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1.
Int J Mol Sci ; 25(9)2024 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-38732218

RESUMO

Boronate esters are a class of compounds containing a boron atom bonded to two oxygen atoms in an ester group, often being used as precursors in the synthesis of other materials. The characterization of the structure and properties of esters is usually carried out by UV-visible, infrared, and nuclear magnetic resonance (NMR) spectroscopic techniques. With the aim to better understand our experimental data, in this article, the density functional theory (DFT) is used to analyze the UV-visible and infrared spectra, as well as the isotropic shielding and chemical shifts of the hydrogen atoms 1H, carbon 13C and boron 11B in the compound 4-(4,4,5,5-tetramethyl-1,3,2-dioxoborolan-2-yl)benzaldehyde. Furthermore, this study considers the change in its electronic and spectroscopic properties of this particular ester, when its boron atom is coordinated with a fluoride anion. The calculations were carried out using the LSDA and B3LYP functionals in Gaussian-16, and PBE in CASTEP. The results show that the B3LYP functional gives the best approximation to the experimental data. The formation of a coordinated covalent B-F bond highlights the remarkable sensitivity of the NMR chemical shifts of carbon, oxygen, and boron atoms and their surroundings. Furthermore, this bond also highlights the changes in the electron transitions bands n → π* and π → π* during the absorption and emission of a photon in the UV-vis, and in the stretching bands of the C=C bonds, and bending of BO2 in the infrared spectrum. This study not only contributes to the understanding of the properties of boronate esters but also provides important information on the interactions and responses optoelectronic of the compound when is bonded to a fluorine atom.


Assuntos
Benzaldeídos , Benzaldeídos/química , Espectroscopia de Ressonância Magnética , Teoria da Densidade Funcional , Flúor/química , Boro/química , Modelos Moleculares , Ésteres/química , Espectrofotometria Infravermelho , Estrutura Molecular , Íons/química
2.
Mar Pollut Bull ; 202: 116293, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38537497

RESUMO

We employed a meta-analysis to determine if the presumed resilience of decapods to ocean acidification extends to all biological aspects, environments, and life stages. Most response categories appeared unaffected by acidification. However, certain fitness-related traits (growth, survival, and, to some extent, calcification) were impacted. Acid-base balance and stress response scaled positively with reductions in pH, which maintains homeostasis, possibly at the cost of other processes. Juveniles were the only stage impacted by acidification, which is believed to reduce recruitment. We observed few differences in responses to acidification among decapods inhabiting contrasting environments. Our meta-analysis shows decapods as a group slightly to moderately sensitive to low pH, with impacts on some biological aspects rather than on all specific life stages or habitats. Although extreme pH scenarios may not occur in the open ocean, coastal and estuarine areas might experience lower pH levels in the near to medium future, posing potential challenges for decapods.


Assuntos
Decápodes , Água do Mar , Animais , Decápodes/fisiologia , Decápodes/crescimento & desenvolvimento , Ecossistema , Concentração de Íons de Hidrogênio , Características de História de Vida , Água do Mar/química
3.
Horiz. enferm ; 34(3): 637-658, 20 dic. 2023. tab, ilus
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1525230

RESUMO

[{"text": "INTRODUCCIÓN. El decantarse por una carrera universitaria, es una decisión que marca el futuro profesional de los jóvenes; en ella están envueltas motivaciones intrínsecas, extrínsecas y expectativas que pueden predecir el desempeño académico. OBJETIVO. Predecir el rendimiento académico de los estudiantes de una facultad de enfermería, a través de los motivos intrínsecos, extrínsecos y expectativas para la elección de la carrera. METODOLOGÍA. Estudio correlacional, longitudinal, analítico. La muestra estuvo constituida por 400 estudiantes de primer semestre. Se aplicó una cédula socio demográfica; Escala de Motivación en Educación (EME); Escala de Expectativas Para la Elección de la Carrera e Interés Hacia los Estudios (EEPECIHE); Escala de Seguimiento Cambios en las Expectativas, Grado de Interés y Satisfacción de los Estudiantes (ESCEGIS). Los datos se analizaron con el software SPSS versión 25 para iOS; el estudio contó con la aprobación del comité de bioética en investigación de la Facultad de Enfermería Culiacán. RESULTADOS. Existen diferencias significativas de las motivaciones, expectativas y rendimiento académico (p <.05) al inicio del semestre y al finalizar el semestre; las motivaciones y expectativas predicen el rendimiento académico, en 74.6%, (R2=0,747, Ajuste R2 = 0,746,

4.
An. Fac. Cienc. Méd. (Asunción) ; 55(3): 110-116, 20221115.
Artigo em Espanhol | LILACS | ID: biblio-1401561

RESUMO

La rinoplastia cerrada es una cirugía que se realiza con el fin de cambiar la estructura de la nariz, con fines cosméticos o reparadores. Se busca realizar pequeños retoques que logren un aspecto natural. Es una de las cirugías estéticas más complejas y representa un reto para el cirujano, pues combina técnica con sensibilidad y ciencia con arte. En este artículo describimos esta técnica con el objetivo de demostrar su eficacia y vigencia, sin compararla con la rinoplastia abierta, pues no es motivo de discusión en este trabajo, por lo que no podemos asegurar que una opción es mejor o peor que la otra. Lo más conveniente es que los cirujanos estén capacitados para realizar cualquiera de estas. Con la rinoplastia cerrada se logran resultados que llenan las expectativas tanto de los pacientes, como de los cirujanos y el post operatorio es breve y prácticamente sin incidentes. Es una propuesta que tiene indicaciones precisas en el marco de una rinoplastia preservadora, que es tendencia a nivel mundial en la actualidad.


Closed rhinoplasty is a surgery that is performed in order to change the structure of the nose, for cosmetic or restorative purposes. It seeks to make small touches that achieve a natural appearance. It is one of the most complex cosmetic surgeries and represents a challenge for the surgeon, as it combines technique with sensitivity and science with art. In this article, we describe this technique in order to demonstrate its effectiveness and validity, without comparing it with open rhinoplasty, since it is not a matter of discussion in this work, so we cannot guarantee that one option is better or worse than the other. It is best if surgeons are trained to perform any of these. With closed rhinoplasty, results are achieved that meet the expectations of both patients and surgeons, and the postoperative period is brief and practically uneventful. It is a proposal that has precise indications within the framework of conservative rhinoplasty, which is currently a worldwide trend.


Assuntos
Rinoplastia , Arte , Ciência , Efetividade , Nariz
5.
Rev. chil. neuro-psiquiatr ; Rev. chil. neuro-psiquiatr;60(3): 273-280, sept. 2022. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1407829

RESUMO

RESUMEN: Introducción: Las benzodiacepinas tienen potencial para generar abuso, por lo que, un consumo indiscriminado, a través de la venta sin prescripción y la práctica de automedicación, significaría un alto riesgo, producto de su abuso. Objetivo: Establecer la relación entre la automedicación con benzodiacepinas y el riesgo de abuso en pacientes de un hospital de Lima-Perú. Metodología: Estudio transversal analítico. Se encuestó a 874 participantes, se usó una encuesta para determinar datos demográficos, uso de benzodiacepinas y preguntas de la prueba de detección de consumo de alcohol, tabaco y sustancias (ASSIST, por sus siglas en inglés); se obtuvo estadística descriptiva y analítica. Resultados: Hubo más encuestadas del sexo femenino (74,5%), la mediana de edades fue de 52 años (rango intercuartílico: 40-62 años). De los adultos estudiados, 485 fueron considerados como consumidores de benzodiacepinas con receta médica y 389 sin receta médica. Los consumidores con receta médica y sin receta médica que necesitaron tratamiento fueron 129 (26,6%) y 245 (63,0%), respectivamente (p<0.001). Conclusión: Hay una mayor prevalencia de personas que necesitan tratamiento por abuso en consumidores sin receta médica que en el grupo de consumidores con receta médica, por lo que, existe una relación significativa entre la automedicación con benzodiacepinas y el riesgo de abuso; lo que requiere tratamiento en la población estudiada.


ABSTRACT Introduction: Benzodiazepines have the potential to generate abuse, so an indiscriminate consumption, through the sale without prescription and the practice of self-medication, would mean a high risk due to their abuse. Objective: To establish the relationship between self-medication with benzodiazepines and the risk of abuse that requires treatment in adult patients of Hospital San Juan de Lurigancho, 2019. Methodology: It was an observational, correlational descriptive, transversal and prospective study. The sample size was 874 participants (95.0% confidence level; 80% power). Sampling was performed non-randomly. A survey was used to determine demographics, benzodiazepine use, and questions of Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Results: Of the study population, the most prevalent demographic data were female sex (74.5%), the median age was 52 years (interquartile range: 40-62 years), the age range 50-59 years (26.43%), married marital status (31.6%), secondary education level (48.4%) and occupation as a housewife (47.3%). Of adults studied, 485 were considered as consumers of benzodiazepines with prescription and 389 consumers without a prescription. Prescription and non-prescription consumers needing treatment were 129 (26.60%) and 245 (62.98%), respectively (p <0.001). Conclusion: There is a higher prevalence of people who need treatment for abuse in consumers without a prescription than in the group of consumers with a prescription so there is a significant relationship between self-medication with benzodiazepines and the risk of abuse that requires treatment in study population.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Automedicação/efeitos adversos , Benzodiazepinas/efeitos adversos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Peru , Estudos Transversais , Inquéritos e Questionários , Medição de Risco
6.
Rev. salud pública ; Rev. salud pública;24(4)jul.-ago. 2022.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1536731

RESUMO

Objetivo Determinar el Riesgo de diabetes mellitus según FINDRISC en indígenas Warao de Barrancas del Orinoco, Monagas, Venezuela. Metodología Se realizó un estudio observacional, descriptivo y de corte transversal en diciembre del 2015. El universo estuvo conformado por 213 indígenas y la muestra por 103 individuos. Se incluyeron pacientes sin diagnóstico de diabetes y mayores de 12 años. Se aplicó la encuesta FINDRISC. Los datos fueron agrupados y procesados por medio del programa estadístico SPSS, en el cual se aplicó la prueba estadística de chi-cuadrado de homogeneidad que arrojó un valor estadísticamente significativo de p<0,05. Resultados De 103 pacientes incluidos en el estudio, 57 eran del sexo femenino y 46 del masculino. Por sexo, el riesgo de diabetes con puntaje menor a 7 (leve) fue más frecuente en el masculino (63,0%) y el puntaje de 12-14 (riesgo moderado) fue similar en ambos sexos, sin diferencias estadísticamente significativas (p=0,37). La frecuencia de pacientes con 50 años y más con riesgo alto fue de 11,1%, seguido de los de 30-39 años, con 7,7%. El riesgo moderado (12-14 puntos) fue más frecuente en los pacientes con edades de 40-49 años, con un 44,4% y diferencias estadísticamente significativas por edad (p<0,00001). En general, los indígenas de la etnia Warao obtuvieron un riesgo alto de diabetes en el 3,9%, el riesgo moderado fue de 10,7% y más de la mitad obtuvo resultados de bajo riesgo, con 54,4%. Conclusión Los indígenas de la etnia Warao tienen un bajo riesgo de diabetes.


Objective To determine the risk of diabetes mellitus according to FINDRISC in Warao indigenous of Barrancas del Orinoco, Monagas, Venezuela. Methodology An observational, descriptive and cross-sectional study was carried out in December 2015. Universe was conformed by 213 natives and sample conformed by 103 individuals. Patients without diagnosis of diabetes and older than 12 years were included. The FINDRISC survey was applied. The data were grouped and processed by means of the statistical program SPSS, the statistical test of chi-square of homogeneity was applied and a value of p<0.05 was considered as statistically significant. Results Of 103 patients included in the study, 57 were female and 46 were male. By sex, the risk of diabetes with a score lower than 7 (mild) was more frequent in men (63.0%), the score of 12-14 (moderate risk) was similar in both sexes, with no statistically significant differences (p=0.37). The frequency of patients who were 50 years old and more at high risk was 11.1% followed by those aged 30-39 years with 7.7%. The moderate risk (12-14 points) was more frequent in patients aged 40-49 years old with 44.4%, with statistically significant differences being found by age (p<0.00001). In general, the indigenous people of the Warao ethnic group had a high risk of diabetes in 3.88%, the moderate risk was 10.7%, and more than half obtained low risk results with 54.4%. Conclusion The indigenous people of the Warao ethnic group have a low risk of diabetes.

7.
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1408670

RESUMO

Introducción: Con el estudio de las enfermedades cardiovasculares se ha logrado identificar las variables biológicas y estilos de vida, lo que ha permitido que la hipertensión arterial y sus complicaciones sean prevenibles y controlables. Objetivo: Determinar la frecuencia del consumo de alimentos y actividad física en pacientes hipertensos del Centro de Atención Primaria III Huaycán, Lima, Perú. Métodos: Se realizó un estudio observacional descriptivo, transversal y cuantitativo en pacientes hipertensos pertenecientes al programa del adulto mayor. Se recolectaron datos sociodemográficos, antropometría y presión arterial. Se aplicó el cuestionario internacional de actividad física y frecuencia de consumo de alimentos. Se analizaron estadísticas descriptivas, prueba de Chi cuadrado, ANOVA y Rho Spearman en SPSS 23. Resultados: Se evaluaron 570 pacientes, 61,8 por ciento pertenecía al sexo femenino, 39,5 por ciento tenía estudios de secundaria, 65,3 por ciento consumía antihipertensivos regularmente. La media del índice de masa corporal para mujeres fue 28,23±4,66 kg/m2. La presión arterial sistólica para el sexo masculino fue 132,89±13,42 mmHg y para el femenino, de 130,92±13,19 mmHg. El 13,5 por ciento tenía obesidad y cifras tensionales hipertensivas, 71,1 por ciento consumía pollo, 77,2 por ciento pan, cereales, arroz, pastas y trigo todos los días a la semana, mientras que 50,9 por ciento consumía frituras cuatro días por semana; 44,7 por ciento tenía bajo nivel de actividad física y cifras tensionales hipertensivas (p = 0,03). Conclusiones: La alimentación en la población de estudio era diversa, basada en alta ingesta de carbohidratos y grasas. Se evidenció que las personas con menos actividad física tenían mayores cifras tensionales. Es de considerar que la dieta saludable y la actividad física son factores complementarios al tratamiento farmacológico para el control de estos pacientes(AU)


Introduction: The study of cardiovascular diseases has permitted the identification of biological variables and lifestyles, which, in turn, has made hypertension and its complications preventable and controllable. Objective: To determine the frequency of food consumption and physical activity in hypertensive patients in the primary care center III Huaycán, Lima, Peru. Methods: A descriptive, cross-sectional, observational and quantitative study was carried out with hypertensive patients belonging to the elderly program. Sociodemographic, anthropometric and blood pressure data were collected. The international questionnaire of physical activity and frequency of food consumption was applied. Descriptive statistics, chi-square test, ANOVA and Rho Spearman were analyzed using SPSS 23. Results: 570 patients were assessed: 61.8 percent were female, 39.5 percent had high school education, and 65.3 percent consumed antihypertensive drugs regularly. The mean body mass index for women was 28.23±4.66 kg/m2. Systolic blood pressure for the male sex was 132.89±13.42 mmHg and 130.92±13.19 mmHg for the female sex. 13.5 percent had obesity and hypertensive blood pressure levels, 71.1 percent ate chicken, 77.2 percent consumed bread, cereals, rice, pasta and wheat every day of the week, while 50.9 percent consumed fried foods four days a week. 44.7 percent had a low level of physical activity and hypertensive blood pressure levels (P=0.03). Conclusions: The diet in the study population was diverse, based on high intake of carbohydrates and fats. People who did less physical activity evidently showed higher blood pressure numbers. A healthy diet and physical activity are to be considered complementary factors to pharmacological treatment for controlling these patients(AU)


Assuntos
Humanos , Masculino , Feminino , Exercício Físico , Dieta/métodos , Hipertensão/epidemiologia , Obesidade/epidemiologia , Epidemiologia Descritiva , Estudos Transversais , Estudo Observacional
8.
J Environ Manage ; 303: 114137, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34847366

RESUMO

Agricultural intensification is a key strategy to help meet increasing demand for food and bioenergy. It has the potential to reduce direct and indirect land use change (LUC) and associated environmental impacts while contributing to a favorable economic performance of the agriculture sector. We conduct an integral analysis of environmental and economic impacts of LUC from projected agricultural intensification and bioenergy production in the Orinoquia region in 2030. We compare three agricultural intensification scenarios (low, medium, high) and a reference scenario, which assumes a business-as-usual development of agricultural production. The results show that with current inefficient management or with only very little intensification between 26% and 93% of the existing natural vegetation areas will be converted to agricultural land to meet increasing food demand. This results in the loss of biodiversity by 53% and increased water consumption by 111%. In the medium and high scenarios, the intensification allows meeting increased food demand within current agricultural lands and even generating surplus land which can be used to produce bioenergy crops. This results in the reduction of biodiversity loss by 8-13% with medium and high levels of intensification compared to the situation in 2018. Also, a positive economic performance is observed, stemming primarily from intensification of cattle production and additional energy crop production. Despite increasing irrigation efficiency in more intensive production systems, the water demand for perennial crops and cattle production over the dry season increases significantly, thus sustainable management practices that target efficient water use are needed. Agricultural productivity improvements, particularly for cattle production, are crucial for reducing the pressure on natural areas from increasing demand for both food products and bioenergy. This implies targeted investments in the agricultural sector and integrated planning of land use. Our results showed that production intensification in the Orinoquia region is a mechanism that could reduce the pressure on natural land and its associated environmental and economic impacts.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Agricultura , Animais , Biodiversidade , Bovinos , Colômbia , Produtos Agrícolas
9.
Chemosphere ; 287(Pt 3): 132333, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34563780

RESUMO

Phosphorus (P) adsorption from aqueous solutions is usually evaluated by monitoring the P concentration and employed kinetic models. In this work, three adsorbents obtained from eggshell (ES) and eggshell mixed with palm mesocarp fiber (ESF-1:1 and ESF-1:10) at different Ca(OH)2/CaCO3 compositions were evaluated, and the Ca-P species formed monitored as a function of time deconvoluting Fourier Transform Infrared (FTIR) spectra. At 0.25 h the ESF-1:10 (Ca(OH)2: 26.2 wt%) exhibited better adsorption performance of 35 mgg-1 while ESF-1:1 and ES (Ca(OH)2: 2.8 and 3.0 wt%) showed 26 and 4 mgg-1, respectively. Characteristic PO43- bands in apatite were corroborated by XRD and FTIR. It was found that the role of Ca(OH)2 in the adsorption ends before 0.25 h, and thereafter CaCO3 becomes the phase responsible for the removal of orthophosphate H2PO4-/HPO42-/PO43- ions. The results indicate a direct ligand exchange of CO32- for PO43- that takes place while increasing the apatite crystallinity. On the other hand, the P adsorption process is also dependent on P concentration. At low P concentrations, characteristic bands of PO43- in apatite were observed in FTIR, while at high concentrations, characteristic bands for adsorbed HPO42- were obtained. The obtained results give a relevant role to CaCO3 in P adsorption. Kinetic analysis for Ca-based biocomposites showed that the Avrami order kinetic model fits better for the adsorbents. For P adsorption isotherm process the Langmuir's isotherms showed a good fit, with a maximum adsorption capacity of 90.8, 134.0, and 67.9 mgg-1 for ES, ESF-1:1, and ESF-1:10, respectively.


Assuntos
Fósforo , Purificação da Água , Adsorção , Animais , Casca de Ovo , Cinética
10.
Neotrop. ichthyol ; 20(1): e210099, 2022. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1365206

RESUMO

The doncella Pseudoplatystoma punctifer is an economically and ecologically important catfish in the Amazon basin. However, little is known about its age, growth and population dynamics parameters. This study aims to validate the formation of growth marks in vertebrae of individuals collected from two rivers systems of the Peruvian Amazon (Amazon-Marañón-Ucayali and Putumayo) and compare growth parameters using the von Bertalanffy growth function between sexes and systems. A total of 372 individuals from the Amazon-Marañón-Ucayali (AMU) system and 93 from the Putumayo River were analyzed. The formation of one growth ring per year was validated and the individual ages ranged from zero to nine years old. Females grew significantly larger than males in both systems. Both females and males grew significantly better in the AMU system than in the Putumayo River. Maximum observed length and size at maturity in the AMU system were lower than those reported in previous studies in the area, and together with an important proportion of juveniles in the catches, suggest that the species is heavily exploited. Further studies on the reproductive biology and population dynamics of the doncella are needed in order to implement management measures more in line with the current situation.(AU)


La doncella Pseudoplatystoma punctifer es un bagre de importancia económica y ecológica en la cuenca Amazonica. Pese a ello, poco se conoce acerca de parámetros de edad, crecimiento y dinámica poblacional. Este estudio tuvo como objetivo validar la formación de marcas de crecimiento en vértebras de individuos colectados en dos sistemas fluviales de la Amazonia Peruana (Amazonas-Marañón-Ucayali y Putumayo) y comparar los parámetros de crecimiento usando la función de von Bertalanffy entre sexos y sistemas. Fueron analizados 372 individuos del sistema Amazonas-Marañón-Ucayali (AMU) y 93 del Putumayo. Se validó la formación de un anillo de crecimiento por año, la edad osciló entre cero y nueve años. Las hembras fueron significativamente más grandes que los machos en ambos sistemas. Para ambos sexos el crecimiento fue significativamente mayor en el sistema AMU que en el Putumayo. Las máximas tallas y edades de primera madurez observadas en el sistema AMU fueron menores a las reportadas en estudios previos en el área, y junto con un considerable porcentaje de juveniles presentes en las capturas, se sugiere que la especie está siendo fuertemente explotada. Son necesarios estudios de biología reproductiva y dinámica poblacional de doncella para implementar medidas de manejo acordes a la situación actual.(AU)


Assuntos
Animais , Peixes-Gato/crescimento & desenvolvimento , Anacardium , Ecossistema Amazônico , Rios
11.
J Morphol ; 282(11): 1604-1615, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34427340

RESUMO

Parasitic castrators utilize the energy reserves that the host allocates on reproduction resulting in sterilization of the host. However, whether other processes (e.g., growth) are also impaired depends on the balance between the castrator's energy requirements and the available resources that the castrated host does not use in reproduction. We investigated whether the castrator pea crab Calytraeotheres garthi alters body condition, reproductive performance, and occurrence of copulation in its limpet host Bostrycapulus odites. For this purpose, we examined the anatomy of the ovary, the seminal receptacles, and the body condition of parasitized and unparasitized limpets. The histology of the female gonad of parasitized limpets revealed the ovarian tubules are smaller and characterized by a greater proportion of intertubular and intratubular free space compared with non-parasitized individuals. The body condition of female limpets from all sizes (during summer) and those larger than ~16 mm (during spring and autumn) were impacted by the pea crab. These results are in contrast to that previously reported in the comparatively larger limpet species Crepidula cachimilla, in which the same pea crab species does not alter or even increase the host body weight. We concluded this pea crab species could drastically impair its host's reproduction and body condition although deleterious effects are species-specific and likely depend on limpet body size. The histology of seminal receptacles revealed an uncommon disposition of spermatozoa (i.e., excessive debris and acrosomes detached from epithelium) in seminal receptacles of some parasitized limpets. However, this analysis failed to determine whether sperm derived from present matings or previous pea crab infection. Further studies are needed to address whether pea crabs interfere with the mating behavior of limpets and if the alterations in sperm disposition are a consequence of castration.


Assuntos
Braquiúros , Gastrópodes , Animais , Tamanho Corporal , Feminino , Masculino , Reprodução , Espermatozoides
12.
PLoS One ; 16(3): e0248277, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33684171

RESUMO

BACKGROUND: Data on hospital discharges can be used as a valuable instrument for hospital planning and management. The quantification of deaths can be considered a measure of the effectiveness of hospital intervention, and a high percentage of hospital discharges due to death can be associated with deficiencies in the quality of hospital care. OBJECTIVE: To determine the overall percentage of hospital discharges due to death in a Mexican tertiary care hospital from its opening, to describe the characteristics of the time series generated from the monthly percentage of hospital discharges due to death and to make and evaluate predictions. METHODS: This was a retrospective study involving the medical records of 81,083 patients who were discharged from a tertiary care hospital from April 2007 to December 2019 (first 153 months of operation). The records of the first 129 months (April 2007 to December 2017) were used for the analysis and construction of the models (training dataset). In addition, the records of the last 24 months (January 2018 to December 2019) were used to evaluate the predictions made (test dataset). Structural change was identified (Chow test), ARIMA models were adjusted, predictions were estimated with and without considering the structural change, and predictions were evaluated using error indices (MAE, RMSE, MAPE, and MASE). RESULTS: The total percentage of discharges due to death was 3.41%. A structural change was observed in the time series (March 2009, p>0.001), and ARIMA(0,0,0)(1,1,2)12 with drift models were adjusted with and without consideration of the structural change. The error metrics favored the model that did not consider the structural change (MAE = 0.63, RMSE = 0.81, MAPE = 25.89%, and MASE = 0.65). CONCLUSION: Our study suggests that the ARIMA models are an adequate tool for future monitoring of the monthly percentage of hospital discharges due to death, allowing us to detect observations that depart from the described trend and identify future structural changes.


Assuntos
Previsões , Planejamento Hospitalar/estatística & dados numéricos , Modelos Estatísticos , Centros de Atenção Terciária/estatística & dados numéricos , Feminino , Humanos , Masculino , México/epidemiologia , Redes Neurais de Computação , Alta do Paciente/estatística & dados numéricos , Estudos Retrospectivos , Estações do Ano
13.
An. Fac. Cienc. Méd. (Asunción) ; 53(2): 47-52, 20200800.
Artigo em Espanhol | LILACS | ID: biblio-1119408

RESUMO

Introducción: El desarrollo científico es considerado un componente de la educación médica debido a la implicancia de la investigación en la formación profesional, no existe verdadera educación superior sin investigación activa. Objetivo: Analizar la percepción de los estudiantes de medicina de Latinoamérica sobre la capacitación universitaria en investigación científica. Materiales y métodos: Se realizó un estudio observacional, descriptivo, de corte transversal, donde fueron incluidos 488 estudiantes de medicina de doce países de Latinoamérica. Se aplicó una encuesta estructurada mediante un formulario en línea de 10 preguntas, dividida en dos secciones: la primera, con las variables sociodemográficas, y la segunda, sobre la percepción de la capacitación estudiantil con una escala tipo Likert de cinco valores categóricos. Resultados: La edad estuvo comprendida de 17 a 34 años con una media de 22,34 años y un desvió estándar de 2.76, El 99,8% consideró importante la capacitación universitaria en temas de investigación científica. Conclusión: La mayoría de los estudiantes consideró importante recibir capacitación en sus universidades en temas como lectura crítica, redacción científica, búsqueda bibliográfica, metodología de la investigación y bioestadística. En general, la percepción sobre la capacitación recibida fue de regular a deficiente.


Introduction: Scientific development is considered a component of medical education, due to the implication of research to professional training there is no truly higher education without active research. Objectives: To analyze the perception of medical students in Latin America about university training in scientific research. Materials and methods: An observational, descriptive, cross-sectional study was conducted where 488 medical students from 12 Latin American countries were included. A structured questionnaire was applied using an online form of 10 questions, divided into two sections: the first one with the sociodemographic variables, and the second one about the perception of student training with a Likert scale of five categorical values. Results: The age ranged from 17 to 34 years with an average of 22.34 years and a standard deviation of 2.76. 99.8% considered important university training in scientific research topics. Conclusion: The majority of students consider it important to receive training in their universities on topics such as critical reading, scientific writing, bibliographic search, research methodology and biostatistics. In general, the perception of the training received is from regular to deficient.


Assuntos
Educação Médica , Estudantes de Medicina , Inquéritos e Questionários , Tutoria
14.
Neotrop. ichthyol ; 16(1): e170130, 2018. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-895132

RESUMO

The goliath catfish Brachyplatystoma rousseauxii has crucial economical and ecological functions in the Amazon basin. Although its life history characteristics have been studied in the Amazon, there is little information in the Madeira River basin, which holds genetically distinct populations and where dams were recently built. Using fish collected in Bolivia, Brazil and Peru, this study provides a validation of growth rings deposition and details the growth patterns of B. rousseauxii in the Madeira before the dams' construction. Age structure and growth parameters were determined from 497 otolith readings. The species exhibits two growth rings per year and sampled fish were between 0 and 16 years old. In the Brazilian portion of the basin, mainly young individuals below 5 years old were found, whereas older fish (> 5 years) were caught only in the Bolivian and Peruvian stretches, indicating that after migrating upstream to reproduce, adults remain in the headwaters of the Madeira River. Comparing with previous publications, B. rousseauxii had a slower growth and 20 cm lower maximum standard length in the Madeira River than in the Amazon River. This study provides a baseline for future evaluation of changes in population dynamics of the species following dams closure.(AU)


Brachyplatystoma rousseauxii é um bagre de importante papel econômico e ecológico na bacia amazônica. Embora existam estudos acerca de sua história de vida na Amazônia, há pouca informação para a bacia do rio Madeira, onde existem populações geneticamente distintas e recentemente foram construídas duas usinas hidrelétricas. Este estudo validou a deposição das marcas de crescimento e detalhou os padrões de desenvolvimento dessa espécie no rio Madeira, antes da construção das barragens. As coletas abrangeram os territórios brasileiro, boliviano e peruano, com estrutura etária e parâmetros de crescimento determinados a partir de 497 otólitos. Foram observadas duas marcas de crescimento por ano e indivíduos entre 0 e 16 anos. Na porção brasileira foram encontrados principalmente jovens menores de 5 anos, enquanto que os peixes mais velhos (> 5 anos) foram capturados apenas na Bolívia e Peru, indicando que após a migração reprodutiva, os adultos permanecem nas cabeceiras do rio Madeira. Comparando com estudos prévios realizados na calha principal do rio Amazonas, B. rousseauxii apresentou crescimento mais lento e comprimento padrão máximo inferior de 20 cm no rio Madeira. Este estudo fornece uma base para a avaliação futura das mudanças na dinâmica populacional desse espécie após o implementação das barragens.(AU)


Assuntos
Animais , Peixes-Gato/genética , Peixes-Gato/crescimento & desenvolvimento , Estágios do Ciclo de Vida , Membrana dos Otólitos/anatomia & histologia
15.
Neotrop. ichthyol ; 16(1): [e170130], mar. 2018. tab, graf
Artigo em Inglês | VETINDEX | ID: vti-18604

RESUMO

The goliath catfish Brachyplatystoma rousseauxii has crucial economical and ecological functions in the Amazon basin. Although its life history characteristics have been studied in the Amazon, there is little information in the Madeira River basin, which holds genetically distinct populations and where dams were recently built. Using fish collected in Bolivia, Brazil and Peru, this study provides a validation of growth rings deposition and details the growth patterns of B. rousseauxii in the Madeira before the dams' construction. Age structure and growth parameters were determined from 497 otolith readings. The species exhibits two growth rings per year and sampled fish were between 0 and 16 years old. In the Brazilian portion of the basin, mainly young individuals below 5 years old were found, whereas older fish (> 5 years) were caught only in the Bolivian and Peruvian stretches, indicating that after migrating upstream to reproduce, adults remain in the headwaters of the Madeira River. Comparing with previous publications, B. rousseauxii had a slower growth and 20 cm lower maximum standard length in the Madeira River than in the Amazon River. This study provides a baseline for future evaluation of changes in population dynamics of the species following dams closure.(AU)


Brachyplatystoma rousseauxii é um bagre de importante papel econômico e ecológico na bacia amazônica. Embora existam estudos acerca de sua história de vida na Amazônia, há pouca informação para a bacia do rio Madeira, onde existem populações geneticamente distintas e recentemente foram construídas duas usinas hidrelétricas. Este estudo validou a deposição das marcas de crescimento e detalhou os padrões de desenvolvimento dessa espécie no rio Madeira, antes da construção das barragens. As coletas abrangeram os territórios brasileiro, boliviano e peruano, com estrutura etária e parâmetros de crescimento determinados a partir de 497 otólitos. Foram observadas duas marcas de crescimento por ano e indivíduos entre 0 e 16 anos. Na porção brasileira foram encontrados principalmente jovens menores de 5 anos, enquanto que os peixes mais velhos (> 5 anos) foram capturados apenas na Bolívia e Peru, indicando que após a migração reprodutiva, os adultos permanecem nas cabeceiras do rio Madeira. Comparando com estudos prévios realizados na calha principal do rio Amazonas, B. rousseauxii apresentou crescimento mais lento e comprimento padrão máximo inferior de 20 cm no rio Madeira. Este estudo fornece uma base para a avaliação futura das mudanças na dinâmica populacional desse espécie após o implementação das barragens.(AU)


Assuntos
Animais , Peixes-Gato/crescimento & desenvolvimento , Estágios do Ciclo de Vida , Peixes-Gato/genética , Membrana dos Otólitos/anatomia & histologia
17.
Rev. cientif. cienc. med ; 20(2): 7-14, 2017. ilus
Artigo em Espanhol | LILACS | ID: biblio-900265

RESUMO

INTRODUCCIÓN: Las enfermedades parasitarias a nivel intestinal aún tienen un papel importante en salud pública y son uno de los problemas médicos importantes, constituyendo una de las principales causas de morbilidad en niños en Latinoamérica, así también Venezuela. Objetivo: Determinar la prevalencia de parasitosis intestinales en niños menores de 15 años en la población estudiada. METODOLOGÍA: El tipo de estudio fue observacional, descriptivo y de corte transversal, cada participante fue evaluado clínicamente y mediante un análisis coproparasitológico, las muestras fecales fueron estudiadas mediante examen directo en solución salina fisiológica y coloración temporal de lugol, y la aplicación de la Técnica de Kato. Dichas técnicas se realizaron directamente en comunidad rural. RESULTADOS: Se evaluaron 64 niños entre 0-15 años de edad, de ellos: 51,6% masculinos y 48,4% femeninos. 87,5% presentaron manifestaciones clínicas, siendo el bruxismo más frecuente, seguido de dolor abdominal. El hallazgo de parasitosis intestinales general fue 92,20%. Se diagnosticaron parasitosis por 14 especies diferentes, de ellos 9 eran protozoarios y 5 helmintos. CONCLUSIÓN: Se determinó una alta prevalencia de parasitosis intestinales en niños menores de 15 años, los helmintos más frecuentes fueron: Ascaris lumbricoides, Trichuris trichiura y Ancilostomideos con 72,9%, 47,5% y 33,9% respectivamente. Entre los protozoarios y cromistas destacan: Blastocystis spp(50,8%), Entamoeba coli (28,8%) y Giardia lamblia (23,7%). El poliparasitismo fue superior a 81,4% y las asociaciones más frecuentes fueron: Ascaris lumbricoides + Blastocystis spp (12,5%), seguido por Entamoeba coli + Ascaris lumbricoides + Trichuris trichiura (6,3 %).


INTRODUCTION: The intestinal parasitic diseases still have an important role in terms of public health, and they are one of main medical problems, being one of the principle causes of morbidity in children in Latin America included Venezuela. Objectives: Establish the prevalence of intestinal parasites in children less than 15 years old in the studied population. METHODOLOGY: The type of study was observational, descriptive and cross-sectional, each participant was evaluated clinically and through coproparasitologic test, fecal samples were studied by direct examination in physiological saline solution and temporary stained with lugol, and application of Kato-Katz's technique. These techniques were performed directly in the rural community. RESULTS: 64 children between 0-15 years old were evaluated; 51,6% male and 48,4% female. 87,5% had clinical manifestations, being bruxism the most frequent, followed by abdominal pain. The overall finding of intestinal parasites was 92,20%. There were diagnosed parasitoses by 14 different species, 9 were protozoans and 5 were helminths. CONCLUSION: It was determined a high prevalence of intestinal parasites in children under 15 years old, the most common helminths were: Ascaris lumbricoides, Trichuris trichiura and hookworm with 72,9%, 47,5% and 33,9% respectively. Among protozoans and chromists that stood out were Blastocystís spp (50,8%), Entamoeba coli (28,8%) and Giardia lamblia (23,7%). Polyparasitism was higher than 81,4% and the most common associations were: Ascaris lumbricoides + Blastocystis spp. 12,5%, followed by Entamoeba coli + Ascaris lumbricoides + Trichuris trichiura with 6,3%.


Assuntos
Humanos , Adolescente , Enteropatias Parasitárias , /administração & dosagem , Helmintos
18.
J Exp Biol ; 219(Pt 8): 1172-7, 2016 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-27103676

RESUMO

Interpopulation comparisons in species that show behavioural variations associated with particular ecological disparities offer good opportunities for assessing how environmental factors may foster specific functional adaptations in the brain. Yet, studies on the neural substrate that can account for interpopulation behavioural adaptations are scarce. Predation is one of the strongest driving forces for behavioural evolvability and, consequently, for shaping structural and functional brain adaptations. We analysed the escape response of crabs ITALIC! Neohelice granulatafrom two isolated populations exposed to different risks of avian predation. Individuals from the high-risk area proved to be more reactive to visual danger stimuli (VDS) than those from an area where predators are rare. Control experiments indicate that the response difference was specific for impending visual threats. Subsequently, we analysed the response to VDS of a group of giant brain neurons that are thought to play a main role in the visually guided escape response of the crab. Neurons from animals of the population with the stronger escape response were more responsive to VDS than neurons from animals of the less reactive population. Our results suggest a robust linkage between the pressure imposed by the predation risk, the response of identified neurons and the behavioural outcome.


Assuntos
Braquiúros/fisiologia , Encéfalo/fisiologia , Neurônios/fisiologia , Comportamento Predatório/fisiologia , Animais , Argentina , Reação de Fuga/fisiologia , Geografia , Masculino , Nociceptividade/fisiologia , Estimulação Luminosa , Fatores de Risco
19.
Rev. venez. endocrinol. metab ; 12(3): 167-176, oct. 2014. ilus, tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-740363

RESUMO

Objetivo: Determinar el riesgo de Diabetes Mellitus tipo 2, en la comunidad rural de Apostadero, Municipio Sotillo. Estado Monagas. Venezuela. Materiales y métodos: Se realizó un estudio observacional, descriptivo y de corte transversal en Enero de 2013. Universo conformado por 163 personas mayores de 18 años. Se tomaron medidas antropométricas (peso, talla, índice de masa corporal [IMC], y circunferencia abdominal), glicemia capilar, tensión arterial y se aplicó la encuesta FINDRISC para estimar riesgo de diabetes en 10 años. Resultados: De una muestra de 41 voluntarios, 25 (61%) eran de género femenino y 16 (39%) de masculino. El promedio de IMC fue 28,08±5,69, la prevalencia de sobrepeso fue de 24,4% y de obesidad de 36,6%. El género femenino fue más afectado con IMC promedio de 29,52±6,04 vs masculino 25,84±4,37 (p<0,05). La prevalencia de pre-hipertensión fue de 31,7% y la de hipertensión arterial fue de 53,7%. La glicemia capilar media fue de 93,63±12,18 mg/dL y en cuanto al género no hubo diferencias significativas (p=0,17), la prevalencia de alteración de glicemia en ayunas fue de 24,4% y de Diabetes mellitus tipo 2 de 4,9%. El 21,95% de los encuestados estaban en alto riesgo de desarrollar diabetes mellitus tipo 2, siendo las mujeres las más afectadas significativamente (p=0,047). Conclusión: La población tiene un elevado riesgo de desarrollar diabetes tipo 2 en 10 años, siendo las féminas las más vulnerables.


Objective: To determine the risk of type 2 diabetes in the rural community of Apostadero, Sotillo Municipality. Monagas State. Venezuela. Methods: An observational, descriptive, cross-sectional study in January 2013 was performed. The universe was composed of 163 people over 18 years. Anthropometric measurements (weight, height, body mass index [BMI] and waist circumference), capillary glucose and blood pressure were taken. The FINDRISC survey was used to estimate the risk of diabetes in 10 years. Results: From a sample of 41 volunteers, 25 (61%) were female and 16 (39%) male. The mean BMI was 28.08 ± 5.69, the prevalence of overweight was 24.4% and obesity was 36.6%. Female gender was more affected with an average BMI of 29.52 ± 6.04 vs 25.84 ± 4.37 in men (p <0.05). The prevalence of prehypertension was 31.7% and that of hypertension was 53.7%. The mean capillary blood glucose level was 93.63 ± 12.18 mg/dL without gender differences; the prevalence of impaired fasting glucose was 24.4% and type 2 diabetes mellitus of 4.9%. High risk of developing type 2 diabetes mellitus was observed in 21.95% of the participants, women being the most affected (p=0.047). Conclusion: The population has a high risk of developing type 2 diabetes within 10 years, being women the most vulnerable.

20.
Genetica ; 141(7-9): 347-58, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24008811

RESUMO

Pseudoplatystoma species are highly prized South American Pimelodid migratory catfishes. Until recently, their taxonomy was not clearly established, with discrepancies between morphological and molecular analyses. Here, Pseudoplatystoma species from the Peruvian Amazon were characterized at the molecular level from a sample representing the observed range of their color pattern variations in the study area. Analyses were performed using seven microsatellite loci for 103 specimens and, for part of them (52), using sequences of two regions of their mitochondrial genome [Cytochrome Oxidase subunit I (COI) and Control Region (CR)]. Factorial correspondence analysis and assignment tests based on microsatellite polymorphism showed that the specimens originally identified as P. punctifer belonged to two different gene pools highly differentiated from P. tigrinum. Morphological examination identified two different morphotypes (with and without black stripes), suggesting the existence of two distinct taxa within P. punctifer. This result was corroborated by the ML tree based on CR sequences, where all individuals but four clustered in a similar way as in the FCA and Bayesian assignment tests. For these four individuals, mitochondrial introgression or retention of ancestral polymorphism was likely. In contrast, the ML tree based on COI sequences showed that reciprocal monophyly was not yet achieved for this marker for the two P. punctifer taxa. The existence of three sympatric species of Pseudoplatystoma in the Peruvian Amazon is discussed in relation to their molecular characteristics, color patterns and ecology. Evolutionary scenarios regarding their divergence are hypothesized.


Assuntos
Peixes-Gato/genética , Especiação Genética , Repetições de Microssatélites/genética , Animais , Peixes-Gato/anatomia & histologia , Peixes-Gato/classificação , Variações do Número de Cópias de DNA , Evolução Molecular , Genoma Mitocondrial/genética , Filogenia , Pigmentação/genética
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