Comparison of sequential versus concurrent chemoradiation regimens in non-metastatic muscle-invasive bladder cancer

Purpose@#The treatment approach for non-metastatic bladder cancer is guided by an invasion of the muscular layer of the bladder wall. Radical cystectomy is the recommended treatment for muscle-invasive disease. However, it has considerable morbidity and mortality and is not suited for many patients. Trimodality therapy consisting of chemoradiation after transurethral resection of bladder tumor offers a definitive approach with bladder-sparing potential. However, there is a lack of research defining the optimal combination of chemotherapy and radiation in this setting. @*Materials and Methods@#We extracted patient data from the National Cancer Database to compare survival outcomes and demographic factors in 2,227 non-metastatic bladder cancer patients who were treated with chemotherapy sequential to or concurrently with radiation. Sequential treatment was defined as chemotherapy beginning >14 days before radiation, and concurrent was defined as beginning within 14 days of the first radiation. @*Results@#The sequential treatment group patients were younger (mean age, 74 vs. 78 years; p < 0.001) with more advanced disease. We found no difference in overall survival between patients who received chemotherapy sequential to radiation and those who received concurrent chemoradiation only (p = 0.533). @*Conclusion@#Our data are concordant with a previous prospective study, and support that chemotherapy prior to radiation does not decrease survival outcomes relative to patients receiving only concurrent chemoradiation. Given that the sequential group had an overall higher stage but no difference in survival, downstaging chemotherapy prior to radiation may be helpful in these patients. Further studies including a larger, multi-institutional clinical trial are indicated to support clinical decision-making.

The prevalence and correlates of anxiety and depression amongst essential workers during the COVID-19 lockdown in Ekiti State, Nigeria

Background: Essential workers are imperative in the fight against the coronavirus disease (COVID-19) pandemic. Aim: To assess the prevalence and factors associated with anxiety and depression among essential workers during the COVID-19 pandemic and lockdown. Setting: This study was set in Ekiti State, Nigeria. Method: This was a cross-sectional study involving essential workers in Ekiti State Nigeria, during the COVID-19 pandemic and lockdown. A total of 588 essential workers were sampled. Online socio-demographic variables and the Hospital Anxiety and Depression Scale, a 14 item self-reported questionnaire were used. Results: The prevalence of anxiety and depression among the respondents was 93.4% (CI = 91.2­95.2) and 64.3% (CI = 60.4­68.4) respectively. Among the health workers, the prevalence of anxiety and depression were 96.5% (CI =94.8­98.1) and 66.5% (CI = 60.5­69.8) respectively while the prevalence of anxiety and depressive symptoms among non- health workers were 84.6% (CI = 78.7­90.1) and 61.5% (CI = 54.2­69.4) respectively. The odds ratio (OR) of depressive symptoms was increased among, respondents who were not satisfied with the support they received from the government during the pandemic (AOR = 2.071, CI = 1.350­2.213), respondents that were 35 years and younger (AOR = 1.512, CI = 1.033­2.213) and reduced amongst Christians (AOR = 0.501, CI = 0.286­0.879). The odd of anxiety was increased among health workers compared to non-health workers (AOR = 3.700, CI = 1.744­7.851) and the odds of anxiety was reduced among respondents with previous history of mental illness (AOR = 0.215, CI = 0.049­0.943). Conclusion: Anxiety and depressive symptoms were common mental illness among essential workers working during the COVID-19 lockdown, therefore their mental health should be adequately considered to sustain the fight against the virus.

Migrant and ethnic minority nurses' experience of working in European health services: a qualitative study / Experiência de enfermeiros migrantes e de minorias étnicas em trabalho em serviços de saúde europeus: estudo qualitativo / Experiencia de trabajo de enfermeras inmigrantes y de minorías étnicas en los servicios de salud europeos: un estudio cualitativo

ABSTRACT Objective: To analyze the perception of culture and experience of working in European health services of a purposive sample of qualified migrant and ethnic minority nurses currently living in Belgium, Portugal, Spain and Turkey. Method: A qualitative phenomenological method was chosen. Individual interviews took place with 8 qualified migrant and ethnic minority nurses currently living in four European countries. Thematic analysis was conducted using Braun and Clark's stages after qualitative data had been verbatim transcribed, translated into English, and analyzed Results: Four themes and 4 subthemes emerged from thematic analysis of the transcripts. Conclusion: Migrant and ethnic minority nurses working in the European Union experience and witness discrimination and prejudice from patients and colleagues due to cultural differences. European health services should closely monitor and address discrimination and prejudice towards migrant and ethnic minority staff and patients, and take initiatives to reduce and, eventually, eradicate them.

RESUMO Objetivo: Analisar a percepção da cultura e experiência de trabalho em serviços de saúde europeus de uma amostra intencional de enfermeiros qualificados migrantes e de minorias étnicas que moram atualmente na Bélgica, Portugal, Espanha e Turquia. Método: Optou-se pelo método fenomenológico qualitativo. Realizaram-se entrevistas individuais com 8 enfermeiros qualificados migrantes e de minorias étnicas que moram atualmente em quatro países europeus. A análise temática foi realizada por meio das etapas de Braun e Clark após os dados qualitativos terem sido transcritos na íntegra, traduzidos para o inglês e analisados. Resultados: Quatro temas e 4 subtemas emergiram da análise temática das transcrições. Conclusão: Enfermeiros migrantes e de minorias étnicas que trabalham na União Europeia vivenciam e testemunham discriminação e preconceito de pacientes e colegas devido a diferenças culturais. Os serviços de saúde europeus devem acompanhar de perto e combater a discriminação e o preconceito contra os trabalhadores e pacientes migrantes e de minorias étnicas, e tomar iniciativas para os reduzir e, em seguida, erradicá-los.

RESUMEN Objetivo: Analizar la percepción de la cultura y la experiencia de trabajar en los servicios de salud europeos de una muestra intencional de enfermeros calificados de minorías étnicas y migrantes que actualmente viven en Bélgica, Portugal, España y Turquía. Método: Se decidió utilizar un método cualitativo fenomenológico. Se realizaron entrevistas individuales con 8 enfermeros calificados inmigrantes y de minorías étnicas que actualmente viven en cuatro países europeos. El análisis temático se realizó utilizando las etapas de Braun y Clark después de que los datos cualitativos fueran transcritos palabra por palabra, traducidos al inglés y analizados. Resultados: Del análisis temático de las transcripciones surgieron 4 temas y 4 subtemas. Conclusión: Los enfermeros de minorías étnicas y migrantes que trabajan en la Unión Europea experimentan y son testigos de la discriminación y de los prejuicios de los pacientes y colegas sobre la base de la diferencia cultural. Los servicios de salud europeos deben monitorear de cerca y abordar la discriminación y los prejuicios hacia el personal y los pacientes de minorías étnicas y migrantes, y tomar iniciativas para reducirlos y, eventualmente, erradicarlos.

Laparoscopía de etapificación y citología peritoneal en cáncer gástrico: descripción de la técnica quirúrgica / Staging laparoscopy and peritoneal cytology in gastric cancer: technique description and review of the literature

Resumen Introducción: El cáncer gástrico continúa representando la más alta mortalidad por cáncer en hombres en Chile. En una revisión sistemática, evidenciaron que en el 59% de los pacientes que se catalogaron como M0 mediante diferentes estudios como TC, resonancia magnética y PET, se detectaron metástasis a la laparoscopia de etapificación. El objetivo de este estudio es describir la técnica quirúrgica de esta laparoscopía incluida la citología peritoneal y una revisión de la literatura en cuanto a sus indicaciones y posibilidad de cambio de conducta. Materiales y Método: Se realizó la búsqueda de artículos vía MED - LINE/PubMed (U.S.A. National Library of Medicine), Cochrane Library, Elsevier, SciELO; no se aplicó análisis estadístico, se incluyeron 23 referencias relacionadas al tema y materias afines internacionales y nacionales. El procedimiento que describiremos será la laparoscopia diagnóstica y la citología de líquido peritoneal para estudio anatomopatológico. Discusión y Conclusiones: La laparoscopía de etapificación, logra un cambio de conducta en un 20% aproximadamente de los casos, pero hacen faltan más estudios de validación de esta en los centros que tratan dicha enfermedad en el país.

Introduction: Gastric cancer continues to represent the highest mortality from cancer in men in Chile. In a systematic review, they showed that 59% of the patients who were classified as M0 by different studies such as CT, magnetic resonance imaging and PET, metastases were detected at staging laparoscopy. The objective of this study is to describe the surgical technique of staging laparoscopy including peritoneal cytology and a review of the literature regarding its indications and the possibility of behavior change. Materials and Method: Articles were searched via MEDLINE/PubMed (U.S.A. National Library of Medicine), Cochrane Library, Elsevier, SciELO, no statistical analysis was applied, 23 references related to the topic and related international and national subjects were included. The procedure to be described will be diagnostic laparoscopy and peritoneal fluid cytology for pathological study. Discussion and Conclusions: Staging laparoscopy achieve a change in behavior in approximately 20% of the cases, but more validation studies are needed in the centers that treat this disease in the country.

Bacterial Postbiotics as Promising Tools to Mitigate Cardiometabolic Diseases

Gut microbes dictate critical features of host immunometabolism. Certain bacterial components and metabolites (termed postbiotics) mitigate cardiometabolic diseases whereas others potentiate pathological processes. In this review, we discuss key aspects related to the usefulness of bacterial-related molecules strategically positioned as promising treatment strategies for cardiometabolic diseases.

Bacterial Postbiotics as Promising Tools to Mitigate Cardiometabolic Diseases

Gut microbes dictate critical features of host immunometabolism. Certain bacterial components and metabolites (termed postbiotics) mitigate cardiometabolic diseases whereas others potentiate pathological processes. In this review, we discuss key aspects related to the usefulness of bacterial-related molecules strategically positioned as promising treatment strategies for cardiometabolic diseases.

Prostate cancer in renal transplant recipients

ABSTRACT As patients with end-stage renal disease are receiving renal allografts at older ages, the number of male renal transplant recipients (RTRs) being diagnosed with prostate cancer (CaP) is increasing. Historically, the literature regarding the management of CaP in RTR's is limited to case reports and small case series. To date, there are no standardized guidelines for screening or management of CaP in these complex patients. To better understand the unique characteristics of CaP in the renal transplant population, we performed a literature review of PubMed, without date limitations, using a combination of search terms including prostate cancer, end stage renal disease, renal transplantation, prostate cancer screening, prostate specific antigen kinetics, immuno-suppression, prostatectomy, and radiation therapy. Of special note, teams facilitating the care of these complex patients must carefully and meticulously consider the altered anatomy for surgical and radiotherapeutic planning. Active surveillance, though gaining popularity in the general low risk prostate cancer population, needs further study in this group, as does the management of advance disease. This review provides a comprehensive and contemporary understanding of the incidence, screening measures, risk stratification, and treatment options for CaP in RTRs.

Antibiotic Spacers in Shoulder Arthroplasty: Comparison of Stemmed and Stemless Implants

BACKGROUND: Antibiotic spacers in shoulder periprosthetic joint infection deliver antibiotics locally and provide temporary stability. The purpose of this study was to evaluate differences between stemmed and stemless spacers. METHODS: All spacers placed from 2011 to 2013 were identified. Stemless spacers were made by creating a spherical ball of cement placed in the joint space. Stemmed spacers had some portion in the humeral canal. Operative time, complications, reimplantation, reinfection, and range of motion were analyzed. RESULTS: There were 37 spacers placed: 22 were stemless and 15 were stemmed. The stemless spacer population was older (70.9 ± 7.8 years vs. 62.8 ± 8.4 years, p = 0.006). The groups had a similar percentage of each gender (stemless group, 45% male vs. stemmed group, 40% male; p = 0.742), body mass index (stemless group, 29.1 ± 6.4 kg/m² vs. stemmed group, 31.5 ± 8.3 kg/m²; p = 0.354) and Charlson Comorbidity Index (stemless group, 4.2 ± 1.2 vs. stemmed group, 4.2 ± 1.7; p = 0.958). Operative time was similar (stemless group, 127.5 ± 37.1 minutes vs. stemmed group, 130.5 ± 39.4 minutes). Two stemless group patients had self-resolving radial nerve palsies. Within the stemless group, 15 of 22 (68.2%) underwent reimplantation with 14 of 15 having forward elevation of 109°± 23°. Within the stemmed group, 12 of 15 (80.0%, p = 0.427) underwent reimplantation with 8 of 12 having forward elevation of 94°± 43° (range, 30° to 150°; p = 0.300). Two stemmed group patients had axillary nerve palsies, one of which self-resolved but the other did not. One patient sustained dislocation of reverse shoulder arthroplasty after reimplantation. One stemless group patient required an open reduction and glenosphere exchange of dislocated reverse shoulder arthroplasty at 6 weeks after reimplantation. CONCLUSIONS: Stemmed and stemless spacers had similar clinical outcomes. When analyzing all antibiotic spacers, over 70% were converted to revision arthroplasties. The results of this study do not suggest superiority of either stemmed or stemless antibiotic spacers.

Efecto del tiempo de almacenamiento sobre las características fisicoquímicas, antioxidantes y antiproliferativa de néctar de agraz (Vaccinium meridionale Swartz) / Effect of storage time on the physicochemical characteristics, antioxidant and antiproliferative nectar of unripe (Vaccinium meridionale Swartz)

El Agraz (Vaccinium meridionale Swartz), es una baya que posee alta capacidad antioxidante debido a su contenido de compuestos polifenólicos como antocianinas, ácidos fenólicos y flavonoides. El objetivo de este estudio fue evaluar la composición proximal inicial y el efecto en las características fisicoquímicas (pH, °Brix, acidez titulable (AT)), actividad antioxidante y antiproliferativa de néctares elaborados a partir de agraz liofilizado, almacenados du- rante 42 días. Se prepararon dos néctares: NA (sacarosa) y NB (aspartame), se evaluó cambio en pH, °Brix y AT cada7días durante el almacenamiento. Se determinó contenido de fenoles y antocianinas totales mediante Folin-Ciocalteau y método diferencial de pH, respectivamente, actividad antioxidante mediante FRAP y ORAC. Se analizó la actividad antiproliferativa con sulforodamina B en células SW480 (adenocarcinoma de colon). Los resultados mostraron que ambos néctares presentaron estabilidad en °Brix, pH yAT y el NB presentó menor aporte calórico. El contenido de fenoles totales aumentó durante el almacenamiento. El contenido de antocianinas y capacidad antioxidante se redujo significativamente (p<0,05). NA presentó mejor actividad antiproliferativa a las 72h, con un porcentaje de inhibición del crecimiento celular a una concentración de 1g/mL de 63,50% (IC50=0,6g/mL). Se puede concluir que NA presentó mayor capacidad antiproliferativa y NB mejor actividad antioxidante, que aunque disminuyó significativamente durante el almacenamiento, continuó siendo alta comparada con estudios reportados en la literatura. Para productos realizados a partir de bayas del género Vaccinium. Se requieren estudios adicionales “in vivo” que permitan comprobar su eficacia quimiopreventiva y dilucidar mecanismos moleculares de acción para beneficio de la salud humana, demostrando su potencial funcional descrito hasta ahora “in vitro”(AU)

Effect of storage time on the physicochemical characteristics, antioxidant and antiproliferative nectar of unripe (Vaccinium meridionale Swartz). Agraz (Vaccinium meridionale Swartz) is a berry that has high antioxidant capacity due to its content of polyphenolic compounds as anthocyanins, phenolic acids and flavonoids. The aim of this study was to evaluate the initial proximal composition and the effect on the physicochemical characteristics (pH, ° Brix, titratable and acidity (TA), antioxidant and antiproliferative activity of nectars made from unripe lyophilized and stored for 42 days. Two nectars were prepared: NA (sucrose) and NB (aspartame), was evaluated change in pH, °Brix and AT every 7 days during storage. It was determined and total phenols content by Folin-Ciocalteu anthocyanins and pH differential method, respectively, antioxidant activity by FRAP and ORAC. Antiproliferative activity with sulforhodamine B in SW480 cells (colon adenocarcinoma) were analyzed. The results showed that both were stable nectars ° Brix, pH and changes in AT. The NB has lower calories. The content of total phenols increased during storage. The anthocyanin content and antioxidant capacity was significantly reduced (p <0.05). NA presented better antiproliferative activity at 72 h, with a percentage of inhibition of cell growth at a concentration of 1g / ml of 63.50% (IC50 = 0.6 g/mL). It can be concluded that NA had a higher antiproliferative capacity and NB better antioxidant activity than even decreased significantly during storage, remained high com- pared to studies reported in the literature. Further studies "in vivo" to verify their chemopreventive efficacy and elu- cidate molecular mechanisms of action for the benefit of human health, showing their functional potential described so far "in vitro" are required(AU)

Uso de agentes antiarrítmicos y resultados clínicos en pacientes añosos con fibrilación auricular y enfermedad coronaria concomitante

Objetivo: la fibrilación auricular (FA) y la enfermedad coronaria (EC) son comunes en los pacientes añosos. En este estudio nos propusimos describir el uso de agentes antiarrítmicos (AAA) y los resultados clínicos en estos pacientes. Métodos y resultados: se analizó el tratamiento con AAA y los resultados observados en 1.738 pacientes mayores (edad ³65) con FA y EC registrados en el Banco de Datos para Enfermedad Cardiovascular de Duke. Los resultados primarios fueron mortalidad y rehospitalización al año y a los cinco años. En términos generales, 35% de los pacientes recibían un AAA al inicio, 43% eran mujeres y 85% eran blancos. Fueron frecuentes los antecedentes de infarto de miocardio (IM, 31%) e insuficiencia cardíaca (41%). La amiodarona era el AAA más frecuente (21%), seguida de agentes de Clase III pura (sotalol 6,3%, dofetilida 2,2%). La persistencia de los AAA fue baja (35% al año). Luego del ajuste, el uso de AAA al inicio no se asoció con la mortalidad al año (cociente de riesgo ajustado (HR) 1,23, intervalo de confianza (IC) 95%: 0,94-1,60) o con la mortalidad cardiovascular (HR ajustado 1,27, IC 95% 0,90-1,80). Sin embargo, el uso de AAA sí se asoció con un aumento de la rehospitalización por todas las causas (HR ajustado 1,20, IC 95%: 1,03-1,39) y rehospitalización cardiovascular (HR ajustado 1,20, IC 95% 1,01-1,43) al año. Esta asociación no se mantiene a los cinco años; sin embargo, estos pacientes tuvieron un elevado riesgo de muerte (55% para los >75 años y que recibían AAA) y rehospitalización (87% para aquellos >75 años que recibían AAA) a los cinco años. Conclusiones: en pacientes añosos que padecen FA y EC, la terapia antiarrítmica se acompañó de aumento de la rehospitalización al año. En términos generales, estos pacientes presentan un alto riesgo de internación y muerte a largo plazo. Se necesitan desarrollar terapias más seguras, mejor toleradas y que brinden un control de los síntomas más eficaz en esta población de alto riesgo.

Causes of Adult Deaths by Verbal Autopsy in an Urban Slum of Ludhiana.

Twenty-three of the world’s 192 countries have high-quality death registration data and 75 have no cause-specific mortality data at all. Verbal autopsy (VA), an alternative method for collecting mortality data, enables investigators to establish the cause of death retrospectively. VA carries information on circumstances, events, signs, and symptoms of illness experienced by the deceased before death. It can ascertain the leading causes of death, reduce the misclassification of causes, reduce the proportion of adult (age 25 or older) deaths attributed to unspecified or unknown causes (from 54% to 23% in urban areas and from 41% to 26% in rural areas). A study was undertaken in a urban slum of Ludhiana, to find the cause specific mortality of adult deaths and get an insight into the mortality pattern of this sample population.

Female gender but not season of birth is associated with mood seasonality in a near-equatorial Brazilian city / Sexo feminino, mas não época de nascimento, está associado com alterações sazonais do humor em uma cidade brasileira próxima ao Equador

OBJECTIVE: Studies conducted mainly in countries located in the Northern Hemisphere have shown that season of birth influences mood seasonality. Greater mood seasonality has been observed for individuals born during spring/summer months than those born during autumn/winter months. Expanding past research to the Southern Hemisphere, in this study we examine the influence of season of birth on mood seasonality in a sample of 1,247 healthy young Brazilians. METHOD: The Seasonal Pattern Assessment Questionnaire was used to compute a global seasonality score as a measure of mood seasonality in a cross-sectional study. RESULTS: Analysis of covariance was conducted to examine the effects of month of birth and gender on mood seasonality, with age entered as a covariate. A main effect of gender was observed, F (1, 1197) = 17.86, p < .01; partial Eta-squared = .02, with mood seasonality being higher for females (M = 8) than for males (M = 7). Contradicting previous findings, no significant main effect for month of birth was observed, F (1, 1197) = 0.65, p > .05. CONCLUSION: The unexpected finding is tentatively explained by differences in geographic location and weather fluctuations between the sampling location in Brazil and other countries where season of birth has been found to influence mood seasonality. Additional studies with larger samples from the Southern Hemisphere are necessary to shed additional light on the possible significant influence of season of birth on mood.

OBJETIVO: Estudos realizados principalmente em países do Hemisfério Norte têm demonstrado que indivíduos nascidos durante os meses de primavera/verão tendem a apresentar maiores alterações sazonais do humor do que aqueles nascidos durante os meses de outono/inverno. Expandindo essas pesquisas para o Hemisfério Sul, o presente estudo examinou a relação entre época do nascimento e a flutuação sazonal do humor em uma amostra de 1.247 jovens brasileiros saudáveis de João Pessoa, Paraíba. MÉTODO: Uma versão traduzida do Seasonal Pattern Assessment Questionnaire (SPAQ) foi utilizada para calcular uma pontuação global de alterações sazonais do humor em um estudo transversal. RESULTADOS: Análise de covariância foi utilizada para examinar os efeitos de mês de nascimento e do sexo sobre o humor sazonal, com idade como covariável. Alterações de humor sazonal foram maiores para mulheres (M = 8) do que homens (M = 7), F (1, 1197) = 17,86, p < ,01; parcial Eta-quadrado = 0,02. Contrariando achados anteriores, nenhum efeito significativo foi observado entre mês de nascimento e humor sasonal, F (1, 1197) = 0,65, p > ,05. CONCLUSÃO: Este achado inesperado é tentativamente explicado pelas diferenças na localização geográfica e nas flutuações climáticas entre o Brasil e os outros países descritos na literatura. Estudos adicionais com amostras maiores do Hemisfério Sul são necessários para lançar luz sobre a possível influência significativa da época de nascimento no humor.

Actividad antioxidante de café colombiano de diferentes calidades / Antioxidant activity of different grades of Colombian coffee

Introducción: el café colombiano estudiado por diferentes investigadores, corresponde a un café verde con calidad de exportación. Sin embargo, el café procesado en Colombia, se elabora con diferentes materias primas, no reportadas en ningún trabajo de investigación. La calidad del café depende de: tipo de café verde, proceso de tostado y molienda. Estas variables determinan la concentración de los compuestos fenólicos, importantes en la capacidad antioxidante, parámetro de calidad de un alimento nutracéutico. Objetivos: determinar la capacidad antioxidante de infusiones acuosas de 5 calidades de café colombiano. Métodos: se evaluaron las propiedades antioxidantes y algunos componentes de los extractos acuosos de muestras de café verde de 5 calidades que se comercializan en Colombia (Excelso UGQ, excelso D3, chorreado de pergamino, consumo y pasilla de máquinas), todas provenientes de la región de Antioquia, Colombia. Los contenidos de fenoles totales se determinaron por el método Follin Ciocalteu, los ácidos fenólicos por cromatografía líquida de alta resolución y las capacidades antioxidantes por los métodos DPPH (1,1-difenil-2-picrilhidracil) y ORAC (oxygen radical absorbance capacity). Resultados: los contenidos de fenoles totales de las bebidas fueron muy similares en las 5 calidades de café, mientras que los valores TEAC (trolox equivalent antioxidat capacity) por la metodología DPPH y los valores ORAC para el café excelso UGQ resultaron superiores a las otras muestras, debido a su alto contenido de ácidos fenólicos: elágico, cafeico y clorogénico. Conclusiones: el café Excelso UGQ tiene altas concentraciones de ácidos fenólicos responsables de su mayor actividad antioxidante, comparado con las cuatro calidades de café consumidos en Colombia.

Introduction: the Colombian coffee studied by different researchers, represents a export quality green coffee. However, processed coffee in Colombia is prepared from different raw materials that are not reported in any research work. The quality of coffee depends on the type of green coffee, the roasting and the grinding processes. These variables determine the concentration of phenolic compounds that are so important for the antioxidant capacity and a quality parameter of one nutraceutical food. Objectives: to determine the antioxidant capacity of aqueous infusions prepared from 5 grades of Colombian coffee. Methods: the antioxidant properties and some components of the aqueous extracts from green coffee samples of the five grades sold in Colombia (Excelso UGQ, Excelso D3, chorreado de pergamino, consumo y pasilla de máquinas) were evaluated, all from the region of Antioquia, Colombia. The total phenolic content was determined by the Follin Ciocalteu method, phenolic acids were identified by high performance liquid chromatography (HPLC) and antioxidant capacity was detected by DPPH (1,1-diphenyl-2-picrylhydrazyl) and ORAC (oxygen radical absorbance capacity) methods. Results: the total phenol contents in drinks were very similar in the 5 grades of coffee, whereas TEAC (trolox equivalent antioxidat capacity) using DPPH methodology and ORAC values for the Excelso UGQ coffee were higher than those of other samples due to the high acid phenol content of this type of coffe including ellagic, caffeic and chlorogenic acids. Conclusions: Excelso UGQ coffee presents high phenolic acid concentrations that account for higher antioxidant activity compared with the other 4 grades of coffee consumed in Colombia.

Actividad inhibitoria de Murraya paniculata contra fosfolipasas A2 miotóxicas / Inhibitory activity of Murraya paniculata against myotoxic phospholipases A2

Los envenenamientos causados por serpientes del género Bothrops constituyen un problema de salud en algunos países tropicales, no solamente por la mortalidad sino por el alto porcentaje de incapacidades físicas que ocasionan. Las fosfolipasas A₂(PLA₂) son componentes abundantes en los venenos bothrópicos y crotálicos, y se caracterizan por inducir daños irreversibles en el músculo. Considerando el aporte de las plantas en el tratamiento ofídico, este trabajo se enfocó en la búsqueda de inhibidores de las fosfolipasas, bien sea como alternativa terapéutica o como coadyuvante del tratamiento ofídico. De un tamizaje de 37 especies de plantas vasculares y briofitos contra las PLA₂, se seleccionó la especie Murraya paniculata por su promisoria actividad preliminar. Se siguió con el fraccionamiento biodirigido por la evaluación de la actividad inhibitoria de la PLA₂ y de la fracción con mayor actividad inhibitoria, por medio de cromatografía de gases acoplada a masas se identificaron metabolitos responsables de la actividad, para proponer un modelo de inhibición enzima-sustrato. Los resultados de este proyecto pretenden contribuir en la búsqueda de moléculas inhibitorias de las PLA₂en plantas vasculares, como la especie M. paniculata, que podrían llegar a ser una herramienta en el desarrollo de nuevos productos para mejorar el pronóstico del accidente ofídico.

Envenomation by snakes of the genus Bothrops are a health problem in some tropical countries, not only because of the mortality but given the high percentage of physical disabilities it causes. Phospholipases A2 (PLA2) are abundant constituents in bothropic and crotalic venoms, characterized by inducing irreversible muscle damage. Due to the contribution of plants in the snakebite treatment, we focus on the search of phospholipases inhibitors, either as an alternative treatment or as a therapeutic adjuvant of the current treatments. From a screening of 37 vascular plants and bryophytes in the search for such inhibitors, the species Murraya paniculata was selected due to its promising preliminary activity. Starting from this point further work consisting of bioassay-guided fractionation followed by the evaluation of the inhibitory activity of PLA2, the metabolites responsible for the activity were detected through a tandem of gas chromatography - mass spectrometry in the most active fraction, to propose substrate-enzyme inhibition model. The aims of this project was the search of promising compounds with an inhibitory activity of the PLA2 in vascular plants such as M. paniculata, that could become tools for developing new products to improve the prognosis of the snakebite.

Synthesis and attioxidant activity of two isoespintanol derivatives / Síntesis y ativiidad antioxidante de dos derivados de isoespintaoll / Síntese eatividaade antioxidante dos derivados do isoespintanol

The antioxidant activity of isoespintanol (1) hemisynthetic analogues, 4-bromo-2-isopropyl-3,6-dimethoxy-5-methylphe-nol (2) and 3-isopropyl-6-methylbenzene-1,2,4-triol (3), was evaluated using ABTS, DPPH and FRAP assays. Partial rationalization of the results is provided in terms of quantum chemical calculations of bond dissociation enthalpy (BDE) and ionization potential (IP).

La actividad antioxidante de los análogos hemisintéticos del isoespintanol (1), 4-bromo-2-isopropil-3,6-dimetoxi-5-metil-fenol (2) y 3-isopropil-6-metilbenceno-1,2,4-triol (3), se evaluó empleando los ensayos ABTS, DPPH y FRAP. La racionalización de los resultados es provista de forma parcial en términos de cálculos cuánticos de entalpia de disociación de enlace (BDE) y potencial de ionización (IP).

A atividade antioxidante dos análogos hemi-sintéticos de isoespintanol (1), 4-bromo-2-isopropil-3,6-dimetoxi-Smetilfenol (2) e 3-isopropil-6metilbenze-no- 1,2,4-triol (3 foi avahada através das técnicas de ABTS, DPPH e FRAP A racionalizagáo dos resultados está prevista, em parte, em termos de cálculos quánticos de entalpia de dissociagáo da ligagáo (BDE) e potencial de ionizagáo (IP).

Potenciación de la capacidad antioxidante de fresa (Fragaria ananassa Duch. ) por incorporación de vitamina e utilizando la técnica de impregnación a vacío / Enhancement of the antioxidant capacity of strawberries (Fragaria ananassa Duch. ) by incorporation of vitamin e using the vacuum impregnation technique

El presente estudio evaluó la capacidad antioxidante y el contenido de vitamina E en fresas fortificadas con vitamina E sintética (dl-α-tocoferol acetato) por la técnica de impregnación al vacío. La vitamina fue cuantificada por HPLC y sus niveles registrados por cada 100 g fruta fresca. La capacidad antioxidante se determinó durante el almacenamiento, en muestras envasadas con y sin vacío, por los métodos DPPH●, FRAP y Folin-Ciocalteau. El proceso de impregnación en la fresa permitió alcanzar niveles de 19,12 ± 3,01 mg de dl-α-tocoferol acetato/100 g de fruta fresca, sin que el tiempo de almacenamiento ni el tipo de envasado ocasionaran efectos significativos en ella. Estos resultados fueron coherentes con el incremento de la capacidad antioxidante expresados como valores DPPH●, FRAP y Folin-Ciocalteau de 14,7%, 82,2% y 56,8%, respectivamente. Los resultados reflejaron la potenciación de la capacidad antioxidante de la fresa por el efecto de la incorporación de la vitamina E mediante el proceso de impregnación al vacío.

This study evaluated the antioxidant capacity and vitamin “E” content in strawberries fortified with synthetic vitamin E (dl-α-tocopherol acetate) by vacuum impregnation technique. The vitamin is quantified by HPLC and their levels are recorded per 100 g fresh fruit. The antioxidant capacity was determined during storage in samples packaged with and without vacuum, by the methods DPPH, FRAP and Folin-Cicalteau. The impregnation process can achieve levels in strawberry of 19.12 ± 3.01 mg of vitamin E dl-α-tocopherol acetate/100 g in fresh fruit, with no significant effect over time of storage or the type of packaging. These results were consistent to increased antioxidant capacity as values DPPH, FRAP and Folin-Cicalteau in the order of 14.7%, 82.2% and 56.8% respectively. In general, the results reflect a strengthening of the antioxidant capacity of strawberries, by the effect of vitamin E incorporated by the vacuum impregnation process.

Actividad antioxidante y contenido de fenoles totales de algunas especies del género Calophyllum / Antioxidant activity and total phenols content from some species of Calophyllum genus

INTRODUCCIÓN: la búsqueda de nuevos compuestos antioxidantes naturales ha sido de gran interés para la investigación dado que interrumpen el proceso de oxidación por vía radicalaria de lípidos, proteínas, ADN y enzimas. El género Calophyllum perteneciente a la familia Clusiaceae, produce una gran variedad de metabolitos secundarios con características antioxidantes; los flavonoides, las coumarinas y las xantonas resultan los compuestos más reportados. Las especies de este género pueden ser una fuente de antioxidantes potenciales. OBJETIVO: determinar la actividad antioxidante de extractos de diferente polaridad de las especies Calophyllum cf. brasiliense Cambess, Calophyllum inophyllum L., Calophyllum sp. MÉTODOS: se realizó un proceso de extracción del material vegetal por percolación con solventes de diferente polaridad: hexano, diclorometano, acetato de etilo y metanol, se concentró a presión reducida y se monitoreó por cromatografía en capa delgada. La evaluación de la capacidad antioxidante se determinó con diferentes metodologías: fenoles totales, ABTS (2,2-azinobis-[3 etilbenzotiazolin-6-sulfónico]), DPPH (1,1-difenil2-picrilhidracil), FRAP (ferric reducing/antioxidant power) y en algunas muestras seleccionadas ORAC (oxygen radical absorbance capacity). RESULTADOS: las muestras que contienen compuestos fenólicos con una alta capacidad reductora fueron CBTExtM, CNHTExtM, CRHTExtA, CRHTExtM, CBHExtA y CBHExtM, que además, poseen valores ORAC muy altos comparados con otros sustratos, el extracto que presentó mejores valores fue CBTExtM. La técnica FRAP describe muy bien el fenómeno oxidativo en los extractos CSHTExtA, CBHExtA, CIHTExtM, CSHTExtM y CIHTExtM; en (DPPH•) el extracto que presentó altos valores de TEAC fue CSHTExtA. El extracto CBTExtM presentó los mejores valores de inhibición del radical ABTS. CONCLUSIONES: los extractos polares y medianamente polares de las tres especies de Calophyllum presentaron alta actividad antioxidante en las metodologías evaluadas.

INTRODUCTION: the search of new natural antioxidant compounds has been of great interest for research since they interrupt the oxidation process via radical pathway of lipid, proteins, DNA and enzymes. The Calophyllum genus belongs to Clusiaceae family producing a great variety of secondary metabolites with antioxidant features; the flavonoids, the coumarins and the xanthones are the more reported compounds. The species from this genus may be a potential antioxidant source. OBJECTIVE: to determine the antioxidant activity of extracts from different polarity of Calophyllum cf. brasiliense Cambess, Calophyllum inophyllum L., Calophyllum sp. METHODS: a percolation process was carried out from the vegetal material by decoction using solvent of different polarity: hexane, dichloromethane, and ethyl acetate and methanol, concentrated at decreased pressure and monitored by thin layer chromatography (TLC). The antioxidant capacity assessment was determined using different methodologies: total phenols, ABTS (2,2-azinobis-[3 ethylbenzothiazolin-6-sulphoni]), FRAP (ferric reducing/antioxidant power) and in some selected ORAC samples (oxygen radical absorbance capacity). RESULTS: the samples containing phenol compounds with a high reducing capacity were CBTExtM, CNHTExtM, CRHTExtA, CRHTExtM, CBHExtA and CBHExtM, which also have very high ORAC values compared with other substrates; the extract with better values was the CBTExtM. The FRAP technique describes very well the oxidative phenomenon in extracts CHSTExtA, CBHExtA, CIHTExtM, CSHTExtM and CIHTExtM: in DPPH•) the extract showing TEAC high values was the CSHTExtA. The CBTExtM extract showed the better inhibition values of ABTS radical. CONCLUSIONS: the polar and moderately polar extracts from the three species of Calophyllum showed a high antioxidant activity in the assessed methodologies.

Determinación del contenido de fenoles y evaluación de la actividad antioxidante de propóleos recolectados en el departamento de Antioquia (Colombia) / Determination of phenolic content and evaluation of antioxidant activity of propolis from Antioquia (Colombia)

El propóleo, un producto natural colectado por las abejas a partir de los exudados de las plantas, es ampliamente utilizado en la medicina tradicional por sus reconocidas propiedades terapéuticas. En este estudio se compara la calidad del extracto etanólico de propóleos (EEP) provenientes de diferentes regiones de Antioquia (Colombia), mediante la determinación del contenido de flavonoides y fenoles totales, y la actividad antioxidante in vitro, la cual es establecida empleando las técnicas de captura de los radicales DPPH• (1,1-difenil-2-picrilhidracilo) y ABTS•+ (catión del ácido 2,2’-azino-bis 3-etilbenzotiazolina-6-sulfónico), y la capacidad reductora de hierro (FRAP). Las determinaciones para el contenido total de compuestos fenólicos se encuentran entre 22,11 ± 0,54 y 75,22 ± 1,35 mg GAE/g de EEP, y para el contenido total de flavonoides, entre 4,75 ± 0,01 y 34,50 ± 0,07 mg QE/g de EEP. La actividad antiradicalaria varía entre 33,9 ± 9,7 y 324,6 ± 15,0, y entre 455,5 ± 7,8 y 1.091 ± 17,3 μmol TE/g de EEP (TEAC) en los sistemas DPPH y ABTS, respectivamente. En el método FRAP, la actividad se encuentra entre 40,9 ± 13,3 y 338,4 ± 22,4 μmol AAE/g de EEP (AEAC). Los resultados muestran una correlación lineal positiva entre la capacidad antioxidante y el contenido de compuestos de naturaleza fenólica. La actividad antioxidante de algunos propóleos indica su potencial como producto nutracéutico.

Docking de cicloartanos inhibidores de tirosinasa / Docking of tyrosinase cicloartane inhibitors

El berenjenol (21:24-epoxi-24-metil-cicloartano), aislado a partir las hojas de Oxandra cf. xylopioides(Annonaceae), y sus derivados hemisintéticos, berenjenol-3- acetato y 3-oxo-berenjenol son inhibidores de la enzima tirosinasa (EC 1.14.18.1). Estos compuestos son triterpenos de tipo cicloartano, y pese a que existen estudios de estructura actividad sobre compuestos similares, su mecanismo de inhibición no está bien establecido. En este trabajo se realiza un estudio de docking sobre el berenjenol y sus derivados, que sugiere un marco racional para interpretar la actividad de estos compuestos teniendo en cuenta sus interacciones con la tirosinasa. Este estudio permite concluir que el berenjenol actúa como inhibidor competitivo uniéndose al sitio activo de la tirosinasa mediante interacciones con los aminoácidos Ile42, Met43 Arg55, Trp184, Asn191, His194, Val195, Ala202, Met201 y Thr203.

The establishment of injury surveillance systems in Colombia, El Salvador, and Nicaragua (2000-2006) / Establecimiento de sistemas de vigilancia de lesiones en Colombia, El Salvador y Nicaragua (2000-2006)

La Organización Panamericana de la Salud (OPS), en colaboración con los Centros para el Control y la Prevención de Enfermedades (CDC) de los Estados Unidos de América, estableció en 2000 sistemas para la vigilancia de lesiones en Colombia, El Salvador y Nicaragua. Estos sistemas, basados en los servicios hospitalarios de emergencia, formaron parte de un proyecto piloto fundamentado en las guías para la vigilancia de lesiones, desarrolladas por la Organización Mundial de la Salud (OMS) y los CDC. Los objetivos de este proyecto eran evaluar la utilidad de las guías de la OMS/CDC, crear mecanismos apropiados para la vigilancia de lesiones en los tres países, promover intervenciones preventivas adecuadas e integrar la prevención y el control de lesiones en proyectos nacionales de salud pública. En este artículo se describe el proyecto piloto de la OPS/CDC y se resaltan los principios más importantes y las lecciones aprendidas durante sus seis años de funcionamiento (2000-2006). Entre las principales recomendaciones se encuentran la integración de la vigilancia de las lesiones en las unidades de epidemiología e información existentes en los ministerios de salud, la recogida de los datos importantes exclusivamente, la garantía de monitoreos y evaluaciones adecuados y la adopción de las prácticas que han demostrado ser más efectivas para el entrenamiento de personal y la diseminación de información.