Número de células CD34+ circulantes como predictor de recolección exitosa de progenitores hematopoyéticos por aféresis en trasplante autólogo / Number of circulating CD34+ cells as a predictor of successful collection of hematopoietic progenitors by apheresis in autologous transplantation

RESUMEN Introducción. El trasplante autólogo de células progenitoras hematopoyéticas es una terapia eficaz en neoplasias malignas hematológicas. El número de células que CD34+ en sangre periférica es el mejor predictor del rendimiento de recolección de células progenitoras hematopoyéticas. Objetivo. Determinar el número de células CD34+ en sangre periférica asociado al éxito de recolección de progenitores hematopoyéticos por aféresis en trasplante autólogo. Métodos. Se evaluó retrospectivamente los datos de 236 procedimientos de aféresis de células progenitoras hematopoyéticas para el trasplante autólogo en el Hospital Edgardo Rebagliati Martins (Lima, Perú) de julio del 2020 a julio del 2023. Se utilizó la curva ROC (características operativas del receptor) para determinar el número de células CD34+ en sangre periférica necesario para lograr una recolección por aféresis ≥ 2 x 106 células CD34+/kg. Resultados. El 61% fueron hombres, con mediana de edad de 58 años, el valor de corte fue de 18,38 células CD34+/μL (sensibilidad de 94,1% y especificidad de 96,9%). Conclusión. El número de células CD34+ sangre periférica para una recolección exitosa de células progenitoras hematopoyéticas para el trasplante autólogo fue de 18,38 células CD34+/μL.

ABSTRACT Introduction. Autologous hematopoietic progenitor cell transplantation is an effective therapy in hematological malignancies, the number of CD34+ cells in peripheral blood is the best predictor of hematopoietic progenitor cell harvesting performance. Objective. To determine the number of CD34+ cells in peripheral blood associated with the successful collection of hematopoietic progenitors by apheresis in autologous transplantation. Methods. The data of 236 hematopoietic progenitor cell apheresis procedures for autologous transplantation at the Edgardo Rebagliati Martins Hospital (Lima, Peru) were retrospectively evaluated from July 2020 to July 2023. The ROC (receiver operating characteristics) curve was used to determine the number of CD34+ cells in peripheral blood necessary to achieve an collection by apheresis ≥ 2 x 106 CD34+ cells/kg. Results. 61% were men, with a median age of 58 years, the cut-off value was 18.38 CD34+ cells/μL (sensitivity of 94.1% and specificity of 96.9%). Conclusion. The number of peripheral blood CD34+cells for successful collection of hematopoietic progenitor cells for autologous transplantation was 18.38 CD34+ cells/μL.

Application of GIS and spatiotemporal analyses in viral infection modelling using multiple datasets - A case study on the SARS-CoV-2 epidemic.

INTRODUCTION/OBJECTIVE: Viral and infectious diseases such as COVID-19 continue to pose a significant public health threat. In order to create an early warning system for new pandemics or emerging versions of the virus, it is imperative to study its epidemiology. In this study, we created a geospatial model to predict the weekly contagion and lethality rates of COVID-19 in Ireland. METHODS: More than forty parameters including atmospheric pollutants, metrological variables, sociodemographic factors, and lockdown phases were introduced as input variables to the model. The significant parameters in predicting the number of new cases and the death toll were identified. QGIS software was employed to process input data, and a principal component regression (PCR) model was developed using the statistical add-on XLSTAT. RESULTS AND CONCLUSIONS: The developed models were able to predict more than half of the variations in contagion and lethality rates. This indicates that the proposed model can serve to help prediction systems for the identification of future high-risk conditions. Nevertheless, there are additional parameters that could be included in future models, such as the number of deaths in care homes, the percentage of contagion and mortality among health workers, and the degree of compliance with social distancing.

Robotic transversus abdominis release: A paradigm shift in complex abdominal wall surgery?

Abdominal wall reconstruction techniques have evolved significantly over the last fifty years and continue to do so at an increasing pace. Beginning with open incisional hernia repair with bilateral rectus myofascial release, multiple techniques to offset tension at the midline by exploring options of layered myofascial release have been described. This article reviews the history, technique, advancements, and future of myofascial release in abdominal wall reconstruction leading from the open Rives-Stoppa repair to the robotic-assisted iteration of the transversus abdominis release.

Recurrence after retromuscular repair or posterior components separation: How to address them. A retrospective multicentre cohort study.

Abdominal wall hernias are common entities that represent important issues. Retromuscular repair and component separation for complex abdominal wall defects are considered useful treatments according to both short and long-term outcomes. However, failure of surgical techniques may occur. The aim of this study is to analyze results of surgical treatment for hernia recurrence after prior retromuscular or posterior components separation. We have retrospectively reviewed patient charts from a prospectively maintained database. This study was conducted in three different hospitals of the Madrid region with surgical units dedicated to abdominal wall reconstruction. We have included in the database 520 patients between December 2014 and December 2021. Fifty-one patients complied with the criteria to be included in this study. We should consider offering surgical treatment for hernia recurrence after retromuscular repair or posterior components separation. However, the results might be associated to increased peri-operative complications.

Teleworking Components and Scientific Productivity in Spanish ERC-Granted Teams: The Mediating Role of Climate and Well-Being / [Los componentes del teletrabajo y la productividad científica en los equipos españoles financiados por el ERC: el papel mediador del clima y el bienestar]

The practice of teleworking is being consistently and unprecedently used across multiple work sectors, including the research one, yet the direct and mediated links of specific telework designs with productivity are unclear, and analyses at multiple levels missing. Accordingly, this study aims at exploring the mediating role of the climate for well-being and well-being outcomes in the relationship between multiple components of teleworking and scientific productivity, both at the individual and team level. Data were collected from 358 members of 48 Spanish European Research Council (ERC)-granted teams. Analyses were conducted both at the individual and team level, after checking for the relevant aggregation indexes. Telework components of quantity, frequency, flexibility, and voluntariness were found to have direct and mediated significant relationships with scientific productivity, confirming the need to investigate telework with a closer focus on how it is designed and implemented in the different teams. Specifically, climate for well-being, eudaimonic well-being, and negative emotions were found to play a relevant role in mediating the relationship between some telework components (i.e., telework flexibility and voluntariness) and scientific productivity. Also, telework quantity and frequency were found to have, respectively, positive and negative relationship with scientific productivity. Practical and theoretical implications are further discussed in the article.(AU)

La práctica del teletrabajo se está utilizando de manera consistente y sin precedentes en múltiples sectores laborales, también en el de la investigación. No obstante, todavía quedan cuestiones que dilucidar sobre la relación entre aspectos específicos del diseño del teletrabajo y la productividad, así como los posibles mecanismos mediadores entre ambos a distintos niveles de análisis (individual, equipo). El trabajo tiene como objetivo explorar el papel mediador del clima para el bienestar y sus consecuencias en la relación entre múltiples componentes del teletrabajo y la productividad científica, tanto a nivel individual como de equipo. Se han recogido datos de 358 miembros de 48 equipos españoles subvencionados por el Consejo Europeo de Investigación (ERC). Los análisis se han realizado a ambos niveles tras comprobar los índices de agregación pertinentes. Cuatro componentes del teletrabajo (intensidad, frecuencia, flexibilidad y voluntariedad) presentaban relaciones significativas, directas e indirectas, con la productividad científica, confirmando la necesidad de investigar cómo se diseña e implementa en los equipos el teletrabajo. Se ha visto que el clima para el bienestar, el bienestar eudaimónico y las emociones negativas mediaban la relación entre algunos componentes del teletrabajo (la flexibilidad y la voluntariedad del teletrabajo) y la productividad científica. Además, la intensidad y la frecuencia del teletrabajo tenían, respectivamente, una relación positiva y negativa con la productividad científica. Las implicaciones prácticas y teóricas se analizan con más detalle en el artículo.(AU)

Estudio descriptivo de los efectos de las transfusiones de componentes sanguíneos en un grupo de pacientes con enfermedad terminal / A descriptive study of the effects of blood components transfusions in a group of terminally ill patients

Objetivo: Aproximadamente un 5-18 % de los/as pacientes con enfermedad avanzada reciben transfusiones, bajo criterios de sintomatología y cifras de hemoglobina y hematocrito. El objetivo fue conocer la relación entre las características sociodemográficas y clínicas de los/as pacientes y la mejoría subjetiva y objetiva tras haber realizado una transfusión de hemoderivados.Métodos: Estudio descriptivo transversal con pacientes ingresados/as en un hospital de tercer nivel que recibieron transfusiones de hemoderivados antes de fallecer por una enfermedad crónica terminal. Se recogieron datos de las historias clínicas.Resultados: Participaron 140 personas, un 54,3 % hombres, de 83 años de edad (mediana), a los que se transfundieron 474 concentrados de hematíes, 168 unidades de plaquetas y 5 unidades de plasma fresco, contabilizando una supervivencia media desde la última transfusión de 20,53 días. El hemograma (cifras de hemoglobina, hematocrito y recuento de leucocitos) mejoró en la analítica postransfusión, excepto el recuento plaquetario. Se encontró relación entre tener 81-90 años con el tipo de componente transfundido (p = 0,017) y entre la patología y el hemoderivado (p < 0,001), destacando la transfusión de hematíes a los/las pacientes con insuficiencia cardiaca (12,9 %). Se encontró relación entre la fiebre (p = 0,001), la debilidad y cansancio (p = 0,001) y la ortopnea (p = 0,002) para transfundir. La prueba T para muestras relacionadas mostró correlación entre los leucocitos medidos pre y postransfusión.Conclusiones: No se encontró un aumento destacable en la supervivencia, que fue 20,53 días de media tras las transfusiones, en la mejoría subjetiva de la sintomatología señalada por los/as pacientes. Esta situación podría abrir el debate de la legitimidad y relevancia de las transfusiones en pacientes terminales.(AU)

Objective: Approximately 5-18 % of patients with advanced disease receive transfusions according to criteria based on symptoms and on hemoglobin and hematocrit figures. The objective was to determine the relationship between the sociodemographic and clinical characteristics of patients and their subjective and objective improvement after transfusion of blood products.Material and methods: A cross-sectional descriptive study of patients admitted to a tertiary level hospital who received blood product transfusions before dying of chronic terminal disease. Data were collected from medical records.Results: A total of 140 patients participated, 54.3 % men, 83 years of age (median), who were transfused 474 red blood cell concentrates, 168 units of platelets, and 5 units of fresh plasma, with a mean survival of 20.53 days after their last transfusion. Their hemogram (hemoglobin, hematocrit, leukocyte count) improved in post-transfusion tests, except for platelet count. A relationship was found between being 81-90 years old and the type of component transfused (p = 0.017), as well as between the condition and the blood product (p < 0.001), with a highlight on transfusion of red blood cells to patients with heart failure (12.9 %). A relationship was found between fever (p = 0.001), weakness and tiredness (p = 0.001), and orthopnea (p = 0.002) with transfusion. A t-test for related samples showed correlation between leukocytes measured pre-and post-transfusion.Conclusions: We did not find any remarkable increase in survival, which was 20.53 days on average after transfusion, or in subjective symptom improvement as reported by patients. This situation might open a debate on the legitimacy and relevance of transfusions in terminally ill patients.(AU)

Evaluación de la dinámica de impregnación al vacío de cogollos de palma de iraca

Aunque los cogollos de la palma de iraca pueden ser empleados como fuente para la alimentación humana, la mayoría de la información disponible es para la producción de artesanías. Se evaluó la respuesta a la impregnación al vacío (IV) de cogollos frescos de palma de iraca (CFPI), con una solución isotónica de NaCl (0,6 %). Se utilizó la metodología de superficie de respuesta, con un diseño central compuesto ((=1), considerando las siguientes variables independientes: el diámetro de los cogollos (10-15 mm), el tiempo en la etapa de vacío T1 (3-5 minutos) a presión de vacío (4.1 kPa) y el tiempo en la etapa a presión atmosférica local (85,32 kPa), T2 (3-5 min). Las variables dependientes que se tomaron en cuenta fueron fracción volumétrica de impregnación en la etapa de vacío (X1), deformación volumétrica final (g), fracción volumétrica final (X) y porosidad eficaz (Ee). La dinámica de la IV del CFPI identificó que el proceso comporta una expansión volumétrica en la matriz, la cual, finalmente, contribuye a la transferencia de masa del líquido isotónico al interior de la estructura. La microestructura porosa del CFPI es compatible con el proceso de IV, permitiendo los siguientes parámetros de impregnación: g1 (0,451%), X1 (11,457%), g (2,569%), X (17,386%) y Ee (17,036%). La respuesta a la IV en los CFPI identifica a esta matriz alimentaria como adecuada, para la incorporación de componentes fisiológicamente activos.

Although the buds of the iraca palm could be employed as a source of human food, most of the information available is to produce handicrafts. The response to vacuum impregnation (VI) was evaluated in fresh iraca palm buds (FIPB) with an isotonic NaCl solution (0.6 %). The response surface methodology was obtained, with a central compound design (a= 1), considering the following independent variables: The diameter of the buds (10-15 mm), the time in the vacuum stage T1 (3-5 minutes) at vacuum pressure (4.1 kPa) and the time in the stage at local atmospheric pressure (85.32 kPa), T2 (3-5 min). The dependent variables considered were the volumetric fraction of impregnation in the vacuum stage (X1), the final volumetric deformation (g), the final volumetric fraction (X), and the effective porosity (Ee). FIPB VI dynamics identified that the process involves a volumetric expansion in the matrix, which ultimately contributes to the mass transfer of the isotonic liquid into the structure. The porous microstructure of the FIPB is compatible with the VI process, allowing the following impregnation parameters: g1 (0.451 %), X1 (11.457 %), g (2.569 %), X (17.386%), and Ee (17.036 %). The response to VI in FIPB identifies this food matrix as suitable for the incorporation of physiologically active components.

Consideraciones didácticas acerca de la modalidad no presencial en las universidades / Didactic Considerations about the Non-Face-to-Face Modality in Universities

Introducción: La modalidad no presencial del proceso de enseñanza-aprendizaje se incrementó como respuesta a las condiciones creadas por la COVID-19, sin la necesaria preparación y experiencia de los docentes para implementarla. Objetivo: Proponer algunas consideraciones didácticas que tributan al adecuado manejo del docente de los componentes del proceso de enseñanza-aprendizaje en la implementación de la modalidad no presencial. Posicionamiento de los autores: La exitosa implementación de cualquier variante de modalidad no presencial dependerá de la preparación del docente, particularmente en Didáctica, al asumir las tecnologías de la información y las comunicaciones como medios de enseñanza en la misión de hacer que sus estudiantes aprendan. Conclusiones: La no presencialidad en el proceso de enseñanza-aprendizaje se considera una alternativa viable en circunstancias de pandemia u otras equivalentes, y debe ser una modalidad complementaria en la etapa posCOVID-19. Así que los profesores tendrán que replantear el proceso en todos sus componentes, en un contexto digital que ya no tiene vuelta atrás(AU)

Introduction: Within the teaching-learning process, the non-face-to-face modality was increased as a response to the conditions created by COVID-19, but without the necessary preparation and experience for professors to implement it. Objective: To propose some didactic considerations that contribute to the professor's adequate management of the components of the teaching-learning process in the implementation of the non-face-to-face modality. Authors' position: The successful implementation of any variant of the non-face-to-face modality will depend on the professor's preparation, particularly in didactics, when assuming information and communication technologies as teaching means in the mission of making their students learn. Conclusions: Within the teaching-learning process, the non-face-to-face condition is considered a viable alternative in pandemic, or other equivalent, circumstances; it should be a complementary modality in the post-COVID-19 stage. Thus, professors will have to rethink the process focusing on all its components, within a digital context that has no turning back(AU)

Desafíos en el manejo del sarcoma de Ewing en una paciente testigo de Jehová / Challenges in the care of Ewing's sarcoma in a Jehovah's Witness patient

El sarcoma de Ewing es una neoplasia de hueso y tejidos blandos, cuyo manejo se relaciona con toxicidad hematológica. Este aspecto representa un desafío médico y ético en los pacientes testigos de Jehová quienes, por sus creencias religiosas, rechazan la aplicación de hemoderivados, con riesgo de que se descontinúe la quimioterapia o de que se utilicen dosis subóptimas. Se presenta el caso de una mujer colombiana de 34 años, testigo de Jehová, con diagnóstico de sarcoma de Ewing con estadificación clínica IIB (T1N0M0) en las regiones maxilar y mandibular izquierdas, tratada con quimioterapia, quien presentó un valor mínimo de hemoglobina de hasta 4,5 g/dl y tuvo indicación quirúrgica como parte del tratamiento. En estos pacientes, la decisión de practicar una transfusión comprende implicaciones éticas que requieren alternativas terapéuticas y un abordaje multidisciplinario.

Ewing's sarcoma is a bone and soft tissue neoplasm, whose management is related to hematological toxicity. This aspect represents a medical and ethical challenge in Jehovah's Witnesses patients, who, due to their religious beliefs, reject the blood component transfusion, with the risk of discontinuing chemotherapy or using suboptimal doses. We present the case of a 34-year-old Colombian woman, Jehovah's Witness, diagnosed with Ewing's sarcoma with clinical stage IIB (T1N0M0) in the left maxillary and mandibular regions, treated with chemotherapy, who presented a hemoglobin nadir of up to 4.5 g/dL, and surgical indication as part of the treatment. In these patients, the transfusion decision has ethical implications that require therapeutic alternatives and a multidisciplinary approach.

Análisis de componentes principales en la validación de instrumentos de calidad de vida relacionada con la salud bucal

Introducción: El análisis factorial exploratorio se usa comúnmente para evaluar la validez de la estructura interna en escalas de calidad de vida de la salud bucal. Empero, existen discusiones sobre usar indiscriminadamente el análisis de componentes principales para extraer los factores. Objetivo: Comparar los resultados de la validez basada en la estructura interna del Parental-Caregiver Perception Questionnaire - 8 ítems mediante análisis factorial exploratorio utilizando el análisis de componentes principales y otros métodos de extracción de factores. Métodos: Se realizó una revisión preliminar de la literatura para examinar el uso del análisis factorial exploratorio y sus métodos en la validación de escalas de calidad de vida relacionada con la salud bucal y se ejecutó un análisis factorial con datos de la validación del instrumento Parental-Caregiver Perception Questionnaire - versión 8, para comparar los valores de las comunalidades y las cargas factoriales de las soluciones extraídas. Resultados: La mayoría de los artículos que exploran la estructura factorial reportan el análisis de componentes principales como método de extracción y Varimax en la rotación. La información sobre los criterios para utilizar estos métodos fue insuficiente. En el análisis factorial se obtuvo que, las cargas factoriales, las comunidades y el número de factores extraídos fueron superiores con el método componentes principales. Conclusión: Usar el análisis de componentes principales como método de extracción de factores acarrea el riesgo de obtener una dimensionalidad sobreestimada en la evaluación de la validez basada en la estructura interna de las escalas de calidad de vida relacionada con la salud bucal.

Introduction: Exploratory factor analysis is commonly used to assess the validity of the internal structure in oral health quality of life scales. However, there are discussions about using principal component analysis indiscriminately to extract the factors. Objective: To compare the results of the internal structure-based validity of the Parental-Caregiver Perception Questionnaire - 8 items by exploratory factor analysis using principal component analysis and other factor estimation extraction methods. Methods: A literature review was conducted to examine the use of exploratory factor analysis and its methods in validating oral health-related quality of life scales, and a factor analysis was performed with validation data from the Parental-Caregiver Perception instrument. Questionnaire - version 8 to compare the values ​​of the communalities and the factor loads of the solutions extracted. Results: Most of the articles that explored the factorial structure reported the analysis of principal components as extraction method and Varimax in rotation. Information on the criteria for using these methods was insufficient. In the factorial analysis, it was obtained that the factorial loads, the communities and the number of extracted factors were higher with the principals component method. Conclusion: Using principal components analysis as a factor extraction method carries the risk of obtaining an overestimated dimensionality in the validity assessment based on the internal structure of oral health-related quality of life scales.

Context, Process, and Participant Response in the Implementation of Family Support Programmes in Spain / El contexto, el proceso y la respuesta de los participantes en la implementación de programas de apoyo familiar en España

Implementation research addresses how well a programme is conducted when applied in real-world conditions. However, research based on quality standards is still scarce as it requires monitoring context, process, and participant response. This study applies implementation quality standards to 57 Spanish parenting and family support programmes identified in the COST European Family Support Network project, using an ten-component evaluation sheet sheet. Descriptive analyses showed a good implementation level. The latent profile analysis identified four patterns defined by programme setting: profile 1, Social Services/NGO setting (21.1%), profile 2, Health setting (31.6%), profile 3, Multi-setting (14%), and profile 4, Educational setting (33.3%), differing in professional discipline, training, participant response, and professional perception of implementation. Profile memberships were related to programme outcomes, scaling up, and sustainability. Findings illustrate conceptual and practical challenges that researchers and professionals usually encounter during implementation, and the efforts required to deliver programmes effectively in real-world settings in Spain.(AU)

La investigación sobre implementación se ocupa de la calidad con la que se aplica un programa en condiciones del mundo real. Sin embargo, la investigación basada en patrones de calidad es aún escasa, ya que requiere supervisar el contexto, el proceso y la respuesta de los participantes. El presente estudio aplica los patrones de calidad a 57 programas españoles de apoyo parental y familiar identificados en el proyecto COST-European Family Support Network, enlos que se utilizó una hoja de evaluación de diez componentes. Los análisis descriptivos mostraron un buen nivel de implementación. El análisis de clases latentes detectó cuatro perfiles definidos por el entorno donde se aplica el programa: el perfil 1, contexto de los servicios sociales/ONG (21.1%), el perfil 2, contexto sanitario (31.6%), el perfil 3, diversos contextos (14%), y el perfil 4, entorno educativo (33.3%), que difieren en la disciplina del profesional, la formación, las respuestas de los participantes y la percepción que tiene el profesional sobre la implementación. La pertenencia a los diversos perfiles se relacionaba con los resultados del programa, su ampliación a gran escala y la sostenibilidad. Los resultados ponen de manifiesto los desafíos conceptuales y prácticos que tanto investigadores como profesionales suelen encontrar durante la implementación, así como los esfuerzos necesarios para aplicar los programas de forma efectiva en contextos reales en España.(AU)

Characterization of the species of genus Physa on the basis of typological species concept from Central Punjab / Caracterização das espécies do gênero Physa com base no conceito tipológico de espécie do Punjab Central

Abstract Physids belong to Class Gastropoda; Phylum Mollusca have important position in food web and act as bio indicators, pests and intermediate host. Being resistant these are called cockroaches of malacology. Physid snails were collected from different water bodies of Faisalabad (Punjab) and were identified up to species using morphological markers. The morphometry of the specimens was carried out with the help of a digital Vernier caliper in millimeters (mm) using linear measurement of shell characters. Linear regression analysis of the AL/SW ratio vs AL and SL/SW ratio vs AL indicated that allometric growth exists only in Physa acuta when compared with P.gyrina and P. fontinalis. This study will lead to assess the status of the Physid species in Central Punjab. The Principal component analysis shows that the Component 1 (Shell Length) and component 2 (Shell Width) are the most prolific components and nearly 80 percent of the identification. The distance between P. acuta and P. fontinalis is 5.4699, P. acuta and P. gyrina is 7.6411, P. fontinalis and P. gyrina is 16.6080 showing that P. acuta resembles with P. fontinalis, and both these specimens donot resemble with P. gyrina. P.acuta is an invasive species and shows bioactivity making it a potent candidate for bioactive substances.

Resumo Os físidos pertencem à classe Gastropoda; o filo Mollusca possui importante posição na teia alimentar e atua como bioindicador, praga e hospedeiro intermediário. Por serem resistentes, são chamadas baratas de malacologia. Os caramujos físidos foram coletados em diferentes corpos d'água de Faisalabad (Punjab) e identificados até as espécies por meio de marcadores morfológicos. A morfometria dos corpos de prova foi realizada com auxílio de paquímetro digital Vernier em milímetros (mm) por meio de medida linear dos caracteres da casca. A análise de regressão linear da razão AL / SW vs. AL e razão SL / SW vs. AL indicou que o crescimento alométrico existe apenas em Physa acuta quando comparado com P. gyrina e P. fontinalis. Este estudo levará a avaliar a situação das espécies de físido no Punjab Central. A análise do componente principal mostra que o componente 1 (comprimento da casca) e o componente 2 (largura da casca) são os componentes mais prolíficos e quase 80% da identificação. A distância entre P. acuta e P. fontinalis é 5,4699, P. acuta e P. gyrina é 7,6411, P. fontinalis e P. gyrina é 16,6080, mostrando que P. acuta se assemelha a P. fontinalis, e ambos os espécimes não se parecem com P. gyrina. P. acuta é uma espécie invasora e apresenta bioatividade, tornando-se uma candidata potente para substâncias bioativas.

Characterization of the species of genus Physa on the basis of typological species concept from Central Punjab / Caracterização das espécies do gênero Physa com base no conceito tipológico de espécie do Punjab Central

Physids belong to Class Gastropoda; Phylum Mollusca have important position in food web and act as bio indicators, pests and intermediate host. Being resistant these are called cockroaches of malacology. Physid snails were collected from different water bodies of Faisalabad (Punjab) and were identified up to species using morphological markers. The morphometry of the specimens was carried out with the help of a digital Vernier caliper in millimeters (mm) using linear measurement of shell characters. Linear regression analysis of the AL/SW ratio vs AL and SL/SW ratiovs AL indicated that allometric growth exists only in Physa acuta when compared with P.gyrina and P. fontinalis. This study will lead to assess the status of the Physid species in Central Punjab. The Principal component analysis shows that the Component 1 (Shell Length) and component 2 (Shell Width) are the most prolific components and nearly 80 percent of the identification. The distance between P. acuta and P. fontinalis is 5.4699, P. acuta and P. gyrina is 7.6411, P. fontinalis and P. gyrina is 16.6080 showing that P. acuta resembles with P. fontinalis, and both these specimens donot resemble with P. gyrina. P.acuta is an invasive species and shows bioactivity making it a potent candidate for bioactive substances.

Os físidos pertencem à classe Gastropoda; o filo Mollusca possui importante posição na teia alimentar e atua como bioindicador, praga e hospedeiro intermediário. Por serem resistentes, são chamadas baratas de malacologia. Os caramujos físidos foram coletados em diferentes corpos d’água de Faisalabad (Punjab) e identificados até as espécies por meio de marcadores morfológicos. A morfometria dos corpos de prova foi realizada com auxílio de paquímetro digital Vernier em milímetros (mm) por meio de medida linear dos caracteres da casca. A análise de regressão linear da razão AL / SW vs. AL e razão SL / SW vs. AL indicou que o crescimento alométrico existe apenas em Physa acuta quando comparado com P. gyrina e P. fontinalis. Este estudo levará a avaliar a situação das espécies de físido no Punjab Central. A análise do componente principal mostra que o componente 1 (comprimento da casca) e o componente 2 (largura da casca) são os componentes mais prolíficos e quase 80% da identificação. A distância entre P. acuta e P. fontinalis é 5,4699, P. acuta e P. gyrina é 7,6411, P. fontinalis e P. gyrina é 16,6080, mostrando que P. acuta se assemelha a P. fontinalis, e ambos os espécimes não se parecem com P. gyrina. P. acuta é uma espécie invasora e apresenta bioatividade, tornando-se uma candidata potente para substâncias bioativas.

Characterization of the species of genus Physa on the basis of typological species concept from Central Punjab

Abstract Physids belong to Class Gastropoda; Phylum Mollusca have important position in food web and act as bio indicators, pests and intermediate host. Being resistant these are called cockroaches of malacology. Physid snails were collected from different water bodies of Faisalabad (Punjab) and were identified up to species using morphological markers. The morphometry of the specimens was carried out with the help of a digital Vernier caliper in millimeters (mm) using linear measurement of shell characters. Linear regression analysis of the AL/SW ratio vs AL and SL/SW ratio vs AL indicated that allometric growth exists only in Physa acuta when compared with P.gyrina and P. fontinalis. This study will lead to assess the status of the Physid species in Central Punjab. The Principal component analysis shows that the Component 1 (Shell Length) and component 2 (Shell Width) are the most prolific components and nearly 80 percent of the identification. The distance between P. acuta and P. fontinalis is 5.4699, P. acuta and P. gyrina is 7.6411, P. fontinalis and P. gyrina is 16.6080 showing that P. acuta resembles with P. fontinalis, and both these specimens donot resemble with P. gyrina. P.acuta is an invasive species and shows bioactivity making it a potent candidate for bioactive substances.

Resumo Os físidos pertencem à classe Gastropoda; o filo Mollusca possui importante posição na teia alimentar e atua como bioindicador, praga e hospedeiro intermediário. Por serem resistentes, são chamadas baratas de malacologia. Os caramujos físidos foram coletados em diferentes corpos dágua de Faisalabad (Punjab) e identificados até as espécies por meio de marcadores morfológicos. A morfometria dos corpos de prova foi realizada com auxílio de paquímetro digital Vernier em milímetros (mm) por meio de medida linear dos caracteres da casca. A análise de regressão linear da razão AL / SW vs. AL e razão SL / SW vs. AL indicou que o crescimento alométrico existe apenas em Physa acuta quando comparado com P. gyrina e P. fontinalis. Este estudo levará a avaliar a situação das espécies de físido no Punjab Central. A análise do componente principal mostra que o componente 1 (comprimento da casca) e o componente 2 (largura da casca) são os componentes mais prolíficos e quase 80% da identificação. A distância entre P. acuta e P. fontinalis é 5,4699, P. acuta e P. gyrina é 7,6411, P. fontinalis e P. gyrina é 16,6080, mostrando que P. acuta se assemelha a P. fontinalis, e ambos os espécimes não se parecem com P. gyrina. P. acuta é uma espécie invasora e apresenta bioatividade, tornando-se uma candidata potente para substâncias bioativas.

Construction and validity of checklist for patient safety during the transfusion process / Construcción y validación de una lista de verificación para la seguridad del paciente durante el proceso de transfusión / Construção e validação de checklist para segurança do paciente no ato transfusional

ABSTRACT Objective: to construct and validate a checklist for patient safety during transfusion. Method: this is a methodological study whose development took place, between February 2020 and January 2021, at a teaching hospital in Santa Maria, RS, Brazil. The design was based on the survey of items in an integrative literature review, and validity, with 17 health specialists and 8 hemotherapy experts. Pre-test was carried out with 36 professionals from the target population. For data analysis, the Content Validity Index was calculated. Results: the checklist was composed of 29 items and 90 sub-items, distributed in three domains, corresponding to the transfusion act stages: Pre-transfusion (Medical prescription, Compatibility and Bedside identification); Transfusion (Blood component installation); and Post-transfusion (Monitoring). The items obtained a Content Validity Index predominantly > 0.80 in all stages. After reformulations suggested by participants, a Content Validity Index of 0.98 was obtained in its final version. Conclusion: the checklist demonstrated evidence of content validity and can be a reliable instrument to promote patient safety during transfusion.

RESUMEN Objetivo: construir y validar una lista de verificación para la seguridad del paciente durante la transfusión. Método: estudio metodológico cuyo desarrollo tuvo lugar entre febrero de 2020 y enero de 2021 en un hospital universitario de Santa María, RS, Brasil. El diseño se basó en el levantamiento de ítems en una revisión integrativa de la literatura, validación con 17 especialistas de la salud y 8 expertos en hemoterapia. La preprueba se realizó con 36 profesionales de la población objetivo. Para el análisis de los datos, se calculó el Índice de Validez de Contenido. Resultados: la lista de verificación estuvo compuesta por 29 ítems y 90 subítems, distribuidos en tres dominios, correspondientes a las etapas del acto transfusional: Pre-transfusión (Prescripción médica, Compatibilidad e Identificación al pie de la cama); Transfusión (Instalación del componente sanguíneo); y Post-transfusión (Monitoreo). Los ítems obtuvieron un Índice de Validez de Contenido predominantemente > 0,80 en todas las etapas. Luego de reformulaciones sugeridas por los participantes, se obtuvo un Índice de Validez de Contenido de 0,98 en su versión final. Conclusión: la lista de verificación demostró evidencia de validez de contenido y puede ser una herramienta confiable para promover la seguridad del paciente durante la transfusión.

RESUMO Objetivo: construir e validar um checklist para segurança do paciente no ato transfusional. Método: estudo metodológico cujo desenvolvimento ocorreu entre fevereiro de 2020 e janeiro de 2021, em um hospital de ensino de Santa Maria, RS, Brasil. A concepção se deu pelo levantamento dos itens em revisão integrativa da literatura, validação com 17 especialistas da saúde e 8 experts em hemoterapia. O pré-teste foi realizado com 36 profissionais da população-alvo. Para análise dos dados, procedeu-se ao cálculo do Índice de Validade de Conteúdo. Resultados: o checklist ficou composto de 29 itens e 90 subitens, distribuídos em três domínios, correspondentes às etapas do ato transfusional: Pré-transfusão (Prescrição médica, Compatibilização e Identificação Beira-leito); Transfusão (Instalação do hemocomponente); e Pós-transfusão (Monitoramento). Os itens obtiveram Índice de Validade de Conteúdo predominantemente >0,80 em todas as etapas. Após realizadas reformulações sugeridas pelos participantes, obteve-se Índice de Validade de Conteúdo de 0,98 na sua versão final. Conclusão: o checklist demonstrou evidências de validade de conteúdo, podendo ser uma ferramenta confiável para promover a segurança do paciente no ato transfusional.

Determinação do rendimento, teor e composição química de óleo essencial de espécie medicinal aloysia gratíssima (gillies & hook.) tronc. em diferentes horários do dia / Determination of yield, content and chemical composition of essential oil of medicinal plant aloysia gratissima (gillies & hook.) tronc. at different times of the day / Determinación del rendimiento, contenido y composición química del aceite esencial de la especie medicinal aloysia gratíssima (gillies & hook.) tronc. en distintos momentos del día

A Aloysia gratíssima, popularmente conhecida como alfazema-do-brasil é uma importante planta medicinal, sendo o óleo essencial rico em terpenos. Determinar o horário de colheita que resulte em maior rendimento, teor de óleo essencial e compostos químicos, são informações importantes para toda cadeia produtiva de plantas medicinais. Neste sentido, o objetivo do trabalho foi analisar o rendimento, teor e composição química do óleo essencial de A. gratíssima, em diferentes horários de colheita. O experimento foi realizado na Universidade Tecnológica Federal do Paraná - Campus Dois Vizinhos, nos anos de 2018 e 2019. Os tratamentos foram diferentes horários de colheita (9:00, 11:00, 15:00 e 17:00 horas) de massa fresca de A. gratíssima. O óleo essencial foi obtido pelo método de hidrodestilação e a composição química determinada por cromatografia gasosa-espectrometria de massa. Os melhores resultados de teor (1,18 e 0,55%) e rendimento de óleo essencial (0,71 e 0,33 g planta-1) foram obtidos nos horários de colheita das 9:00 e 11:00 horas, respectivamente, quando as plantas estavam no estádio de floração, e também as condições climáticas favoráveis, como temperaturas amenas. A cromatografia gasosa-espectrometria de massa revelou que os principais componentes dos óleos essenciais foram classificados como terpenos. Eucaliptol (39,30%) foi o componente majoritário do óleo essencial no horário de colheita das 9:00 horas. Os resultados desse estudo podem contribuir para otimizar o período de colheita de A. gratíssima, quanto à quantidade e qualidade dos óleos essenciais para indústria de produtos farmacêuticos e cosméticos.

Aloysia gratissima, popularly known as Brazilian lavender, is an important medicinal plant, the essential oil being rich in terpenes. Determining the harvest time that results in greater yield, essential oil content and chemical compounds, are important information for the entire production chain of medicinal plants In this sense, the objective of this work was to analyze the yield, content and chemical composition of the essential oil of A. gratíssima, at different harvest times. The experiment was carried out at the Universidade Tecnológica Federal do Paraná - Campus Dois Vizinhos, in the years 2018 and 2019. The treatments were different harvest times (9:00 am, 11:00 am, 3:00 pm and 5:00 pm) of fresh mass by A. gratissima. The essential oil was obtained by the hydrodistillation method and the chemical composition determined by gas chromatography-mass spectrometry. The best results for essential oil content (1.18 and 0.55%) and yield (0.71 and 0.33 g plant-1) were obtained at 9:00 am and 11:00 am, respectively, when the plants were in the flowering stage, and also favorable climatic conditions, such as mild temperatures. Gas chromatography-mass spectrometry revealed that the main components of essential oils were as terpenes. Eucalyptol (39.30%) was the major component of the essential oil at the 9:00 am harvest time. The results of this study may contribute to optimizing the period of harvesting A. gratissima, regarding the quantity and quality of essential oils for the pharmaceutical and cosmetics industry.

Aloysia gratissima, conocida popularmente como lavanda brasileña, es una importante planta medicinal, siendo el aceite esencial rico en terpenos. Determinar el tiempo de cosecha que resulte en mayor rendimiento, contenido de aceites esenciales y compuestos químicos, son información importante para toda la cadena productiva de las plantas medicinales. En ese sentido, el objetivo de este trabajo fue analizar el rendimiento, contenido y composición química del aceite esencial de A. gratíssima, en diferentes épocas de cosecha. El experimento se realizó en la Universidad Tecnológica Federal de Paraná - Campus Dois Vizinhos, en los años 2018 y 2019. Los tratamientos fueron diferentes tiempos de cosecha (9:00 am, 11:00 am, 3:00 pm y 5:00 pm ) de masa fresca por A. gratissima. El aceite esencial se obtuvo por el método de hidrodestilación y la composición química determinada por cromatografía de gases-espectrometría de masas. Los mejores resultados para contenido de aceite esencial (1.18 y 0.55%) y rendimiento (0.71 y 0.33 g planta-1) se obtuvieron a las 9:00 am y 11:00 am, respectivamente, cuando las plantas se encontraban en etapa de floración, y también condiciones climáticas favorables, como temperaturas suaves. La cromatografía de gases-espectrometría de masas reveló que los principales componentes de los aceites esenciales se clasificaron como terpenos. El eucaliptol (39,30%) fue el componente mayoritario del aceite esencial a las 9:00 a. m. del tiempo de cosecha. Los resultados de este estudio pueden contribuir a optimizar el período de cosecha de A. gratissima, en cuanto a la cantidad y calidad de los aceites esenciales para la industria farmacéutica y cosmética.

Pediatric patient safety in the administration of blood components / Seguridad de pacientes pediátricos al administrar hemocomponentes / Segurança do paciente pediátrico na administração de hemocomponentes

ABSTRACT Objective: to analyze pediatric patient safety in the administration of blood components. Method: a documentary and retrospective study, developed at a hospital in the Brazilian Midwest region. Data collection took place through medical records and 234 transfusions were identified, performed in 90 patients aged from zero to twelve years old, hospitalized between July and December 2020. An instrument based on good practice guidelines about blood components was used. Descriptive and inferential statistics were used for data analysis. Results: the transfusions were predominantly performed in breastfeeding infants (71.1%). Blood transfusions in critical sectors stood out (86.3%), as well as with indication of a clinical order (87.2%) and prescription of packed red blood cells (75.3%). The Nursing reports identified adverse events (n=05) and incidents (n=13) that were associated with inadequacies between the prescribed and infused volumes and the request and administration time (p<0.001), although no notification was formalized in the institution during the period. Conclusion: the administration of blood components presented nonconformities, which results in risk situations for pediatric patients.

RESUMEN Objetivo: analizar la seguridad de pacientes pediátricos al administrar hemocomponentes. Método: estudio documental y retrospectivo, desarrollado en un hospital de la región Centro-Oeste de Brasil. Los datos se recolectaron a través de historias clínicas y se identificaron 234 transfusiones, realizadas en 90 pacientes de cero a doce años de edad, internados entre los meses de julio y diciembre de 2020. Se empleó un instrumento basado en directrices de buenas prácticas de hemocomponentes. Para el análisis se utilizó estadística descriptiva e inferencial. Resultados: las transfusiones se realizaron predominantemente en lactantes (71,1%). Hubo predominio de transfusiones sanguíneas en sectores críticos (86,3%), con indicación de orden clínico (87,2%) y prescripción de concentrado de glóbulos rojos (75,3%). En los informes de Enfermería se identificaron eventos adversos (n=05) e incidentes (n=13) que estuvieron asociados a inconsistencias entre los volúmenes prescripto e infundido y al tiempo de solicitud y administración (p<0,001), aunque no se formalizó ninguna notificación en la institución durante el período investigado. Conclusión: la administración de hemocomponentes presentó inconformidades, lo que deriva en situaciones de riesgo para los pacientes pediátricos.

RESUMO Objetivo: Analisar a segurança do paciente pediátrico na administração de hemocomponentes. Método: Estudo documental, retrospectivo, desenvolvido em um hospital da região Centro-Oeste do Brasil. A coleta de dados ocorreu através de prontuários e foram identificadas 234 transfusões, realizadas em 90 pacientes de zero a doze anos, internados entre os meses de julho a dezembro de 2020. Utilizou-se instrumento baseado em diretrizes de boas práticas de hemocomponentes. Para a análise foi utilizada estatística descritiva e inferencial. Resultados: As transfusões ocorreram predominantemente em lactentes (71,1%). Sobressaíram hemotransfusões em setores críticos (86,3%), com indicação de ordem clínica (87,2%) e a prescrição de concentrado de hemácias (75,3%). Identificou-se no relatório de enfermagem eventos adversos (n=05) e incidentes (n=13) que se associaram a inadequações entre volume prescrito e infundido e ao tempo de solicitação e administração (p<0,001), embora nenhuma notificação foi formalizada na instituição durante o período. Conclusão: A administração de hemocomponentes apresentou inconformidades, o que resulta em situações de risco ao paciente pediátrico.

Compression of images of dermatological manifestations of paucisymptomatic COVID-19 patients through periodic principal components / Compresión de imágenes de manifestaciones dermatológicas de pacientes paucisintomáticos de COVID-19 mediante componentes principales periódicos

Introduction: The management of medical images has been gaining followers based on the advantages it offers for the diagnosis of diseases, which, like COVID-19, present with clinical manifestations that can be captured in the form of images. Objective: Take advantage of the quasi-periodicity of the principal components (PCs) in the decomposition into PCs of medical images, which represent dermatological manifestations in paucisymptomatic patients of COVID-19. Methods: Here, a set of photos was taken of one of the most frequent patterns in COVID-19, the maculopapular pattern, characterized by an erythmatopapular rash, and compression of one of the medical images was performed. Said compression was carried out in different ways: (1) using two PCs, (2) using both a periodic PC and a non-periodic PC, (3) using two periodic PCs, (4) using a single PC, and (5) using a single periodic PC. Result: The results of this research proved that it is possible to work with acceptable reconstructions of compressed images in the field of dermatology, without losing the quality and characteristics that allow to reach a correct diagnosis. In addition, this achievement permits to correctly classify many diseases without fear of being wrong. Conclusion: With the method presented, the use of a robust medical image compression technique that could be very useful in the field of health is proposed. The images allow the diagnosis of diseases such as COVID-19 in paucisymptomatic patients, understanding them allows minimizing their weight without losing quality, which facilitates their use and storage.

Introducción: El empleo de imágenes médicas en el diagnóstico de enfermedades ha ido ganando adeptos. Un ejemplo es la COVID-19 que cursa con manifestaciones clínicas dermatológicas. Objetivo: Aprovechar la cuasi-periodicidad de los componentes principales de la descomposición en imágenes médicas, que representan manifestaciones dermatológicas en pacientes paucisintomáticos de COVID-19. Métodos: Se tomó un conjunto de fotografías de uno de los patrones más frecuentes en la COVID-19 (el patrón maculopapular), caracterizado por un exantema eritematopapular, y se realizó la compresión de una de las imágenes médicas. Dicha compresión se realizó de diferentes formas: (1) usando dos componentes principales, (2) usando tanto un componente principal periódico como no periódico, (3) dos componentes principales periódicos, (4) un único componente principal, y (5) un solo componente principal periódico. Resultados: Es posible trabajar con reconstrucciones aceptables de imágenes comprimidas en el campo de la dermatología, sin perder la calidad y características que permitan llegar a un diagnóstico correcto. Además, este logro permite clasificar correctamente muchas enfermedades sin miedo a equivocarse. Conclusiones: Con el método presentado se propone el uso de una técnica robusta de compresión de imágenes médicas que podría ser de gran utilidad en el campo de la salud. Las imágenes permiten el diagnóstico de enfermedades como la COVID-19 en pacientes paucisintomáticos, con cuya compresión se minimiza su peso sin perder la calidad, lo que facilita su uso y almacenamiento.

Evaluación de la eficacia en la colecta de plaquetas por un separador celular / Evaluation of the efficacy in the collection of platelets by a cell separator / Avaliação da eficiência da coleta de plaquetas por um separador de células separador de células

La aféresis es el procedimiento más utilizado para la obtención de concentrados plaquetarios de alto rendimiento, calidad y para mejorar las terapias transfusionales en pacientes trombocitopénicos, oncohematológicos,cirugias e incluso, en pacientes con factores clínicos adversos a la refractariedad. Objetivo. Determinar la eficacia de un separador celular en la colecta de plaquetas en un Instituto Nacional de Salud de Lima. Material y métodos. Estudio descriptivo; la muestra fue de 80 concentrados plaquetarios, obtenidos por plaquetoaferesis y utilizando el equipo de separador celular americano. La colecta de plaquetas se realizó en un servicio de Hemoterapia y Banco de Sangre de una institución de salud de Lima, durante los meses de febrero a julio de 2018. La eficacia se realizó evaluando el rendimiento, la eficiencia y el cumplimiento de estándares de calidad aprobados. Uno de los parámetros utilizados fue el recuento de plaquetas y leucocitos residuales, procesados en el analizador hematológico. Resultados. Las evaluaciones fueron: concentración promedio de plaquetas por concentrado plaquetario (rendimiento)= 3,4 x 1011 plaquetas /ml, recuento de leucocitos residuales = 0,07 x 10 6 leucocitos/ml, volumen promedio de sangre procesado = 2480 ml, volumen final promedio = 217,5 ml, eficiencia en la colecta = 56,9 a 63,9 %, el tiempo medio por procedimiento de colecta = 72 minutos. Conclusiones. Los concentrados plaquetarios obtenidos con el procedimiento de plaquetoaferesis cumplen con los estándares de calidad nacional e internacionales, por lo que, se concluye que este procedimiento es eficaz en la colecta de productos de alta calidad que logran la eficacia en la transfusión.

Apheresis is the most widely used procedure to obtain high yield and quality platelet concentrates and to improve transfusion therapies in thrombocytopenic patients, oncohematological patients, surgical patients and even patients with adverse clinical factors to refractoriness. Objective. To determine the efficacy of a cell separator in the collection of platelets in a National Health Institute in Lima. Material and methods. Descriptive study; the sample consisted of 80 platelet concentrates, obtained by plateletpheresis and using American cell separator equipment. The platelet collection was performed in a Hemotherapy and Blood Bank service of a health institution in Lima, during the months of February to July 2018. Effectiveness was performed by evaluating performance, efficiency and compliance with approved quality standards. One of the parameters used was the residual platelet and leukocyte count, processed in the hematological analyzer. Results. The evaluations were: average platelet concentration per platelet concentrate (yield)= 3.4 x 1011 platelets/ml, residual leukocyte count = 0.07 x 10 6 leukocytes/ml, average volume of blood processed = 2480 ml, average final volume = 217.5 ml, collection efficiency = 56.9 to 63.9 %, average time per collection procedure = 72 minutes. Conclusions. The platelet concentrates obtained with the plateletpheresis procedure comply with national and international quality standards, therefore, it is concluded that this procedure is effective in the collection of high quality products that achieve transfusion efficiency.

A aférese é o procedimento mais utilizado para obter concentrados plaquetários de alto rendimento e alta qualidade e para melhorar as terapias transfusionais em pacientes trombocitopênicos, oncohematológicos, cirúrgicos e até mesmo pacientes com fatores clínicos adversos à refratariedade. Objetivo. Para determinar a eficácia de um separador de células na coleta de plaquetas em um Instituto Nacional de Saúde em Lima. Material e métodos. Estudo descritivo; a amostra consistiu de 80 concentrados de plaquetas, obtidos por plaquetaferese e utilizando equipamento separador de células americano. A coleta de plaquetas foi realizada em um serviço de Hemoterapia e Banco de Sangue de uma instituição de saúde em Lima, durante os meses de fevereiro a julho de 2018. A eficácia foi avaliada através da avaliação do desempenho, eficiência e conformidade com os padrões de qualidade aprovados. Um dos parâmetros utilizados foi a contagem residual de plaquetas e leucócitos, processada no analisador hematológico. Resultados. As avaliações foram: concentração média de plaquetas por concentrado de plaquetas (rendimento) = 3,4 x 1011 plaquetas/ml, contagem de leucócitos residuais = 0,07 x 10 6 leucócitos/ml, volume médio de sangue processado = 2480 ml, volume final médio = 217,5 ml, eficiência da coleta = 56,9 a 63,9%, tempo médio por procedimento de coleta = 72 minutos. Conclusões. Os concentrados de plaquetas obtidos com o procedimento de plaquetférese atendem aos padrões de qualidade nacionais e internacionais, portanto, conclui-se que este procedimento é eficaz na coleta de produtos de alta qualidade que alcançam eficiência transfusional.