Characterisation of Muffins with Upcycled Sunflower Flour.

There is an increased interest and need to make our economy more circular and our diets healthier and more sustainable. One way to achieve this is to develop upcycled foods that contain food industry by-products in their formulation. In this context, the aim of this study was to develop muffins containing upcycled sunflower flour (a by-product from the sunflower oil industry) and assess the effects of sunflower flour addition on the fibre, protein, amino acid, mineral content, and antioxidant activity measured by a Ferric Reducing Antioxidant Power (FRAP) assay and Photo chemiluminescence (PCL) assay. Results show that the sunflower flour inclusion significantly improved all the parameters analysed as part of this study. A more balanced muffin amino acid profile was achieved, thanks to the increased levels of lysine, threonine, and methionine, the limiting essential amino acids of wheat flour. We can conclude that upcycled ingredients, such as sunflower flour, could be used for the nutritional improvement of baked goods, such as muffins. Their addition can result in several nutritional advantages that could be communicated on packaging through the use of the appropriate EU nutrition claims, such as those on protein, fibre, and mineral content.

Suicide and dementia: Systematic review and meta-analysis. / Suicidio y demencia: revisión sistemática y metaanálisis.

INTRODUCTION: To analyse the possible relationship between dementia in the elderly and the subsequent development of suicide ideation, attempts and / or completed suicides. METHODS: Systematic review and meta-analysis. SELECTION CRITERIA: studies that analysed the relationship between dementia and suicide. SEARCH STRATEGY: i) in PubMed, EMBASE, CINAHL, IME and Lilacs until December 2018; ii) manual search of the bibliography of selected articles; iii) contact with leading authors. Article selection and data extraction according to a predefined protocol, including bias risk assessment, were performed by independent peer reviewers. The effect size index was calculated using Odds Ratio (OR) and its 95% confidence interval (random-effects model). Heterogeneity was evaluated with forest plots, Cochran's Q and I2 index. Assessment of publication bias using funnel plots ("trim-and-fill" method) and the Egger test. The analysis of moderating variables was performed using a multiple meta-regression under a mixed-effects model. RESULTS: 37 studies and 47 basic units of study were identified. Effect size of the association of dementia with: Suicidal Ideation OR = 1.37 (95% CI: .78-2.39); Suicide Attempt: OR = 2.24 (95% CI: 1.01-4.97); and Completed Suicide: OR = 1.28 (95% CI: .77-2.14). Possible publication bias was ruled out. CONCLUSIONS: A trend towards suicidal events is identified, especially suicide attempts in people with dementia. Greater attention and care are recommended after a recent diagnosis of dementia, especially with adequate assessment of comorbidities, which could influence the occurrence and outcome of suicidal events.

Potential of a Sunflower Seed By-Product as Animal Fat Replacer in Healthier Frankfurters.

Upcycled defatted sunflower seed flour (SUN), a by-product obtained from sunflower oil extraction, was used as an animal fat replacer to develop healthier frankfurters. For that end, animal fat was replaced (~50%) with water and 2% or 4% of SUN. Nutritional composition, technological, structural and sensorial properties were evaluated. SUN incorporation led to a significant increase in protein, minerals (magnesium, potassium, copper and manganese) and a decrease in fat content (~37% less than control with all animal fat). The incorporation of SUN in frankfurters promoted the presence of phenolic compounds. Increasing SUN addition lead to an increasingly (p < 0.05) darker frankfurter colour. Samples with SUN at 4% were firmer than the control according to TPA and sensory analysis results and showed the highest lipid disorder attributed to more lipid interactions in the meat matrix. SUN addition as an animal fat replacer in frankfurters is a feasible strategy to valorise sunflower oil by-products and obtain healthier frankfurters.

Effect of different strategies of Lactobacillus plantarum incorporation in chorizo sausages.

BACKGROUND: Chorizo is a high-value Spanish-type dry fermented sausage, highly appreciated by consumers. In this kind of product, Lactobacillus plantarum plays an important role in the fermentation process and can also be considered as a probiotic. The impact of different strategies for incorporating probiotic L. plantarum into the physico-chemical, microbiological, and sensorial characteristics of chorizo sausages was studied. These strategies were: free cells (Cfc); alginate beads (Calg); water-in-oil emulsion (Cwo), and water-in-oil-in-water emulsion (Cwow). Proximate composition, weight loss, pH, aw , color, and microbiological behavior were evaluated during the ripening (20 days) of chorizo. RESULTS: The strategy of incorporating L. plantarum significantly affected the proximate composition, pH, and aw of sausages. However, the traditional red color of chorizo was maintained for all formulations. The incorporation of probiotics as free cells or encapsulated in alginate beads resulted in higher counts of lactic acid bacteria and L. plantarum, lower counts of Enterobacteriaceae, and in acceptable sensory scores. CONCLUSION: Overall, the quality of chorizo sausages was conditioned by the incorporation strategy, and the addition of probiotics in alginate beads (Calg) was the most effective strategy. © 2019 Society of Chemical Industry.

[Neuroticism and suicidal thoughts: a meta-analytic study]. / Neuroticismo e ideas suicidas: un estudio meta-analítico.

BACKGROUND: There are conflicting results on the relationship between neuroticism and suicidal ideation in community population. The objectives of this study were to estimate the magnitude and direction of the association between neuroticism and suicide ideation, and to analyze the influence of moderator variables on the effect size. METHODS: A systematic review and a meta-analysis were carried out. The search for studies was conducted in PubMed/MEDLINE, IME, Lilacs, CINAHL, and EMBASE, until January 2015. A manual search was also carried out and main researchers were contacted. The inclusion criteria were: (a) studies of the association between neuroticism and suicidal ideation; (b) observational and descriptive studies; (c) studies carried out with community population over 18 years; (d) in any geographic region; and (e) written in English, Spanish, French, Portuguese or Italian. The random-effects model was applied to obtain the mean effect size and to explore moderators. RESULTS: Thirteen articles focused on the association between neuroticism and suicide ideation were included in the meta-analysis. The mean effect size was r+ = 0.446 (IC 95%: 0.266-0.595). Publication bias was discarded as a threat against the validity of the results. A predictive model was stablished with two moderator variables: gender and type of self-report to measure neuroticism. CONCLUSIONS: Neuroticism can be considered as a risk factor for suicide ideation. This result is important to prevent both suicidal ideation and suicide behavior.

OBJETIVO: Existen resultados discrepantes sobre la relación existente entre neuroticismo e ideas suicidas en población comunitaria. Los objetivos de este estudio fueron estimar la magnitud y dirección de la asociación entre neuroticismo e ideas suicidas, así como analizar la influencia de posibles variables moderadoras sobre el tamaño del efecto. METODOS: Se llevó a cabo una revisión sistemática y meta-análisis. La búsqueda de estudios se realizó en PubMed/MEDLINE, IME, Lilacs, CINAHL y EMBASE, siendo el límite temporal hasta enero de 2015. También se hizo una búsqueda manual y se contactó con los autores principales para localizar estudios. Los criterios de inclusión fueron: (a) estudios que analizaran la relación neuroticismo e ideación suicida; (b) estudios observacionales y descriptivos; (c) estudios realizados con población comunitaria mayor de 18 años; (d) en cualquier región geográfica; y (e) escritos en inglés, español, francés, portugués o italiano. Se utilizó el modelo de efectos aleatorios para la obtención del tamaño del efecto y el análisis de posibles variables moderadoras. RESULTADOS: 13 artículos referidos a la relación entre neuroticismo e ideación suicida se incluyeron en el meta-análisis. El tamaño del efecto medio fue r+ = 0,446 (IC 95%: 0,266-0,595). Se descartó la presencia de sesgo de publicación como una amenaza contra la validez de los resultados. Se estableció un modelo predictivo con dos variables moderadoras: sexo y tipo de autoinforme para medir neuroticismo. CONCLUSIONES: El neuroticismo puede considerarse un factor de riesgo para presentar ideas suicidas. Este resultado es importante de cara a la prevención del fenómeno suicida.

Effect of pelvic organ prolapse repair on detrusor overactivity in women following incontinence surgery: A multivariate analysis.

AIMS: To determine the effect of pelvic organ prolapse (POP) repair on post-operative detrusor overactivity (DO) in women who have underwent incontinence surgery, using multivariate analysis. METHODS: A retrospective study was carried out on a cohort of 105 women who underwent incontinence surgery. In 39 of the patients this surgery was associated with pelvic organ prolapse repair. Clinical and urodynamic data were collected pre- and 3 months post-operatively. A multivariate statistical analysis was performed to detect confounding factors which could influence on the risk factors associated with post-operative detrusor overactivity. RESULTS: On univariate analysis, the following pre-operative factors were associated with post-operative detrusor overactivity: symptomatic mixed urinary incontinence, rectocele, detrusor overactivity, voided volume on free uroflowmetry, maximum cystomanometric capacity, and performing concomitant pelvic organ prolapse repair. Multivariate analysis, by means of confounding factors elimination, revealed that only pre-operative rectocele and detrusor overactivity were independent risk factors. CONCLUSIONS: The pelvic organ prolapse repair acts as a confounding factor. Women with a pre-operative rectocele and detrusor overactivity are on a greater risk to develop post-operative detrusor overactivity and, therefore, they should be informed.

Laparoscopic Pyeloplasty: Always Dismembered?

OBJECTIVE: To compare three laparoscopic surgical techniques for the treatment of ureteropelvic junction obstruction (UPJO), assessing their difficulty, operating time, effectiveness, and complications. MATERIALS AND METHODS: The clinical histories of 54 patients with UPJO who underwent a laparoscopic procedure between June 2003 and September 2013 were reviewed. Anderson-Hynes (A-H) pyeloplasty was performed on 34 patients, nondismembered pyeloplasty on 11 cases (8 Y-V Foley plasty and 3 Fenger plasty), and cephalad vascular displacement or Hellström technique (HT) on 9 patients. The patients were selected for the different techniques depending on the findings during the procedures, according to renal pelvic size and the presence of crossing vessels. We compared the techniques according to intraoperative and postoperative outcomes. Complications were interpreted following the Clavien-Dindo classification. The success rate was defined as the absence of clinical symptoms and normal diuretic renography. Analysis of variance and chi-square tests were used for the statistical analysis. RESULTS: Mean follow-up was 55.58 months. The success rate achieved was 88.5% for A-H pyeloplasty, 90.9% for nondismembered pyeloplasty, and 100% for HT (p > 0.05). HT was the least time-consuming: 124 ± 30 vs 202 ± 44 minutes of A-H pyeloplasty and 147 ± 27 minutes of nondismembered plasty (p < 0.005). Mean hospital stay was 6.7 ± 1.4 days for A-H pyeloplasty, 6.6 ± 2 days for nondismembered pyeloplasty, and 3.42 ± 1.5 days for HT (p < 0.05). The postoperative complication rate was 21.1% for A-H pyeloplasty, 18.8% for nondismembered pyeloplasty, and 12.5% for HT (p > 0.05). None of the cases required open surgery, and urinary fistula was the most frequent complication. CONCLUSION: Intraoperative observation of ureteropelvic junction allows selecting cases to undergo nondismembered pyeloplasty techniques, achieving similar results to A-H pyeloplasty, reducing operating time, complication rate, and hospital stay.

[Achievement of cardiovascular goals in patients diagnosed with type 2 diabetes with and without cardiovascular disease]. / Grado de control metabólico y de factores de riesgo cardiovascular en pacientes con diabetes tipo 2 con y sin enfermedad cardiovascular.

AIMS: To determine the proportion of patients with type 2 diabetes with and without cardiovascular disease achieving the main cardiovascular goals. DESIGN: Cross-sectional study. SETTING: A regional health district in a European country, Spain. Year: 2013. PARTICIPANTS: Adult patients diagnosed with type 2 diabetes with and without cardiovascular disease. MEASUREMENTS: Study using secondary data obtained from electronic records of clinical history. Haemoglobin A1c, blood pressure, LDL cholesterol, smoking and medication were covered. n=49,658 RESULTS: The proportion of patients with diabetes achieving cardiovascular goals (among those with recent measurement) was: haemoglobin A1c 68.8% (CI95%:68.2%-69.4%), blood pressure 74.3% (CI95%:73.9%-74.7%), LDL cholesterol 59.8% (CI95%:59.0%-60.6%), tobacco 80.2% (CI95%:79.6%-80.8%). Only 40%-67% of patients has recent measurement. Only 48.0% (CI95%: 46.6%-49.4%) of patients who needed statins were receiving them. Higher proportion of patients with cardiovascular disease were achiving goals. Differences were small but significant. CONCLUSIONS: Cardiovascular goals were measured in around half of patients with diabetes. Proportion of patients achiving cardiovascular goals were similar to published and best in patients with cardiovascular disease but it could improve. This points to prioritising interventions in this group of patients at very high risk, improving the implementation of guidelines and patient adherence.

[An analysis of the oral presentations in the XXVI National Conference of Mental Health Nursing]. / Descripción de las comunicaciones orales del XXVI Congreso Nacional de Enfermería Salud Mental.

OBJECTIVE: To analyse the oral presentations given at the XXVI Conference of Mental Health Nursing, Valencia 2009. METHOD: A descriptive, observational cross-sectional study. POPULATION: all oral presentation published in the Conference book: 117(100%). EXCLUSION CRITERIA: papers presented at plenary sessions and poster format communications. Seventeen variables were studied: one on thematic content, four related to authorship (job category, number, workplace and province), eight related to the methodology (population studied, area of study, design, data collection techniques, data analysis, use of computer support, results, and use of graphics and charts), one on the use of nurse terminology, two relating to literature and one related to funding. PROCEDURE: peer and independent review. Descriptive statistical analysis. RESULTS: The most researched topic was healthcare 68 (58.1%), and 55 (47.0%) of the authors work in a hospital. The most investigated population was the patient 78 (66.7%), 46 (39.3%) in the hospital setting. A total of 66 (56.4%) did not mention the design, 36 (30.8%) were descriptive, and 29 (24.8%) collected data using scales and questionnaires. A substantial majority, 76 (65.0%) did not present any analyses of data and 41 (35.0%) did. 14(12%) reported the use of computer support was mentioned by 14 (12%, and only 18(18%) presented the references in accordance with regulations. CONCLUSIONS: Oral presentation at the conference can be improved as far as methodology is concerned, as more than half of them do not report on the design used or present a data analysis. There is a need to improve the use of the methodological format, as stipulated by the rules of article submission, in order to disseminate nursing research and increase scientific knowledge.