Abstract Among the different handling techniques in aquaculture, the use of anesthetics has had a growing interest focused on guaranteeing animal welfare, and reducing possible stress situations during general handling. The aim of this study was to present the use of eugenol and lidocaine with non-invasive anesthesia procedures in Dormitator latifrons, in which the different stages of anesthesia (induction and recovery) were determined. One hundred and twenty healthy fish of average weight of 73.59 ± 13.53 g and standard length of 17 ± 1.36 cm were used. The experimental fish were subjected to fasting for 24 h prior to the tests. Five fish were subjected to eugenol (25, 50, 100, and 200 µL/L), and lidocaine (100, 200, 300, and 400 mg/L), in triplicate. The time to reach deep and recovery anesthesia were recorded and the data analyzed using ANOVA (α= 0.05). Organisms exposed to anesthetics evidenced early episodes of fast, short-distance swimming (initial hyperactivity) for short periods of time. Survival was 100% with both compounds and concentrations. Fish exposed to a eugenol concentration of 200 µL/L had longer anesthesia times and took longer time to recover (P<0.05). The most effective concentrations for eugenol and lidocaine were of 200 µL/L and 400 µL/L in juvenile fish, promoting rapid inductions, without compromising the conditions for the recovery of the fish. This work provides practical information for handling and transportation D. latiforns with the least possible stress and ensuring animal welfare.

Resumo Dentre as diferentes técnicas de manejo na aquicultura, o uso de anestésicos tem despertado interesse crescente voltado para a garantia do bem-estar animal, reduzindo possíveis situações de estresse durante o manejo geral. O objetivo deste estudo foi apresentar o uso de eugenol e lidocaína com procedimentos anestésicos não invasivos em Dormitator latifrons, nos quais foram determinadas as diferentes etapas da anestesia (indução e recuperação). Foram utilizados 120 peixes saudáveis, com peso médio de 73,59 ± 13,53 g e 17 ± 1,36 cm de comprimento, em jejum de 24 horas antes dos testes. Cinco peixes foram submetidos a eugenol (25, 50, 100 e 200 µL/L) e lidocaína (100, 200, 300 e 400 mg/L), em triplicata. O tempo para atingir a anestesia profunda e de recuperação foi registrado, os dados foram analisados com ANOVA (α= 0,05). Organismos expostos a anestésicos evidenciaram episódios precoces de nado rápido de curta distância (hiperatividade inicial) por curtos períodos de tempo. A sobrevivência atinge 100% com ambos compostos e concentrações. Peixes expostos a uma concentração de eugenol de 200 µL/L tiveram tempos de anestesia mais longos e demoraram mais para se recuperar (P<0,05). As concentrações mais efetivas para eugenol e lidocaína foram de 200 µL/L e 400 µL/L em peixes juvenis, promovendo induções rápidas, sem comprometer as condições de recuperação dos peixes. Este trabalho fornece informações práticas para o manejo e transporte de D. latifrons com o mínimo de estresse possível e garantindo o bem-estar animal.

Resumen Esta guía propone brindar una ayuda a todos los médicos para la identificación metódica de cada marca comercial de marcapasos por radiografía simple de tórax, por medio de sus componentes electrónicos (conectores de electrodos, circuito lógico y batería), siendo necesario para la interrogación de dispositivos de marcapasos posterior a su implante. Se describirán los diferentes tipos de marcapasos, electrodos y modos de programación más frecuentemente utilizados.

Abstract This guide provides help for medical doctors systematically identifying each commercial brand of pacemakers by thoracic radiography through their electronic components (electrode connectors, logic circuit, and battery); this is crucial for watching the pacemaker after being implanted. We aimed to describe the different cardiac stimulation devices, electrodes, and programming modes more frequently used.

RESUMO O problema tratado é a contaminação da água da Lagoa Yarinacocha por metais pesados e o uso inadequado de resíduos agrícolas. Foi fabricado carvão ativado a partir de cascas de cacau (Theobroma cacao L.) e foi determinado seu efeito adsorvente na remoção de metais poluentes das águas da Lagoa Yarinacocha. A metodologia da superfície de resposta foi aplicada com experimentos fatoriais 33 e 32, com três repetições para otimizar a obtenção do adsorvente e medir sua eficácia na remoção de metais. A modelagem do processo de pirólise, resultou em 17,27 g de carvão ativado a partir de 295,72 g de cascas de cápsulas secas, ótimo com os seguintes parâmetros ótimos: 150 °C como temperatura de ativação, 450 °C como temperatura de carbonização, e 2,5 horas como tempo de modificação. Isto resultou na remoção efetiva de metais poluentes (alumínio: 91,43%, cobre: 75%, ferro: 58,33% e zinco: 58,33%), de amostras de água demonstrando que é possível fabricar carvão ativado a partir de cascas de casca de cacau, com um potencial adsorvente para remover metais das águas da Lagoa Yarinacocha.

ABSTRACT The problem addressed is the contamination of the Yarinacocha Lagoon water by heavy metals and poor use of agricultural residues. It was manufactured activated carbon from cocoa (Theobroma cacao L.) pod husks and determined its adsorbent effect in removing polluting metals from the waters of the Yarinacocha Lagoon. The response surface methodology was applied with factorial designs 33 and 32, with three replicates to optimize obtaining the adsorbent and measure its effectiveness in metal removal. The modeling of the pyrolysis process resulted in 17.27 g of activated carbon from 295.72 g of dry pod husks, optimal with the following optimal parameters: 150 °C as activation temperature, 450 °C as carbonization temperature, and 2.5 hours as modification time. This resulted in effective removal of pollutant metals (aluminum: 91.43%, copper: 75%, iron: 58.33% and zinc: 58.33%), from waters samples demonstrating that it is possible to manufacture activated carbon from cocoa pod husks, with an adsorbent potential to remove metals from the waters of the Yarinacocha Lagoon.

ABSTRACT Objective : To analyze the oral health status and its relationship with the quality of life of Andean children of the community of Paucarbamba in Huancavelica, Peru. Material and Methods : The observational, cross-sectional, and correlational study was conducted on a sample of 120 children aged 3-5 years. Early childhood caries was considered using the dmft index. In addition, presence and type of malocclusion were assessed. The oral health-related quality of life was measured by The Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire. Univariate and bivariate analysis were performed. Linear regression and Spearman correlation were conducted to identify the factors that most explained the ECOHIS score. Results : Multiple linear regression by least squares method did not consider gender, age, malocclusion, and simplified oral hygiene index as significant. This analysis only included dmft index as significant (p<0.05) to explicate the ECOHIS score. The estimated regression model was ECOHIS score = 11.67 + 0.79*dmft, in which the score increased by 0,79 for each unit obtained of the dmft index, and the dmft in a R2 = 30% (p<0.001) explained the variability of the ECOHIS score achieved. Conclusions : There is a negative impact of dental caries on the quality of life of preschool children and their families in an Andean community in Paucarbamba, Peru.

RESUMEN Objetivo : Analizar el estado de salud bucal y su relación con la calidad de vida de los preescolares de una comunidad andina y vulnerable del Perú. Material y Métodos : El estudio observacional, correlacional y transversal se realizó en una muestra de 120 niños de 3 a 5 años. La caries de la primera infancia se determinó mediante el índice ceod. También se consideró la presencia y el tipo de maloclusión. El cuestionario Early Childhood Oral Health Impact Scale (ECOHIS) midió la calidad de vida relacionada con la salud bucal. Los factores y variables orales se analizaron de manera univariada y bivariada. Se realizó un análisis de correlación de Spearman y regresión lineal para identificar los factores y en qué medida explicaban la puntuación del cuestionario. Resultados : El análisis de regresión lineal múltiple por el método de mínimos cuadrados solo incluyó como significativa (p <0,05) la contribución de ceod para explicar la puntuación del cuestionario, dejando de lado variables como el sexo, la edad, la maloclusión y el índice de higiene bucal simplificado. El modelo de regresión estimado fue Puntuación del Cuestionario = 11,67 + 0,79*ceod, donde la puntuación del cuestionario aumentó en 0,79 por cada unidad ganada de ceod, y la variabilidad de las puntuaciones obtenidas se explica por el ceod en un R2 = 30% (p<0,001). Conclusiones : Existe un impacto de la caries dental en la calidad de vida de los preescolares de uma comunidade andina del Perú y sus familias.

Resumen La presencia de recursos digitales como las apps o aplicaciones móviles con un propósito educativo preciso y utilizado como herramienta complementaria a la labor docente flexibiliza y dinamiza, entre otras, el proceso de enseñanza/aprendizaje. En este estudio, se seleccionaron y evaluaron diferentes apps educativas relacionadas con el tema de balanceo de reacciones químicas. Las apps mejor evaluadas por los docentes e incluidas dentro del proceso de enseñanza/aprendizaje de estudiantes universitarios fueron Chem Calc - Equation Balancer & Element Dictionary y Chemical Equation Balance. La percepción general, después del uso de estos dos recursos, fue favorable y la calificación descriptiva que les otorgaron fue: motivantes, lúdicas, que diversifican la conducta del docente en cuanto a uso de recursos se refiere, que aumentan los espacios de participación por parte del estudiante e idóneas porque ayudan a mejorar su comprensión en el tema y a verificar los ejercicios que se hubiesen realizado.

Abstract Having digital resources such as apps or mobile applications with an educational purpose and used as a complementary tool to teaching, makes the teaching/learning process more flexible and dynamic, among others. In this research, different educational apps related to the topic of balancing chemical reactions were selected and evaluated. The best apps evaluated by teachers that are included in the teaching/learning process were Chem Calc - Equation Balancer & Element Dictionary and Chemical Equation Balance. The perception after the use of these two apps was favorable and the descriptive qualification that they were given was: The perception after the use of these two apps was favorable and the descriptive rating they were given was: Motivating, playful, these apps diversify the behavior of the teacher in terms of use of resources, these apps increase the spaces for student´s participation to help improve understanding of topics, these apps helped to verify that all exercises had been performed.

Abstract Cattle raising is a crucial element of production systems in the tropics and subtropics. However, in recent years, global public health security has been threatened by disease emergence. In Orellana Province, livestock is the most important activity to generate economic income. Nevertheless, there is no available data about Animal Health status. With this objective, a study was performed to describe the major Bovine diseases recorded between 2011 to 2019, and the main Risk factors associated. Data on main Bovine diseases were retrieved from the World Animal Health Information System database. Whereas Bovine population data used to calculate the prevalence rates and confidence intervals were obtained from Ecuador's Ministry of Agriculture. By contrast, the Risk factors identified with an epidemiological questionnaire were applied to 300 livestock farmers. As a result, from 2011 to 2019 in Orellana has been confirmed: 90 cases of Infectious Bovine Rhinotracheitis (31.58%), Bovine Rabies by hematophagous bats (Desmodus rotundus), 83 cases (29.12%), Bovine viral diarrhea with 43 cases (15.10%), Brucellosis by Brucella abortus 35 cases, which was (12.28%), and 34 cases related to Enzootic bovine leukosis (11.92%). Overall, the prevalence rates ranged from (0.24 to 15.37%). In addition, farm size, presence of forest, herd, and paddock sizes, cutting frequency of forages, and other animal species were involved as Risk factors (OR = 3.15 to 11.75; 95% CI, 0.01 to 0.69). In conclusion, there are animal diseases with reproductive and neurologic symptomology and high-Risk factors implicated in the transmission. Consequently, space-temporal and seroprevalence epidemiological studies should be performed in Orellana.

Resumo A criação de gado é um elemento crucial dos sistemas de produção nos trópicos e subtrópicos. No entanto, nos últimos anos, a segurança da saúde pública global tem sido ameaçada pelo surgimento de doenças. Na província de Orellana, a pecuária é a atividade mais importante para gerar renda econômica. Contudo, não há dados disponíveis sobre o estado de saúde animal. Com este objetivo, foi realizado um estudo para descrever as principais doenças dos bovinos registradas entre 2011 e 2019, além dos principais fatores de risco associados. Os dados sobre as principais doenças bovinas foram recuperados do banco de dados do World Animal Health Information System. Os dados da população bovina usados para calcular as taxas de prevalência e os intervalos de confiança foram obtidos do Ministério da Agricultura do Equador. Por outro lado, os fatores de risco identificados com um questionário epidemiológico foram aplicados a 300 criadores de gado. Como resultado, de 2011 a 2019 em Orellana foram confirmados: 90 casos (31,58%) de rinotraqueíte infecciosa bovina, 83 casos (29,12%) de raiva bovina por morcegos hematófagos (Desmodus rotundus), 43 casos (15,10%) de diarreia viral bovina, 35 casos (12,28%) de brucelose por Brucella abortus e 34 casos relacionados à leucose enzoótica bovina (11,92%). No geral, as taxas de prevalência variaram de 0,24 a 15,37%. Além disso, tamanho da fazenda, presença de floresta, tamanho do rebanho e dos piquetes, frequência de corte de forragens e outras espécies animais estiveram envolvidos como fatores de risco (OR = 3,15-11,75; IC 95% 0,01-0,69). Em conclusão, existem doenças animais com sintomatologia reprodutiva e neurológica e fatores de alto risco implicados na transmissão. Portanto, estudos epidemiológicos espaço-temporais e de soroprevalência devem ser realizados em Orellana.

Textbooks show that in cis-1,3-disubstituted cyclohexane molecule, the conformer with the substituents in the diaxial positions is higher in energy and hence, it presents a low population in the conformational equilibrium. The diaxial conformer is destabilized by the repulsion between the substituent groups and the axial hydrogen atoms on the same side of the ring. This interaction is known as the 1,3-diaxial interaction. In this study, the solvent effect on the conformational equilibria of cis-3-N-ethylaminocyclohexanol (cis-3-EACOL) and cis-3-N,N-diethylaminocyclohexanol (cis-3-DEACOL) has been assessed through the spin-spin coupling constant (3JHH). The results show that the diaxial conformation of cis-3-EACOL decreases from 92% in CCl4 (∆Gee−aa = 1.48 kcal mol−1) to 10% in DMSO-d6 (∆Gee−aa = −1.31 kcal mol−1). For cis-3-DEACOL the diaxial conformer decreased from 36% in CCl4 (∆Gee−aa = −0.33 kcal mol−1) to 7% in Pyridine-d5 (∆Gee−aa = −1.55 kcal mol−1). The stabilization of the diaxial conformer in nonpolar solvents takes place due to the O-H···N intramolecular hydrogen bond, which overcomes the 1,3-diaxial steric interactions.

Asymmetric addition of organozinc compounds to carbonyl groups is one of the most useful methods for the synthesis of alcohols with high enantioselectivity. There is a wide range of chiral catalysts, although their synthesis requires more than one step and not often readily available starting materials. In this work, chiral β-hydroxy oxazolines derived from (+)-camphor and (-)-fenchone were easily synthesized through a one-step method, with good yields. Both ligands were evaluated as catalysts for the stereoselective addition of diethylzinc to aromatic aldehydes. All ligands showed good catalytic activity, leading both to the preparation of the R enantiomer of chiral secondary alcohols. As ligand 2 provided slightly better enantioselectivities, it was used as chiral inductor for the addition of diethylzinc for a larger number of aldehydes, resulting in good to excellent yields (88-98%) and enantiomeric excess up to 96%.

Abstract Consumption of wild mushrooms has increased in recent years; however, not all of them are edible and there is no precise information on those that may cause poisoning. Therefore, studies to obtain data about their toxicity are needed. For this purpose, we used the brine shrimp Artemia franciscana, a crustacean employed in toxicity tests and with wide application in the toxin detection, including mycotoxins. Mushrooms were collected in the state of Jalisco, Mexico, with which aqueous extracts were prepared. Dilutions of the stock solution of each extract were made to final concentrations of 50, 100, 250, 500, and 1000 µg/mL. Potassium dichromate (PD) was used as positive control and artificial seawater as negative control. The median lethal dose (LD50) of extracts on nauplii of A. franciscana was calculated. The aqueous extracts obtained from Amanita amerivirosa, A. muscaria, Chlorophyllum molybdites, and Leucopaxillus amarus showed a LD50 < 70 µg/mL, similar to PD (LD50 = 37 µg/mL). This is the first indication of the probable toxicity of Leucopaxillus amarus in humans. Cantharellus cibarius and Scleroderma texense caused the lower toxicity to the nauplii. The brine shrimp bioassay was effective in evaluating the toxicity of Basidiomycota. Scleroderma texense has been reported to be toxic, but it was not for this crustacean nauplii, and probably not to humans either, as recent literature has reported.

Resumo O consumo de cogumelos silvestres aumentou nos últimos anos; porém, nem todas as variedades são comestíveis e não há informações precisas sobre aquelas que podem causar intoxicação. Portanto, estudos para obter dados sobre sua toxicidade são necessários. Para tanto, utilizou-se o artêmia Artemia franciscana, crustáceo utilizado em testes de toxicidade e com ampla aplicação na detecção de toxinas, incluindo micotoxinas. Cogumelos foram coletados no estado de Jalisco, México, com os quais foram preparados extratos aquosos. As diluições da solução estoque de cada extrato foram feitas para as concentrações finais de 50, 100, 250, 500 e 1000 µg/mL. Dicromato de potássio (PD) foi usado como controle positivo e água do mar artificial como controle negativo. Calculou-se a dose letal mediana (DL50) dos extratos sobre os náuplios de A. franciscana. Os extratos aquosos obtidos de Amanita amerivirosa, A. muscaria, Chlorophyllum molybdites e Leucopaxillus amarus apresentaram DL50 < 70 µg/mL, semelhante ao DP (LD50 = 37 µg/mL). Esta é a primeira indicação da provável toxicidade de L.amarus em humanos. Cantharellus cibarius e Scleroderma texense causaram a menor toxicidade aos náuplios. O bioensaio de artêmia foi eficaz na avaliação da toxicidade de Basidiomycota. Scleroderma texense foi relatado como tóxico, mas não foi para este náuplio de crustáceo e provavelmente também não para os humanos, como a literatura recente relatou.

Resumen Objetivo: El presente estudio tiene como objetivo determinar la estructura poblacional y el estado de conservación de la población de Rhinoclemmys melanosterna presentes en ecosistemas perturbados por minería en el cauce del río en la cabecera municipal de Managrú. Metodología: Se realizaron 20 muestreos en cuerpos de agua perturbados por minería aurífera, donde se utilizaron trampas para captura de tortugas y redes de arrastre. Resultados: La población de la especie en estudio tuvo representada por 44 individuos; 25 por medio de trampas y 19 por medio de barridos con redes de arrastre, se aplicó un esfuerzo de muestreo de 150 horas/hombre para obtener un éxito de captura de 0,02 individuos/horas.trampa. De igual manera por medio de arrastres fue de 80 horas/hombre, y un éxito de captura de 0.01 individuos/horas.hombre. La población de R. melanosterna se observó que los machos fueron dominantes, con un 70%, lo que permitió que existieran diferencias estadísticas significativas (P-valor =0,0405). En lo que se refiere al dimorfismo sexual, no se evidenció diferencia significativa (α>0,05) en todas las medidas corporales entre machos y hembras. Conclusión: Las hembras fueron más grandes que los machos en todas las medidas corporales, tan sólo en la longitud de la cola los machos tuvieron una longitud significativamente mayor a las hembras.

Abstract Objective: This study aims to determine the population structure and the conservation status of the population of Rhinoclemmys melanosterna present in ecosystems disturbed by mining in the riverbed in the municipal head of Managrú. Methodology: Twenty samplings were carried out in bodies of water disturbed by gold mining, where traps were used to capture turtles and trawl nets. Results: The population of the species under study was represented by 44 individuals, 25 by means of traps and 19 by means of sweeping with trawl nets. A sampling effort of 150 hours/ man was applied to obtain a capture success of 0.02 individuals/hour trap. Similarly, by means of trawling it was 80 hours/man, and a catch success was of 0.01 individuals/hour. man. In the of R. melanosterna population was observed that males were dominant, with a 70%, which allowed significant statistical differences to exist (P-value = 0.0405). Regarding sexual dimorphism, there was no significant difference (α>0.05) in all body measurements between males and females. Conclusion: The females were larger than the males in all body measurements, only in the length of the tail did the males have a significantly greater length than the females.

Resumen Objetivo: Establecer la prevalencia de lesiones diafragmáticas, torácicas y abdominales asociadas con traumatismos toracoabdominales penetrantes. Método: En un período de 12 meses se recopilaron los pacientes que ingresaron a un hospital de tercer nivel de complejidad con traumatismo toracoabdominal penetrante y que requirieron manejo quirúrgico. Se realizó un análisis descriptivo de los hallazgos empleando medidas de tendencia central y dispersión para las variables cuantitativas y proporciones con intervalos de confianza para las variables cualitativas. Resultados: Se incluyeron 112 pacientes, de los cuales el 91.3% ingresó con heridas por arma blanca, el 60% de las heridas se encontraban del lado izquierdo y en el 66% de los casos debajo del octavo espacio intercostal. El 34% de los pacientes presentaban algún tipo de lesión orgánica y el 27,6% lesión diafragmática. El órgano intraabdominal con más frecuencia lesionado fue el hígado (9,8%), seguido del bazo (6,25%) y el colon (6,25%). Discusión y conclusiones: La zona toracoabdominal más a menudo afectada fue la posterior izquierda, pero la de mayor prevalencia de lesión diafragmática fue la anterior izquierda, siendo el riesgo de lesión diafragmática en esta zona 10 veces mayor en comparación con la zona posterior derecha y casi el doble con respecto a la región posterior izquierda; no se encontró diferencia estadísticamente significativa al compararlo con la región anterior derecha. Las lesiones de víscera sólida son las más frecuentes en la cavidad abdominal.

Abstract Objective: To establish the prevalence of diaphragmatic, thoracic and abdominal injuries associated with penetrating thoracoabdominal trauma. Method: Retrospective chart review of all admitted patients with penetrating thoracoabdominal trauma who required surgical management at the University Hospital of Santander during a 12- month period. A descriptive analysis of the findings using measures of central tendency and dispersion for quantitative variables and proportions with confidence intervals for qualitative variables was made. Results: Of the 112 patients included, 91,3% were admitted with injuries from sharp weapons, 60% of the wounds were on the left and 66% were below the 8th intercostal space. Some type of organ damage was reported in 34% of the patients and 27,6% had a diaphragmatic injury. The most frequently intraabdominal injured organ was liver (9,8%), followed by spleen (6,25%) and colon (6,25%). Discussion and conclusions: The most frequently affected thoracoabdominal area was the posterior left, however, the highest prevalence of diaphragmatic injury was found in the anterior left area. The risk of diaphragmatic injury in the anterior left area was 10 times greater than in the posterior right area and almost doubled the risk of the posterior left region. There was no statistically significant difference between the anterior left area and the anterior right area. Solid viscus injuries are most common in the abdominal cavity.

Abstract Human immunodeficiency virus (HIV) infection continues to be a leading health problem worldwide. Increased life expectancy due to antiretroviral therapy has significantly increased the prevalence of the disease. Human immunodeficiency virus infection is an important cause of acquired heart disease, especially the development of ischemic heart disease (the most common cardiovascular manifestation in developed countries today). We present the case of a 42-year-old patient with HIV infection with no classical cardiovascular risk factors who developed a high-risk acute coronary syndrome. We discuss the etiopathogenesis of HIV-associated ischemic heart disease and its particular diagnostic and therapeutic aspects.

Resumen La infección por VIH continúa representando un problema sanitario de primer orden en el mundo. El aumento de la esperanza de vida gracias a la terapia antirretroviral ha aumentado la prevalencia de la enfermedad de manera importante. La infección por VIH es una causa importante de cardiopatía adquirida, en especial en relación con el desarrollo de cardiopatía isquémica (manifestación cardiovascular más frecuente en los países desarrollados en la actualidad). Se presenta el caso de una paciente de 42 años, con infección por VIH, sin factores de riesgo cardiovascular clásicos, quien presentó un síndrome coronario agudo de alto riesgo. Se discuten la etiopatogenia de la cardiopatía isquémica asociada a la infección por VIH y sus aspectos particulares diagnósticos y terapéuticos.

RESUMEN En este trabajo presentamos un algoritmo general para calcular el punto de coma cero para telescopios reflectores clásicos y no clásicos con superficies asféricas. Programamos una función de trazado de rayos general aplicable a superficies cónicas con asfericidad, desplazamientos e inclinaciones, que puede ser modificada por los usuarios, según sus especificaciones. Esta función se utiliza para evaluar la coma transversal y determinar la conjunción óptima de desplazamiento e inclinación del espejo secundario que evita la introducción de coma axial durante el proceso de colimación. Presentamos el cálculo del punto de coma cero para los telescopios clásicos del Observatorio Astronómico Nacional, San Pedro Mártir, México. Además, mostramos el ejemplo de un telescopio de campo amplio con superficies asféricas, como será el caso de los telescopios TAOS-II, para los que no se puede utilizar la expresión analítica clásica.

ABSTRACT In this work we present a general algorithm to calculate the zero coma point for classical and non-classical reflecting telescopes with aspherical surfaces. We programmed a general ray tracing function applicable to conical surfaces with asphericity, displacements, and inclinations that can be modified by the users, according to their specifications. This function is used to evaluate the transverse coma and determine the optimal conjunction of shift and tilt of the secondary mirror that prevents the introduction of axial coma during the collimation process. We present the calculation of the zero coma point for the classical telescopes of the National Astronomical Observatory, San Pedro Mártir, Mexico. Furthermore, we show an example of a wide-field telescope with aspherical surfaces, as will be the case of the TAOS-II telescopes, for which the classical analytical expression cannot be used.

Resumen Objetivo: Evaluar la asociación e interacción de los parámetros de laboratorio, SAPSII, MSI y MPI con la mortalidad intrahospitalaria. Materiales y métodos: Nosotros realizamos un estudio de casos y controles de pacientes adultos con sepsis abdominal desde mayo 2015 a mayo 2020. Recolectamos las características basales, parámetros de laboratorio, SAPSII, MSI y MPI al ingreso. Se aplicó un Análisis de Componentes Principales. El riesgo de mortalidad intrahospitalaria se determinó mediante modelos de regresión logística. Resultados: Identificamos 127 pacientes, 60 de los cuales se incluyeron. Los no supervivientes (48,4%) tuvieron mayor frecuencia de HAS, lactato y MPI, y menores niveles de EB y EB aláctico. Se obtuvieron ocho Componentes Principales (PC), siendo PC1 una combinación lineal de pH, AG, cAG, EB aláctico, bicarbonato y EB. MPI (OR = 9.87, IC95%: 3.07-36.61, p = 0.0002), SAPSII (OR = 1.07, IC95%: 1.01-1.14, p = 0.01) y PC1 (OR = 2.13, IC95%: 1.12-4.76, p = 0.04) se asociaron significativamente con la mortalidad en el análisis univariado, mientras que MPI (OR = 10.1, IC95%: 3.03-40.06, p = 0.0003) y SAPSII (OR = 1.07, IC 95%: 1.01-1.14, p = 0.02) permanecieron significativos después del ajuste por edad y sexo. Conclusiones: MPI y SAPSII se asociaron con mortalidad, aunque la interacción de los parámetros de laboratorio no lo hizo.

Abstract Objective: The objective of this study was to assess the association and interaction of laboratory parameters, Simplified Acute Physiology Score II (SAPSII), Modified Shock Index (MSI), and Mannheim Peritonitis Index (MPI) with in-hospital mortality. Material and methods: We conducted a single-center case–control study. Adult patients with abdominal sepsis were included from May 2015 to May 2020. Baseline characteristics, laboratory parameters, SAPSII, MSI, and MPI scores at admission were collected. A principal component (PC) analysis was applied to evaluate variable interactions. In-hospital mortality risk was determined through logistic regression models. Results: One hundred and twenty-seven patients were identified, 60 of which were included for analyses. Non-survivors (48.4%) had a higher frequency of hypertension, lactate and MPI, and lower BE and alactic BE levels. Eight PCs were obtained, PC1 being a linear combination of pH, AG, cAG, alactic BE, bicarbonate, and BE. MPI (OR = 9.87, 95% CI: 3.07-36.61, p = 0.0002), SAPSII (OR = 1.07, 95% CI: 1.01-1.14, p = 0.01), and PC1 (OR = 2.13, 95% CI: 1.12-4.76, p = 0.04) were significantly associated with mortality in univariate analysis, while MPI (OR = 10.1, 95% CI: 3.03-40.06, p = 0.0003) and SAPSII (OR = 1.07, CI95%: 1.01–1.14, p = 0.02) remained significant after adjusting for age and sex. Conclusion: MPI and SAPSII were associated with mortality, although the interaction of laboratory parameters was not.

Abstract Background: In children, infection by the new coronavirus (SARS-CoV-2) usually occurs asymptomatic or with mild clinical data, only a minor proportion have severe symptoms or a set of post-infectious signs and symptoms described as Pediatric Inflammatory Multisystemic Syndrome (PIMS). Aim: To describe the association of comorbidities with symptomatic infection and PIMS due to SARS-CoV-2 in children. Methods: Analytical cross-sectional study, pediatric patients hospitalized were included. Active infection was diagnosed by polymerase chain reaction and/or antigenic tests. Patients with PIMS were identified by the definition proposed by the World Health Organization. Results: 375 patients were studied, the median age was 3.8 years. 47.7% (n: 179) had comorbidities, the most frequent were: solid neoplasms and/or hematological diseases 17.1% (n: 64), obesity 13.3% (n: 48) and chronic pneumopathies 9, 3% (n: 35). SARS-CoV-2 infection was present in 16.5% (n: 62/375) and PIMS in 10.4% (n. 39/375). Children with obesity showed a higher risk of infection (OR 2.21, 95% CI 1.05-4.6) and in those with cancer (OR 0.15, 95% CI 0.03-0.68) the PIMS risk was lower. Conclusions: The presence of comorbidities modifies the risk of infection by SARS-CoV-2 and PIMS.

Resumen Introducción: En niños, la infección por el nuevo coronavirus (SARS-CoV-2) habitualmente cursa asintomática o con síntomas leves; sólo una proporción menor presenta síntomas graves o un conjunto de signos y síntomas postinfecciosos descritos como síndrome inflamatorio multisistémico pediátrico (SIMP). Objetivo: Describir la asociación de comorbilidades con la infección sintomática y SIMP por SARS-CoV-2 en niños. Pacientes y Métodos: Estudio transversal analítico, se incluyeron pacientes pediátricos hospitalizados. Mediante reacción de la polimerasa en cadena y/o pruebas antigénicas se diagnosticó la infección activa y con la definición propuesta por la Organización Mundial de la Salud se identificaron pacientes con SIMP. Resultados: Se estudiaron 375 pacientes, la mediana de edad fue de 3,8 años. El 47,7% (n: 179) presentó comorbilidades, siendo las más frecuentes: neoplasias sólidas y/o enfermedades hematológicas 17,1% (n: 64), obesidad 13,3% (n: 48) y neumopatías crónicas 9,3% (n: 35). Presentaron infección por SARS-CoV-2 el 16,5% (n: 62/375) y SIMP el 10,4% (n. 39/375). Los niños con obesidad mostraron mayor riesgo de infección sintomática (OR 2,21, IC 95% 1,05-4,6) y en aquellos con cáncer (OR 0,15, IC 95% 0,03-0,68) el riesgo de SIMP fue menor. Conclusiones: La presencia de comorbilidades modifica el riesgo de infección por SARS-CoV-2 y SIMP.