High-density polyethylene (HDPE) geomembranes are commonly used as an environmental protection liner due to their good chemical and mechanical resistances and low cost. Ultraviolet (UV) radiation is an essential issue in durability studies for pond applications. This study evaluated a 1.5-mm thick HDPE geomembrane exposed to ultraviolet fluorescent radiation for 8760 h in a laboratory and thermoanalytical and physical analyses were conducted towards the understanding of its performance after exposure. According to the results, although the geomembrane maintained the ductile behavior, it showed a 52.48% final decrease in stress crack resistance (SCR) compared to virgin SCR. Moreover, a considerable antioxidant depletion occurred after 8760 h exposure shown by the Std. OIT (standard oxidative-induction time) results, demonstrating a Std. OIT value decrease of 89.19% compared to the virgin Std. OIT. Such a behavior contributed to the susceptibility of thermal effects in the DSC (differential scanning calorimetry) curves and the losses observed in the SCR values, attesting the geomembrane’s oxidative degradation mechanism occurred and changed the polymer’s structure. Highdensity High density (HDPE cost UV (UV applications 1.5mm 15mm mm 1.5 1 5 876 results 5248 52 48 52.48 (SCR Moreover Std standard oxidativeinduction induction time 8919 89 19 89.19 differential calorimetry values s polymers polymer structure 5mm 15 1. 87 524 4 52.4 891 8 89.1 52. 89.

ABSTRACT: Using non-destructive and low-cost methods to determine leaf area has gained important applications. The research objectives were (i) to propose a non-destructive method to estimate the leaf area of castor bean crops and (ii) to build equations that accurately and quickly estimate the leaf area of specie. One thousand healthy and expanded leaves of five castor bean cultivars (New Zealand Purple, Sipeal, Carmencita, Amarelo de Irecê, and IAC-80) were collected, and 200 leaves were collected from each. The maximum length, maximum width, and leaf area were calculated for each leaf. The product between length and width (LW) were calculated. We performed tests with different linear and non-linear regression models between leaf area and linear leaf dimensions of each cultivar. The models used were linear, linear without intercept, and power. The criteria for choosing the best models to estimate the leaf area of castor beans were a higher coefficient of determination, more elevated Pearson’s linear correlation coefficient, lower Akaike information criterion, higher Willmott agreement index, and smallest root mean square error. The equations that presented the best criteria for estimating the leaf area of castor bean cultivars were those that used the product between length and width, compared to equations that used only one leaf dimension. The model ŷ = 0.439 × LW can be used to accurately and quickly estimate the castor bean leaf area through linear measurements of the leaves, using the product between length and width (LW), regardless of the cultivar chosen. ABSTRACT nondestructive non destructive lowcost low cost applications i (i ii (ii specie New Purple Sipeal Carmencita Irecê IAC80 IAC 80 IAC-80 20 (LW nonlinear intercept power determination Pearsons Pearson s criterion index error dimension 0439 0 439 0.43 LW, , chosen IAC8 8 IAC-8 2 043 43 0.4 IAC- 04 4 0.

RESUMO: O uso de métodos não destrutivos e de baixo custo para determinação de área foliar tem ganhado importantes aplicações. Os objetivos da pesquisa foram (i) propor um método não destrutivo para estimar a área foliar da cultura da mamona e (ii) construir equações que estimem com precisão e rapidez a área foliar da espécie. Foram coletadas mil folhas sadias e expandidas de cinco cultivares de mamona (New Zealand Purple, Sipeal, Carmencita, Amarelo de Irecê e IAC-80), sendo coletadas 200 folhas de cada uma. O comprimento máximo, largura máxima e área foliar foram calculados para cada folha. Foi calculado o produto entre comprimento e largura (LW). Foram realizados testes com diferentes modelos de regressão linear e não linear entre área foliar e dimensões lineares das folhas de cada cultivar. Os modelos utilizados foram linear, linear sem intercepto e potência. Os critérios para escolha dos melhores modelos para estimar a área foliar da mamona foram maior coeficiente de determinação, maior coeficiente de correlação linear de Pearson, menor critério de informação de Akaike, maior índice de concordância de Willmott e menor raiz do erro quadrático médio. As equações que apresentaram melhores critérios para estimativa da área foliar das cultivares de mamona foram aquelas que utilizaram o produto entre comprimento e largura, em comparação às equações que utilizaram apenas uma dimensão foliar. O modelo ŷ = 0,439 × LW pode ser utilizado para estimar com precisão e rapidez a área foliar da mamona por meio de medidas lineares das folhas, utilizando o produto entre comprimento e largura (LW), independente da cultivar escolhida. RESUMO aplicações i (i ii (ii espécie New Purple Sipeal Carmencita IAC80, IAC80 IAC 80 , IAC-80) 20 máximo folha LW. . (LW) potência Pearson Akaike médio 0439 0 439 0,43 LW, escolhida IAC8 8 IAC-80 2 (LW 043 43 0,4 IAC-8 04 4 0, IAC-

RESUMO A avaliação da marcha na esteira pode ser relevante para a tomada de decisões clínicas. No entanto, fatores demográficos como idade e IMC podem alterar a interpretação dos resultados. Nosso objetivo foi obter variáveis espaço-temporais, energéticas e custo de transporte durante a velocidade de caminhada autoselecionada na esteira para uma amostra representativa de adultos uruguaios (n = 28) e avaliar se diferentes faixas etárias e IMC podem ser fatores a serem considerados em testes clínicos que envolvam essas variáveis. Dezessete homens e onze mulheres participaram (39,3 ± 14,8 anos, 75,9 ± 12,5 kg, 1,74 ± 0,09 m, IMC 25,2 ± 4,06). Foi realizada uma reconstrução tridimensional do movimento sincronizada com o consumo de energia. Foram obtidos valores de referência e os dados foram comparados usando testes t (p≤0,05), após agrupar os participantes por IMC e faixa etária. Os resultados revelaram discrepâncias significativas nas medidas espaço-temporais e energéticas dos adultos uruguaios ao caminhar na esteira, em comparação com a literatura. A marcha diferiu entre adultos jovens e de meia-idade em sua velocidade autoselecionada (p=0,03), comprimento da passada (p=0,01), trabalho mecânico externo (<0,001) e recuperação de energia mecânica (0,009), destacando a importância de considerar a idade em avaliações clínicas. O IMC não influenciou significativamente essas variáveis. Esses achados destacam a necessidade de ajustar as interpretações dos testes clínicos de marcha na esteira em adultos uruguaios de meia- idade (45 a 65 anos).

ABSTRACT Treadmill gait assessment can be relevant for clinical decision-making. However, demographic factors such as age and BMI may alter result interpretation. Our aim was to obtain spatiotemporal, energetic, and cost of transport variables during self-selected treadmill walking speed for a representative sample of Uruguayan adults (n=28) and to assess if different age ranges and BMI could be factors to consider in clinical tests involving these variables. Seventeen men and eleven women participated (39.3 ± 14.8 years, 75.9 ± 12.5 kg, 1.74 ± 0.09 m, BMI 25.2 ± 4.06). A synchronized 3D motion reconstruction was performed with energy consumption. Reference values were obtained and data were compared using t-tests (p≤0.05), after grouping participants by BMI and age range. Results revealed significant discrepancies in spatiotemporal and energetic measures of Uruguayan adults walking on the treadmill, compared to the literature. Gait differed between young and middle-aged adults in their self-selected speed (p=0.03), stride length (p=0.01), external mechanical work (p<0.001), and mechanical energy recovery (0.009), emphasizing the importance of considering age in clinical evaluations. BMI did not significantly influence these variables. These findings underscore the need to adjust interpretations of treadmill gait clinical tests in middle-aged Uruguayan adults (45 to 65 years).

RESUMEN La evaluación de la marcha en cinta caminadora puede resultar relevante para la toma de decisiones clínicas. No obstante, factores demográficos como la edad y el IMC pueden alterar la interpretación de los resultados. Nuestro objetivo fue obtener variables espacio- temporales, energéticas y costo de transporte durante la velocidad autoseleccionada en cinta caminadora para una muestra representativa de adultos uruguayos (n=28) y evaluar si diferentes rangos de edades e IMC pueden ser factores a tener en cuenta en pruebas clínicas donde se consideren dichas variables. Participaron 17 hombres y 11 mujeres (39,3 ± 14,8 años, 75,9 ± 12,5 kg, 1,74 ± 0,09 m, IMC 25,2 ± 4,06). Se realizó una reconstrucción 3D del movimiento en forma sincronizada con el consumo energético. Se obtuvieron valores de referencia y luego de agrupar los participantes según su IMC y rango de edad se compararon los datos mediante test de t (p≤0.05). Los resultados revelaron discrepancias significativas en las medidas espacio-temporales y energéticas de los adultos uruguayos al caminar en cinta con respecto a la literatura. La marcha difiere entre adultos jóvenes y de mediana edad en su velocidad autoseleccionada (p=0,03), longitud de zancada (p=0,01), trabajo mecánico externo (<0,001) y recuperación de energía mecánica (0,009), destacando la importancia de considerar la edad en evaluaciones clínicas. El IMC no influyó significativamente en estas variables. Estos hallazgos subrayan la necesidad de ajustar las interpretaciones de las pruebas clínicas de la marcha sobre cinta caminadora en adultos uruguayos de mediana edad (45 a 65 años).

Abstract Introduction. Climate change adaptation measures require informed decision-making. However, small-scale agriculture shows low rates of technology adoption due to cost and lack of connectivity. Objective. To evaluate three low-cost prototypes of small-scale agriculture devices for soil moisture measurement in different soil textures, as well as to determine the respective calibration equations, and the effects of electrical conductivity and temperature on moisture measurement. Materials and methods. Three measurement and recording prototypes for soil moisture were evaluated in soils with variations in clay/sand content and electrical conductivity in productive plots at Zamorano University in Honduras and a demonstration farm in Popayán, Colombia during the first quarter of 2022. Commercial sensors were used as a reference to compare the performance of the prototypes through regression analysis of hourly sensor readings over 90 days. Electrical conductivity (dS/m) and temperature variables were collected to determine their influence on moisture reading accuracy. Results. The soil moisture measurement devices showed better performance in soils with lower sand content. The measurement from the devices overestimated moisture readings by 0.19 to 0.52 percentage points for each additional degree of soil temperature. Additionally, for each additional dS/m of electrical conductivity, the reading needed adjustment by 8 to 55 percentage points. Conclusions. Prototype A was the most accurate device, while prototype B was the most precise compared to commercial sensors. Soil moisture devices performed best in soils with lower sand content. The three models evaluated performed best in loam soil with a medium clay content.

Resumen Introducción. Las medidas de adaptación al cambio climático requieren de la toma de decisiones informadas. Sin embargo, la agricultura de pequeña escala muestra bajas tasas de adopción de tecnologías por su costo y falta de conectividad. Objetivo. Evaluar tres prototipos de dispositivos para agricultura de pequeña escala y de bajo costo para medir humedad de suelo en diferentes texturas, así como determinar las respectivas ecuaciones de calibración y los efectos de conductividad eléctrica y temperatura en la medida de humedad. Materiales y métodos. Se evaluaron tres prototipos de dispositivos de medición y registro de humedad de suelo, en suelos con diferencial en contenido de arcilla/arena y conductividad eléctrica en parcelas productivas de la Universidad Zamorano, en Honduras; y Finca demostrativa en Popayán, Colombia, durante el primer trimestre del 2022. Se tomaron como referencia sensores comerciales para la comparación del desempeño de los prototipos, mediante análisis de regresión de las lecturas por hora de los sensores durante 90 días. Se recolectaron las variables de conductividad eléctrica (dS/m) y temperatura para determinar la influencia en la precisión de la lectura de humedad. Resultados. Los dispositivos de medición y registro de humedad presentaron un mejor desempeño en suelos con menor contenido de arena. La medición de los dispositivos sobrestimó entre 0,19 y 0,52 puntos porcentuales la lectura de humedad por cada grado adicional de temperatura del suelo, y que por cada dS/m adicional de conductividad eléctrica la lectura se debe ajustar entre 8 y 55 puntos porcentuales. Conclusiones. El prototipo A fue el dispositivo más exacto, mientras que el prototipo B fue el más preciso, con respecto a los sensores comerciales. Los dispositivos de humedad presentaron un mejor desempeño en suelos con menor contenido de arena. Los tres modelos evaluados obtuvieron el mejor desempeño en suelo franco con contenido medio de arcilla.

Abstract Introduction. Paraguay is the sixth largest producer and third largest exporter of soybeans (Glycine max (L.) Merr.) in the world and this crop is the most important socio-economic crop in the country. However, its productivity can be adversely affected by diseases caused by phytopathogenic fungi. In addition, phytosanitary information on soybean cultivation in Paraguay is limited. Objective. To understand farmers’ perceptions of the main soybean diseases and their management. Materials and methods. Between April and May 2022, a questionnaire in Google Forms format with open and closed-ended multiple-choice questions, was applied to 45 soybean producers aged between 30 and 50 years, who cultivate in areas between 200 to 1000 ha in the departments of Alto Paraná, Itapúa, and Caaguazú in Paraguay. Results. Among the respondents, 56% considered Asian soybean rust (Phakopsora pachyrhizi) as the most significant phytosanitary problem associated with soybean cultivation, followed by late-season diseases (LSD) such as brown spot (Septoria glycines) and frogeye leaf spot (Cercospora kikuchii). Respondents indicated taht they use three to four fungicide applications as a disease control measure, with their choice based on the type of product formulation. A majority of respondents noted that both the cost and frequency of applications increased over time. Additionally, 53% mentioned that biological fungicides are a viable alternative for integrated disease management. Conclusion. The responses obtained in this research allowed obtaining the perception of disease management tactics of soybean producers in Paraguay, underscoring the significance of Asian soybean rust and late-season diseases. However, there is a need for further research that can explore all aspects of pathogen management.

Resumen Introducción. Paraguay es el sexto productor y tercer exportador mundial de soja (Glycine max (L.) Merr.), este cultivo es el de mayor importancia socioeconómica en el país. Sin embargo, su productividad puede verse afectada por enfermedades causadas por hongos fitopatógenos. Además, la información fitosanitaria sobre el cultivo de soja en Paraguay es limitada. Objetivo. Comprender la percepción de agricultores sobre las principales enfermedades de la soja y su manejo. Materiales y Métodos. Entre abril y mayo de 2022, se aplicó un cuestionario en formato de formularios de Google con preguntas abiertas y cerradas de selección múltiple a 45 productores de soja de entre 30 y 50 años, quienes cultivan en superficies de entre 200 y 1000 ha en los departamentos de Alto Paraná, Itapúa y Caaguazú en Paraguay. Resultados. El 56 % de los encuestados consideró que el mayor problema fitosanitario asociado al cultivo es la roya asiática de la soja (RAS) (Phakopsora pachyrhizi), seguida por las enfermedades de final de ciclo (EFC), como la mancha marrón (Septoria glycines) y mancha ojo de rana (Cercospora kikuchii). Los entrevistados indicaron que utilizan de tres a cuatro aplicaciones de fungicidas como medida de control de enfermedades, su elección fue basada en el tipo de formulación de los productos. En su mayoría, los entrevistados señalaron que el costo y la cantidad de aplicaciones aumentó con el transcurso del tiempo. El 53 % mencionó que los fungicidas biológicos son una buena alternativa para el manejo integrado de enfermedades. Conclusión. Las respuestas obtenidas en esta investigación permitieron obtener la percepción de las tácticas de manejo de enfermedades de los productores de soja en Paraguay, lo que resaltó la importancia de la RAS y las EFC. No obstante, resulta necesario que se realicen más investigaciones que puedan explorar todos los aspectos del manejo de los patógenos.

Abstract Introduction. In Ecuador, there are few studies on the use of microbial inoculants for the sustainable production common bean (Phaseolus vulgaris L.). Objective. To evaluate the effect of inoculation with plant growth-promoting rhizobacteria (PGPR) on productive and economic variables of P. vulgaris. Materials and methods. The research was carried out at the La Argelia Experimental Station in Loja, Ecuador, from February to July 2022. Using loamy soil, the common bean cultivar “Mantequilla” was employed in a randomized complete block design with seven treatments and four replications each. The treatments were: T1) absolute control, T2) Bacillus subtilis, T3) Rhizobium leguminosarum bv. viciae, T4) Pseudomonas fluorescens + B. subtilis, T5) R. leguminosarum bv. viciae + B. subtilis, T6) R. leguminosarum bv. viciae + P. fluorescens + B. subtilis, and T7) chemical fertilization. The effect of the treatments on growth, development, and yield components in the evaluated cultivar was assessed. Additionally, an economic analysis of the application of beneficial microorganisms versus chemical fertilization was conducted. Results. Treatment T6 (R. leguminosarum bv. viciae + P. fluorescens + B. subtilis) shortened the phenological phases (days), promoted a higher number of nodules, emergence percentage, plant height, leaf area, number of pods per plant, weight of 100 seeds, nitrogen content, and agricultural yield without statistical differences (p<0.05) compared to chemical fertilization (T7). The economic analysis showed that T6 generated higher income and greater profitability compared to chemical fertilization. Conclusion. Inoculation with beneficial microorganisms positively affected the productive and economic variables of common beans and can be a valid alternative to the conventional use of chemical fertilizers.

Resumen Introducción. En Ecuador, existen pocos estudios sobre la utilización de inoculantes microbianos para la producción sostenible del fríjol común (Phaseolus vulgaris L.). Objetivo. Evaluar el efecto de la inoculación con rizobacterias promotoras del crecimiento vegetal (PGPR) en variables productivas y económicas de P. vulgaris . Materiales y métodos. La investigación se desarrolló en la Estación Experimental La Argelia, Loja, Ecuador, durante el periodo de febrero a julio de 2022. En un suelo de textura Franca, se empleó el cultivar de fríjol común Mantequilla bajo un diseño en bloques completos al azar con siete tratamientos y cuatro repeticiones de cada uno. Los tratamientos fueron: T1) control absoluto, T2) Bacillus subtilis, T3) Rhizobium leguminosarum bv. viciae, T4) Pseudomonas fluorescens + B. subtilis, T5) R. leguminosarum bv. viciae + B. subtilis, T6) R. leguminosarum bv. viciae + P. fluorescens + B. subtilis, y T7) fertilización química. Se evaluó el efecto de los tratamientos sobre variables de crecimiento, desarrollo y componentes de rendimiento en el cultivar evaluado. Además, se realizó un análisis económico de la aplicación de los microorganismos benéficos frente a la fertilización química. Resultados. El tratamiento: R. leguminosarum bv. viciae + P. fluorescens + B. subtilis (T6) acortó las fases fenológicas (días), promovió un mayor número de nódulos, porcentaje de emergencia, altura de la planta, área foliar, número de vainas por planta, peso de 100 semillas, contenido de nitrógeno y rendimiento agrícola sin diferencias estadísticas (p<0,05) con respecto a la fertilización química (T7). Mediante el análisis económico se estableció que el T6 generó mayores ingresos, y una mayor rentabilidad frente a la fertilización química. Conclusión. La inoculación con microorganismos benéficos afectó positivamente las variables productivas y económicas de frijol común y puede ser una alternativa válida al uso convencional de fertilizantes químicos.

Abstract Over the last few years, a context of poverty and uncertainty has been looming over the future of Brazil, bringing an increase in cost of living and unemployment along with it. In the face of this scenario, it is necessary to look for other opportunities for work and remuneration. As such, entrepreneurship appears as a possibility to generate an income source. Entrepreneurs do not always start businesses following conventional management theories, as they are subjects just looking for an opportunity to help them survive. This study looks for a possible characterization of the social innovator in a crossroads through the theories of three authors: Souza Neto, Sarasvathy and Carrieri, who focus on the entrepreneur performing social innovation, generating income for themselves and, most times, solving issues that have not been yet solved by the State in their territory. This study compares the aforementioned theories through an integrational literature review performed in 2022, with field observations of the researchers with entrepreneurs in peripheral areas as of 15 years ago. The objective is to characterize the social innovator in a crossroads in an attempt to extend the field of view to the small entrepreneur using gaps in the system, without systematic knowledge of management to perform their entrepreneurial activities.

Resumo Há um contexto de pobreza e incerteza perante o futuro no Brasil dos últimos anos, trazendo consigo o aumento do custo de vida e o desemprego. Nesse cenário faz-se necessária a busca por outras oportunidades de trabalho e remuneração. O empreendedorismo por necessidade surge, então, como uma opção possível para gerar renda. Estes empreendedores nem sempre começam os seus negócios de acordo com as teorias administrativas convencionais, pois são sujeitos que buscam oportunidades de sobrevivência. Este trabalho busca uma possível caracterização do inovador social de encruzilhada, através da teoria de três autores: Souza Neto, Sa-rasvathy e Carrieri, que focam no empreendedor que inova socialmente gerando renda para si e, na maior parte das vezes, resolvendo questões que ainda não foram resolvidas pelo Estado em seus territórios. Este trabalho compara estas teorias por meio de uma revisão integrativa de literatura realizada em 2022, com as observações de campo das pesquisadoras com empreendedores periféricos, há 15 anos. Buscamos caracterizar o inovador social de encruzilhada na tentativa de ampliar o olhar para esse pequeno empreendedor que utiliza as brechas do sistema sem um conhecimento sistemático de administração para realizar a sua forma de empreender.

Resumen Un contexto de pobreza e incertidumbre sobre el futuro azota a la población brasileña en los últimos años, trayendo consigo aumento del costo de vida y desempleo. En este escenario, es necesario buscar otras oportunidades de trabajo y remuneración. El emprendimiento por necesidad surge entonces como una opción posible para generar ingresos. Y estos emprendedores no siempre inician sus negocios de acuerdo con las teorías administrativas convencionales, ya que son individuos que buscan oportunidades de supervivencia. Este trabajo busca una posible caracterización del innovador social encrucijada, a través de la teoría de tres autores: Souza Neto, Sarasvathy y Carrieri, quien es el emprendedor que innova socialmente generando ingresos para sí mismo y la mayor parte del tiempo resolviendo problemas que aún no han sido resueltos por el Estado en sus territorios. Buscamos caracterizar al innovador social en la encrucijada en un intento de ampliar la mirada de este pequeño empresario que aprovecha los vacíos del sistema sin un conocimiento sistemático de la administración para llevar a cabo su forma de emprender.

ABSTRACT The objective of this research was to analyze the effects of digital transformation in the accounting and financial sector in Ecuador. To achieve this objective, three specific objectives were established, which were: to identify the changes that digital transformation has generated in accounting and financial processes in Ecuadorian companies from various industrial sectors, to analyze the perceptions of accountants and financiers about the adoption of digital technologies in their daily tasks and how it affects their work performance, and evaluate the effectiveness of the technological solutions implemented in the accounting and financial sector in Ecuador, in terms of efficiency, cost reduction and improvement in decision making. To carry out this research, a non-experimental cross-sectional research design was used and a questionnaire was applied to 150 accountants and financiers from different companies in Ecuador. The results of the research indicate that digital transformation has had a positive impact on the accounting and financial sector in Ecuador, since it has allowed greater efficiency in processes, cost reduction, and improved decision-making. Likewise, accountants and financiers perceive that the adoption of digital technologies in their daily tasks has improved their work performance and has allowed them to focus on more strategic tasks. Regarding the technological solutions implemented in the accounting and financial sector, it was found that the most used are accounting and finance software, business resource management systems and document management systems. These solutions have proven to be effective in improving processes and reducing costs.

RESUMEN La presente investigación tuvo como objetivo analizar los efectos de la transformación digital en el sector contable y financiero en Ecuador. Para lograr este objetivo se establecieron tres objetivos específicos, que fueron: identificar los cambios que la transformación digital ha generado en los procesos contables y financieros en empresas ecuatorianas de diversos sectores industriales, analizar las percepciones de los contadores y financieros sobre la adopción de tecnologías digitales en sus tareas cotidianas y cómo afecta a su desempeño laboral, y evaluar la efectividad de las soluciones tecnológicas implementadas en el sector contable y financiero en Ecuador, en términos de eficiencia, reducción de costos y mejora en la toma de decisiones. Para llevar a cabo esta investigación se utilizó un diseño de investigación no experimental de tipo transversal y se aplicó un cuestionario a 150 contadores y financieros de diferentes empresas de Ecuador. Los resultados de la investigación indican que la transformación digital ha tenido un impacto positivo en el sector contable y financiero en Ecuador, ya que ha permitido una mayor eficiencia en los procesos, reducción de costos y mejora en la toma de decisiones. Asimismo, los contadores y financieros perciben que la adopción de tecnologías digitales en sus tareas cotidianas ha mejorado su desempeño laboral y les ha permitido enfocarse en tareas más estratégicas. En cuanto a las soluciones tecnológicas implementadas en el sector contable y financiero, se encontró que las más utilizadas son el software de contabilidad y finanzas, los sistemas de gestión de recursos empresariales y los sistemas de gestión documental. Estas soluciones han demostrado ser efectivas en la mejora de los procesos y en la reducción de costos.

Abstract Introduction The presence of foreign bodies in the airways remain a diagnostic challenge to healthcare professionals. They can become life threatening emergencies that require immediate intervention or go unnoticed for weeks and even months. Prevention is best but early recognition remains a critical factor in treatment of foreign body inhalation in children. Objective To study the diagnostic advantages of virtual over rigid bronchoscopy in the evaluation of children with suspected foreign body in the tracheobronchial tree and plan for early management. Methods A crossectional study conducted at a tertiary care hospital & medical college in India. A total 24 patients (0-12-years-old) who presented with complaints of sudden onset of coughing, choking, and breathing difficulty were included during the 2-year duration, from January 2018 to December 2019. All patients underwent virtual and rigid bronchoscopy. Results In 8 patients, foreign bodies detected by virtual bronchoscopy were confirmed by rigid bronchoscopy. There was one case in which virtual bronchoscopy showed no foreign body, but rigid bronchoscopy detected it. In 15 cases virtual and rigid bronchoscopy did not show foreign bodies. The sensitivity, specificity, positive and negative predictive value of virtual bronchoscopy were 88.88, 100, 100, and 93.75%, respectively. Conclusions Virtual bronchoscopy is less invasive and does not require general anesthesia but cost and availability are limitations. It can be used as method of investigation in children with suspected foreign body aspiration. professionals months management India 2 012yearsold yearsold 0 12 years old (0-12-years-old coughing choking 2year year duration 201 2019 it 1 sensitivity specificity 8888 88 88.88 100 9375 93 75 93.75% respectively limitations aspiration 20 888 88.8 10 937 9 7 93.75 88. 93.7 93.

Abstract Introduction The prevalence of otitis media (OM) is substantial all over the world. Epidemiological data related to the economic burden of OM globally is minimal. The present systematic review was undertaken to estimate the economic burden of this disease in various parts of the world. Objectives An extensive literature search was done using PRISMA guidelines to identify relevant studies that estimated the economic burden of OM in monetary terms. The databases searched were PubMed Central, Ovid, and Embase. The cost estimation was done for one specific year and then compared considering the inflation rate. Data Synthesis The literature search led to the inclusion of 10 studies. The studies evaluated direct and indirect costs in monetary terms. Direct costs (health system and patient perspective) ranged from USD (United States Dollar) 122.64 (Netherlands) to USD 633.6 (USA) per episode of OM. Looking at only the patient perspective, the costs ranged from USD 19.32 (Oman) to USD 80.5 (Saudi Arabia). The total costs (direct and indirect) ranged from USD 232.7 to USD 977 (UK) per episode of OM. The economic burden per year was highest in the USA (USD 5 billion). The incidence of OM episodes was found more in children < 5 years old. Introduction of pneumococcal conjugate vaccines decreased the incidence in children and now the prevalence in adults is of concern. Conclusion The economic burden of OM is relatively high globally and addressing this public health burden is important. Approaches for the prevention, diagnosis, and treatment should be undertaken by the health system to alleviate this disease burden. (OM world minimal terms Central Ovid Embase rate 1 perspective United Dollar 12264 122 64 122.6 Netherlands (Netherlands 6336 633 6 633. (USA 1932 19 32 19.3 Oman (Oman 805 80 80. Saudi Arabia. Arabia . Arabia) 2327 232 7 232. 97 UK (UK billion. billion billion) old concern important prevention diagnosis 1226 12 122. 63 193 3 19. 8 23 9 2

ABSTRACT Introduction Obstructive azoospermia occurs when there is a blockage in the male reproductive tract, leading to a complete absence of sperm in the ejaculate. It constitutes around 40% of all cases of azoospermia (1, 2). Blockages in the male reproductive tract can arise from either congenital or acquired factors, affecting various segments such as the epididymis, vas deferens, and ejaculatory ducts (3). Examples of congenital causes encompass conditions like congenital bilateral absence of the vas deferens and unexplained epididymal blockages (4). Acquired instances of obstructive azoospermia may result from factors like vasectomy, infections, trauma, or unintentional injuries caused by medical procedures (5). This complex condition affecting male fertility, presents two main treatment options: microsurgical reconstruction and surgical extraction of sperm followed by in vitro fertilization (IVF). Microsurgical reconstruction proves to be the most cost-effective option for treating obstructive azoospermia when compared with assisted reproductive techniques (6, 7). However, success rates of reconstruction defined by patency are as high as 99% for vasovasostomy (VV) but decline to around 65% if vasoepididymostomy (VE) is required (8, 9). Thus, continued refinement in technique is necessary in order to attempt to improve patency for patients undergoing VE. In this video, we show a comprehensive demonstration of microsurgical VE, highlighting the innovative epididymal occlusion stitch. The goal of this innovative surgical technique is to improve outcomes for VE. Materials and Methods The patient is a 39-year-old male diagnosed with obstructive azoospermia who presents for surgical reconstruction via VE. His partner is a 37-years-old female with regular menstrual cycles. The comprehensive clinical data encompasses a range of factors, including FSH levels, results from semen analysis, and outcomes from testicular sperm aspiration. This thorough exploration aims to provide a thorough understanding of our innovative surgical technique and its application in addressing complex cases of obstructive azoospermia. Results The procedure was started on the right, the vas deferens was identified and transected. The abdominal side of the vas was intubated and a vasogram performed, there was no obstruction. There was no fluid visible from the testicular side of the vas for analysis, thus we proceeded with VE. Upon inspection of the epididymis dilated tubules were identified. After selecting a tubule for VE, two 10-0 nylon sutures were placed, and it was incised. Upon inspection of the fluid motile sperm was identified. After VE, we performed a novel epididymal occlusion stitch technique. This was completed distal to the anastomosis by placing a 7-0 prolene through the tunica of the epididymis from the medial to lateral side. This stitch was then tightened down with the goal to largely occlude the epididymis so that sperm will preferentially travel through the anastomosis. The steps were then repeated on the left. At 3-month follow up, the patient had no change in testicular size as compared with preoperative size (18cc), he had no testicular or incisional discomfort, and on semen analysis he had presence of motile sperm. After 3 months post-surgery, the patient had motile sperm seen on semen analysis. Discussion The introduction of a novel epididymal occlusion stitch demonstrates a targeted strategy to enhance the success of microscopic VE. Encouragingly, a 3-month post-surgery follow-up reveals the presence of motile sperm, reinforcing the potential efficacy of our approach. This is promising given the historical lower patency, delayed time to patency, and higher delayed failure rates that patients who require VE experience (10). In total, 40% of all azoospermia cases can be attributed to obstruction. The conventional treatments for obstructive azoospermia involve microsurgical reconstruction and surgical sperm retrieval followed by IVF. While microsurgical reconstruction has proven to be economically viable, the quest for enhanced success rates has led to the exploration of innovative techniques. Historically, the evolution of VV and VE procedures, initially performed in the early 20th century, laid the foundation for contemporary microsurgical approaches (11). Notably, the microscopic VV demonstrated significant improvements in patency rates and natural pregnancy likelihood, as evidenced by the seminal Vasovastomy Study Group study in 1991 (8). In contemporary literature, success rates particularly for VE remain unchanged for the past three decades since the original published success rates by the Vasectomy Reversal Study Group (12). VE is associated with a longer time to patency as well with patients taking 2.8 to 6.6 months to have sperm return to ejaculate as compared to 1.7 to 4.3 months for those undergoing VV. Additionally, of those patients who successfully have sperm return to the ejaculate after VE up to 50% will have delayed failure compared to 12% for those undergoing VV who are patent. Finally, of those who experience delayed failure after undergoing VE it usually occurs earlier with studies reporting as early as 6 months post-operatively (20). Given the lack of improvement and significantly worsened outcomes with VE further surgical refinement is a constant goal for surgeons performing this procedure. Conclusion: In conclusion, this video is both a demonstration and a call to action for commitment to surgical innovation. We aim to raise the bar in VE success rates, ultimately bringing tangible benefits to patients and contributing to the ongoing evolution of reproductive medicine. The novel epididymal occlusion stitch emerges as a beacon of progress, promising not only enhanced safety but also potential reductions in patency time. Surgical excellence and methodological refinement, as exemplified in this video, lay the foundation for a future where male reproductive surgery continues to break new ground. 40 1, 1 (1 2. 2 . 2) 3. (3) 4. 4 (4) vasectomy infections trauma 5. 5 (5) fertility options IVF (IVF) costeffective cost effective 6, (6 7. 7 7) However 99 (VV 65 (VE 8, 8 (8 9. 9 9) Thus 39yearold yearold 39 year old 37yearsold yearsold 37 years cycles levels aspiration right transected obstruction 100 10 0 10- placed incised 70 7- left 3month month 18cc, 18cc cc , (18cc) discomfort postsurgery, postsurgery post surgery, Encouragingly followup approach 10. (10) total viable Historically th century 11. 11 (11) Notably likelihood 199 8. (8) literature 12. 12 (12) 28 66 6. 17 1. 43 Additionally 50 patent Finally postoperatively operatively 20. 20 (20) Conclusion conclusion innovation medicine progress ground ( (3 (4 (5 (IVF (18cc (10 (11 19 (12 (20 (2

Abstract Chronic ulcers significantly affect the quality of life of patients and impose a high cost on the healthcare system. The therapeutic management should be comprehensive, taking into consideration the etiological diagnosis of the wound and the characteristics of the wound bed when deciding on a therapeutic proposal appropriate to the healing phase, correcting factors that delay healing. During the epithelialization phase, repair techniques with grafts are recommended to shorten re-epithelialization time, improve the quality of scar tissue, and achieve adequate pain management. Currently, due to the reported benefits of skin appendages, the technique of follicular unit auto-grafting obtained with a scalp punch is among the chosen strategies for wound repair. This is a minimally invasive, outpatient practice, whose technique has advantages over the donor site, patients recovery and well-being. system comprehensive phase reepithelialization re time tissue Currently appendages autografting auto grafting invasive practice site wellbeing. wellbeing well being. being well-being

Resumen Las bacterias benéficas que habitan la rizósfera de las plantas son de gran interés agrícola debido a su capacidad para producir fitohormonas durante la colonización radicular. Estas fitohormonas producen cambios fisiológicos en la planta que favorecen una mayor absorción de nutrientes que provocan un rápido crecimiento vegetativo y una mayor producción. Esta investigación tuvo como objetivo evaluar el efecto de la inoculación de dos de estas bacterias, Azospirillum sp. y Pseudomonas fluorescens en el cultivo de maíz harinoso bajo condiciones de campo típicas de la región alto andina. El experimento se realizó utilizando semilla de maíz harinoso de la variedad INIAP-101 con un diseño de bloques completos al azar y seis repeticiones. Los tratamientos correspondieron a: T1 (Azospirillum sp.), T2 (P. fluorescens), T3 (Azospirillum sp. y P. fluorescens), T4 (testigo con fertilización química convencional) y T5 (testigo absoluto). La aplicación de estas bacterias incrementó de manera significativa (p<0,05) la longitud de raíz, el diámetro de la mazorca y el rendimiento del maíz tierno (elotes o choclos). La inoculación combinada de estas bacterias (T3) obtuvo el mayor rendimiento con 19,70 t ha−1 de choclos, mientras que el testigo químico y el testigo absoluto obtuvieron 17,12 y 13,58 t ha−1 de choclos, respectivamente. El análisis económico de T3 reportó un coste/beneficio de 1,35, lo cual indicó que el sinergismo de estos dos géneros podría ser una estrategia sostenible para mejorar los rendimientos y reducir el uso de fertilizantes químicos en el cultivo de maíz de la región Andina.

Abstract Plant growth-promoting bacteria (PGPB) that inhabit root rhizosphere of plants are of great agricultural importance due to their ability to produce phytohormones during root colonization. These phytohormones produce physiological changes in the plant that favor a greater absorption of nutrients, promote growth and increase production. This study analyzed the effect of inoculation of two of these bacteria, Azospirillum sp. and Pseudomonas fluorescens, under field conditions representative of the Andean Highlands. The experiment was carried out using flour corn seed of the INIAP-101 variety in a randomized complete block design with six repetitions. The treatments corresponded to: T1 (Azospirillum sp.), T2 (P. fluorescens), T3 (Azospirillum sp. and P. fluorescens), T4 (control, conventional chemical fertilization) and T5 (absolute control). The application of these bacteria significantly increased (p<0.05) the root length, the diameter of the cob, and the yield of fresh corn (“elotes” or “choclos”). The combined inoculation of these bacteria (T3) obtained the highest yield, with 19.70 t ha−1 of fresh corn; while the chemical control and the absolute control got 17.12 and 13.58 t ha−1 of fresh corn, respectively. The economic analysis of T3 reported a benefit/cost of 1.35, which indicates that the synergism of these two bacteria could be a sustainable strategy to improve yields and reduce the use of chemical fertilizers for corn production in the Andean region.

ABSTRACT Nowadays marine and coastal ecosystems are threatened by the invasion of harmful algal species. The solution to this situation should be aimed at the integral use of this biomass. The drying process has a decisive impact on the quality of the resulting raw material and the cost of any derived by-products. For this reason, the objective of this research is to evaluate the drying process of macroalgae: Sargassum fluitans, Ulva lactuca and Chaetomorpha cf. gracilis, using a solar dryer designed for this purpose. The drying process was evaluated at a temperature of 60°C. The results obtained reported that dehydration in the oven lasted less than 2 hours, while in the solar dryer values higher than those achieved in the oven were recorded. The first derivative analysis shows that the highest peak of moisture loss is around 80 % and is reached in the first 15 min in the electric stove. However, in solar drying it was recorded around 45 min. The results obtained in the drying process were adjusted to a polynomial model with a determination coefficient of 99,13 %

RESUMEN Hoy día los ecosistemas marinos y costeros se encuentran amenazados por la invasión de algas nocivas. La solución a esta situación necesariamente debe estar encaminada al aprovechamiento integral de esta biomasa. El proceso de secado tiene un impacto decisivo en la calidad de la materia prima resultante y el costo de cualquier subproducto derivado. Por este motivo el objetivo de esta investigación es evaluar el proceso de secado de las macroalgas: Sargassum fluitans, Ulva lactuca y Chaetomorpha cf. gracilis, utilizando un secador solar diseñado al efecto. El proceso de secado fue evaluado a una temperatura de 60°C. Los resultados obtenidos reportaron que la deshidratación en la estufa tuvo una duración inferior a las 2 h, mientras que en el secador solar se registraron valores superiores a los alcanzados en la estufa. El análisis de la primera derivada muestra que el mayor pico de pérdida de humedad está alrededor del 80 % y se alcanza en los primeros 15 min en la estufa eléctrica. Sin embargo, en el secado solar se registró alrededor de los 45 min. Los resultados obtenidos en el proceso de secado fueron ajustados a un modelo polinomial con un coeficiente de determinación del 99,13 %.

ABSTRACT • The possible production of fructo-oligosaccharides from sucrose was evaluated in the Base Business Unit (UEB) “Ignacio Agramonte'”, which currently produces sorbitol, with low exploitation of the installed capacity, due to lack of glucose. There was an opportunity in infrastructure, time and labor to convert the entity into a multipurpose plant. A simulation model of the technology for the production of fructo-oligosaccharide syrup from sucrose was developed, based on the enzymatic transformation of sucrose into fructo-oligosaccharides, using the recombinant enzyme 1-SST (1-sucrose: sucrose fructosyltransferase) expressed in Pichia pastoris, obtained at the Center for Genetic Engineering and Biotechnology at Sancti Spiritus. Model validation yielded relative errors lesser than 5 %. Two improvement alternatives were evaluated based on increasing the production of FOS by using the actual installed capacity in the sorbitol factory (alternative 1) and also increasing the initial concentration of the sucrose solution (alternative 2). Feasibility of the alternatives was evaluated by comparing the annual net cash income (Anci) and expenses. Alternative 2 was the best, producing 841,5 t of fructo-oligosaccharides in 90 working days, with a benefit/cost ratio of 1,2.

RESUMEN • Se evaluó la posibilidad de incorporar la produccón de fructo-oligosacáridos a partir de sacarosa en la Unidad Empresarial de Base (UEB) “Ignacio Agramonte” que produce actualmente sorbitol, con un bajo aprovechamiento de la capacidad instalada por falta de glucosa, existiendo oportunidad en infraestructura, tiempo y mano de obra para convertir la entidad en una planta multipropósito. Se desarrolló un modelo de simulación de la tecnología de producción de sirope de fructo-oligosacáridos a partir de sacarosa, basada en la transformación enzimática de la sacarosa en fructo-oligosacáridos, utiizando la enzima recombinante 1-SST (1-sacarosa: sacarosa fructosiltransferasa) expresada en Pichia pastoris, obtenida en el Centro de Ingeniería Genética y Biotecnología de Sancti Spiritus. La validación del modelo arrojó errores relativos menores que el 5 %. Se evaluaron dos alternativas de mejoras a partir de aumentar la producción de FOS al utilizar la capacidad real instalada en la fábrica de sorbitol (alternativa 1) y además aumentar la concentración inicial de la solución de sacarosa (alternativa 2). Se evaluó la factibilidad de las alternativas al comparar la ganancia anual después de impuestos (Anci) y los egresos. La alternativa 2 resultó la mejor, produciéndose con ella 841,5 t de fructo-oligosacáridos en 90 días de trabajo, con una relacion beneficio / costo de 1,2.