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au:Ramos, José M.

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[SciELO Preprints] - Cardiovascular Statistics – Brazil 2023
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Oliveira, Gláucia Maria Moraes de Brant, Luisa Campos Caldeira Polanczyk, Carisi Anne Malta, Deborah Carvalho Biolo, Andreia Nascimento, Bruno Ramos Souza, Maria de Fatima Marinho de Lorenzo, Andrea Rocha De Fagundes Júnior, Antonio Aurélio de Paiva Schaan, Beatriz D. Silva, Christina Grüne de Souza e Castilho, Fábio Morato de Cesena, Fernando Henpin Yue Soares, Gabriel Porto Xavier Junior, Gesner Francisco Barreto-Filho, Jose Augusto Soares Passaglia, Luiz Guilherme Pinto-Filho, Marcelo Martins Machline-Carrion, M. Julia Bittencourt, Marcio Sommer Pontes Neto, Octavio M. Villela, Paolo Blanco Teixeira, Renato Azeredo Stein, Ricardo Sampaio, Roney Orismar Gaziano, Thomaz A. Perel, Pablo Roth, Gregory A. Ribeiro, Antonio Luiz Pinho

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Data de publicação: 2023-12-14

Resumo: En Pt

The publication Cardiovascular Statistics – Brazil aims to provide an annual compilation of data and research on the epidemiology of CVDs in Brazil.  The report integrates official statistics from the Brazilian Ministry of Health and other governmental entities alongside data from the GBD project, coordinated by the IHME at the University of Washington. Additionally, it incorporates data derived from various sources and scientific studies, including cohorts and registries, that relate to CVDs and their associated risk factors. This publication is intended for a wide range of individuals, including researchers, clinicians, patients, healthcare policymakers, media professionals, the general public, and other interested parties seeking extensive national data about heart disease and stroke.  Volunteer researchers from various Brazilian universities and research institutions carry out the project. The group is led by a five-member steering committee (ALPR, CAP, DCM, GMMO, and LCCB). The Brazilian Society of Cardiology fully supports this initiative, and the project receives collaborative support from the GBD Brazil Network and an International Committee (GAR, PP, and TAG) from both the IHME/University of Washington (GAR) and the World Heart Federation (PP and TAG). 

A publicação Estatística Cardiovascular – Brasil tem por objetivo fornecer uma compilação anual dos dados e das pesquisas sobre a epidemiologia das DCV no Brasil.  Este documento integra as estatísticas oficiais do Ministério da Saúde do Brasil e outras entidades governamentais ao lado de dados do projeto GBD, coordenado pelo IHME da Universidade de Washington. Além disso, incorpora dados derivados de várias fontes e estudos científicos, inclusive coortes e registros, relacionados às DCV e fatores de risco associados. Esta publicação destina-se a um público variado, incluindo pesquisadores, clínicos, pacientes, formuladores de políticas de saúde, profissionais da mídia, o público em geral e todos aqueles que buscam dados nacionais abrangentes sobre DCV e acidente vascular cerebral. Pesquisadores voluntários de várias universidades e instituições de pesquisa brasileiros realizaram este projeto. O grupo é liderado por um comitê diretivo com cinco membros (ALPR, CAP, DCM, GMMO e LCCB). A Sociedade Brasileira de Cardiologia apoia integralmente esta iniciativa e o projeto recebe colaboração da Rede GBD Brasil1 e do GBD International Committee (GAR, PP e TAG) do IHME/Universidade de Washington (GAR) e da World Heart Federation (PP e TAG). 

https://doi.org/10.1590/SciELOPreprints.7707

Distribución de Diaphorina citri Kuwayama (Hemiptera: Liviidae) en zonas de producción citrícola de Panamá
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Atencio-Valdespino, Randy

; Aguilera-Cogley, Vidal

; Barba-Alvarado, Anovel

; Ramos, Iván

; Collantes-González, Rubén

; Lezcano, José

Agronomía Mesoamericana

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Ago 2023, Volume 34 Nº 2 elocation 51106

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Introducción. El psílido asiático (Diaphorina citri Kuwayama) es el principal vector de la bacteria Candidatus Liberibacter asiaticus que causa la enfermedad de Huanglongbing (HLB) en los cítricos en Panamá. Objetivo. Determinar la distribución geográfica y las plantas hospederas del psílido asiático dentro de las zonas citrícolas de Panamá. Materiales y métodos. El estudio se desarrolló de junio a octubre de 2021, a través de un muestreo sistemático dentro de 46 localidades asociadas a cítricos comerciales y huertos familiares en siete provincias de Panamá. En cada planta se procedió a embolsar con una bolsa plástica de cierre mágico dos brotes nuevos de ≈10 cm de largo para capturar los especímenes e introducirlos dentro de viales plásticos de 2 mm con alcohol al 95 % para su posterior identificación. La variable de estudio incluyó el conteo del número total de especímenes y los datos fueron analizados de manera porcentual. Resultados. Del total de 73 muestras colectadas, la presencia del psílido asiático se confirmó en un 21,92 % (dieciséis muestras), resultó positiva su presencia en las provincias de Chiriquí, Coclé, Herrera, Panamá y Panamá Oeste, en alturas desde los 17 hasta 1080 m s. n. m. No hubo presencia del psílido en las provincias de Los Santos y Veraguas. De las dieciséis muestras que resultaron positivas, el 50 % pertenecieron a la planta de mirto, seguida por la naranja (18,75 %) y el limón criollo (12,50 %). Conclusiones. La distribución del psílido asiático vector del HLB en parcelas de cítricos comerciales y de huertos familiares en las principales zonas citrícolas en Panamá, se presentó diferentes alturas sobre el nivel del mar, asociado a la presencia de plantas hospederas como mirto, naranja y limón criollo.

Abstract Introduction. The asian psyllid (Diaphorina citri Kuwayama) is the main vector of the bacterium Candidatus Liberibacter asiaticus that causes Huanglongbing (HLB) disease in citrus in Panama. Objective. To determine the geographic distribution and host plants of the asian psyllid within the citrus growing areas in Panama. Materials and methods. The study was carried out from June to October 2021 through systematic sampling within 46 localities associated with commercial citrus and home gardens in seven provinces of Panama. In each plant, two new shoots of 10 cm long were bagged with a magic-seal plastic bag to capture the specimens and introduce them into 2 mm plastic vials with 95 % alcohol for later identification. The study variable included the count of the total number of specimens, and the data was analyzed as a percentage. Results. Of the total of 73 collected samples, the presence of the Asian psyllid was confirmed in 21.92 % (16 samples). Its presence was positive in the provinces of Chiriquí, Coclé, Herrera, Panama, and West Panama, at altitudes of 17 to 1080 m.a.s.l. There was no presence of the psyllid in the provinces of Los Santos and Veraguas. Of the 16 samples that were positive, 50 % belonged to the myrtle plant, followed by orange (18.75%), and creole lemon (12.50 %). Conclusion. The distribution of the asian psyllid vector of HLB in commercial citrus and home gardens in the main citrus growing areas in Panama was presented at different heights above sea level, mainly associated with the presence of the host plants such as myrtle, orange, and creole lemon.

https://doi.org/10.15517/am.v34i2.51106

Outcomes and survival predictors of Latin American older adults with acute myeloid leukemia: Data from a single center
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Jaime-Pérez, José Carlos

; Ramos-Dávila, Eugenia M.

; Picón-Galindo, Ernesto

; Jiménez-Castillo, Raúl A.

; León, Andrés Gómez-De

; Gómez-Almaguer, David

Hematology, Transfusion and Cell Therapy

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Jul 2023, Volume 45 Supl. 2 Páginas S43 - S50

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction: Acute myeloid leukemia (AML) is most commonly presented in older adults; however, it appears 10 years earlier in Latin American countries. Clinical evolution in older adults from this populations has not been characterized. We analyzed outcomes and survival predictors. Methods: Patients ≥ 55 years old diagnosed with AML at a hematology referral center from 2005 to 2020 receiving intensive chemotherapy (IC), low-dose cytarabine (LDAC) and best supportive care (BSC) were included. Survival analysis included the Kaplan-Meier and Cox models and the cumulative incidence of relapse (CIR). Results: Seventy-five adults were included and the overall survival (OS) was 4.87, 1.67 and 1.16 months, using IC, LDAC and BSC, respectively. The IC led to a higher OS (p < 0.001) and was a protective factor for early death, at a cost of more days spent hospitalized and more non-fatal treatment complications; non-significant differences were found between the LDAC and BSC. Eight (10.7%) patients underwent hematopoietic cell transplantation, with a higher OS (p = 0.013). Twenty (26.7%) patients achieved complete remission; 12 (60%) relapsed with a 6-month CIR of 57.9% in those < 70 years old vs. 86.5% in those ≥ 70 years old, p = 0.034. Multivariate analysis showed the white blood cell count (WBC) and IC had a significant impact on the patient survival, whereas chronological age and the Charlson comorbidity index (CCI) did not. Conclusion: AML in low-middle income countries demands a different approach; the IC improves survival, even with a high incidence of relapse, and should be offered as first-line treatment. Eligibility criteria should include WBC and a multidimensional evaluation. The age per se and the CCI should not be exclusion criteria to consider IC.

https://doi.org/10.1016/j.htct.2022.01.003

Guía de práctica clínica para el manejo del cáncer de pulmón de células pequeñas: enfermedad extensa
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Cabrera-Miranda, Luis A.

; Díaz-García, Diego A.

; Corona-Cruz, José F.

; Lozano-Ruiz, Francisco J.

; Sánchez-Reyes, Roberto

; Álvarez-Bojórquez, Mario E.

; Blake-Cerda, Mónika

; Rivera-Márquez, Raúl

; López-Saucedo, Raúl A.

; Pérez-Álvarez, Sandra I.

; Bolaño-Guerra, Laura M.

; Alatorre-Alexander, Jorge A.

; Alexander-Meza, Francisco

; Barrón-Barrón, Feliciano

; Blanco-Vázquez, Yazmín C.

; Campos-Gómez, Saúl

; Mata-Moya, Dolores de la

; Figueroa-Martínez, Pedro

; González-Cisneros, Paulina E.

; Íñiguez-García, Marco A.

; Lázaro-León, Jesús M.

; Loyola-García, Ulises

; Morales-Rivera, Marcelino

; Olivares-Torres, Carlos

; Ramos-Ramírez, Maritza

; Sáenz-Frías, Julia A.

; Silva-Bravo, Fernando

; Trejo-Rosales, Rogelio

; Souto-del Bosque, Miguel

; Arrieta, Óscar

Gaceta mexicana de oncología

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Jun 2023, Volume 22 Nº 2 Páginas 55 - 73

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Antecedentes: El cáncer de células pequeñas (CPCP) representa el 13-15% del total de neoplasias primarias de pulmón. Se caracteriza por su rapidez en la tasa de crecimiento y en el desarrollo de metástasis a distancia. Objetivos: Orientar y estandarizar el tratamiento del CPCP enfermedad extensa en México basado en evidencia clínica nacional e internacional. Material y métodos: Este documento se desarrolló como una colaboración del Instituto Nacional de Cancerología y la Sociedad Mexicana de Oncología en cumplimiento con estándares internacionales. Se integró un grupo conformado por oncólogos médicos, cirujanos oncólogos, cirujanos de tórax, radio-oncólogos y metodólogos con experiencia en revisiones sistemáticas de la literatura y guías de práctica clínica. Resultados: Se consensaron, por el método Delphi y en reuniones a distancia, las recomendaciones en CPCP enfermedad extensa, producto de preguntas de trabajo. Se identificó y evaluó la evidencia científica que responde a cada una de dichas preguntas clínicas antes de incorporarla al cuerpo de la guía. Conclusión: Esta guía proporciona recomendaciones clínicas para el manejo de la enfermedad extensa del CPCP y durante el proceso de toma de decisiones de los clínicos involucrados con su manejo en nuestro país para mejorar la calidad de la atención clínica para estos pacientes.

Abstract Background: Small cell lung cancer (SCLC) represents 13-15% of all primary lung neoplasms and is characterized by its rapid growth rate and the rapid development of distant metastases. Objectives: To guide and standardize the treatment of extensive disease small cell lung cancer in Mexico based on national and international clinical evidence. Material and methods: This document was developed as a collaboration between the National Cancer Institute and the Mexican Society of Oncology in compliance with international standards. An interdisciplinary group was formed, including medical oncologists, oncological surgeons, thoracic surgeons, radiation oncologists, and methodologists with experience in systematic reviews of the literature and clinical practice guidelines. Results: A consensus was reached, both by the Delphi method and in remote meetings, of extensive disease recommendations resulting from work questions. The scientific evidence that answers each of these clinical questions was identified and critically evaluated, before being incorporated into the body of evidence of the Guide. Conclusions: This Clinical Practice Guide provides clinical recommendations for the management of extensive disease of SCLC to contribute to the decision-making process of the clinicians involved with its management in our country, hoping that this will contribute to improving the quality of clinical care in these patients.

https://doi.org/10.24875/j.gamo.22000122

Dimensiones bioculturales y socioeconómicas de la sustentabilidad en sistemas agroforestales diversificados con cacao y vainilla
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Ramos-Prado, José M.

; Romero-Hernández, Esteban

; Sánchez-Morales, Primo

; Jiménez-García, Daniel

; Hipólito-Romero, Enrique

Revista mexicana de ciencias agrícolas

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Mai 2023, Volume 14 Nº 3 Páginas 401 - 412

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Los sistemas agroforestales y la diversificación productiva son alternativas sostenibles que revierten los daños y riesgos de la agricultura convencional. Existen pocos estudios de sostenibilidad que permitan incorporarlos a proyectos destinados a aumentar la rentabilidad y mejorar el bienestar de los productores, restaurando los servicios ecosistémicos. El objetivo fue evaluar la sustentabilidad de dos sistemas agroforestales tradicionales, diversificados con cacao y vainilla, en los estados de Veracruz y Oaxaca. Se promovieron técnicas agroecológicas y estrategias de desarrollo empresarial con las familias de ambos productores. La investigación se llevó a cabo durante el periodo: febrero 2012 a julio 2020, las parcelas están ubicadas en los municipios de San Pedro Ixcatlán, Oaxaca y Papantla, Veracruz. Se utilizó la metodología del marco de evaluación de sistemas de gestión de recursos naturales. Los resultados mostraron que los estados iniciales tenían un manejo poco intensivo, bajo uso de insumos, alta diversificación y orientado a la agricultura de subsistencia. Tras la diversificación, manejo agroecológico y desarrollo empresarial, los estados de transición han mejorado en la mayoría de los indicadores de sostenibilidad. En particular la rentabilidad (índice beneficio-costo), que alcanzó 1.2 para San Pedro y 2.6 para Papantla cuando se da valor agregado a la vainilla y el cacao. Es relevante la participación de las mujeres en actividades emergentes derivadas de la diversificación y el interés de los jóvenes por continuar con actividades de transformación de materias primas y la comercialización de productos de valor agregado.

Abstract Agroforestry systems and productive diversification are sustainable alternatives that reverse the damages and risks of conventional agriculture. There are few sustainability studies that allow them to be incorporated into projects aimed at increasing profitability and improving the welfare of producers, restoring ecosystem services. The objective was to assess the sustainability of two traditional agroforestry systems, diversified with cacao and vanilla, in the states of Veracruz and Oaxaca. Agroecological techniques and business development strategies were promoted with the families of both producers. The research was carried out during the period: February 2012 to July 2020, the plots are located in the municipalities of San Pedro Ixcatlán, Oaxaca and Papantla, Veracruz. The methodology of the framework of assessment of natural resource management systems was used. The results showed that the initial states had a low intensive management, low use of inputs, high diversification and oriented to subsistence agriculture. After diversification, agroecological management and business development, transition states have improved in most sustainability indicators. In particular, profitability (benefit-cost index), which reached 1.2 for San Pedro and 2.6 for Papantla when added value is given to vanilla and cacao. The participation of women in emerging activities derived from diversification and the interest of young people to continue with activities of transformation of raw materials and the commercialization of value-added products are relevant.

https://doi.org/10.29312/remexca.v14i3.3093

Importancia del genoma y de la proteína espiga del SARS-CoV-2 en la inmunopatogénesis de la COVID-19 y en la eficacia de las vacunas
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Jiménez-Morales, Silvia

; Pérez-Amado, Carlos J.

; Montúfar-Robles, Isela

; Fragoso, José M.

; Aranda-Uribe, Iván S.

; Ramos-Puga, David A.

; Martínez-Flores, Ángel E.

; Ramírez-Bello, Julián

Cirugía y cirujanos

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Abr 2023, Volume 91 Nº 2 Páginas 268 - 276

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Los coronavirus (CoV) causan enfermedades respiratorias y entéricas leves, graves o críticas, pudiendo ocasionar la muerte del paciente. Debido a la alta conectividad entre naciones y a la transmisión, actualmente la COVID-19 representa un verdadero problema de salud pública en todo el mundo. El CoV-2 causante del síndrome respiratorio agudo grave (SARS-CoV-2) apareció a finales de diciembre de 2019 en Wuhan, China, y en marzo de 2020 la COVID-19 fue declarada pandemia. En esta revisión se describen las características del genoma y de la proteína espiga del SARS-CoV-2, su papel en la inmunopatogénesis de la COVID-19, la tormenta de citocinas, la actividad citotóxica inducida por células T y la producción de anticuerpos contra el SARS-CoV-2 mediada por células B, así como la eficacia de algunas vacunas, tomando en cuenta las mutaciones presentes en la proteína espiga.

Abstract Coronavirus (CoV) infections cause respiratory and enteric diseases with clinical manifestations ranging from faint to severe, even lead to death of patients. High connectivity between nations and infectivity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), represent a global health problem as the coronavirus disease 19 (COVID-19). This CoV-2 that cause SARS, which appeared in Wuhan, China, in December 2019 originated COVID-19 and declared as pandemic a few months posterior its appearance. In this review, the genomic and spike protein characteristics of SARS-CoV-2, the role of SARS-CoV-2 in the COVID-19 pathogenesis, cytokine storm, the role of cytotoxic T and B cells against SARS-CoV-2, as well as the vaccines efficacy (taking into account mutations in the spike protein) are described.

https://doi.org/10.24875/ciru.22000547

Importance of Confirmatory Tests for Sars-Cov-2 Infection in Hemodialysis Patients: A Multicenter Mexican Registry
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Vega-Vega, Olynka

; Toro-Cisneros, Noemí Del

; Sacoto-Romo, Víctor M.

; Ardavín-Ituarte, Juan M.

; Piñeirúa-Menéndez, Alicia

; Peña-Rodríguez, José C.

; Ramos-Gordillo, Jesús M.

; Arteaga-Müller, Giovanna Y.

; Mayorga-Madrigal, Héctor J.

; Mendiola-Fernández, Ricardo

; Cruz Mendoza, Néstor H.

; Arvizu-Hernández, Mauricio

; Correa-Rotter, Ricardo

Revista de investigación clínica

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Abr 2023, Volume 75 Nº 2 Páginas 47 - 52

Resumo: En | Texto: En | PDF: En

Abstract Background: Since the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, patients with chronic kidney disease vulnerable to suffering more severe COVID-19 disease and worse outcomes have been identified Objectives: Our study's aim was to determine the incidence, characteristics, and outcomes of SARS-CoV-2 infection in patients of hemodialysis (HD) units in Mexico and to describe the availability of confirmatory testing Methods: This study was multicentric study of 19 HD units, conducted between March 2020 and March 2021 Results: From a total of 5779 patients, 955 (16.5%) cases of suspicious COVID-19 were detected; a SARS-CoV-2 reverse transcription polymerase chain reaction test was done in only 50.6% of patients. Forty-five percentages were hospitalized and 6% required invasive mechanical ventilation (IMV). There was no significant difference in mortality between confirmed (131/483) and suspicious (124/472) cases (p = 0.74). The percentage of patients in need of hospitalization, IMV, and deceased was greater than in the rest of the study population Conclusions: The study revealed that 49.4% of the cases were not confirmed, a worrisome observation given that this is a highly vulnerable population (higher probability of contagion and worse outcomes), in which 100% of patients should have a confirmatory test

https://doi.org/10.24875/ric.23000002

Chemical composition, antioxidant activity and cytotoxicity of flower extracts from Magnolia grandiflora L. found in southeast Mexico
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Rivas-Garcia, Tomas

; Alejandre-Rosas, Jorge Alberto

; Ramos-Ligonio, Ángel

; Castillo-Morales, Marisol

; Reyes-Pérez, Juan José

; Esquivel-Valenzuela, Berenice

Biotecnia

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Abr 2023, Volume 25 Nº 1 Páginas 5 - 13

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Algunos estudios afirman que diferentes estructuras de M. grandiflora contienen componentes bioactivos. No obstante, los estudios fitoquímicos indican que los aceites esenciales extraídos son químicamente diferentes y notablemente variables en sus composiciones cualitativas y cuantitativas. Es necesario realizar más estudios sobre M. grandiflora cultivada en México. Por ello, el objetivo de esta investigación fue caracterizar a) la composición química, b) la actividad antioxidante y c) el efecto citotóxico de dos extractos de flores de M. grandiflora. La composición química se evaluó mediante una prueba fitoquímica preliminar seguida de cromatografía en capa fina y análisis espectrofotométrico mediante UV-Vis y FTIR. La actividad antioxidante de los extractos de flores se midió por el método de la actividad reductora de radicales libres (ABTS) y el método de radicales estables de 2,2-difenil-1-picril-hidrazilo (DPPH) y la citotoxicidad por un bioensayo de Artemia salina. Los extractos acuoso y etílico de flores mostraron la presencia de cromóforos orgánicos como los flavonoides. Ambos extractos (etílico y acuoso) demostraron actividad antioxidante tanto por ABTS (459.6 ± 8.5 y 274.2 ± 5.7 µmol TE/g, respectivamente) y DPPH (3210.4 ± 2.5 y 219.7 ± 0.9 µmol TE/g, respectivamente); y actividad no citotóxica (CL50, µg/mL) (1285 ± 14 y 1116 ± 15, respectivamente). Los extractos acuosos y etílicos de las flores de M. grandiflora encontradas en el sureste de México son una fuente promisoria de compuestos químicos con actividad biológica atribuida por los resultados presentados.

Abstract Some reports state that different structures of M. grandiflora contain bioactive components. Nonetheless, phytochemical studies reported that the extracted essential oils are chemically different and remarkably variable in their qualitative and quantitative compositions. Further studies on the Mexican M. grandiflora needs to be done. Thus, the research aimed to characterize a) the chemical composition, b) the antioxidant activity and c) cytotoxicity effect of two M. grandiflora flower extracts. The chemical composition was evaluated by phytochemical test followed by thin layer chromatography, UV-Vis and FTIR spectrophotometer analysis. The antioxidant activity of the flower extracts was measured by the free radical-scavenging activity (ABTS) and the stable radical of 2,2-diphenyl-1-picryl-hydrazyl (DPPH) methods, and the cytotoxicity by an Artemia salina bioassay. Water and ethyl flower extracts showed the presence of organic chromophores such as flavonoids. Both extracts (ethyl and water) demonstrated antioxidant activity by both ABTS (459.6 ± 8.5 and 274.2 ± 5.7 µmol TE/g, respectively) and DPPH (3210.4 ± 2.5 and 219.7 ± 0.9 µmol TE/g, respectively) methodologies, and non-cytotoxic activity (LC50, µg/mL) (1285 ± 14 and 1116 ± 15, respectively). The water and ethyl extracts of M. grandiflora flowers found in southeast Mexico are a promissory source of chemical compounds with attributed biological activity according to the presented results.

https://doi.org/10.18633/biotecnia.v25i1.1680

Guía de práctica clínica para el manejo del cáncer de pulmón de células pequeñas: enfermedad limitada
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Cabrera-Miranda, Luis A.

; Lozano-Ruiz, Francisco J.

; Blake-Cerda, Mónika

; Corona-Cruz, José F.

; Sánchez-Reyes, Roberto

; Pérez-Álvarez, Sandra I.

; Díaz-García, Diego A.

; Álvarez-Bojórquez, Mario E.

; Rivera-Márquez, Raúl

; López-Saucedo, Raúl A.

; Bolaño-Guerra, Laura M.

; Maldonado-Magos, Federico

; Aldaco-Sarvide, Fernando

; Alvarado-Zermeño, Adriana

; Barajas-Figueroa, Luis J.

; Bautista-Aragón, Yolanda

; Bolaños-Morales, Francina V.

; Castillo-Ortega, Graciano

; Félix-Leyva, Jesús A.

; Gerson-Cwilich, Raquel

; Guzmán-de Alba, Enrique

; López-Galindo, Ángel A.

; Mariscal-Ramírez, Carlos

; Piñeiro-Retif, Rafael

; Ramos-Prudencio, Rubí

; Rodríguez-Cid, Jerónimo

; Silva-Bravo, Fernando

; Arrieta, Óscar

Gaceta mexicana de oncología

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Mar 2023, Volume 22 Nº 1 Páginas 3 - 23

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Antecedentes: El cáncer de células pequeñas (CPCP) representa el 13-15% del total de neoplasias primarias de pulmón. Se caracteriza por su rapidez en la tasa de crecimiento y en el desarrollo de metástasis a distancia. Objetivos: Orientar y estandarizar el tratamiento del CPCP, enfermedad limitada, en México, basado en evidencia clínica nacional e internacional. Material y métodos: Este documento se desarrolló como una colaboración entre el Instituto Nacional de Cancerología y la Sociedad Mexicana de Oncología en cumplimiento con estándares internacionales. Se integró un grupo conformado por oncólogos médicos, cirujanos oncólogos, cirujanos de tórax, radio-oncólogos y metodólogos con experiencia en revisiones sistemáticas de la literatura y guías de práctica clínica. Resultados: Se consensuaron, por el método Delphi y en reuniones a distancia, las recomendaciones en CPCP enfermedad limitada, producto de las preguntas de trabajo. Se identificó y evaluó críticamente la evidencia científica que responde a cada una de dichas preguntas clínicas, antes de incorporarla a la guía. Conclusión: Esta guía proporciona recomendaciones clínicas para el manejo de la enfermedad limitada del CPCP y durante el proceso de toma de decisiones de los clínicos involucrados con su manejo en nuestro país para mejorar la calidad de la atención clínica en estos pacientes.

Abstract Background: Small cell lung cancer (SCLC) represents 13-15% of all primary lung neoplasms and is characterized by rapid growth rate and development of distant metastases. Objectives: To guide and standardize the treatment of limited disease small cell lung cancer in Mexico based on national and international clinical evidence. Material and methods: This document was developed as a collaboration between the National Cancer Institute and the Mexican Society of Oncology in compliance with international standards. An interdisciplinary group was formed, including medical oncologists, oncological surgeons, thoracic surgeons, radiation oncologists, and methodologists with experience in systematic reviews of the literature and clinical practice guidelines. Results: Consensus recommendations were reached, both by the Delphi method and in remote meetings, for limited SCLC disease resulting from the same number of work questions. The scientific evidence that answers each of these clinical questions was identified and critically evaluated, before being incorporated into the body of evidence of the guide. Conclusion: This guide provides clinical recommendations for the management of limited disease SCLC to contribute to the decision-making process of the clinicians involved with its management in our country, hoping that this will contribute to improving the quality of clinical care in these patients.

https://doi.org/10.24875/j.gamo.22000121

10.

Valoración nutricional y fermentación in vitro de mezclas de follaje de árboles con harina de yuca en dietas para borregos
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Díaz Echeverría, Víctor Francisco

; Sánchez Ramos, Abel

; Albores-Moreno, Samuel

; Lara Pérez, Luis Alberto

; Valencia-Salazar, Sara Stephanie

; Ku-Vera, Juan Carlos

; Alayon-Gamboa, José Armado

Acta universitaria

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2023, Volume 33 elocation e3558

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen El objetivo del estudio fue evaluar el valor nutricional de dietas de Panicum maximum suplementadas con 30% de follajes arbóreos mezclados con yuca (Manihot esculenta). Se compararon seis tratamientos: T0 (P. maximum), T1 (Leucaena leucocephala), T2 (Moringa oleifera), T3 (Tithonia diversifolia), T4 (Guazuma ulmifolia) y T5 (Hibiscus rosa-sinensis). Se determinó la composición química, fermentación y digestibilidad in vitro, así como la producción de ácidos grasos volátiles (AGV). Los datos se analizaron con un análisis de varianza. La proteína cruda fluctuó de 8.34% a 11.70%, y la fermentación y la digestibilidad de la materia seca aumentaron (hasta 38.23% y 18.23%, respectivamente) (p < 0.05) con T5, T2, T1 y T3. Además, T5 y T2 incrementaron (p < 0.001) el ácido propiónico, mientras que T1 y T3 incrementaron el ácido butírico. Se concluye que la adición de H. rosa-sinensis, M. oleífera, L. leucocephala y T. diversifolia mejoran el perfil de AGV, fermentación y digestibilidad de la dieta.

Abstract The aim of this study was to evaluate the nutritional value of Panicum maximum diets supplemented with 30% tree foliage mixed with cassava (Manihot esculenta). Six treatments were compared: T0 (P. maximum), T1 (Leucaena leucocephala), T2 (Moringa oleifera), T3 (Tithonia diversifolia), T4 (Guazuma ulmifolia) y T5 (Hibiscus rosa-sinensis). Chemical composition, in vitro fermentation and digestibility, and volatile fatty acids (VFA) production were determined. The data was analyzed with an analysis of variance. Crude protein fluctuated from 8.34% to 11.70%, and fermentation and dry matter digestibility increased (up to 38.23% and 18.23%, respectively) (p < 0.05) with T5, T2, T1, and T3. Furthermore, T5 and T2 increased (p < 0.001) propionic acid, and T1 and T3 increased butyric acid. It is concluded that the addition of H. rosa-sinensis, M. oleifera, L. leucocephala, and T. diversifolia improve the VFA profile, fermentation, and digestibility of the diet.

https://doi.org/10.15174/au.2023.3558

11.

Efectos del cambio climático en la estructura molecular de la materia orgánica del suelo de una dehesa
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Emeterio, Layla M. San

; Pérez-Ramos, Ignacio

; Domínguez, M. Teresa

; Rosa, José M. de la

; González-Pérez, José A.

Revista de Ciências Agrárias

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Dez 2022, Volume 45 Nº 4 Páginas 1041 - 1050

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Las sabanas mediterráneas (dehesas) son sistemas agrosilvopastoriles típicos, caracterizados por la presencia dispersa de robles (Quercus spp.) y especies arbustivas. Estos ecosistemas están sometidos a una marcada estacionalidad, propia del clima mediterráneo, lo que se refleja en la dinámica microbiana del suelo. La interacción de los factores que más afectan la dinámica microbiana (clima, vegetación y suelo), es clave para comprender los ciclos biogeoquímicos que, a su vez se espera que se reflejen en la estructura de la materia orgánica (MOS). Para evaluar el efecto del cambio climático, utilizamos pirólisis analítica (Py-GC/MS) para la caracterización molecular de la MOS en un experimento de imitación en campo (2017-2021). Entre los 117 compuestos biogénicos encontrados, las distribuciones y contenidos de ác. grasos y n-alcanos fueron más sensibles a los tratamientos climáticos. Además, se observa una degradación preferencial de compuestos derivados de holocelulosa y acumulación de compuestos derivados de la lignina, que se encuentra poco evolucionada, lo que apunta a condiciones desfavorables para la su degradación. Los resultados sugieren que la composición molecular de la MOS y la aplicación de Py-GC/MS aporta información sobre los cambios ambientales del suelo y que tienen valor como biomarcadores para el seguimiento del cambio climático en suelos mediterráneos.

Abstract Mediterranean savannahs (dehesas) are typical agro-sylvo-pastoral systems, characterized by the scattered presence of oak trees (Quercus spp) and shruby species, along with the integration of other practices. These ecosystems are subjected to a marked seasonality characteristic of the Mediterranean climate, and expected to be reflected in soil microbial dynamics. The interplay of driving factors on the microbial dynamics (climate, vegetation and soil) is key to understanding biogeochemical cycles in Mediterranean forests that, in turn are expected to be reflected in soil organic matter (SOM) structure. In this communication analytical pyrolysis (Py-GC/MS) was used for the molecular characterization of SOM in a field manipulative experiment aimed to evaluate the impact of forecasted warming and drying in a five-year experiment (2017-2021). Among all the biogenic compounds that were found (a total of 117), fatty acids and aliphatic compounds (n-alkanes) were found most responsive to climatic treatments. Also, a preferential degradation of holocellulose derived compounds and accumulation and preservation of lignin derived compounds, pointing to non-favourable lignin decomposition conditions. The results suggest that SOM molecular composition, hence the application of Py-GC/MS encompasses information on soil environmental shifts having biomarker value for monitoring climate change in Mediterranean soils.

https://doi.org/10.19084/rca.28747

12.

[SciELO Preprints] - Guideline of the Brazilian Society of Cardiology on Diagnosis and Treatment of Patients with Chagas Disease Cardiomyopathy
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Marin-Neto, José Antonio Rassi Jr., Anis Moraes Oliveira, Gláucia M. Lemos Correia, Luís Claudio Novaes Ramos Jr., Alberto Hasslocher-Moreno, Alejandro Marcel Luquetti Ostermayer, Alejandro Sousa, Andréa Silvestre de Amato Vincenzo de Paola, Angelo Sobral de Sousa, Antonio Carlos Pinho Ribeiro, Antonio Luiz Correia Filho, Dalmo Moraes de Souza, Dilma do Socorro Cunha-Neto, Edecio J. A. Ramires, Felix Bacal, Fernando Pereira Nunes, Maria do Carmo Martinelli Filho, Martino Ibrahim Scanavacca, Maurício Magalhães Saraiva, Roberto Alves de Oliveira Júnior, Wilson M. Lorga-Filho, Adalberto de Jesus Benevides de Almeida Guimarães, Adriana Lopes Latado Braga, Adriana Sarmento de Oliveira, Adriana V. L. Sarabanda, Alvaro Yecê das Neves Pinto, Ana Assis Lopes do Carmo, André Schmidt, André Costa, Andréa Rodrigues da Ianni, Barbara Maria Markman Filho, Brivaldo Eduardo Rochitte, Carlos Thé Macedo, Carolina Mady, Charles Chevillard, Christophe Bittencourt das Virgens, Cláudio Marcelo Nery de Castro, Cleudson De Paoli de Carvalho Britto, Constança Felícia Pisani, Cristiano do Carmo Rassi, Daniela C. Sobral Filho, Dario Rodrigues Almeida, Dirceu A. Bocchi, Edimar T. Mesquita, Evandro de Souza Nogueira Sardinha Mendes, Fernanda Pereira, Francisca Tatiana Sperandio da Silva, Gilberto Marcelo de Lima Peixoto, Giselle Glotz de Lima, Gustavo H. Veloso, Henrique Turin Moreira, Henrique Bellotti Lopes, Hugo Masciarelli Francisco Pinto, Ibraim Pinto Dias, João Carlos Bemfica, João Marcos Silva-Nunes, João Paulo Soares Barreto-Filho, José Augusto Kerr Saraiva, José Francisco Lannes-Vieira, Joseli Menezes Oliveira, Joselina Luzia V. Armaganijan, Luciana Martins, Luiz Cláudio C. Sangenis, Luiz Henrique Barbosa, Marco Paulo Almeida-Santos, Marcos Antônio Simões, Marcos Vinicius Shikanai-Yasuda, Maria Aparecida Vieira Moreira, Maria da Consolação Higuchi, Maria de Lourdes Costa Monteiro, Maria Rita de Cássia Felix Mediano, Mauro Felippe Maia Lima, Mayara T. Oliveira, Maykon Moreira Dias Romano , Minna Nitz, Nadjar de Tarso Jorge Medeiros, Paulo Vieira Alves, Renato Alkmim Teixeira, Ricardo Coury Pedrosa, Roberto Aras, Roque Morais Torres, Rosália dos Santos Povoa, Rui Manoel Rassi, Sérgio Gabriel Salles Xavier, Sérgio Marinho Martins Alves , Silvia B. N. Tavares, Suelene Lima Palmeira, Swamy da Silva Junior, Telêmaco Luiz da Rocha Rodrigues, Thiago Madrini Junior, Vagner Maia da Costa , Veruska Dutra, Walderez

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Data de publicação: 2022-10-11

Resumo: En Pt

This guideline aimed to update the concepts and formulate the standards of conduct and scientific evidence that support them, regarding the diagnosis and treatment of the Cardiomyopathy of Chagas disease, with special emphasis on the rationality base that supported it.nbsp; Chagas disease in the 21st century maintains an epidemiological pattern of endemicity in 21 Latin American countries. Researchers and managers from endemic and non-endemic countries point to the need to adopt comprehensive public health policies to effectively control the interhuman transmission of T. cruzi infection, and to obtain an optimized level of care for already infected individuals, focusing on diagnostic and therapeutic opportunistic opportunities. nbsp; Pathogenic and pathophysiological mechanisms of the Cardiomyopathy of Chagas disease were revisited after in-depth updating and the notion that necrosis and fibrosis are stimulated by tissue parasitic persistence and adverse immune reaction, as fundamental mechanisms, assisted by autonomic and microvascular disorders, was well established. Some of them have recently formed potential targets of therapies.nbsp; The natural history of the acute and chronic phases was reviewed, with enhancement for oral transmission, indeterminate form and chronic syndromes. Recent meta-analyses of observational studies have estimated the risk of evolution from acute and indeterminate forms and mortality after chronic cardiomyopathy. Therapeutic approaches applicable to individuals with Indeterminate form of Chagas disease were specifically addressed. All methods to detect structural and/or functional alterations with various cardiac imaging techniques were also reviewed, with recommendations for use in various clinical scenarios. Mortality risk stratification based on the Rassi score, with recent studies of its application, was complemented by methods that detect myocardial fibrosis.nbsp; The current methodology for etiological diagnosis and the consequent implications of trypanonomic treatment deserved a comprehensive and in-depth approach. Also the treatment of patients at risk or with heart failure, arrhythmias and thromboembolic events, based on pharmacological and complementary resources, received special attention. Additional chapters supported the conducts applicable to several special contexts, including t. cruzi/HIV co-infection, risk during surgeries, in pregnant women, in the reactivation of infection after heart transplantation, and others.nbsp; nbsp;nbsp; Finally, two chapters of great social significance, addressing the structuring of specialized services to care for individuals with the Cardiomyopathy of Chagas disease, and reviewing the concepts of severe heart disease and its medical-labor implications completed this guideline.

Esta diretriz teve como objetivo principal atualizar os conceitos e formular as normas de conduta e evidências científicas que as suportam, quanto ao diagnóstico e tratamento da CDC, com especial ênfase na base de racionalidade que a embasou. A DC no século XXI mantém padrão epidemiológico de endemicidade em 21 países da América Latina. Investigadores e gestores de países endêmicos e não endêmicos indigitam a necessidade de se adotarem políticas abrangentes, de saúde pública, para controle eficaz da transmissão inter-humanos da infecção pelo T. cruzi, e obter-se nível otimizado de atendimento aos indivíduos já infectados, com foco em oportunização diagnóstica e terapêutica. Mecanismos patogênicos e fisiopatológicos da CDC foram revisitados após atualização aprofundada e ficou bem consolidada a noção de que necrose e fibrose sejam estimuladas pela persistência parasitária tissular e reação imune adversa, como mecanismos fundamentais, coadjuvados por distúrbios autonômicos e microvasculares. Alguns deles recentemente constituíram alvos potenciais de terapêuticas. A história natural das fases aguda e crônica foi revista, com realce para a transmissão oral, a forma indeterminada e as síndromes crônicas. Metanálises recentes de estudos observacionais estimaram o risco de evolução a partir das formas aguda e indeterminada e de mortalidade após instalação da cardiomiopatia crônica. Condutas terapêuticas aplicáveis aos indivíduos com a FIDC foram abordadas especificamente. Todos os métodos para detectar alterações estruturais e/ou funcionais com variadas técnicas de imageamento cardíaco também foram revisados, com recomendações de uso nos vários cenários clínicos. Estratificação de risco de mortalidade fundamentada no escore de Rassi, com estudos recentes de sua aplicação, foi complementada por métodos que detectam fibrose miocárdica. A metodologia atual para diagnóstico etiológico e as consequentes implicações do tratamento tripanossomicida mereceram enfoque abrangente e aprofundado. Também o tratamento de pacientes em risco ou com insuficiência cardíaca, arritmias e eventos tromboembólicos, baseado em recursos farmacológicos e complementares, recebeu especial atenção. Capítulos suplementares subsidiaram as condutas aplicáveis a diversos contextos especiais, entre eles o da co-infecção por T. cruzi/HIV, risco durante cirurgias, em grávidas, na reativação da infecção após transplante cardíacos, e outros.nbsp;nbsp;nbsp; Por fim, dois capítulos de grande significado social, abordando a estruturação de serviços especializados para atendimento aos indivíduos com a CDC, e revisando os conceitos de cardiopatia grave e suas implicações médico-trabalhistas completaram esta diretriz.nbsp;

https://doi.org/10.1590/SciELOPreprints.4820

13.

Predictors of poor outcomes in young non-comorbid patients with COVID-19
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Martínez-Guerra, Bernardo A.

; Medrano-Borromeo, Carla

; González-Lara, María F.

; Román-Montes, Carla M.

; Tamez-Torres, Karla M.

; Rajme-López, Sandra

; Salgado-Guízar, Karla D.

; Juárez-Menéndez, Noe A.

; Ramos-Cervantes, Pilar

; Ruiz-Palacios, Guillermo M.

; Ponce-de-León, Alfredo

; Sifuentes-Osornio, José

Revista de investigación clínica

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Out 2022, Volume 74 Nº 5 Páginas 268 - 275

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: Prognostic factors in previously healthy young patients with COVID-19 remained understudied. Objective: The objective of the study was to identify factors associated with in-hospital death or need for invasive mechanical ventilation (IMV) in young (aged ≤ 65 years) and previously healthy patients with COVID-19. Methods: We conducted a prospective cohort study that included patients admitted with COVID-19. The primary outcome was in-hospital death/need for IMV. Secondary outcomes included need for IMV during follow-up, days on IMV, length of stay (LOS), hospital-acquired pneumonia/ventilator-associated pneumonia (HAP/VAP), and pulmonary embolism (PE). Bivariate and multivariate analyses were performed. Results: Among 92 patients, primary outcome occurred in 16 (17%), death in 12 (13%), need for IMV in 16 (17%), HAP/VAP in 7 (8%), and PE in 2 (2%). Median LOS and IMV duration were 7 and 12 days, respectively. Independent associations were found between the primary outcome and male sex (Adjusted odds ratio [aOR] 7.1, 95%CI 1.1-46.0, p < 0.05), D-dimer levels > 1000ng/mL (aOR 9.0, 95%CI 1.6-49.1, p < 0.05), and RT-PCR Ct-value ≤ 24 on initial swab samples (aOR 14.3, 95%CI 2.0-101.5, p < 0.01). Conclusions: In young and non-comorbid COVID-19 patients, male sex, higher levels of D-dimer, and low SARS-CoV-2 RT-PCR Ct-value on an initial nasopharyngeal swab were independently associated with increased in-hospital mortality or need for IMV.

https://doi.org/10.24875/ric.22000162

14.

Modelos predictivos de producción de resina en Pinus pseudostrobus Lindl., en Michoacán, México
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Muñoz-Flores, Hipólito Jesús

; Hernández-Ramos, Jonathan

; Sáenz-Reyes, José Trinidad

; Reynoso-Santos, Roberto

; Barrera-Ramírez, Rubén

Revista mexicana de ciencias forestales

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Out 2022, Volume 13 Nº 73 Páginas 128 - 154

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Pinus pseudostrobus es una conífera ampliamente aprovechada en el estado de Michoacán para la extracción de resina; sin embargo, los métodos actuales de resinación son empíricos y sin conocimiento de la producción potencial. A partir de variables dasométricas y con el uso del método de mínimos cuadrados ordinarios (MCO) y modelos de efectos mixtos (MEM), se evaluó un modelo de predicción para estimar la producción de resina. A 215 árboles resineros, se les midió el diámetro normal, diámetro de copa y altura total, además se cuantificó la producción de resina por cara (2 186 caras) en un intervalo altitudinal de 2 226 a 2 785 m. Posterior a depurar la base de datos y a construir la variable combinada (d 2 At), se ajustó un modelo lineal de tipo logarítmico en el programa R ® bajo dos enfoques estadísticos: MCO y MEM. Al incluir la covariable de altitud en los MEM como variable de agrupación, se tiene una ganancia estadística promedio de 17 % con respecto a MCO. No hubo incumplimiento de los supuestos de regresión de normalidad y homocedasticidad. Se propone un modelo con parámetros globales para estimar el rendimiento de resina promedio y tres variantes con parámetros aleatorios, en las cuales la altitud de 2 500 m presenta la mayor producción. La productividad estimada y su relación con los intervalos altitudinales puede utilizarse para el establecimiento de plantaciones forestales resineras o en la elaboración de planes de gestión forestal para la especie en la Comunidad Indígena de Nuevo San Juan Parangaricutiro, Michoacán.

Abstract Pinus pseudostrobus is a conifer widely used in the state of Michoacán for the extraction of resin; however, current resin extraction methods are empirical and without knowledge of the potential production. Based on mensuration variables and using the ordinary least squares (OLS) method and mixed effects models (MEM), a predictive model for estimating resin production was evaluated. The normal diameter, crown diameter and total height of 215 resin trees were measured; in addition, the resin production per face (2 186 faces) was quantified in an altitudinal range of 2 226 to 2 785 m. After debugging the database and constructing the combined variable (d2tH), a logarithmic linear model was adjusted under two statistical approaches ―OLS and MEM―, using the R® software. By including the altitude covariate in the MEM as a grouping variable, there is an average statistical gain of 17 % with respect to the OLS approach. No issues of non-compliance with the normality regression or homoscedasticity assumptions were observed. A model with global parameters is proposed to estimate the average resin yield for the region and three variants with random parameters, where the altitude of 2 500 m has the highest production. The estimated productivity and its relationship with the altitudinal ranges can be a guideline for the establishment of forest plantations for resin extraction purposes or the development of forest management plans for the species in the Indigenous Community of Nuevo San Juan Parangaricutiro, Michoacán.

https://doi.org/10.29298/rmcf.v13i73.1188 33 downloads

15.

Subfenotipagem de doenças graves: onde medicina intensiva protocolizada e personalizada se encontram
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Ramos, Fernando José da Silva

; França, Allan M.

; Salluh, Jorge Ibraim Figueira

Revista Brasileira de Terapia Intensiva

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- SciELO Analytics

Jul 2022, Volume 34 Nº 3 Páginas 316 - 318

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.5935/0103-507x.20220069-pt

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