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Afinidad entre los intereses y aptitudes de comunidades étnicas y la oferta regional de educación superior en Colombia
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Dussan, Fredy Andrés Olarte

; Garcia-Pinilla, Jose Ignacio

; Rodríguez-Jiménez, Olga Rosalba

Revista Brasileira de Educação

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2024, Volume 29 elocation e290049

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

RESUMO O descompasso entre os interesses e aptidões dos alunos e as carreiras que eles escolhem aumenta sua probabilidade de insucesso acadêmico no ensino superior. Procuramos descrever o estado de afinidade vocacional regional em nove municípios colombianos com populações indígenas e afrodescendentes. A amostra foi composta de 4.348 alunos de escolas públicas. Interesses e aptidões foram medidos por meio do instrumento de Montes e Herrera e foi calculado um Índice de Afinidade Vocacional (IAV) para estabelecer o grau de congruência entre a oferta departamental nos cursos de graduação e as carreiras recomendadas aos alunos. Os resultados mostram que as áreas de ocupação preferenciais se centram principalmente no Trabalho ao Ar Livre e Serviço Social, encontrando uma afinidade vocacional regional média de 36%. Conclui-se que é necessário fortalecer as ações de orientação profissional dos estudantes para a tomada de decisão sobre seu futuro ocupacional. superior afrodescendentes 4348 4 348 4.34 públicas IAV (IAV Social 36 36% Concluise Conclui ocupacional 434 34 4.3 3 43 4.

ABSTRACT In higher education, the mismatch between students’ interests and aptitudes with the careers they choose increases their likelihood of academic failure. This research aimed to describe the state of regional vocational affinity in nine Colombian municipalities with indigenous and Afro-descendant populations. The sample consisted of 4,348 students from public schools. Interests and aptitudes were measured using the Test of Montes & Herrera, and a Vocational Affinity Index (IAV) was calculated to establish the degree of congruence between the departmental undergraduate offer and the careers recommended to students. The results indicate that the preferred fields of occupation are mainly focused on outdoor work and social work, with an average regional vocational affinity of 36%. In conclusion, it is necessary to strengthen the vocational guidance actions for students to make decisions about their occupational future. education failure Afrodescendant Afro descendant populations 4348 4 348 4,34 schools Herrera IAV (IAV 36 36% conclusion future 434 34 4,3 3 43 4,

RESUMEN La discordancia entre intereses y aptitudes de los estudiantes con las carreras que eligen aumenta su probabilidad de fracaso académico en la educación superior. Se buscó describir el estado de la afinidad vocacional regional en nueve municipios colombianos con población indígena y afrodescendiente. La muestra estuvo conformada por 4348 estudiantes de colegios públicos. Se midieron los intereses y aptitudes mediante el instrumento de Montes y Herrera y se calculó un Índice de Afinidad Vocacional (IAV) para establecer el grado de congruencia entre la oferta departamental en pregrado y las carreras recomendadas a los estudiantes. Los resultados indican que los campos preferentes de ocupación se enfocan mayoritariamente en el Trabajo al Aire Libre y el Servicio Social, encontrándose una afinidad vocacional regional media del 36%. Se concluye que es necesario fortalecer las acciones de orientación vocacional de los estudiantes para la toma de decisiones sobre su futuro ocupacional. superior afrodescendiente 434 públicos IAV (IAV Social 36 36% ocupacional 43 3 4

https://doi.org/10.1590/s1413-24782024290049

Macrobioerosión de corales constructores de arrecifes y su impacto en la dinámica de carbonatos en los arrecifes de Huatulco, México
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Medellín-Maldonado, Francisco

; Granja-Fernández, Rebeca

; González-Mendoza, Tania M.

; Garcia-Medrano, Diego

; Cabral-Tena, Rafael

; Alvarez-Filip, Lorenzo

; López-Pérez, Andrés

Hidrobiológica

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Ago 2023, Volume 33 Nº 2 Páginas 179 - 189

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

ABSTRACT Background. Coral reefs exist thanks to the delicate balance between calcification and erosion processes. However, due to anthropogenic pressures, bioerosive processes have become the main forcing factors in reef growth patterns. Nevertheless, due to the morphology of the reefs located in the Mexican South Pacific (extensive plates of pociloporids), estimating internal macrobioerosion is a challenge, resulting in a critical gap in bioerosion processes, particularly those occurring inside corals. Objectives. To measure the internal macrobioerosion of the main coral species and to know its impact on carbonate production in reefs. Methods. We used a computed tomography (CT) based approach to measure the volume of CaCO3 removed by different groups of macrobioeroders. Results. We estimated percentages of internal macrobioerosion between 16.80 % and 26.67 % of the total volume of the colonies. We observed that sponges and mollusks are the guilds that most bioerode species of branching and massive morphology, respectively. We found macrobioerosion rates of 1.51 ± 0.11 kg CaCO3 m-2 yr-1 for branched species and 0.53 ± 0.03 kg CaCO3 m-2 yr-1 for massive species. The measured bioerosion processes accounted for 39.02 % and 43.86 % of CaCO3 production. Conclusions. Although CT scanning represents higher costs than other approaches (i.e., X-rays), it is the only approach capable of measuring the internal macrobioerosion that occurs within the entire coral skeleton. This approach will allow us to produce more accurate carbonate balances than those that do not consider internal macrobioerosion, improving our estimates of the state of health of the reefs.

RESUMEN Antecedentes. Los arrecifes de coral subsisten gracias al delicado balance entre procesos de acreción y de erosión. No obstante, debido a presiones antropogénicas, los procesos bioerosivos se han convertido en los principales factores que condicionan los patrones de crecimiento de los arrecifes. Debido a la morfología de los arrecifes ubicados en el Pacífico sur mexicano (placas extensas de pocilopóridos), estimar la macrobioerosión interna se convierte en un reto, lo que resulta en una importante brecha sobre los procesos de bioerosión, particularmente los que ocurren al interior de los corales. Objetivo. Medir la macrobioerosión interna de las principales especies de coral y conocer el impacto que ejerce sobre la producción de carbonatos en los arrecifes. Métodos. Empleamos un enfoque basado en tomografía computarizada (TC) que permite medir el volumen de CaCO3 removido por diferentes grupos de macrobioerosionadores. Resultados. Estimamos porcentajes de macrobioerosión interna entre el 16.80 % y el 26.67 % del volumen total de las colonias de coral. Observamos que las esponjas y moluscos son los grupos que más bioerosionan las especies de coral con morfología ramificada y masiva, respectivamente. Encontramos tasas de macrobioerosión de 1.51 ± 0.11 kg CaCO3 m-2 año-1 para las especies ramificadas y de 0.53 ± 0.03 de kg CaCO3 m-2año-1 para las especies masivas. Los procesos de bioerosión representaron entre el 39.02 % y 43.86 % de la producción de CaCO3, que fue calculada mediante la metodología ReefBudget. Conclusiones. A pesar que emplear TC representa costos más elevados que otros enfoques (p. ej., rayos-X), hasta ahora es el único enfoque capaz de medir la macrobioerosión interna de todo el esqueleto de coral. Este enfoque permitirá producir balances de carbonatos más certeros que aquellos que no consideran la macrobioerosión interna, mejorando nuestras estimaciones del estado de salud en que se encuentran los arrecifes.

https://doi.org/10.24275/uacm7950

Comparación de la violencia y agresiones sufridas por el personal de salud durante la pandemia de COVID-19 en Argentina y el resto de Latinoamérica
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Garcia-Zamora, Sebastián

; Iomini, Pablo A.

; Pulido, Laura

; Miranda-Arboleda, Andrés F.

; Lopez-Santi, Pilar

; Burgos, Lucrecia M.

; Perez, Gonzalo E.

; Priotti, Mauricio

; García, Darío E.

; Antoniolli, Melisa

; Musso, Gabriel

; Zaidel, Ezequiel J.

; Sosa-Liprandi, Álvaro

; Del-Sueldo, Mildren A.

; Lopez-Santi, Ricardo

; Vazquez, Gustavo

; Baranchuk, Adrián

Revista Peruana de Medicina Experimental y Salud Pública

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Jun 2023, Volume 40 Nº 2 Páginas 179 - 188

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

RESUMEN Objetivos. Explorar la frecuencia e impacto de la violencia contra los trabajadores de salud de Argentina y compararlo con el resto de sus pares de Latinoamérica en el contexto de la pandemia por COVID-19. Materiales y métodos. Estudio de corte transversal a través de una encuesta electrónica al personal médico y no médico de Latinoamérica que desempeño tareas asistenciales desde marzo de 2020. Se utilizó una regresión de Poisson para estimar las Razones de Prevalencia crudas (RP) y ajustadas (RPa) con sus respectivos intervalos de confianza al 95%. Resultados. Un total de 3544 participantes de 19 países respondieron la encuesta; 1992 (56,0%) residían en Argentina. Entre los mismos, el 62,9% padeció al menos un hecho de violencia: 97,7% refirió violencia verbal y 11,8% violencia física. El 41,5% de los agredidos padecieron situaciones de violencia al menos una vez por semana. El personal de salud de Argentina vivenció más frecuentemente violencia que los de otros países (62,9% vs. 54,6%, p<0,001), siendo estos eventos más habituales y estresantes (p<0,05). Además, refirieron más frecuentemente haber considerado cambiar sus tareas asistenciales y/o deseos de abandonar su profesión (p<0,001). En la regresión de Poisson, los participantes de Argentina tuvieron una prevalencia de violencia mayor que los trabajadores de salud de la región (14,6%; p<0,001). Conclusiones. Existió una elevada prevalencia de violencia contra el personal de salud de Argentina durante la pandemia por COVID-19. Estos hechos tuvieron un alto impacto negativo entre quienes los padecieron. Nuestros datos sugieren que, esto podría haber sido más frecuente en Argentina respecto de otras regiones del continente.

ABSTRACT Objectives. To explore the frequency and impact of violence against healthcare workers in Argentina and to compare it with the rest of their Latin American peers during the COVID-19 pandemic. Materials and methods. A cross-sectional study was conducted by applying an electronic survey on Latin American medical and non-medical personnel who carried out health care tasks since March 2020. We used Poisson regression to estimate crude (PR) and adjusted (aPR) Prevalence Ratios with their respective 95% confidence intervals. Results. A total of 3544 participants from 19 countries answered the survey; 1992 (56.0%) resided in Argentina. Of these, 62.9% experienced at least one act of violence; 97.7% reported verbal violence and 11.8% physical violence. Of those who were assaulted, 41.5% experienced violence at least once a week. Health personnel from Argentina experienced violence more frequently than those from other countries (62.9% vs. 54.6%, p<0.001), and these events were more frequent and stressful (p<0.05). In addition, Argentinean health personnel reported having considered changing their healthcare tasks and/or desired to leave their profession more frequently (p<0.001). In the Poisson regression, we found that participants from Argentina had a higher prevalence of violence than health workers from the region (14.6%; p<0.001). Conclusions. There was a high prevalence of violence against health personnel in Argentina during the COVID-19 pandemic. These events had a strong negative impact on those who suffered them. Our data suggest that violence against health personnel may have been more frequent in Argentina than in other regions of the continent.

https://doi.org/10.17843/rpmesp.2023.402.12646

Comparación de la violencia y agresiones sufridas por el personal de salud durante la pandemia de COVID-19 en Argentina y el resto de Latinoamérica
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Garcia-Zamora, Sebastián

; Iomini, Pablo A.

; Pulido, Laura

; Miranda-Arboleda, Andrés F.

; Lopez-Santi, Pilar

; Burgos, Lucrecia M.

; Perez, Gonzalo E.

; Priotti, Mauricio

; García, Darío E.

; Antoniolli, Melisa

; Musso, Gabriel

; Zaidel, Ezequiel J.

; Sosa-Liprandi, Álvaro

; Del-Sueldo, Mildren A.

; Lopez-Santi, Ricardo

; Vazquez, Gustavo

; Baranchuk, Adrián

Revista Peruana de Medicina Experimental y Salud Publica

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Abr 2023, Volume 40 Nº 2 Páginas 179 - 188

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

https://doi.org/10.17843/rpmesp.2023.402.12646

Characterization of uterine involution using B-mode ultrasonography, color Doppler and elastography (acoustic radiation force impulse) for assessing postpartum in Santa Inês ewes Bmode B mode ultrasonography acoustic impulse
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Mariano, Renata Sitta Gomes

; Santos, Victor José Correia

; Taira, Augusto Ryonosuke

; Silva, Priscila Del Aguila da

; Rodriguez, Mariana Garcia Kako

; Padilha-Nakaghi, Luciana Cristina

; Simões, Ana Paula Rodrigues

; Maronezi, Marjury Cristina

; Avante, Michelle Lopes

; Uscategui, Ricardo Andres Ramirez

; Lima, Bruna Bressianini

; Feliciano, Marcus Antônio Rossi

; Teixeira, Pedro Paulo Maia

; Vicente, Welter Ricardo Russiano

Animal Reproduction

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2023, Volume 20 Nº 2 elocation e20220110

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to investigate uterine involution using ultrasonography techniques during postpartum. Postpartum ultrasonography evaluation (B-mode, color Doppler and Acoustic Radiation Force Impulse elastography) of the uterus was performed by transabdominal approach at immediate after birth and sequentially every 48 hours, during 30 days. The uterine echotexture did not present significant variations (P >0.05) being homogeneous in most evaluations; echogenicity of the uterus increased along the evaluation period (P =0.0452). Progressive and remarkable decrease of the total uterine diameter (UD) were observed (P <0.0001), especially during the first days postpartum. The thickness of uterine wall gradually decreased, as well the endometrial, myometrium and lumen diameters (P <0.0001). Uterine blood flow was assessed by Doppler and decreased during postpartum period, being significantly lower (P=0.0225) on the 30th day of postpartum. Uterine parenchyma presented as homogeneous dark areas (not deformable) on qualitative ultrasound elastography and the means shear velocity values of the uterine wall on quantitative elastography did not differ. This is the first study that evaluate the stiffness of uterine wall in healthy ewes, providing baseline data about quantitative and qualitative stiffness of the normal uterus, and it may be a useful tool for early diagnosis of uterine alterations during the postpartum period, using the reference parameter established for the assessment of uterine integrity during postpartum period. Bmode, Bmode B mode, mode (B-mode 4 hours 3 P >0.05 005 0 05 evaluations =0.0452. 00452 =0.0452 . 0452 =0.0452) UD (UD <0.0001, 00001 <0.0001 , 0001 <0.0001) endometrial <0.0001. P=0.0225 P00225 0225 (P=0.0225 th deformable differ ewes >0.0 00 0045 =0.045 045 0000 <0.000 000 P=0.022 P0022 022 (P=0.022 >0. 004 =0.04 04 <0.00 P=0.02 P002 02 (P=0.02 >0 =0.0 <0.0 P=0.0 P00 (P=0.0 > =0. <0. P=0. P0 (P=0. =0 <0 P=0 (P=0 = < P= (P=

https://doi.org/10.1590/1984-3143-ar2022-0110

Perspectives of health practitioners on the challenges to accessing sexual and reproductive health care services for Venezuelan migrant women during the COVID-19 pandemic in Quito, Ecuador
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Guijarro, Susana

; Torres, Ana Lucia

; Montero, Gonzalo

; Garcia, Mónica

; Sabay, Hernán

; Iribarren, Sarah

; Ocaña, José Andrés

; Yánez, Paula

; Murgueytio, Patricio

Revista Panamericana de Salud Pública

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2023, Volume 47 elocation e58

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

RESUMO Objetivos. Descrever as perspectivas dos profissionais de saúde sobre as barreiras, lacunas e oportunidades que as mulheres migrantes venezuelanas encontraram para acessar serviços de saúde sexual e reprodutiva (SSR) durante a pandemia de COVID-19 e como esses serviços foram afetados em Quito, Equador. Métodos. Foram entrevistados profissionais de saúde envolvidos nos serviços de SSR de nove unidades públicas de saúde de três zonas de Quito. Adaptou-se o questionário de avaliação da prontidão para oferecer o pacote de serviço inicial mínimo, disponibilizado pelo grupo de trabalho interagencial sobre saúde reprodutiva em situações de crise, a fim de realizar a coleta de dados no Equador. Resultados. Dos 297 respondentes, 227 foram incluídos na análise. Apenas 16% dos profissionais de saúde concordaram que havia discriminação contra mulheres migrantes venezuelanas no sistema de saúde. Desses, apenas 2,3% descreveram condições específicas associadas à discriminação, como cobrança de documentos de identificação (7,5%) e falta de empatia ou responsividade (6,6%). A maioria (65,2%) dos respondentes relatou que a pandemia de COVID-19 afetou o uso dos serviços de SSR por mulheres na população de modo geral. As mulheres migrantes venezuelanas foram mais afetadas (56,3%) devido ao acesso limitado a serviços de SSR e à pobreza e vulnerabilidade. Não houve diferenças de percepção entre diferentes níveis de atenção à saúde, exceto no que diz respeito à falta de insumos, sensibilização para a discriminação e crença de que as mulheres migrantes venezuelanas foram afetadas de forma mais negativa que a população local. Conclusão. Para os profissionais de saúde em Quito, a discriminação foi pouco frequente durante a pandemia de COVID-19, embora a pandemia tenha afetado o sistema de saúde. Entretanto, os profissionais reconheceram certo nível de discriminação contra as mulheres migrantes venezuelanas que procuram serviços de SSR, que pode estar sub-representado.

ABSTRACT Objectives. To describe the perspectives of health practitioners on the barriers, gaps, and opportunities that Venezuelan migrant women experienced to accessing sexual and reproductive health (SRH) services during the COVID-19 pandemic and how SRH services were affected in Quito, Ecuador. Methods. Health practitioners involved in SRH services at nine public health care facilities in three zones of Quito were surveyed. The Minimum Initial Service Package readiness assessment tool survey, available from the Inter-Agency Working Group on Reproductive Health in Crisis, was adapted for use and data collection in Ecuador. Results. Of 297 respondents, 227 were included in the analysis. Only 16% of the health practitioners agreed that discrimination against migrant Venezuelans women occurred in the health care system. Of those, only 2.3% described specific conditions associated with discrimination, including requiring identification documents (7.5%) and lack of empathy or responsiveness (6.6%). Most (65.2%) respondents reported that the COVID-19 pandemic affected the use of SRH services by women in the general population and by Venezuelan migrant women more so (56.3%) because of more limited access to SRH services, poverty, and vulnerability. There were no differences between perceptions by levels of health care facility, except with regard to the lack of supplies, awareness of discrimination, and the belief that Venezuelan migrant women were affected more negatively than the local population. Conclusion. The perception among health practitioners in Quito was that discrimination occurred infrequently during the COVID-19 pandemic despite affecting the health care system. However, some level of discrimination toward migrant Venezuelan migrant women seeking SRH services was acknowledged and may be underrepresented.

RESUMEN Objetivos. Describir las perspectivas de los prestadores de atención de salud sobre los obstáculos, las brechas y las oportunidades que registraron las mujeres migrantes venezolanas para acceder a los servicios de salud sexual y reproductiva (SSR) durante la pandemia de COVID-19 y cómo se vieron afectados estos servicios en Quito (Ecuador). Métodos. Se encuestó a prestadores de atención de salud que trabajan en servicios de SSR en nueve centros de salud pública de tres zonas de Quito. Se utilizó una adaptación de la encuesta sobre el instrumento de evaluación de la disposición operativa del paquete de servicios iniciales mínimos, disponible en el Grupo de Trabajo Interinstitucional sobre Salud Reproductiva en Situaciones de Crisis, para la recopilación de datos en Ecuador. Resultados. De las 297 personas encuestadas, 227 quedaron incluidas en el análisis. Solo el 16% de los prestadores de atención de salud estaba de acuerdo en que en el sistema de salud había discriminación contra las mujeres migrantes venezolanas. De estos, solo el 2,3% describió circunstancias específicas asociadas a la discriminación, como la exigencia de documentos de identidad (7,5%) y la falta de empatía o capacidad de respuesta (6,6%). La mayoría (65,2%) de las personas encuestadas manifestó que la pandemia de COVID-19 había impactado en el uso de los servicios de SSR por parte de las mujeres de la población general y, en mayor medida, por parte de las mujeres migrantes venezolanas (56,3%) debido a sus limitaciones para acceder a los servicios de SSR, su pobreza y su vulnerabilidad. No hubo diferencias en las percepciones según el nivel de los centros de salud, excepto con respecto a la falta de insumos, la concientización sobre la discriminación y la creencia de que estas mujeres se vieron más afectadas que la población local. Conclusión. La percepción en los prestadores de atención de salud en Quito fue que, pese a ser un fenómeno que afectaba al sistema de atención de salud, la discriminación había sido poco frecuente durante la pandemia de COVID-19. Sin embargo, se reconoció cierto nivel de discriminación hacia las mujeres migrantes venezolanas que solicitaban servicios de SSR y que este fenómeno podría estar subrepresentado.

https://doi.org/10.26633/rpsp.2023.58

Alternatives for the gray mold (Botrytis cinerea) control in cape gooseberry (Physalis peruviana) crop
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Zapata-Narváez, Yimmy Alexander

; Díaz-Garcia, Andrés

; Beltrán-Acosta, Camilo Rubén

Revista mexicana de fitopatología

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2023, Volume 41 Nº 3 Páginas 372 - 390

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

Resumen. Se determinó el efecto sobre la incidencia del moho gris en postcosecha de uchuva de las aplicaciones en campo de tres bioproductos a base de Trichoderma koningiopsis, Rhodotorula mucilaginosa y Bacillus amyloliquefaciens, la alternancia del bioestimulante Kendal® y el extracto vegetal EcoSwing® y las rotaciones de fungicidas a base de Azoxistrobina - Difenoconazole y Thiram - Pyrimethanil. Semanalmente se cosechó la fruta, disponiendo en cámaras húmedas frutos con cáliz y sin este, incubadas durante siete días a 20 °C para promover el desarrollo de la enfermedad y determinar la eficacia en su control. Se realizó el seguimiento de las poblaciones de los antagonistas entre aplicaciones, mediante colecta de foliolos y el lavado en Tween 80 al 0.1%, sembrando alícuotas en medios específicos. En los frutos con cáliz la menor incidencia de la enfermedad con medias de 48 y 51% se presentó con las aplicaciones del hongo y la levadura respectivamente, mientras que en los frutos sin cáliz la incidencia no supero el 1.4% en todos los tratamientos. La población de antagonistas en la filósfera permaneció constante entre aplicaciones con recuentos de 1x103 UFC g-1 para T. koningiopsis y de 1x105 UFC g-1 para R. mucilaginosa y B. amyloliquefaciens.

Abstract. The effect of the field applications of three bioproducts (based on Trichoderma koningiopsis, Rhodotorula mucilaginosa, and Bacillus amyloliquefaciens), the alternation of the biostimulant Kendal® and the Swinglea glutinosa extract and the rotations of two fungicides (based on Azoxystrobin-Difenoconazole and Thiram-Pyrimethanol), on the incidence of gray mold in cape gooseberry postharvest was evaluated. For this purpose, the fruit was harvested weekly in the field, arranged in wet chambers with fruits with and without calyx, and incubated for seven days at 20 °C in laboratory conditions to promote the development of B. cinerea and determine the efficacy in its control. In addition, the populations of the microbial antagonists were monitored between applications by collecting the leaflets and washing them in 0.1% Tween 80 and sowing aliquots in specific culture media. In fruits with calyx, the lowest incidence of the gray mold, with averages of 48 and 51%, occurred with the applications of the bioproducts based on T. koningiopsis and R. mucilaginosa, respectively. In contrast, the incidence did not exceed 1.4% in fruits without calyx in all treatments. Furthermore, the population of microbial antagonists in the phyllosphere remained constant between applications, with counts of 1x103 CFU g-1 for T. koningiopsis and 1x105 CFU g-1 for R. mucilaginosa and B. amyloliquefaciens.

https://doi.org/10.18781/r.mex.fit.2302-5

Risk factors associated with failed weaning from mechanical ventilation in septic patients admitted to an intensive care unit: a case-control study
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Ríaseos, Lorena Enriquez

; Garcia-Perdomo, Herney Andrés

Revista de la Facultad de Medicina

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Dez 2022, Volume 70 Nº 4 elocation e202

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

Abstract Introduction: Several risk factors associated with weaning failure may be observed in septic patients requiring invasive mechanical ventilation. Objective: To determine the risk factors associated with weaning failure in septic patients admitted to an intensive care unit (ICU) in Cali, Colombia, between January 2014 and June 2018. Materials and methods: Case-control study conducted in 315 patients who required mechanical ventilation for more than 48 hours and were distributed as follows: 105 cases (weaning failure) and 210 controls (successful weaning). Information about sociodemographic and clinical variables was obtained from their medical records. A bivariate analysis was performed to determine the association between each independent variable and weaning failure. A multivariate analysis was also carried out using a logistic regression model in which the variables with a p<0.20 in the bivariate analysis were entered. A significance level of p≤0.05 was considered. Results: Requiring mechanical ventilation for more than 7 days (OR: 15.13; 95%CI: 8.25-27.74), having a high APACHE II score (mortality risk >50%) on ICU admission (OR: 3.16; 95%CI: 1.73-5.77), and having diuresis ≤0.5 mL/kg/h (OR: 1.87; 95%CI: 1.0-3.50) were significantly associated with weaning failure. Conclusions: Requiring mechanical ventilation for more than 7 days, having diuresis ≤0.5ml/kg/h, as well as a high APACHE ll score on ICU admission were risk factors associated with failed weaning from mechanical ventilation in this study; however, age, blood urea nitrogen, creatinine, and positive fluid balance were not significantly associated with it, despite being described as risk factors in the literature.

Resumen Introducción. En pacientes sépticos con requerimiento de ventilación mecánica invasiva pueden presentarse diferentes factores de riesgo de destete ventilatorio fallido. Objetivo. Determinar los factores de riesgo de destete ventilatorio fallido en pacientes sépticos admitidos a una unidad de cuidados intensivos (UCI) de Cali, Colombia, entre enero de 2014 y junio 2018 Materiales y métodos. Estudio de casos y controles realizado en 315 pacientes que requirieron ventilación mecánica por más de 48 horas distribuidos así: 105 casos (destete fallido) y 210 controles (destete exitoso). La información sobre variables sociodemográficas y clínicas se obtuvo a partir de la revisión de historias clínicas. Se realizó un análisis bivariado para determinar las asociaciones de cada variable independiente con el destete fallido y un análisis multivariado mediante un modelo de regresión logística en el que se ingresaron las variables que en el análisis bivariado tuvieron un valor p<0.20. Se consideró un nivel de significancia de p≤0.05. Resultados. Haber requerido ventilación mecánica por más de 7 días (OR: 15.13; IC95% 8.25-27.74), tener un puntaje APACHE II alto (riesgo de mortalidad >50%) al ingreso a UCI (OR: 3.16; 95%IC: 1.73-5.77) y tener diuresis ≤0.5 mL/kg/h (OR: 1.87; IC95% 1.0-3.50) se asociaron significativamente con el destete ventilatorio fallido. Conclusiones. En el presente estudio, el requerimiento de ventilación mecánica mayor a 7 días, la diuresis ≤0.5 mL/kg/h y un puntaje APACHE II alto al ingreso a UCI fueron factores de riesgo para destete ventilatorio fallido, pero no se observó asociación con la edad, el nitrógeno ureico en sangre, la creatinina y el balance de líquidos positivos, a pesar de que estos han sido descritos como factores de riesgo en la literatura.

https://doi.org/10.15446/revfacmed.v70n4.94464

Diretriz da Sociedade Brasileira de Cardiologia sobre a Análise e Emissão de Laudos Eletrocardiográficos – 2022
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Samesima, Nelson

; God, Epotamenides Good

; Kruse, Jose Claudio Lupi

; Leal, Marcelo Garcia

; Pinho, Claudio

; França, Francisco Faustino de A. C.

; Pimenta, João

; Cardoso, Acácio Fernandes

; Paixão, Adail

; Fonseca, Alfredo

; Pérez-Riera, Andrés R.

; Ribeiro, Antonio Luiz Pinho

; Madaloso, Bruna Affonso

; Luna Filho, Bráulio

; Oliveira, Carlos Alberto Rodrigues de

; Grupi, César José

; Moreira, Dalmo Antonio Ribeiro

; Kaiser, Elisabeth

; Paixão, Gabriela Miana de Mattos

; Feitosa Filho, Gilson

; Pereira Filho, Horacio Gomes

; Grindler, José

; Aziz, José Luiz

; Molina, Marcos Sleiman

; Facin, Mirella

; Tobias, Nancy M. M. de Oliveira

; Oliveira, Patricia Alves de

; Sanches, Paulo César R.

; Teixeira, Ricardo Alkmin

; Atanes, Severiano Melo

; Pastore, Carlos Alberto

Arquivos Brasileiros de Cardiologia

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Out 2022, Volume 119 Nº 4 Páginas 638 - 680

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

https://doi.org/10.36660/abc.20220623

10.

Ecuadorian adaptation and validation of the Scale of Risk Factors Associated with Eating Disorders (EFRATA)
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Reivan-Ortiz, Geovanny Genaro

; Pineda-Garcia, Gisela

; León-Parias, Bello

; Reivan-Ortiz, Patricia Natali

; Ortiz-Rodas, Patricia Elizabeth

; Ramírez-Coronel, Andrés A

; Martinez-Suarez, Pedro C

Anales de Psicología

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Set 2022, Volume 38 Nº 2 Páginas 232 - 238

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

Resumen El objetivo de este estudio fue adaptar y conocer la estructura factorial y la confiabilidad en la población ecuatoriana de la Escala EFRATA de Factores de Riesgo Asociados a los Trastornos de la Conducta Alimentaria. Se utilizó una muestra no probabilística de 1172 participantes (edad: M = 21.99; DT = 2.49; 58.6% mujeres y 41.4% hombres). El primer estudio de análisis paralelo identificó siete factores interpretables que explican el 50% de la varianza. El segundo estudio de análisis factorial confirmatorio indica un ajuste aceptable (GFI = 0.96; AGFI = 0.95; NFI = 0,94; RMR = 0.08). Los coeficientes de confiabilidad para el alfa de Cronbach y el omega de McDonald's fueron 0.89 y 0.90 respectivamente. La versión ecuatoriana de la EFRATA muestra buenas propiedades psicométricas y se adapta al contexto cultural de este país.

Abstract The objective of this study was to adapt and know the factorial structure and reliability in the Ecuadorian population of the EFRATA Scale of Risk Factors Associated with Eating Disorders. A non-probabilistic sample of 1172 participants were used (age: M = 21.99; SD = 2.49; 58.6% women and 41.4% men). The first parallel analysis study identified seven interpretable factors that explain 50% of the variance. The second confirmatory factor analysis study indicates an acceptable fit (GFI = 0.96; AGFI = 0.95; NFI = 0.94; RMR = 0.08). The reliability coefficients for Cronbach's alpha and McDonald's omega were 0.89 and 0.90 respectively. The Ecuadorian version of the EFRATA shows good psychometric properties and adapts to the cultural context of this country.

https://doi.org/10.6018/analesps.475061

11.

Challenging dilemmas of low grade, non-invasive bladder cancer: a narrative review
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Korkes, Fernando

; Spiess, Phillipe E.

; Garcia-Perdomo, Herney Andres

; Necchi, Andrea

International braz j urol

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Jun 2022, Volume 48 Nº 3 Páginas 397 - 405

Resumo: En | Texto: En | PDF: En

ABSTRACT Purpose: To describe the current scientific knowledge and clinical experience in low-grade-non-muscle-invasive bladder cancer (LG-NMIBC) patients in challenging scenarios. Materials and Methods: Medline, Embase, Google Scholar, and Cochrane Central were searched until March 2021. Results: A total of 841 studies were identified, and abstracts were analyzed. Twenty-one relevant studies were then identified and reviewed. After all, information was gathered from 16 studies, the authors discussed the specific topics, and expert opinions were also included in the discussion. There have been some studies that can help us to have some insights on how to manage these patients. Very distinctive strategies have been reported in the literature, mainly anecdotally or in small randomized studies. Some of these treatments outlined in the present manuscript include repeated TURBTs, chemoablation, BCG immunoablation, partial cystectomy, radical cystectomy, radiotherapy, chemotherapy, and future perspectives. In the current manuscript, we have combined these strategies in a proposed algorithm. Conclusion: For those LG-NMIBC patients in challenging scenarios, we have found repeated TURBTs, chemoablation, BCG immunoablation, partial cystectomy, radical cystectomy, radiotherapy, and chemotherapy are attractive modalities to treat them effectively. Also, the current manuscript proposes an algorithm to overcome these challenges.

https://doi.org/10.1590/s1677-5538.ibju.2021.0259

12.

Regional variability of glycemic control among adults with diabetes mellitus in Colombia
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Ramírez-García, Nathaly

; García-Sierra, Andrés Mauricio

; King, Christian

; Valbuena-Garcia, Ana Maria

; Urina-Triana, Miguel

; Quintero Baiz, Adalberto

; Acuña Merchan, Lizbeth Alexandra

Salud Pública de México

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Abr 2022, Volume 64 Nº 2 Páginas 233 - 235

Resumo: En | Texto: En | PDF: En

https://doi.org/10.21149/13053

13.

Complicaciones quirúrgicas y postquirúrgicas más frecuentes en cirugía de terceros molares. Revisión de la literatura
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Sandoval, Mario Andrés

; Rockenbach Binz, Maria Cristina

; Garcia Nuñez., Ana Karina

Revista San Gregorio

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Fev 2022, Volume 1 Nº 52 Páginas 189 - 202

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

Resumen La investigación tuvo como objetivo determinar cuáles son las complicaciones más frecuentes en cirugía y eventos postquirúrgicos relacionados a la extracción de terceros molares, mediante una revisión de la literatura de artículos científicos entre el 2015 y el 2021. Se planteó una revisión bibliográfica de artículos científicos relacionados a las complicaciones quirúrgicas y postquirúrgicas en las extracciones de terceros molares, en las bases de datos Pubmed, Google Académico y Cochrane por lo que se obtuvo un total de 52 artículos, de los cuales 19 se descartaron por no cumplir los criterios de selección, y se añadieron 33 artículos que si cumplieron con los criterios de la investigación. Los resultados muestran heterogeneidad en las complicaciones causadas por la extracción de terceros molares, siendo reportadas fracturas radiculares, hemorragia, daño nervioso, comunicación bucosinusal y osteítis alveolar. Las complicaciones más frecuentes derivadas de la extracción de terceros molares, en la literatura entre los años 2015-2021, a nivel intraoperatorio son fractura radicular y lesiones nerviosas, y a nivel postoperatorio es la osteítis alveolar.

Abstract The objective of the research was to determine which are the most frequent complications in surgery and post-surgical events related to the extraction of third molars, through a review of the literature of scientific articles between 2015 and 2021. A bibliographic review of related scientific articles was proposed. to surgical and post-surgical complications in the extraction of third molars, in the Pubmed, Google Scholar and Cochrane databases, for which a total of 52 articles were obtained, of which 19 were discarded for not meeting the selection criteria, and 33 articles were added that did meet the research criteria. The results show heterogeneity in the complications caused by the extraction of third molars, being reported root fractures, hemorrhage, nerve damage, oral sinus communication and alveolar osteitis. The most frequent complications derived from the extraction of third molars, in the literature between the years 2015-2021, at the intraoperative level are root fracture and nerve injuries, and at the postoperative level it is alveolar osteitis.

https://doi.org/10.36097/rsan.v0i52.2252

14.

Doppler sonography of the umbilical and uterine arteries blood flow of pregnant Saanen goats
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Del’Aguila-Silva, Priscila

; Santos, Fabiana Cirino dos

; Santos, Victor José Correia dos

; Uscategui, Ricardo Andres Ramirez

; Padilha-Nakaghi, Luciana Cristina

; Mariano, Renata Sitta Gomes

; Rodriguez, Mariana Garcia Kako

; Amoroso, Lizandra

; Vicente, Wilter Ricardo Russiano

; Feliciano, Marcus Antônio Rossi

Animal Reproduction

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2022, Volume 19 Nº 3 elocation e20220014

Resumo: En | Texto: En | PDF: En

Abstract The objective was to evaluate the blood flow of the uterine artery (UA) and umbilical artery (UMB) in the physiological pregnancy of goats by means of Doppler throughout the gestational period. Twenty-five Saanen goats weighing 55 ± 10 kg and aged between 2 and 5 were evaluated weekly, from the 21st until the 143rd day of gestation, and daily from that period until parturition. Values for peak systolic velocity (PSV), end diastolic velocity (EDV) and resistance (RI) and pulsatility (PI) indices of the uterine and umbilical arteries were determined. The values obtained were correlated with gestational age by Spearman's test, tested for adjustment to regression models and compared with the number of fetuses by ANOVA. The umbilical cord was first visualized at 28 days. Of the variables evaluated, RIUMB and PIUMB correlated with gestational age (p<0.001; and 0.046; respectively) and RIUMB had a low negative correlation with the number of fetuses per pregnancy (p = 0.003; r- Spearman = - 0.218). PSVUMB and EDVUMB values did not correlate with gestational age (p=0.737 and 0.768, respectively), but there was a decrease in the mean values throughout pregnancy (PSVUMB= 0.07; 0.31 and EDVUMB= 0.01; 0.06) as well as the change in the flow pattern of the spectral trace. The mean values of the uterine artery dopplervelocimetric variables PSVUT, EDVUT, PIUT and RIUT did not correlate with gestational age (p= 0.324; 0.372, 0.143; 0.13; respectively). It is expected that the results obtained will contribute to a broader understanding of the hemodynamic changes resulting from pregnancy in goats.

https://doi.org/10.1590/1984-3143-ar2022-0014

15.

Evaluation of irradiance and radiant exposure on the polymerization and mechanical properties of a resin composite
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GRAZIOLI, Guillermo

; CUEVAS-SUAREZ, Carlos Enrique

; MEDEROS, Matías

; DE LEON, Elisa

; GARCIA, Andrés

; ZAMARRIPA-CALDERÓN, Eliezer

; PIVA, Evandro

Brazilian Oral Research

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2022, Volume 36 elocation e082

Resumo: En | Texto: En | PDF: En

Abstract The objective of the present study was to evaluate the effect of irradiance and radiant exposure on the chemical–mechanical properties of a resin composite. A micro-hybrid resin composite (Clearfil AP-X, Kuraray) was investigated under two different irradiances: low (300 mW/cm2) and high (800 mW/cm2) and radiant exposures: 8 and 16 J/cm2. Four groups, named Low 8 J/cm2, High 8 J/cm2, Low 16 J/cm2, and High 16 J/cm2 were tested, and their flexural strengths, elastic moduli, depths of cure, and degrees of conversion were evaluated. Data were analyzed using two-way ANOVA and Tukey’s test. A multiple linear regression model was used to correlate the irradiance and radiant exposure with dependent variables (α = 0.05). Irradiance and radiant exposure were found statistically significant for all dependent variables. The interaction between the factors was statistically significant only for the degree of conversion and elastic modulus. Group Low 16 J/cm2 exhibited a significantly superior performance in all the evaluated properties. Barring the degree of conversion, no significant differences were observed among the properties evaluated between the Low 8 J/cm2 and High 8 J/cm2 groups. The adjusted R2 values were high for the depth of cure and degree of conversion (0.58 and 0.96, respectively). Both irradiance and radiant exposure parameters play an important role in establishing the final properties of a micro-hybrid resin composite. Irradiance has a greater influence under higher radiant exposures.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0082

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