentally friendly method based on capillary electrophoresis (CE) with capacitively coupled contactless conductivity detection for simultaneous quantification of potassium, losartan and hydrochlorothiazide. Cation (potassium) and anions (losartan and hydrochlorothiazide) were analyzed in a single run using a background electrolyte composed by 10.0 mmol L-1 boric acid (pH = 9.0, adjusted with sodium hydroxide). The limits of detection were 4.0, 3.0 and 10.0 μmol L-1 for potassium, losartan and hydrochlorothiazide, respectively. The proposed method is simple, fast, with minimal waste generation, and accurate (recovery values between 98 and 102%). The results obtained with the CE method were statistically similar (95% confidence level) to those obtained by high-performance liquid chromatography (losartan and hydrochlorothiazide) and flame photometry (potassium).

Resumen Introducción: En nuestro medio, el implante percutáneo de prótesis aórtica (TAVI) se encuentra limitado a pacientes más añosos o de mayor riesgo quirúrgico, en quienes frecuentemente se retarda la intervención hasta que presenten signos avanzados de enfermedad. Objetivo: Evaluar el grado de compromiso miocárdico en pacientes sometidos a TAVI y determinar si la magnitud de este compromiso predice los resultados alejados del procedimiento. Métodos: Registro de pacientes sometidos a TAVI en 2 instituciones de Chile. Según la clasificación propuesta por Genereux el año 2017, se clasificaron desde el punto de vista ecocardiográfico como: 1) compromiso de ventrículo izquierdo; 2) compromiso de aurícula izquierda; 3) hipertensión pulmonar / insuficiencia tricuspídea significativa y 4) disfunción de ventrículo derecho. Resultados: Se incluyeron 209 pacientes. Se logró un procedimiento exitoso en 98,6%, registrándose una mortalidad intrahospitalaria de 2,9%. El compromiso cardíaco se extendió más allá de las cavidades izquierdas en 24,7% de los casos (estadíos 3 y 4). A una mediana de seguimiento de 650 días se registró una mortalidad de 26,8%. El compromiso de cavidades derechas (estadíos 3 y 4) se asoció a una mayor mortalidad (39,6% vs 22,1%, log rank p=0,015). En análisis multivariado, este compromiso fue el único factor que de forma independiente predijo mortalidad (HR 1,87, IC 1,01-3,44, p=0,044). Conclusiones: El compromiso de cavidades derechas se asocia a una mayor mortalidad alejada en pacientes sometidos a TAVI. Estos resultados debiesen estimular una derivación precoz de estos pacientes que, aunque añosos y de alto riesgo, tienen buenos resultados intervenidos precozmente.

Abstract Background: Locally, Transcatheter Aortic Valve Implantation (TAVI) is limited to very old or high-risk patients, whose intervention is frequently delayed until they develop signs of advanced disease. Aim: To evaluate the degree of myocardial compromise in patients undergoing TAVI and to determine whether the level of this compromise can predict results during follow-up. Methods: Registry of TAVI patients from 2 institutions in Chile. According to the classification proposed by Genereux in 2017, patients were classified based on the echocardiogram as 1) left ventricular compromise; 2) left atrial compromise; 3) pulmonary hypertension / severe tricuspid regurgitation; 4) right ventricular dysfunction. Results: The study included 209 patients. A successful procedure was achieved in 98.6% of cases, with an in-hospital mortality of 2.9%. Cardiac compromise extended beyond left chambers in 24.7% of cases (stages 3 and 4). During follow-up (median of 650 days) mortality was 26.8%. Right chambers involvement (stages 3 and 4) was associated with increased mortality (39.6% vs 22.1%, log rank p=0.015). In multivariate analysis, this compromise was the only factor that independently predicted mortality (HR 1.87, IC 1.01-3.44, p=0,044). Conclusions: Right chambers involvement was associated to increased mortality during follow-up of patients undergoing TAVI. These results should stimulate earlier referral of these high risk and older patients in order to obtain better results following the intervention.

Resumen El trabajo de los lineros de media y alta tensión en la organización Enel-Codensa ha generado reportes de dolencias en partes del cuerpo, como lo son hombro y espalda y aumento de los ausentismos por desarrollo de enfermedades de laborales como los son los lumbagos y el manguito rotador. La evaluación muscular del caso de estudio se realizó a un grupo de trabajadores de la empresa colombiana Enel-Codensa, la cual tiene interés en mejorar las condiciones de trabajo de sus colaboradores, considerando la utilización de exosqueletos en el trabajo, con el fin de contrarrestar los elementos mencionados. Para lograrlo, se evaluaron ocho músculos. Se hizo uso de electromiografía (EMG) en 20 participantes voluntarios, doce linieros de alta tensión y ocho voluntarios. Lo anterior, con el fin de determinar si existe o no disminución en el esfuerzo muscular al usar el exoesqueleto; y comparar también si entre sujetos con experiencia y sin experiencia, la actividad muscular varia al usar el exoesqueleto. Como resultado se obtuvo que el esfuerzo muscular es menor en todos los músculos al usar el exoesqueleto. Sin embargo, la actividad se mantiene por encima del 10% de esfuerzo muscular en promedio, lo que puede generar fatiga muscular si se mantiene durante una jornada de ocho horas. El análisis estadístico de diferencia de medias dio como resultado que no existe diferencia entre realizar la actividad con o sin exoesqueleto excepto para el musculo Flexor Carpi Radial. Por otra parte, al realizar el comparativo entre los dos grupos, expertos y novatos, se encontró que la actividad muscular de los expertos es mayor en un 1%. Cuando se realizaron pruebas estadísticas de comparación de medias entre este grupo se no encontró igualdad de medidas en seis de los ocho músculos. En conclusión, para la prueba de armado de andamio, hay esfuerzo muscular en el antebrazo y brazo para ambas muestras. Para disminuir el esfuerzo muscular se recomienda brindar herramientas que contribuyan a una disminución de este o rediseñar la tarea.

Abstract The job in medium and high voltages lines for the Enel-Codensa Organization has generated discomfort reports in parts of the body, such as the shoulder and back also has been develop increase in absenteeism due to the development of occupational diseases such as lumbago and illnesses in the shoulder. The muscle evaluation of this case study was applied to a group of workers from the Colombian company, Enel-Codensa, which has an interest in improving the working conditions of its workers including exoskeletons in the development of its work. To achieve this, eight muscles were evaluated in which electromyography (EMG) was used in 20 volunteer participants, consisting of 12 electrical technicians and eight volunteers. The aim of the study was to determine whether a decrease in muscular effort occurred when the workers used the exoskeleton, to compare experienced and inexperienced subjects, and ultimately to analyze whether muscular activity varied with the use of an exoskeleton. As a result, muscular effort was lower in all the muscles when using the exoskeleton. However, the activity remained above 10% of muscular effort on average, which can generate muscular fatigue if such activity is maintained during an 8-hour day. The analysis showed that there is no difference when performing the activity with or without an exoskeleton except for the flexor carpi radialis muscle. Alternatively, when comparing the two groups, experts, and novices, it was found that the muscular activity of the experts was greater by 1%. As the study was performed, it was found that among this group, there was not an equality of measurements in six of the eight muscles. In conclusion, the scaffold erection test demonstrated muscular effort in the forearm and arm for both samples. To reduce this muscular effort, it is recommended to provide tools or redesign the task.

The presence of bioaccessible potentially-toxic elements in five different brands of temporary tattoos (packaged with bubble gums) aimed at children and three product brands used by young and adult audiences were analyzed in accordance with the Brazilian Organization of Technical Standards (ABNT) and International Organization for Standardization (ISO) for toy’s safety standards. Bioaccessible barium, copper and strontium were found in the concentration range between 1.78-11.1 μg g-1, 0.0364-0.875 μg g-1, 0.155-9.9 μg g-1, respectively. Bioaccessible lead (2.6 ± 0.1 μg g-1 - 4.36 ± 0.06 μg g-1) and boron (2.14 ± 0.07 - 3.54 ± 0.07 μg g-1) were found in two samples whereas chromium (0.403 ± 0.004 μg g-1) in one sample aimed at children. Bioaccessible aluminum was found in six samples, mostly at products used by children. Other elements whose bioaccessibility was evaluated were Mo (< LOD), Cd (< LOD), V (0.148 ± 0.003 μg g-1) and Co (0.003 - 1.756 μg g-1). All samples met the upper limits permitted by the national toy safety standard, however, chromium, lead, cobalt and barium presented higher bioaccessibility levels than the allowed values by cosmetic regulation that controls products applied directly to the skin.

Sustainable analytical methods are highly demanded in the modern society. Within the green principles, novel procedures that attend the sustainable development goals have been proposed and the internet of things (IoT) can play key role to achieve this goal. The association of IoT with analytical chemistry enables the real-time obtaining of analytical data to control industrial processes as well as for monitoring different environmental scenarios and human health by accessing remotely analytical information. In this context, this review presents the main IoT technologies used for analytical chemistry as well as a tutorial for beginners in the field.

Additive manufacturing is an emerging tool that has contributed to the sustainable fabrication of devices in several areas based on the concept of “zero waste”. Considering extrusion-based manufacturing (or 3D printing), polylactic acid (PLA) has been highlighted due to its biodegradability, obtention from renewable sources, and compatibility for 3D printing. Composites of PLA with conducting fillers, such as carbon-black (CB/PLA), are commercially-available and compatible with extrusion-based 3D printers and 3D pen. Herein, we investigate the electrochemical behavior of several antioxidant species (catechol, hydroquinone, propyl-gallate, octyl-gallate, dopamine, gallic acid and pyrogallol (PY)) on 3D-printed electrodes. Experiments by cyclic voltammetry demonstrated that electrochemical surface treatment in NaOH aqueous solution is an important strategy to improve the response of all antioxidants. Thus, PY was selected to evaluate the analytical performance of the proposed 3D-printed sensor. For this, a fast and simple method using batch-injection analysis with amperometric detection (BIA-AD) has been developed, which showed a limit of detection of 0.15 µmol L-1, wide linear range (0.5 to 300 µmol L-1), good precision (relative standard deviation (RSD) < 3.4%) and selectivity. This method was applied in biodiesel samples, after dilution (400-fold) in electrolyte. Recovery percentages ranging from 82 to 119% attested absence of matrix effect and good accuracy.

Abstract The COVID-19 disease is caused by the SARS-CoV-2 virus and was declared a pandemic by the WHO on March 11, 2020. To date, more than 500 million people have been infected and it has caused over 6 million deaths worldwide. People that belong to the most vulnerable risk groups, such as those at the extremes of life, patients with chronic comorbidities and those with severe immunosuppression, are especially susceptible to developing a severe form of COVID-19 infection and death. Subjects living with HIV, especially those in precarious immunological conditions or those in whom antiretroviral therapy is yet to be started, may be at risk of developing complications related to COVID-19, as observed with other infectious diseases. This review aims to determine the magnitude of the impact of the SARS-CoV-2 virus on people living with HIV in Chile.

Resumen La enfermedad COVID-19 es una patología de origen infeccioso causada por el virus SARS-CoV-2 y fue declarada pandemia por la OMS el 11 de marzo 2020. A la fecha se registran más de 500 millones de personas infectadas y más de 6 millones de fallecidos en todo el mundo. Las personas que pertenecen a grupos de riesgo más vulnerables, particularmente aquellos que se encuentran en los extremos de la vida, con comorbilidades crónicas o inmunocomprometidas, son especialmente susceptibles a presentar un eventual mayor riesgo de infección, de gravedad y de mortalidad por esta enfermedad. Las personas que viven con VIH, especialmente aquellos en precarias condiciones inmunológicas o aquellas que aún no inician terapia antiretroviral, pueden ser un grupo especialmente susceptible de presentar complicaciones relacionadas a esta y otras enfermedades de origen infeccioso. Con esta revisión se pretende determinar la magnitud del impacto del virus SARS-CoV-2 en personas viviendo con VIH en Chile.

Background: Transcatheter Aortic Valve Implantation (TAVI) is beneficial in patients with symptomatic severe Aortic Stenosis (AS). There is no consensus about the best anticoagulation strategy for patients with a recent TAVI and with atrial fibrillation (AF). Direct oral anticoagulants (DOACs) are effective to prevent embolic events with a significant lower incidence of bleeding. There is scarce evidence about the use of these drugs in patients undergoing TAVI. Aim: To assess the management of anticoagulation at the moment of discharge of patients with AF and TAVI. Material and Methods: A four question survey was sent to cardiologists involved in TAVI programs in different international centers. Results: The survey was answered by 72 interventional cardiologists. Even with the lack of randomized evidence, in most of the scenarios DOACs are prescribed at discharge in patients with indication for anticoagulation. Also, in patients with high bleeding risk, most cardiologists would perform a left atrial appendage closure. In patients with concomitant coronary artery disease, if a stent was recently implanted, prescription of the combination of a DOAC and one antiplatelet drug was the most common answer. In patients with a former coronary angioplasty, DOAC or Warfarin was the therapy of choice. Conclusions: In the absence of randomized data, interventional cardiologists prescribe DOACs at discharge to patients with AF and TAVI, without following current guidelines in most cases.

COVID-19 pandemic generated multiple challenges for the health system. Cardiovascular disease is associated with a worse prognosis of infections. Moreover, most hospital resources and operative rooms were destined to patients with COVID-19 infection, deferring the treatment of most valvular patients requiring surgery. We report seven patients with symptomatic severe aortic stenosis who underwent transcatheter aortic valve implantation (TAVI) with conscious sedation and early discharge. No patient required intensive care unit admission or mechanical ventilation. After a 90-day follow-up, there were no complications or unplanned readmissions.

Abstract The results of archaeological surface surveys carried out on Infieles (25°58’39’S-69°03’25’’W) and Pedernales (26°13’59’’S-69°07’16’’W) salt flats, Atacama, Chile, located at an altitude from 3000 to 4100 masl are presented. Both surveys were carried out in areas that directly connect the Arid North with the Semiarid. The surveys are part of a project that investigates areas with potential human occupations during the Pleistocene-Holocene transition and are targeted at specific sectors such as river terraces, alluvial fans, wetlands, and salt flats. The variability of the archaeological record is discussed within the framework of the regional pre-Hispanic and historic sequence, and especially within the context of the first human occupations of the salt flats.

Resumen Se presentan los resultados de prospecciones superficiales realizadas en los salares de Infieles (25°S-69°O) y Pedernales (26°S-69°O) en la Región de Atacama (Chile), en cotas de altitud que van desde los ca. 3000 a 4100 msnm. Ambas prospecciones, en zonas que conectan directamente al Norte Árido con el Semiárido, forman parte de un programa de evaluación de áreas con potenciales ocupaciones humanas durante la transición Pleistoceno-Holoceno y fueron dirigidas a sectores específicos como terrazas fluviales, abanicos aluviales, humedales y playas de salares. La variabilidad del registro arqueológico se discute en el marco de la secuencia prehispánica e histórica regional, y en particular, en el contexto de las primeras ocupaciones humanas en ambos salares.