Resumen Objetivo: Analizar la volatilidad dinámica entre principales bancos situados en México. Metodología: Se emplean dos metodologías alternas: i) DCC-GARCH y ii) Cópula-GARCH con ventanas móviles. Se utilizan los precios accionarios semanales de cierre de cuatro bancos en México: BBVA, Citi-Banamex, Banorte e Inbursa del 27 de enero de 2009 al 29 de octubre de 2021. Resultados: Se confirma que la correlación entre volatilidades de los bancos es cambiante. Limitación: La principal es que no se pudieron incluir más bancos debido a la evolución de los precios de sus acciones. Originalidad: La originalidad subyace en el contraste de resultados, a través de las metodologías propuestas se obtienen resultados similares y estos son más restrictivos conforme la metodología incluye una captura distribucional óptima sobre el comportamiento de los datos. Conclusión: Al existir patrones diversos de volatilidad entre los principales bancos en México, se puede promover la diversificación de portafolios.

Abstract Objective: To analyze the dynamics of volatility among the main banks in Mexico. Methodology: Two complementary methodologies are used: i) DCC-GARCH and ii) Rolling window Copula-GARCH. Weekly closing stock prices of stocks among four of the main banks are used: BBVA, Citi-Banamex, Banorte and Inbursa, from January 27, 2009 to October 29, 2021. Results: The results confirm a time-varying correlation. Limitations: The main limitation is that we have not been able to include more banks due to the evolution of their prices. Originality: The originality lies in the contrast of the results, but these are more restrictive as the distribution optimally captures the behavior of the data. Conclusions: We conclude that different volatility patterns encourage investment decisions that consider potential losses and promote porfolio diversification.

Resumen La enfermedad relacionada con inmunoglobulina (Ig) G4 es una enfermedad de reciente conocimiento que puede comprometer cualquier órgano teniendo preferencias por ciertas regiones del cuerpo, donde la región de cabeza y cuello es uno de sus principales puntos afectados, pudiendo comprometer tanto la órbita, glándulas salivales, glándulas lagrimales, glándula tiroides, cavidades paranasales, hueso temporal, faringe y laringe. Este último órgano es infrecuentemente comprometido, solo existiendo 12 casos registrados en la literatura antes de la publicación de este escrito. Presentamos un caso de una mujer de 49 años con historia de disnea frente a esfuerzo, diagnosticándose una estenosis subglótica la cual fue manejada quirúrgicamente con una reconstrucción laringotraqueal. En el estudio histopatológico se evidenció histología compatible con enfermedad relacionada con IgG4, por lo que se inició tratamiento médico con corticotera- pia oral por un lapso de 2 meses en conjunto con inmunología. Paciente luego de 4 años de seguimiento, no ha presentado recaídas, manteniendo un lumen subglótico adecuado.

Abstract Immunoglobulin (Ig) G4-related disease is a medical condition of recent knowledge that can compromise any organ, having preferences for certain regions of the body, where the head and neck region is one of the main affected points, being able to affect orbit, salivary glands, lacrimal glands, thyroid gland, paranasal cavities, temporal bone, pharynx and larynx. The latter is infrequently compromised, with only 12 cases registered in the literature before the publication of this writing. We present a case of a 49-year-old woman with a history of exertional dyspnea, diagnosed with a sub- glottic stenosis which was managed surgically with laryngotracheal reconstruction. The histopathological study revealed histology compatible with IgG4-related disease, so medical treatment with oral corticosteroid therapy was started for a period of 2 months in conjunction with immunology. After 4 years of follow-up, the patient has not presented relapses, maintaining an adequate subglottic lumen.

Abstract CuCrO2 was synthesized by solution combustion synthesis (SCS) and applied as a heterogeneous catalyst to produce soybean biodiesel. The combustion reaction was carried out using urea as a fuel, and copper (II) and chromium (III) nitrates as precursors. After the powders’ obtention, these were calcined and functionalized in an acidic medium. The powders were characterized by thermogravimetry (TG), X-ray diffraction (XRD), scanning electron microscopy (SEM), and infrared spectroscopy (IR) techniques. The TG curve revealed that the formation of the CuCrO2 in the combustion reaction remained stable up to 1000 °C. The XRD results confirmed the formation of the CuCrO2 compound. The SEM images showed that the crystallinity of the samples increased after the calcination process. The IR spectra showed the presence of delafossite characteristic bands. After the transesterification reaction, biodiesel was obtained with a yield of around 80%. Thus, catalysts based on delafossite synthesized through the combustion method and functionalized showed to be promising for the transesterification reaction of vegetable oils.

Abstract Chenopodium quinoa Willd. it is an Andean cereal of great importance for human consumption due to its high nutritional value. In Colombia there is a high phenotypic and genotypic variability within quinoa crops, which has not been studied and has been maintained by the same farmers cycle after production cycle. The objective of this study was to carry out an interpopulation characterization of quinoa cultivated in different producing municipalities of the department of Boyacá, in Colombia, for which 19 morphological descriptors were used, which were evaluated in situ in nine municipalities and analyzed through descriptive statistics, principal component analysis, correlation and conglomerates. In the evaluation of the quantitative traits for all the populations, it was observed that the most variable descriptors were Number of teeth lower leaf (DHI), Lower leaf length (LHI), Width upper leaf (AHI) and Number of teeth upper leaf (DHS). Great segregation between and within individuals of Blanca de Jericó and Piartal was observed for panicle and leaf color and shape, stem color, presence of teeth, and axils on upper and lower leaves. A classification key is proposed that allows in the field to be able to morphologically differentiate the genotypes of Piartal and Blanca de Jericó. This research shows that among the most cultivated genotypes in the department of Boyacá, there is still an important phenotypic diversity given at the inter and intra-individual level, due to the phenological state and the agroclimatological conditions of the different producing regions.

Resumo Chenopodium quinoa Willd. é um cereal andino de grande importância para a alimentação humana por causa do seu alto valor nutricional. Na Colômbia, existe uma alta variabilidade fenotípica e genotípica nos cultivos de quinoa, que não foi estudada e tem sido mantida pelo mesmo produtor ciclo após ciclo de produção. O objetivo deste estudo foi realizar uma caracterização interpopulacional da quinoa cultivada em diferentes municípios produtores do departamento de Boyacá, na Colômbia. Para tanto, foram utilizados 19 descritores morfológicos, avaliados in situ em nove municípios e analisados por meio de estatísticas descritivas, análise de componentes principais, correlação e conglomerados. Na avaliação dos caracteres quantitativos para todas as populações, observou-se que os descritores mais variáveis foram: número de dentes da folha inferior (DHI), comprimento da folha inferior (LHI), largura da folha superior (AHI) e número de dentes da folha superior (DHS). Entre os indivíduos de Blanca de Jericó e Piartal e dentro deles, observou-se grande segregação quanto à cor, formato da panícula e folha, cor do caule, presença de dentes e axilas nas folhas superiores e inferiores. É proposta uma chave de classificação que permite no campo poder diferenciar morfologicamente os genótipos de Piartal e Blanca de Jericó. Esta pesquisa mostra que, entre os genótipos mais cultivados no departamento de Boyacá, ainda existe uma importante diversidade fenotípica em nível inter e intraindividual, em razão do estado fenológico e das condições agroclimatológicas das diferentes regiões produtoras.

ABSTRACT This paper intends to show the impact of compiler optimization flags and the variable’s precision on direct methods to solve linear systems. The chosen six methods are simple direct methods, so our work could be a study for new researchers in this field. The methods are LU Decomposition, LDU Decomposition, Gaussian Elimination, Gauss-Jordan Elimination, Cholesky Decomposition, and QR Decomposition using the Gram-Schmidt orthogonalization process. Our study showed a huge difference in time between single-and double-precision in all methods, but the error encountered in the single-precision was not so high. Also, the best flags to these methods were the ‘-O3’ and the ‘-Ofast’ ones.

Resumen El carcinoma escamoso de cavidad oral corresponde a una de las neoplasias malignas más frecuentes en cabeza y cuello, teniendo una incidencia mundial según GLOBOCAN para el año 2020 de 377.713 casos nuevos. Este cáncer tiene la ventaja potencial de su diagnóstico precoz por su accesibilidad al examen físico, por lo que es importante tener un alto índice de sospecha en pacientes con los factores de riesgo como tabaquismo crónico, consumo de alcohol, consumo de nuez de betel, inmunodeficiencias, entre otros, teniendo una conducta activa con el fin de lograr un diagnóstico precoz. Por otro lado, la etapificación actual incorpora nuevos factores pronósticos, como la profundidad de invasión, con el fin de asignar de mejor forma una clasificación adecuada y con ello, guiar el tratamiento de estos pacientes. Finalmente, se debe procurar un diagnóstico y tratamiento precoz con el fin de lograr los mejores resultados oncológicos.

Abstract Squamous cell carcinoma of the oral cavity represents one of the most frequent malignant neoplasms in the head and neck, having an incidence according to GLOBOCAN for the year 2020 of 377,713 new cases. This cancer has the potential advantage of early diagnosis due to its accessibility to physical examination, so it is important to have a high index of suspicion in patients with risk factors such as chronic smoking, alcohol consumption, betel nut consumption, immunodeficiencies, among others, having an active behavior in order to achieve an early diagnosis. On the other hand, the current staging incorporates new prognostic factors, such as depth of invasion, in order to better assign an adequate classification and thus guide the treatment of these patients. Finally, early diagnosis and treatment should be sought in order to achieve the best oncological outcomes.

Abstract In this investigation thermochemical properties of 3-hydroxyphthalic anhydride were determined. Fusion enthalpy, fusion temperature and molar heat capacity in solid phase were obtained by differential scanning calorimetry. By the Knudsen effusion method, the molar enthalpy of sublimation at 298.15 K was obtained. By thermogravimetric data, it was possible to determine the molar enthalpy of sublimation and the molar enthalpy of vaporization. On the other hand, the molar enthalpy of formation in solid phase at 298.15 K was determined by combustion calorimetry. The molar enthalpy of formation in gas phase at 298.15 K was calculated from molar enthalpy of sublimation at 298.15 K and molar enthalpy of formation in solid phase at 298.15 K. This experimental value was compared both theoretical enthalpy of formation in gas phase by using Gaussian methods at the G3 and G4 levels and with an estimated value in relation to phthalic anhydride.

SUMMARY Background: The high increase of invasive fungal infections has increased the use of voriconazole as prophylaxis and treatment, being necessary to monitor its serum concentrations. Objective: To standardize and validate a simple method with high efficacy and specificity for the determination of voriconazole. Method: For the quantification of voriconazole, a Shimadzu high performance liquid chromatography equipment was used, coupled to an ultraviolet-visible diode array detector, performing the chromatographic separation with a Brisa LC2 C18 column. The chromatographic conditions defined were: column temperature, 35ºC; wavelength, 256 nm; injection volume, 20 µl; flow rate, 1.5 ml/min; analysis time, 9 min, mobile phase water with formic acid 0.5 % / acetonitrile 65/35. Prior to chromatographic injection, the samples underwent a treatment consisting of protein precipitation with acetonitrile and subsequent centrifugation, and the supernatant was injected The SPSS v. 25 statistical program was used, considering a p<0.05 as statistically significant. Results: The method developed is selective and linear (r2 =1), with a coefficient of variation ≤ 5%. In terms of accuracy and precision, the coefficients of variation were ≤ 5 %, thus complying with the requirements established for the concentration range 0.1 µg/ml-10 µg/ml. Conclusion: The selectivity and the simplicity of the sample treatment make it an effective, fast and simple method for the determination of voriconazole in serum and with a higher sensitivity than the immunoassays used.

RESUMEN Antecedentes: El incremento de infecciones fúngicas invasivas ha incrementado el uso de voriconazol como profilaxis y tratamiento, siendo necesario monitorizar sus concentraciones séricas. Objetivo: Estandarizar y validar un método sencillo, con alta eficacia y especificidad para la determinación de voriconazol. Material y métodos: Para la cuantificación de voriconazol se empleó un equipo de cromatografía líquida de alta resolución Shimadzu, acoplado a un detector ultravioleta-visible diodo-array, realizando la separación cromatográfica con una columna Brisa LC2 C18. Las condiciones cromatográficas que se definieron fueron: temperatura de la columna, 35ºC; longitud de onda, 256 nm; volumen de inyección, 20 µl; flujo, 1,5 ml/min; tiempo de análisis, 9 min, fase móvil agua con ácido fórmico 0,5 % / acetonitrilo 65/35. Previo a la inyección cromatográfica, las muestras sufrieron un tratamiento consistente en la precipitación de proteínas con acetonitrilo y posterior centrifugación, inyectándose el sobrenadante. Se utilizó el programa estadístico SPSS v. 25, considerando una p<0,05 como estadísticamente significativa. Resultados: El método puesto a punto es selectivo y lineal (r2 =1), con un coeficiente de variación ≤5 %. En cuanto a la exactitud y la precisión los coeficientes de variación fueron ≤ 5 %, cumpliendo así con los requisitos establecidos para el rango de concentraciones 0,1 µg/ml-10 µg/ml. Conclusiones: La selectividad y la sencillez del tratamiento de muestra hacen de él un método eficaz, rápido y sencillo para la determinación de voriconazol en suero y con sensibilidad mayor al de los inmunoensayos utilizados.

Abstract Head and neck cancer is an infrequent disease, with complex medical and surgical management. The regionalization of care, defined as the concentration of patients with complex diseases, in institutions that present highly experienced and highly functional multidiscipli-nary teams, may be an efficient alternative to achieve better oncological outcomes. Currently, there is evidence that supports this strategy, accounting for better oncological outcomes in institutions with higher volume; that have greater compliance to evidence-based guidelines and quality indicators; and that present a multidisciplinary team in charge of the decision-making process in these patients. The population of Ontario, Canada, is framed as one of the examples of this strategy, managing to improve its results while maintaining a high level of quality in its management. The aim of this review paper is to systematize the current knowledge regarding head and neck regionalization of cancer care and its impact in the practice of otolaryngology-head and neck surgery.

Resumen El cáncer de cabeza y cuello es una enfermedad infrecuente, con un manejo tanto médico como quirúrgico complejo. La regionalización o centralización de la atención, definida como la concentración de pacientes con enfermedades complejas, en instituciones que presenten equipos multidisciplinarios con mayor experiencia y altamente funcionales, puede ser una alternativa viable para lograr mejores resultados oncológicos. Actual-mente existe evidencia que avala esta estrategia, dando cuenta de mejores resultados oncológicos en centros con un mayor volumen; que tengan una mayor adherencia a guías clínicas basadas en la evidencia y a indicadores de calidad; y que presenten un equipo multidisciplinario a cargo de la toma de decisiones en estos pacientes. La población de Ontario, Canadá, se enmarca como uno de los ejemplos de esta estrategia, consiguiendo mejorar sus resultados manteniendo un alto nivel de calidad en su manejo. El objetivo del presente artículo de revisión es sistematizar el conocimiento actual en relación con la centralización de la atención en oncología de cabeza y cuello y sus consecuencias en la práctica de la otorrinolaringología-cirugía de cabeza y cuello.

Resumo O Brasil é um dos líderes mundiais no setor do agronegócio e essa liderança tende a impactar diretamente numa dependência crescente de insumos importados, especificamente, agroquímicos sintéticos. A nível de estado, em 2013, o Tocantins se destacava em primeiro lugar no ranking de consumidores de agroquímicos, contudo, esses produtos podem causar diversos problemas, como intoxicação ao homem, contaminação do ambiente e aumento da resistência de fitopatógenos. Um método alternativo ao uso de agroquímicos é o controle biológico, o qual busca a eliminação de pragas de forma natural, utilizando-se de organismos vivos chamados de Agentes de Controle Biológico (ACB). Atualmente, entre os organismos mais usados no controle biológico de pragas estão os fungos do gênero Trichoderma, isto, por possuir algumas características relevantes que os favorecem em termos de sobrevivência no ambiente, tais como: a alta capacidade de adaptação às condições ecológicas, potencial em colonizar a rizosfera das plantas, micoparasitismo, produção de metabólitos voláteis e não voláteis. Além disso, atua no crescimento e produtividade das plantas. Geralmente, o uso de Trichoderma favorece o controle de patógenos do solo, como: Rhizoctonia, Pythium, Sclerotinia e nematoides. Assim, a presente revisão visa demostrar a importância da utilização do Trichoderma no controle biológico, assim como apresentar um panorama e perspectivas das pesquisas desenvolvidas por pesquisados da região Centro-Oeste brasileiro e no estado do Tocantins.

Abstract Brazil is one of the world leaders in the agribusiness sector tending to directly influence a growing dependence on imported inputs, specifically synthetic agrochemicals. At the state level, in 2013, Tocantins stood out in first place in the ranking of agrochemical consumers, however, these products can cause several problems, such as poisoning to humans, environmental contamination, and increased resistance to phytopathogens. Biological control is an alternative to the use of agrochemicals towards eliminating pests naturally by using living organisms called Biological Control Agents (BCA). Currently, fungi of the Trichoderma genus are some of the most used organisms in biological pest control for their relevant characteristics that favor them in terms of survival in the environment, such as high capacity to adapt to ecological conditions, potential to colonize the rhizosphere of plants, mycoparasitism, production of volatile and non-volatile metabolites. In addition, it works on plant growth and productivity. In general, the use of Trichoderma favors the control of soil pathogens, such as Rhizoctonia, Pythium, Sclerotinia, and nematodes. Thus, this review aims to demonstrate the importance of using Trichoderma in biological control, as well as to present an overview and perspectives of research developed by respondents in the Brazilian Midwest region and Tocantins state.

Abstract Most health services have experienced an increase in the costs associated with health care, which has led to the adoption of measures to optimize the cost-effectiveness of the services provided. From this perspective, the concept of value-based health care emerged. The concept of “quality in health care” has been defined as the degree to which health services increase the possibility of generating certain desired health outcomes. Quality indicators are classified into structure, process, and outcome indicators. The structure indicators refer to the characteristics of the health system or the hospital institution. Process indicators refer to those that the health service provider performs for the health care process, while outcome indicators refer to the results of the process in the patient. The objective of this review is to provide a conceptual framework to give a context to the concept of health quality indicators and the role they play in head and neck surgical oncology. The system should aspire to achieve greater compliance with quality indicators in head and neck cancer surgery, especially in referral tertiary institutions. Applying quality indicators in head and neck cancer management would improve both user perception and satisfaction, as well as improve oncological results in these patients.

Resumen La mayoría de los servicios de salud han experimentado un aumento de los costos asociados a la atención de salud lo que ha llevado a adoptar medidas para optimizar la costo-efectividad de los servicios otorgados. Desde esa perspectiva surge la atención de salud basada en el valor. El concepto de “calidad en la atención de salud” se ha definido como el grado en el cual los servicios de salud aumentan la posibilidad de generar ciertos desenlaces en salud a los que se aspira. Los indicadores de calidad de clasifican en indicadores de estructura, de proceso, y de desenlace. Los indicadores de estructura se refieren a las características del sistema de salud o de la institución hospitalaria. Los indicadores de proceso se refieren a los que el proveedor de servicios de salud realiza para el proceso de atención en salud, mientras que los indicadores de desenlace se refieren a los resultados del proceso en el paciente. El objetivo de la presente revisión es proveer un marco conceptual para dar un contexto al concepto de indicadores de calidad en salud y el rol que estos juegan en cirugía oncológica de cabeza y cuello. Se debe aspirar a lograr un mayor cumplimiento de los indicadores de calidad en cirugía oncológica de cabeza y cuello, especialmente en instituciones terciarias de referencia. Aplicar indicadores de calidad en el manejo oncológico en cabeza y cuello permitiría mejorar tanto la percepción y satisfacción del usuario, como también mejorar resultados oncológicos en estos pacientes.

Abstract Obstructive sleep apnea and hypopnea syndrome (OSAHS) is a common condition that is associated with many negative consequences. First line treatment is usually medical management, but surgery is indicated for selected patients with retrolingual, hipopharyngeal or supraglottic obstruction. Transoral robotic surgery has been developed in the last years for the surgical treatment, through tongue base reduction and/or supraglottoplasty. In selected patients, this technique has shown equal or better functional outcomes than conventional techniques, along with a low rate of postoperative complications, however it implies a higher associated cost. Despite the latter, it is a valid and promising technique in the field of OSAHS.

Resumen El síndrome de apnea e hipoapnea obstructiva del sueño (SAHOS) es una condición frecuente, que se asocia a importantes consecuencias negativas. El tratamiento inicial suele ser médico, pero en pacientes seleccionados la cirugía tiene excelentes resultados. En los últimos años se ha desarrollado la cirugía robótica transoral para tratar a pacientes con obstrucción anatómicas a nivel retrolingual, hipofaríngeo o supraglótico, mediante amigdalectomía lingual, reducción de base de lengua y/o supraglotoplastía. En pacientes seleccionados, esta técnica ha mostrado iguales o mejores resultados funcionales que las técnicas clásicas, junto con una baja tasa de complicaciones posoperatorias, sin embargo, implica un mayor costo asociado. A pesar de esto último, es una técnica válida y prometedora en el campo del SAHOS.

Abstract Oropharyngeal squamous cell carcinoma (OPSCC) has suffered an increase in its incidence in recent decades, explained by the increase in its type related to the human papilloma virus (HPV). There are clinical and prognostic differences between the two groups of OPSCC according to their etiological relationship with HPV. On the one hand, those related to HPV appear in a younger population, with a lower prevalence of smoking and alcohol consumption; in addition to presenting a small size of the primary tumor, with early lymph node involvement. Furthermore, those related to HPV have a better prognosis than their non-virus counterpart, presenting in some studies up to 58% less risk of death, independent of treatment used. Currently, the TNM classification system in its 8th edition presents a different classification for both groups. Despite this, the treatment does not differ between the two, which has led to studies that seek to answer whether the de-escalation of therapy in the group associated to HPV and with a low risk of distant metastasis would maintain the reported good oncological results, reducing early and long-term complications associated with treatment, however, there is still no evidence to support its use. Finally, primary prevention through the HPV vaccine is a promising element, however there is no evidence to confirm its usefulness.

Resumen El carcinoma escamoso de orofaringe (CEOF) ha tenido un aumento en su incidencia en las últimas décadas, explicándose por el aumento sustancial de su tipo relacionado con el virus papiloma humano (VPH). Existen diferencias clínicas y pronósticas entre los dos grupos de CEOF según su relación etiológica con VPH. Por un lado, los relacionados con VPH se presentan en una población más joven, con menos prevalencia de tabaquismo y consumo de alcohol; además de presentar un tamaño pequeño del tumor primario, con un compromiso linfonodal temprano. Además, aquellos relacionados con VPH presentan un mejor pronóstico que su contraparte no relacionada con el virus, presentando en algunos estudios hasta un 58% menos riesgo de muerte independiente de la modalidad de tratamiento. Actualmente, el sistema de clasificación TNM en su 8va edición presenta un sistema diferente de clasificación y etapificación para ambos grupos. A pesar de aquello, a la fecha el tratamiento habitual no difiere entre ambos, lo que ha llevado a la realización de estudios que buscan responder si la deintensificación de la terapia en aquellos grupos relacionados con VPH y con bajo riesgo de metástasis a distancia, mantendría los buenos resultados oncológicos, disminuyendo las complicaciones a corto y largo plazo asociadas al tratamiento. Sin embargo, aún no existe evidencia que avale consistentemente esta práctica. Finalmente, la prevención primaria a través de la vacuna contra VPH es un elemento prometedor, sin embargo, no existe evidencia que confirme su utilidad.

Abstract Reconstructive head and neck surgery is a complex task. There are several options available to achieve good results, from local flaps to free microvascular flaps. In this article, we present our experience using the submental island flap for soft tissue defect reconstruction of the lateral skull base after a lateral temporal bone resection secondary to otologic cancer. Demographic, clinical, surgical and outcome data of two patients operated on during the first semester of 2020 are presented, in whom a good reconstructive result was achieved. This flap is a reliable and versatile option for head and neck reconstruction.

Resumen La cirugía reconstructiva de cabeza y cuello es una tarea compleja. Existen varias opciones disponibles para lograr buenos resultados, desde colgajos locales hasta colgajos libres microvascularizados. En este reporte presentamos nuestra experiencia utilizando el colgajo en isla submental para la reconstrucción de defectos de tejido blando de base de cráneo lateral posterior a una resección lateral de hueso temporal secundario a diagnósticos oncológicos otológicos. Se presentan datos demográficos, clínicos, quirúrgicos y resultados de dos pacientes intervenidos durante el primer semestre del año 2020, en los cuales se consiguió un adecuado resultado reconstructivo. Este colgajo es una opción confiable y versátil para reconstrucción en cabeza y cuello.