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Phytochemical profile of Capsicum spp. fruits related to ripeness level, shading and harvest season in the Southeast of Mexico
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Cruz-Ricardez, Dario De la

; Lagunes-Espinoza, Luz del Carmen

; Soto-Hernández, Ramón Marcos

; Hernández-Nataren, Edith

; Ortiz-García, Carlos Fredy

; Acosta-Pech, Rocío Guadalupe

Chilean journal of agricultural research

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feb 2024, Volume 84 N. 2 Pages 211 - 224

Abstract: En | Text: En | PDF: En

ABSTRACT Secondary metabolites of Capsicum spp. have biological activity, which can be modified by external factors as the amount of incident light and soil water availability during crop growing, and by internal factors as fruit ripeness level. The study aim was to determine by HPLC method the phytochemical profile of C. annuum L. var. glabriusculum (Dunal) Heiser & Pickersgill (AMA and GAR genotypes) and C. frutescens L. (PIP genotype) grown under open sky and 70% shade during dry and rainy harvest season. Phytochemicals were affected by genotype, light level, harvest season, and fruit ripeness level. Phytochemicals number changed among genotypes: PIP > AMA> GAR. In immature fruits AMA (4.74 mg g-1) and GAR (3.83 mg g-1) had highest capsaicin content; and PIP (0.43 (g g-1), AMA (0.18 (g g-1) and GAR (0.14 (g g-1) in lutein content in all harvest seasons and light level conditions studied. In mature fruits, PIP had the highest capsaicin (5.77 mg g-1) and β-carotene (0.45 (g g-1) content. Gallic and syringic acids were major constituents of phenolics acids, and quercetin and rutin for flavonoids. Mature and immature fruits from 70% shade showed the quercetin highest content (108.4-160.02 (g g-1), increasing during dry season (180.9-1368.6 (g g-1). Gallic acid (789.3-1076.7 (g g-1) and rutin (114.0 (g g-1) increased in AMA immature fruits when grown under open sky. Ferulic acid was not detected in GAR under any of the conditions studied. In AMA, ferulic, protocatechuic and p-hydroxybenzoic acids were detected only in rainy season fruits in both light levels. The harvest season and shading level of these Capsicum spp. should be considered when evaluating the biological activity of chili peppers fruits extracts in tropical crops.

https://doi.org/10.4067/s0718-58392024000200211

Characterization of sperm motility and testosterone secretion in the taiep myelin mutant, a model of demyelination
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Muñoz de la Torre, Luz Patricia

; Trujillo Hernández, Angélica

; Eguibar, José Ramón

; Cortés, Carmen

; Morales-Ledesma, Leticia

Animal Reproduction

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2023, Volume 20 N. 3 elocation e20220102

Abstract: En | Text: En | PDF: En

Abstract Presently, demyelinating diseases have been reported to affect the reproductive life of patients who suffer from them, but the progression of the alterations is unknown, especially in men. To better understand these effects, it is necessary to perform studies in animal models, such as the male taiep rat, which exhibits progressive demyelination of the central nervous system, altered kisspeptin expression at the hypothalamic level, and decreased luteinizing hormone, which could alter sperm quality and testicular diameter. Thus, the objective of the present study was to analyze the diameter of the seminiferous tubules, the sperm motility, and the testosterone levels of 90-day-old male taiep rats. The obtained results indicate that male taiep rats show an increase in testicular size accompanied by an increase in the diameter of the seminiferous tubules of the left testicle. There was also a decrease in progressive motility in sperm samples from the left epididymis of male taiep rats compared to the control group, with no changes in serum testosterone concentration. Therefore, we conclude that male taiep rats with central demyelination show altered testicular diameter and decreased motility in sperm from the left side. This type of studies serves as a basis for proposing possible reproductive strategies to improve the fertility and testicular function of men with demyelinating diseases of the central nervous system.

https://doi.org/10.1590/1984-3143-ar2022-0102

Disección de la aorta abdominal a propósito de un caso
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Janero Moliner, Kendry

; de la Torre Fonseca, Luis M.

; Hernández Seara, Alejandro

; Jaime Cabrera, Zaida

; Hondares Guzmán, Mª del Carmen

CorSalud

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mar 2021, Volume 13 N. 1 Pages 100 - 103

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Abdominal aortic dissection has a low incidence. It may happen when a small tear or rupture occurs in the tunica intima, dividing the wall layers and forming a false channel, or lumen with blood flow inside. We present the case of a 67-year-old man with a history of high blood pressure, with no regular treatment, who sought care at the Hospital Salvador Allende (Havana, Cuba) as he presented with a week-long abdominal pain radiating to the left iliac fossa and back, which was not relieved by the usual analgesics. An abdominal ultrasound was performed which found an aneurysmal dilatation of the abdominal aorta, with signs of dissection towards the right iliac artery; therefore, computed tomography angiography (CTA) was performed and the diagnosis was confirmed. He underwent aorto-iliac bypass with abdominal-aortic-fenestration and end-to-end anastomosis in both iliac arteries.

RESUMEN La disección de la aorta abdominal tiene una baja incidencia, se produce a partir de una laceración, desgarro o rotura intimal, con la consecuente separación longitudinal de las capas de la pared y la aparición de una falsa luz con flujo en su interior. Se presenta el caso de un hombre de 67 años de edad con antecedentes de hipertensión arterial, sin tratamiento regular, que acudió al cuerpo de guardia del Hospital Salvador Allende (La Habana, Cuba) por presentar dolor abdominal con irradiación a fosa ilíaca izquierda y espalda, de una semana de duración, que no aliviaba con los analgésicos habituales. Se le realizó ultrasonido abdominal y se encontró una dilatación aneurismática de la aorta abdominal, con signos de disección hacia la ilíaca derecha; por lo que se realizó angiotomografía que confirmó el diagnóstico. Se realizó baipás aorto-ilíaco con fenestración en aorta abdominal y anastomosis término-terminal en ambas arterias ilíacas.

Construyendo y entendiendo la ocupación en contextos privados de libertad: experiencias de familias con hijos en situación de discapacidad en campamentos de refugiados
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Cantero-Garlito, Pablo

; Rodríguez-Hernández, Marta

; Cipriano-Crespo, Carmen

Cadernos Brasileiros de Terapia Ocupacional

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2021, Volume 29 elocation e2843

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Abstract Introduction From Occupational Therapy, special attention has been paid to the description and analysis of the occupations that take place in contexts of greater vulnerability and social precariousness in which occupational performance and participation in conditions of health, well-being, and personal sense can be significantly compromised. Objective To describe and explain the occupation from a cultural approach in families with children with disabilities living in a context deprived of freedom such as the Sahrawi refugee camps. Method Cross-sectional descriptive study, of an ethnographic nature, carried out in the Saharan refugee camps of Tindouf (Algeria). Results In the camps, the time invested in the development of daily life activities is far from the West, since the very concept of 'time' has a very different meaning. The daily chores of the Saharawis are marked by three “times”: (1) sunlight, (2) prayer, and (3) tea time, the last two being the most significant occupations of the refugee population. The meaning of culture seemed to be an integral part of professional practice, as well as the life circumstances with which families with disabled members lived. Conclusion Occupational Therapy must be challenged to offer opportunities for a more dignified daily life for all people, supporting and protecting the rights of occupational participation of all subjects, especially those who experience situations of greater vulnerability.

Resumo Introdução Do ponto de vista da Terapia Ocupacional, foi dada atenção especial à descrição e análise das ocupações que ocorrem em contextos de maior vulnerabilidade e precariedade social nos quais o desempenho ocupacional e a participação em condições de saúde, bem-estar e senso pessoal podem ser significativamente comprometidos. Objetivo Descrever e explicar a ocupação a partir de uma abordagem cultural em famílias com crianças deficientes que vivem em um contexto privado de liberdade, como os campos de refugiados saharauis. Método: Estudo descritivo transversal, de natureza etnográfica, realizado nos campos de refugiados saarianos de Tindouf (Argélia). Resultados Nos campos, o tempo gasto no desenvolvimento das atividades da vida diária está longe do Ocidente, uma vez que o próprio conceito de “tempo” tem um significado muito diferente. As tarefas diárias dos saharauis são marcadas por três “tempos”: (1) luz solar, (2) oração, e (3) hora do chá, sendo as duas últimas as ocupações mais significativas da população refugiada. O significado da cultura parecia ser parte integrante da prática profissional, assim como as circunstâncias de vida com as quais as famílias com membros deficientes viviam. Conclusão : A terapia ocupacional deve ser desafiada a oferecer oportunidades para uma vida diária mais digna para todas as pessoas, apoiando e protegendo os direitos de participação ocupacional de todos os sujeitos, especialmente aqueles que vivenciam situações de maior vulnerabilidade.

Resumen Introducción Desde la Terapia Ocupacional se ha prestado una especial atención a la descripción y el análisis de las ocupaciones que tienen lugar en contextos de mayor vulnerabilidad y precariedad social en los que el desempeño y la participación ocupacional en condiciones de salud, bienestar y sentido personal pueden verse comprometidos de forma significativa. Objetivo Describir y explicar la ocupación desde un enfoque cultural en familias con hijos en situación de discapacidad que residen en un contexto privado de libertad como son los campamentos de refugiados saharauis. Método Estudio descriptivo transversal, de naturaleza etnográfica, realizado en los campamentos de refugiados saharauis de Tindouf (Argelia). Resultados En los campamentos, el tiempo invertido en el desarrollo de las actividades de la vida diaria dista mucho de occidente, partiendo de que el propio concepto ‘tiempo’ presenta un significado muy distinto. Los quehaceres diarios de los saharauis están marcados por tres “tiempos”: (1) la luz del sol, (2) el rezo y (3) la hora del té, siendo las dos últimas las ocupaciones más significativas de la población refugiada. El significado de la cultura parecía ser una parte integral de la práctica profesional, así como las circunstancias vitales con las que convivían las familias con miembros en situación de discapacidad. Conclusión La Terapia Ocupacional debe verse interpelada a ofrecer oportunidades de vida cotidiana más digna para todas las personas, apoyando y protegiendo los derechos de participación ocupacional de todos los sujetos, especialmente de aquellos que experimentan situaciones de mayor vulnerabilidad.

https://doi.org/10.1590/2526-8910.ctoao2121 175 downloads

Producción y calidad de grano y rastrojo en maíces en el altiplano poblano
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Hurtado-Anchondo, Jose Roberto

; Hernández-Guzmán, J. Arahón

; Olvera-Hernández, José Isabel

; Lagunes-Espinoza, Luz del Carmen

; Pérez-Ramírez, Efraín

; Guerrero-Rodríguez, Juan de Dios

Revista mexicana de ciencias agrícolas

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may 2020, Volume 11 N. spe24 Pages 69 - 80

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The majority of the ruminant production units in the high valleys in various regions of Mexico integrate maize stubble as a source of fodder. Therefore, this crop must be a high yielding of both grain and stubble of quality. Thus, the objective of the present research was to evaluate the performance of 36 genotypes of maize in the highlands of Puebla in the aspects mentioned above, during the year 2017. The genotypes screened were seven commercial hybrids, a synthetic variety, nine free-pollinated populations and nineteen experimental simple-cross hybrids derived from local varieties. The sowing was carried out in three experiments with lattice design 6x6 in experimental units of two furrows 80 cm wide by five meters long. Variables related to the characteristics of the plants and chemicals from the stubble produced were evaluated. The main discriminatory variable was useful yield (USY) that included grain yield (GRY), stubble production and digestibility. The genotypes were different (p< 0.001) in all the measured variables. In USY, the outstanding genotypes were: HS-2®, Aguila 215W®, SM-16 60x66, SM-16 5x64, SM-16 64x66, SM-16 53x64, SM-16 13x44, SM-16 23x60, SM-16 58x21, SM-16 44x64, SM-16 136x142, Niebla® and SM-16 21x64. However, this variable manages to mask genotypes that have high yields of grain and stubble but that have low digestibility. Only the SM-16 5x64 had superiority in digestibility, but had average yield of stubble dry matter, which gives it greater potential to be a dual purpose genotype.

Resumen La mayoría de las unidades de producción de rumiantes en los valles altos, en diversas regiones de México, integran al maíz como fuente de forraje. Este cultivo debe ser, por tanto, alto productor de grano y rastrojo de calidad. Con base en esto, el objetivo de la presente investigación fue evaluar el comportamiento de 36 genotipos de maíz en el altiplano de Puebla durante el año 2017. Los genotipos fueron siete híbridos comerciales, una variedad sintética, nueve poblaciones de polinización libre y diecinueve híbridos experimentales de cruza simple derivados de variedades locales. La siembra se realizó en tres experimentos con diseño látice 6x6 en unidades experimentales de dos surcos de 80 cm de ancho por cinco metros de largo. Se evaluaron variables relacionadas con características propias de las plantas y químicas del rastrojo producido. La principal variable discriminatoria fue rendimiento útil (RUT) que incluyó el rendimiento de grano (RGR) con la producción y digestibilidad del rastrojo. Los genotipos fueron diferentes (p< 0.001) en todas las variables medidas. En RUT, los genotipos sobresalientes fueron: HS-2®, Águila 215W®, SM-16 60x66, SM-16 5x64, SM-16 64x66, SM-16 53x64, SM-16 13x44, SM-16 23x60, SM-16 58x21, SM-16 44x64, SM-16 136x142, Niebla® y SM-16 21x64. No obstante, esta variable logra enmascarar genotipos que tienen producciones altas de grano y rastrojo, pero que tienen baja digestibilidad. Sólo el SM-16 5x64 tuvo superioridad en digestibilidad, pero rendimiento medio de materia seca de rastrojo, lo cual le da mayor potencial para ser un genotipo de doble propósito.

https://doi.org/10.29312/remexca.v0i24.2359 172 downloads

Consumo de follaje de Erythrina americana Miller en ovejas Blackbelly x Pelibuey
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Hernández-Espinoza, Diana Fabiola

; Ramos-Juárez, Jesús Alberto

; González-Garduño, Roberto

; Lagunes-Espinoza, Luz del Carmen

; López-Herrera, María Aurelia

; Oliva-Hernández, Jorge

Revista mexicana de ciencias pecuarias

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mar 2020, Volume 11 N. 1 Pages 70 - 88

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Legume tree foliage can be used as a supplement to grasses in some livestock species. A study was done of the influence that live weight category (LWC) in Blackbelly x Pelibuey ewes has on voluntary intake and digestibility of Erythrina americana foliage, productive efficiency, changes in blood variables and in the number of gastrointestinal nematode eggs per gram feces (EGF). The experimental design was completely random. The factors were LWC (light: 22.2 kg, heavy: 34.4 kg) and evaluation period (EP). Evaluated variables included live weight (LW), daily weight gain (DWG), in situ dry matter degradability (IDMD), daily dry matter intake (g kg-1 LW), crude protein (CP; g kg-1 LW), structural carbohydrates (SC; %), metabolizable energy (ME; Mcal kg-1 LW), condensed tannins (CT; g kg-1 BW) and EGF. Both LWC and EP affected (P<0.01) nutrient intake. The light LWC exhibited a higher nutrient and CT intake (P<0.01) than the heavy LWC, although without a commensurate increase in DWG. The blood variables and EGF were unaffected (P>0.05) by the studied factors and their interaction. Erythrina americana foliage CP, SC and CT contents suggest that it can be used as a sole feed source for short periods (less than 28 days). In both live weight categories E. americana intake produced a positive evolution in DWG and did not affect health status.

Resumen El objetivo fue determinar la influencia de la categoría de peso vivo (CPV) de ovejas Blackbelly x Pelibuey sobre el consumo voluntario y digestibilidad del follaje de Erythrina americana, comportamiento productivo, cambios en variables hemáticas y en el número de huevos de nematodos gastrointestinales por gramo de heces (HPG). El diseño utilizado fue completamente al azar. Los factores fueron CPV (ligeras: 22.2 kg y pesadas: 34.4 kg) y periodo de evaluación (PE). Se evaluó peso vivo (PV), ganancia diaria de peso (GDP), índice de consumo de materia seca, consumo diario de materia seca (g kg-1 PV), proteína cruda (PC; g kg-1 PV), carbohidratos estructurales (CE, %), energía metabolizable (Mcal kg-1 PV), taninos condensados (TC; g kg-1 PV) y HPG. La CPV y PE afectaron (P<0.01) el consumo de todos los nutrientes estudiados. La CPV ligeras tuvo mayor consumo de nutrientes y TC con relación al de pesadas (P<0.01), sin incremento en su GDP. Las variables hemáticas y HPG no fueron afectados (P>0.05) por los factores estudiados y su interacción. El contenido de PC, CE y TC de E. americana, sugiere que su follaje puede utilizarse como alimento único durante periodos cortos (menor a 28 días). En ambas categorías de ovejas, el consumo de E. americana permitió un cambio positivo en GDP y no se afectó su estado de salud.

https://doi.org/10.22319/rmcp.v11i1.5226 490 downloads

Edad de rebrote de Erythrina americana Miller y concentración de compuestos fenólicos en el follaje
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Hernández-Espinoza, Diana Fabiola

; Lagunes-Espinoza, Luz del Carmen

; López-Herrera, María Aurelia

; Ramos-Juárez, Jesús Alberto

; González-Garduño, Roberto

; Oliva-Hernández, Jorge

Madera y bosques

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2020, Volume 26 N. 1 elocation e2611826

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The foliage of some trees can be used for feeding small ruminants, when the chemical quality and the content of secondary metabolites are suitable. The use of Erythrina americana as feed requires knowledge of its nutritional composition at different regrowth ages. The objective of the study was to determine the influence of the regrowth age of E. americana on the content of phenolic compounds and chemical composition of the foliage, from 24 trees that are part of the live fences of a sheep farm. A completely randomized design was used; the fixed factor was the regrowth age of E. americana (60 days, 90 days and 120 days). The response variables were: dry matter, crude protein, ash, organic matter, neutral detergent fiber, acid detergent fiber, total polyphenols, non-tannin phenols, condensed tannins, hydrolysable tannins and total tannins. The regrowth age affected (P < 0.05) the content of crude protein, structural carbohydrates, total polyphenols and tannins (condensed, hydrolysable and total); the rest of the variables was not affected (P> 0.05). At 90 days, the highest crude protein content was detected. The lowest structural carbohydrates content was between 90 days and 120 days. As the regrowth age increased, a higher condensed tannins concentration was detected. Crude protein, condensed tannins and structural carbohydrates in foliage of E. americana, at an age of regrowth of 90 days, allow to consider it as a complementary food for small ruminants.

Resumen El follaje de algunos árboles puede utilizarse en la alimentación de pequeños rumiantes, cuando la calidad química y contenido de metabolitos secundarios son adecuados. El uso de Erythrina americana como alimento, requiere del conocimiento de su composición nutricional a diferentes edades de rebrote. El objetivo del estudio fue determinar la influencia de la edad de rebrote de E. americana en el contenido de compuestos fenólicos y composición química del follaje, a partir de 24 árboles que forman parte de los cercos vivos de una explotación ovina. Se utilizó un diseño completamente al azar, el factor fijo fue la edad de rebrote de E. americana (60 días, 90 días y 120 días). Las variables dependientes fueron: materia seca, proteína cruda, cenizas, materia orgánica, fibra detergente neutro, fibra detergente ácido, polifenoles totales, fenoles no taninos, taninos condensados, taninos hidrolizables y taninos totales. La edad de rebrote afectó (P < 0.05) el contenido de proteína cruda, carbohidratos estructurales, polifenoles totales y taninos (condensados, hidrolizables y totales), el resto de las variables no fueron afectadas (P > 0.05). A los 90 días se detectó el mayor contenido de proteína cruda. El menor contenido de carbohidratos estructurales se presentó entre 90 días y 120 días. Conforme se incrementó la edad de rebrote aumentó la concentración de taninos condensados. Los contenidos de proteína cruda, carbohidratos estructurales y taninos condensados en el follaje de E. americana, a una edad de rebrote de 90 días, permiten considerarlo como alimento complementario para pequeños rumiantes.

https://doi.org/10.21829/myb.2020.2611826 617 downloads

Resumen ejecutivo de ARIA 2019: vías integradas de atención para la rinitis alérgica en Argentina, España y México
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Ivancevich, Juan Carlos

; Cardona, Victoria

; Larenas Linnemann, Désirée

; Mullol, Joaquim

; Neffen, Hugo

; Zernotti, Mario

; Asayag, Estrella

; Blua, Ariel Eduardo

; Gómez, R. Maximiliano

; Jares, Edgardo

; Máspero, Jorge

; Anto, Josep M.

; Dedeu, Toni

; Rodríguez-González, Mónica

; Huerta-Villalobos, Yunuen Rocío

; Fuentes-Pérez, José Miguel

; Rodríguez-Zagal, Eréndira

; Valero, Antonio

; Bartra, Joan

; Alobid, Isam

; Castillo-Vizuete, José Antonio

; Dordal, Teresa

; Hijano, Rafael

; Picado, César

; Sastre, Joaquín

; Bedolla-Barajas, Martín

; Burguete-Cabañas, María Teresa

; Costa-Domínguez, María del Carmen

; Domínguez-Silva, Margarita

; Espinoza-Contreras, Jesús Guillermo

; Gálvez-Romero, José Luis

; García-Cobas, Cecilia Yvonne

; García-Cruz, María de la Luz Hortensia

; Hernández-Velázquez, Luiana

; Luna-Pech, Jorge A.

; Matta, Juan José

; Mogica-Martínez, María Dolores

; Rivero-Yeverino, Daniela

; Ruiz, Lucy Tania

; Río-Navarro, Blanca E. Del

; Gómez-Vera, Javier

; Macías-Weinmann, Alejandra

; Agache, Ionna

; Ansotegui, Ignacio

; Bachert, Claus

; Bedbrook, Anna

; Canonica, Giorgio Walter

; Casale, Thomas B.

; Cruz, Álvaro

; Fokkens, Wytske

; Hellings, Peter

; Samolinski, Bolesław

; Bousquet, Jean

Revista alergia México

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dec 2019, Volume 66 N. 4 Pages 409 - 425

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The health and economic impact of allergic diseases are increasing rapidly, and changes in management strategies are required. Its influence reduces the capacity of work and school performance by at least a third. The ICPs of the airways (integrated care pathways for respiratory diseases) are structured multidisciplinary healthcare plans, promoting the recommendations of the guidelines in local protocols and their application to clinical practice. This document presents an executive summary for Argentina, Mexico, and Spain. Next-generation ARIA guidelines are being developed for the pharmacological treatment of allergic rhinitis (AR), using the GRADE-based guidelines for AR, tested with real-life evidence provided by mobile technology with visual analogue scales. It is concluded that in the AR treatment, H1-antihistamines are less effective than intranasal corticosteroids (INCS), in severe AR the INCS represent the first line of treatment, and intranasal combination INCS + anti-H1 is more effective than monotherapy. However, according to the MASK real-life observational study, patients have poor adherence to treatment and often self-medicate, according to their needs.

resumen está disponible en el texto completo

https://doi.org/10.29262/ram.v66i4.643 3239 downloads

Episodios de mentalización durante psicoterapia de adolescentes con difusión de identidad
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Quevedo, Yamil

; Hernández, Cristóbal

; Gómez, Diana

; Díaz, Carmen Gloria

; Valdés, Nelson

Revista de psicología (Santiago)

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jun 2019, Volume 28 N. 1 Pages 42 - 55

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: Identity diffusion is considered a central element in the psychopathology of borderline personality disorder, which is rooted in deficits in mentalization skills. This article presents the results of a qualitative analysis carried out on the patients’ and therapists’ narratives during psychotherapeutic sessions with the Identity Treatment for Adolescents model (AIT), in which adolescents were diagnosed with an identity diffusion. The findings allowed to propose a new way for identifying, delimiting and describing mentalization episodes within the psychotherapeutic dialogue. A description of these relevant episodes is presented, depending on their level of complexity, their proximity to the patient's biographical-affective history, and the focus placed on him/herself or others. Such episodes were usually pre-ceded by certain actions from therapists, which can facilitate or attenuate the patient's mentalization processes. These results are discussed considering their potential to guide clinical practice, the training of therapists, and the conduct of future research.

Resumen: La difusión de identidad es considerada un elemento central en la psicopatología del trastorno límite de la persona-lidad, la cual se encuentra enraizada en déficits en las habilidades de mentalización. El presente artículo muestra los resultados de un análisis cualitativo realizado a las narrativas de pacientes y terapeutas durante sesiones de psicote-rapia con el modelo Tratamiento para la Identidad del Adolescente (AIT), en las cuales participaron adolescentes que fueron diagnosticados con difusión de identidad. Los hallazgos permitieron proponer una nueva forma de identificar, delimitar y describir episodios de mentalización durante el diálogo psicoterapéutico. Se presenta una caracterización de dichos episodios relevantes, en función de su nivel de complejidad, su cercanía a la historia biográfico-afectiva del paciente, y el foco puesto en sí mismo o en los otros. Dichos episodios fueron precedidos por una serie de acciones del terapeuta, que resultaron facilitadoras o atenuantes de los procesos de mentalización del paciente. Estos resultados son discutidos a la luz de su potencial para orientar la práctica clínica, la formación de terapeutas, y la realización de futuras investigaciones.

https://doi.org/10.5354/0719-0581.2019.53941 1791 downloads

10.

MASK (Mobile Airways Sentinel Network), a mobile App with ARIA’s comprehensive solution in Spanish-speaking countries
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Larenas-Linnemann, Désirée

; Mullol, Joaquim

; Ivancevich, Juan Carlos

; Anto, Josep M.

; Cardona, Victoria

; Dedeu, Toni

; Rodríguez-González, Mónica

; Huerta-Villalobos, Yunuen Rocío

; Neffen, Hugo

; Fuentes-Pérez, José Miguel

; Rodríguez-Zagal, Eréndira

; Valero, Antonio

; Zernotti, Mario

; Bartra, Joan

; Alobid, Isam

; Castillo-Vizuete, José Antonio

; Dordal, Teresa

; Hijano, Rafael

; Picad, César

; Sastre, Joaquín

; Blua, Ariel Eduardo

; Jares, Edgardo

; Lavrut, Alberto Jorge

; Máspero, Jorge

; Bedolla-Barajas, Martín

; Burguete-Cabañas, María Teresa

; Costa-Domínguez, María del Carmen

; Domínguez-Silva, Margarita

; Espinoza-Contreras, Jesús Guillermo

; Gálvez-Romero, José Luis

; García-Cobas, Cecilia Yvonne

; García-Cruz, María de la Luz Hortensia

; Hernández-Velázquez, Luiana

; Luna-Pech, Jorge A.

; Matta, Juan José

; Mogica-Martínez, María Dolores

; Rivero-Yeverino, Daniela

; Ruiz, Lucy Tania

; Río-Navarro, Blanca E. Del

; Gómez-Vera, Javier

; Macías-Weinmann, Alejandra

; Murray, Ruth

; Onorato, Gabrielle

; Laune, Daniel

; Bedbrook, Anna

; Bousquet, Jean

Revista alergia México

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jun 2019, Volume 66 N. 2 Pages 263 - 268

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Although there are high quality clinical guidelines about allergic rhinitis, many patients receive deficient treatment, partly due to the high level of self-medication. MASK (Mobile Airways Sentinel Network) is an integral part of a project against chronic diseases which it is focused on active and healthy aging and is supported by the European Union. It forms the third phase of ARIA (Allergic Rhinitis and its Impact on Asthma) in which, through a mobile app on a smart device, the purpose is to guide patients in the control of their multimorbidity, allergic rhinitis or conjunctivitis, or asthma. The "Allergy Diary" app by MACVIA-ARIA is free and it is available for Android and iOS; on it, patients indicate how unpleasant the symptoms are on a daily basis through five screens with an analogous visual scale; two more screens were recently added (sleep affectation). With the app, it is also possible to download the information of the “Allergy Diary” on the physician’s computer through a QR code at the moment of the medical consultation. In this article, we review the first year of experience in Spain, Mexico and Argentina, where the Spanish version is used.

resumen está disponible en el texto completo

https://doi.org/10.29262/ram.v66i2.628 404 downloads

11.

Guía de abordaje y manejo endoscópico de la hemorragia de tubo digestivo bajo
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Blanco-Vela, Claudia Isabel

; Peláez-Luna, Mario

; Solana-Sentíes, Sergio

; Martínez-García, Clara Luz

; Hernández-Guerrero, Angélica I.

; Cerna-Cardona, Jony

; Noble-Lugo, Alejandra

; Bada-Yllán, Orlando

; Blanco-Velasco, Gerardo

; Hernández-Mondragón, Óscar Víctor

; Martínez-Camacho, Claudia

; Zamorano-Orozco, Yolanda

; Zárate-Guzmán, Ángel Mario

; López-Acosta, María Elena

; Sánchez-Chávez, Xochiquetzal

; Manzano-Robleda, María del Carmen

; Reyes-Dorantes, Ángel Andrés

; Rocha-Ramírez, José Luis

; Sánchez-Robles, Juan Carlos

; Soto-Solís, Rodrigo

; Montejo-Ruiz, Gerardo Alfredo

Endoscopia

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mar 2019, Volume 31 N. 1 Pages 4 - 29

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Lower gastrointestinal bleeding (LGIB) localizes distal to the ileocecal valve. It presents either as hematochezia, rectal bleeding and melena in some cases. Initial approach must include a complete and detailed clinical and physical exam, laboratory exams in order to determine the severity and source of the hemorrhage. The first step in the treatment of LGIB is to asses and stabilize the patient hemodynamic status and prepare for colonoscopy, which remains the best diagnostic and therapeutic tool. Although LGIB accounts for a significant number of emergencies an hospital admissions, management information usually comes from data obtained and adjusted for upper gastrointestinal bleeding studies. Despite several guidelines have been published, its availability and applicability in our country is limited, therefore, the Asociación Mexicana de Endoscopia Gastrointestinal summoned a group of gastroenterologists, endoscopists and colon and rectum surgeons in order to review, discuss and grade current data on LGIB in order to develop management recommendations for LGIB. The resultant guideline focuses on the etiology, management and follow up of patients presenting LGIB in accordance to international standards and resources available in our country. Guidelines were developed using the Delphi method and evidence was grades using the modified Grading of Recommendations, Assessment, Development and Evaluation System).

Resumen La hemorragia de tubo digestivo bajo (HTDB) se define como la originada distal a la válvula ileocecal; su presentación clínica puede ser con hematoquecia, rectorragia o melena. La evaluación inicial debe incluir historia clínica rápida, examen físico y estudios de laboratorio para determinar la severidad de la hemorragia, etiología y posible localización de esta. El primer paso en el tratamiento de la hemorragia aguda de tubo digestivo bajo es evaluar el estado hemodinámico y la reanimación intensiva antes de realizar colonoscopia, que se mantiene como el método diagnóstico y terapéutico de elección. La información específica sobre su tratamiento es escasa por lo que el manejo suele adaptarse de las recomendaciones sobre el manejo de la hemorragia de tubo digestivo alto. También, a pesar de la existencia de diversas guías internacionales, su aplicación y disponibilidad en Mexico es limitada, por lo que la Asociación Mexicana de Endoscopia Gastrointestinal convocó a un grupo de gastroenterólogos, endoscopistas y coloproctólogos para revisar los avances en el manejo de la HTDB. La presente guía se enfoca en el origen, abordaje, tratamiento y seguimiento de la HTDB de acuerdo con directrices internacionales y a la disponibilidad de recursos humanos y tecnológicos en nuestro país. Para su realización se utilizó el método Delphi. La evaluación de la evidencia y grado recomendación se realizó utilizando el sistema GRADE (Grading of Recommendations, Assessment, Development and Evaluation) modificado.

https://doi.org/10.24875/end.m19000002 568 downloads

12.

MASK (Mobile Airways Sentinel Network). La solución integral de ARIA por app móvil para la multimorbilidad de rinitis alérgica y asma
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Larenas-Linnemann, Désirée

; Mullol, Joaquim

; Ivancevich, Juan Carlos

; Antó, Josep M.

; Cardona, Victoria

; Dedeu, Toni

; Rodríguez-González, Mónica

; Huerta, Yunuen

; Neffen, Hugo

; Fuentes-Pérez, José Miguel

; Rodríguez-Zagal, Eréndira

; Valero, Antonio

; Zernotti, Mario

; Bartra, Joan

; Alobid, Isam

; Castillo-Vizuete, José Antonio

; Dordal, Teresa

; Hijano, Rafael

; Picado, César

; Sastre, Joaquín

; Blua, Ariel Eduardo

; Jares, Edgardo

; Lavrut, Alberto Jorge

; Máspero, Jorge

; Bedolla-Barajas, Martín

; Burguete, María

; Costa, María del Carmen

; Domínguez-Silva, Margarita

; Espinoza-Contreras, Jesús Guillermo

; Gálvez-Romero, José Luis

; García-Cobas, Cecilia Yvonne

; García-Cruz, María de la Luz Hortensia

; Hernández-Velázquez, Luiana

; Luna-Pech, Jorge

; Matta, Juan José

; Mogica-Martínez, María Dolores

; Rivero-Yeverino, Daniela

; Ruiz-Segura, Lucy Tania

; Río-Navarro, Blanca Del

; Gómez, Javier

; Macías-Weinmann, Alejandra

; Murray, Ruth

; Onorato, Gabrielle

; Laune, Daniel

; Bedbrook, Anna

; Bousquet, Jean

Revista alergia México

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mar 2019, Volume 66 N. 1 Pages 140 - 146

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract The vast majority of patients with allergic rhinitis (AR) do not receive the proper management which is recommended by the guidelines, but they frequently self-medicate. MASK (Mobile Airways Sentinel Network) is an integral part of a project that is supported by the European Union against chronic diseases and focused on active and healthy aging. MASK represents the third phase of ARIA (Allergic Rhinitis and its Impact on Asthma), in which, by using a mobile application in a smart device, the objective is to guide the patient in the control of his/her multi-morbidity, AR and/or allergic conjunctivitis (AC) and/or asthma. The mobile app Allergy Diary by MACVIA-ARIA is free and it is available for both Android and iOS platforms. After it is downloaded to the patient’s cell phone, it first requests some information about the patient’s profile, allergic pathologies and medication; afterwards, through a visual analog scale, the patient is invited to determine the degree of affectation in the nose, eyes, and bronchi, and its influence on their productivity at work / school. After analyzing the data generated by filling the Allergy Diary, it became clear there is a new clinical entity: allergic rhinitis+ allergic conjunctivitis +asthma, with greater effect; in addition to a high level of self-medication: in general, the patient takes medication on days when symptoms are present. The app has already been deployed in 23 countries, including several Spanish-speaking countries.

resumen está disponible en el texto completo

https://doi.org/10.29262/ram.v66i1.578 1081 downloads

13.

Sobrepeso y obesidad en niños y adolescentes en México, actualización de la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016
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Shamah-Levy, Teresa

; Cuevas-Nasu, Lucía

; Gaona-Pineda, Elsa Berenice

; Gómez-Acosta, Luz María

; Morales-Ruán, Ma. del Carmen

; Hernández-Ávila, Mauricio

; Rivera-Dommarco, Juan Ángel

Salud Pública de México

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jun 2018, Volume 60 N. 3 Pages 244 - 253

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: Objective: To estimate recent overweight and obesity prevalences in Mexican population under 20 years from Halfway National Health and Nutrition Survey (Ensanut MC 2016). Materials and methods: Ensanut MC 2016 is a probabilistic national survey which gives representative information from national, regional and rural/urban levels. BMIz was estimated through weight and height, then it was classified into overweight risk or overweight or obesity according to WHO growth reference standards. Association between overweight and sociodemographic information was analyzed through logistic regression models. Results: Overweight-obesity prevalence was 5.1% in girls and 6.5% in boys<5y, 32.8% in girls and 33.7% in boys 5-11y, and 39.2% in female adolescents and 33.5% in male adolescents. Female adolescents from rural localities increased overweight-obesity prevalence from 27.7% in 2012 to 37.2% in 2016. Conclusions: Overweight-obesity increased in girls and females, mainly from rural areas. Strategies focused in containing this phenomenon are encouraged to implement in this context.

Resumen: Objetivo: Actualizar las prevalencias de sobrepeso y obesidad (SP+O) y estudiar algunos determinantes asociados en población<20 años, de la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016 (Ensanut MC 2016). Material y métodos: La Ensanut MC 2016 es una encuesta nacional probabilística. Se estimó el puntaje Z del índice de masa corporal. Se clasificó el riesgo de sobrepeso, sobrepeso y obesidad de acuerdo con el patrón de referencia de la OMS. Se estudiaron variables sociodemográficas asociadas con sobrepeso mediante regresión logística. Resultados: La prevalencia nacional de SP+O en <5 años fue niñas 5.8%, niños 6.5%; escolares niñas 32.8%, niños 33.7%; adolescentes mujeres 39.2% y hombres 33.5%. Las mujeres adolescentes de localidades rurales mostraron un incremento de 2012 a 2016 de 9.5 puntos porcentuales. Conclusiones: La prevalencia de SP+O en niñas y mujeres en zonas rurales muestran un aumento importante en un periodo corto, lo que llama a implementar acciones de atención inmediatas.

https://doi.org/10.21149/8815 31 downloads

14.

Sobrepeso y obesidad en niños y adolescentes en México, actualización de la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016
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Shamah-Levy, Teresa

; Cuevas-Nasu, Lucía

; Gaona-Pineda, Elsa Berenice

; Gómez-Acosta, Luz María

; Morales-Ruán, Ma. del Carmen

; Hernández-Ávila, Mauricio

; Rivera-Dommarco, Juan Ángel

Salud Pública de México

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jun 2018, Volume 60 N. 3 Pages 244 - 253

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

https://doi.org/10.21149/8815 24070 downloads

15.

Efecto del programa de servicios SaludArte en los componentes de alimentación y nutrición en escolares de la Ciudad de México
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Shamah-Levy, Teresa

; Cuevas-Nasu, Lucía

; Gómez-Acosta, Luz María

; Morales-Ruan, Ma. del Carmen

; Méndez-Gómez Humarán, Ignacio

; Robles-Villaseñor, Mara Nadiezhda

; Hernández-Ávila, Mauricio

Salud Pública de México

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dec 2017, Volume 59 N. 6 Pages 621 - 629

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: Objective: To assess the effect of Education in Nutrition and Food Assistance components of the SaludArte program in participant schools during 2013-2015. Materials and methods: A three cohort comparative study was used, with two type of follow-up panel structures: a complete panel and a continuous time, with a total of consisting on 1620 scholar children from 144 schools. Information on food intake, feeding behaviors, food preservation and hygiene, physical activity (PI) and anthropometry was registered. To stablish effect estimates, a difference in difference method combined with propensity score matching was carried out; as an alternative procedure, logistic-multinomial and logistic regression models were also used. Results: Program attributable estimated effects were as follows: an increase in personal hygiene (p=0.045), increase in nutrition knowledges (p=0.003), PI (p=0.002 2013-2014; p=0.032 2015) and increase in fiber Intake (p=0.064). Sugar intake, contrary to the expected showed a significant increase (p=0.012 continuous time and; p=0.037 complete time). Conclusions: SaludArte shows positive effects over some components as expected. However in order to institutionalize the SaludArte program, it is necessary to consider these learned lessons, give it permanence and impulse it in the schools.

Resumen: Objetivo: Evaluar el efecto del programa de servicios SaludArte en sus componentes de educación en nutrición y de asistencia alimentaria, dentro de escuelas participantes, durante 2013-2015. Material y métodos: Se realizó un estudio comparativo de tres cohortes que consideró 1 620 escolares de 144 primarias. Se construyeron dos paneles: de tiempo continuo y de tiempo completo. Se obtuvo información de consumo y hábitos alimenticios, higiene y conservación de alimentos, actividad física (AF) y antropometría. El análisis fue por diferencia en diferencias y modelos de regresión logística dicotómica y multinomial. Resultados: Los efectos atribuibles al programa fueron: higiene personal (p=0.045), conocimientos en nutrición (p=0.003), AF (p=0.002, 2013-2014; p=0.032, 2015) y consumo de fibra (p=0.064). El consumo de azúcar total fue significativo contrario a lo esperado (p=0.012, tiempo continuo; p=0.037, tiempo completo). Conclusiones: SaludArte tuvo efectos positivos en algunos componentes. Sin embargo, es necesario considerar las lecciones aprendidas, a fin de institucionalizar el programa y darle permanencia y crecimiento en las escuelas.

https://doi.org/10.21149/8116 384 downloads

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