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Pork belly is a meat cut valued for its rich flavour and texture, attributed to its high fat content, which also makes it susceptible to oxidation. Therefore, meat producers and processors must carefully select packaging options to maximise shelf life while meeting consumer preferences. This study aimed to develop customised packaging strategies for sliced pork belly with varying fat content to extend shelf life while minimizing environmental impact. The research compared three packaging solutions: modified atmosphere packaging (MAP1: 70:30% O2:CO2, MAP2: 30:40:30% O2:CO2:N2) and vacuum skin packaging (VSP) for pork bellies with low (LF: 16.07 ± 1.87%), medium (MF: 37.39 ± 4.41%), and high fat content (HF: 57.57 ± 2.36%). Samples packaged in VSP exhibited the longest shelf life (13-14 days) with lower purge and reduced fat and colour oxidation compared to MAP-packaged samples for all studied belly types. Nonetheless, the impact of MAP on shelf life depended on the belly type. HF bellies, with lower proportions of unsaturated fatty acids, showed less purge, and greater colour and fat stability, resulting in a longer shelf life compared to LF and MF bellies. LF and MF bellies in MAP2 showed the shortest shelf life (around 6 days), followed by LF and MF in MAP1 (around 7-8 days). Life Cycle Assessment indicated VSP generally as the most environmentally favourable option for LF and MF bellies, whereas for HF bellies, the choice among the three packaging solutions depended on the specific impact category under consideration.
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Embalaje de Alimentos , Almacenamiento de Alimentos , Embalaje de Alimentos/métodos , Animales , Porcinos , Almacenamiento de Alimentos/métodos , Color , Vacio , Grasas de la Dieta/análisis , Oxidación-Reducción , Carne de Cerdo/análisis , AmbienteRESUMEN
An effective evaluation of a bachelor's thesis (BT) needs the use of valid tools such as rubrics. There are few studies providing a validation of rubrics for these theses and even fewer in the academic field of food science and technology; hence the aim of this study was to validate a rubric for the assessment of relevant competencies in the BT. Ninety-seven students presented their thesis and 56 teachers participated as members of the committees. The degree of relevance, suitability, and clarity of the rubrics were assessed as well as the relationship between student perception and academic performance and the congruence between the teacher's and students' evaluations. The content validity index and intraclass correlation coefficient (ICC) were calculated. Students had a moderate level of knowledge about rubrics, but they mostly agreed with the premise that the rubrics are an accurate tool to assess the quality of BTs. Teacher's and student's marks mostly aligned. No significant relationship was found between the positive perception of rubric's validity and the final grades. Regarding clarity, suitability, and relevance as perceived by teachers, the used rubrics were highly valued. The ICC of criteria indicated that the rubrics were valid in the studied terms. Hence, the validation of a food science and technology degree BT assessment system based on a rubric has been achieved. Supporting Information PRACTICAL APPLICATION: The conclusions drawn from this research could enable teachers at other universities to use this methodology for validating their rubrics for bachelor's theses. Furthermore, they could use this validated rubric to evaluate projects presented at their respective institutions.
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Tecnología de Alimentos , Estudiantes , Humanos , Tecnología de Alimentos/métodos , Evaluación Educacional/métodos , Femenino , Universidades , Masculino , Reproducibilidad de los ResultadosRESUMEN
In Southwestern Colombia, cocoa clones are cultivated in which productivity characteristics predominate over bean quality. In this study, cocoa beans of the CCN-51 clone harvested in the Tumaco region (Nariño, Colombia) were fermented following four different treatments: (1) spontaneously (at room temperature for 120 h) in traditional conditions (Control); (2) traditional processing with a pre-drying (sun-dried for 24 h) treatment (PD); (3) with fermentation (for 120 h) after inoculation of a yeast starter culture (YS); and (4) including both treatments, pre-drying and yeast inoculation (PD + YS). Chemical composition, fatty acids, total polyphenol, methylxanthines (theobromine and caffeine) and lactic acid content of cocoa beans were determined. Chemical and fatty acid composition and theobromine content were not affected by the different fermentation treatments applied (p > 0.05). When analyzing total polyphenol content, YS (16.62 mg/g) and PD + YS (17.74) treatments significantly decreased (p < 0.05) the content of these compounds at the end of the fermentation process, affecting cocoa flavour, while PD treatment decreased (p < 0.05) the caffeine content (0.68 mg/g) of cocoa beans. Finally, lactic acid content decreased because of both inoculation of yeast starter (1.11 mg/g) and mainly the pre-drying treatment (0.60). In conclusion, solar pre-drying in the open air and the inoculation of yeast starter treatments could improve the final quality of cocoa beans.
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Pork belly is an important and heterogeneous cut, characterized by its fat content. Immunocastration is an alternative to surgical castration that can modify the composition of carcasses and cuts and it can affect at its processing. This work compares the morphological, mechanical and compositional characteristics of pork belly of (1) pure Duroc pigs from surgically castrated males (CM), entire females (EF) and immunocastrated females (IF), and (2) Duroc crossbreed pigs from immunocastrated males (IM) and entire males (EM). Two trials were carried out: Trial 1, in which 36 bellies were evaluated, 12 from each sexual type, CM, EF and IF; and Trial 2, where 30 bellies were used, 15 from each sexual type, IM and EM. Results show few differences in bellies from EF and IF, while those from CM were fatter and firmer and with lower polyunsaturated fat. Bellies from IM were longer and firmer than those from EM, and their skin was thinner. IM bellies had higher saturated and lower polyunsaturated fat than those from EM. To conclude, the sex of the pigs affects belly characteristics and this could be a criterion for determining the destination of the bellies in the cutting plant. Immunocastration of pure Duroc females had a lower effect on the belly characteristics when compared to those from entire females, but some differences could be found in the fat distribution. Immunocastration of Duroc crossbred males produces firmer and thicker bellies, with a thinner skin, that could be advantageous for slicing and further processing.
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Carne de Cerdo , Carne Roja , Masculino , Femenino , Porcinos , Animales , Carne/análisis , Tejido Adiposo , Castración/veterinaria , Composición CorporalRESUMEN
Benzaldehyde and its derivatives are used as food supplements. These substances can be used mainly as flavorings or as antioxidants. Besides, peroxynitrite, an oxidizing agent, could be formed in canned food. Both species could react between them. The present article has focused on the kinetic study of the oxidation of aldehydes by peroxynitrite. A reaction mechanism that justifies all the experimental results is proposed. This mechanism, in acidic media, passes through three competitive pathways: (a) a radical attack that produces benzoic acid. (b) peracid oxidation, and (c) a nucleophilic attack of peroxynitrous acid over aldehyde to form an intermediate, X, that produces benzoic acid, or, through a Cannizzaro-type reaction, benzoic acid and benzyl alcohol. All rate constants involved in the third pathway (c) have been calculated. These results have never been described in the literature in acid media. A pH effect was analyzed.
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Ring-opening copolymerization reactions of epoxides, carbon dioxide and cyclic esters to produce copolymers is a promising strategy to prepare CO2-based polymeric materials. In this contribution, bimetallic chloride indium complexes have been developed as catalysts for the copolymerization processes of cyclohexene oxide, carbon dioxide and L-lactide under mild reaction conditions. The catalysts displayed good catalytic activity and excellent selectivity towards the preparation of poly(cyclohexene carbonate) (PCHC) at one bar CO2 pressure in the absence of a co-catalyst. Additionally, polyester-polycarbonate copolymers poly(lactide-co-cyclohexene carbonate) (PLA-co-PCHC) were obtained via an one-pot one-step route without the use of a co-catalyst. The degree of incorporation of carbon dioxide can be easily modulated by changing the CO2 pressure and the monomer feed, resulting in copolymers with different thermal properties.
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RESUMEN Fundamento: El deterioro del estado psicoemocional producto de la pandemia de la COVID-19 se ha relacionado con el bruxismo. Objetivo: Describir signos y síntomas más frecuentes, el grado de afectación del bruxismo y nivel de ansiedad en pacientes con bruxismo durante la pandemia de la COVID-19. Metodología: Estudio observacional, descriptivo, retrospectivo entre enero del 2019 y el 2020 en el Consultorio Médico de la Familia n.o 10 del Área Norte de Sancti Spíritus. Se incluyeron 35 pacientes diagnosticados con bruxismo, elegidos mediante un muestreo aleatorio sistemático, según criterios de inclusión. Se utilizaron métodos del nivel teórico y empírico para evaluar las variables edad, sexo, estado de ansiedad, signos, síntomas y grado de afectación del bruxismo. Resultados: El sexo femenino representó el 62.9 % y el grupo de edad de 35-60 el 45.7 %. El síntoma más frecuente del bruxismo fue el dolor en los músculos masticatorios (88.6%). Cambiaron de 28.6 % a 65.7 % los pacientes con grado II de bruxismo y el nivel de ansiedad de medio del 42.9 % a un 80 %. Conclusiones: Durante la pandemia de COVID-19 hubo un incremento del nivel de ansiedad y el grado de afectación del bruxismo. El dolor en los músculos masticatorios fue el síntoma más frecuente en los pacientes con bruxismo.
ABSTRACT Background: The worsening of the psychoemotional state resulting from the COVID-19 pandemic has been related to bruxism. Objective: To describe the most frequent signs and symptoms, the degree of bruxism affectation and anxiety state in patients with bruxism during the COVID-19 pandemic. Methodology: Observational, descriptive, retrospective study between January 2019 and 2020 at the Doctor´s Office No. 10 of the Northern Area of Sancti Spíritus. 35 patients diagnosed with bruxism were included, chosen by systematic random sampling, according to inclusion criteria. Theoretical and empirical methods were used to evaluate the variables age, sex, anxiety state, signs, symptoms and degree of bruxism affectation. Results: Female sex represented 62.9 % and the 35-60 age group 45.7 %. The most frequent symptom of bruxism was pain in the masticatory muscles (88.6 %). It changed from 28.6 % to 65.7 % patients with grade II bruxism and from 42.9 % medium anxiety state to 80 %. Conclusions: During the COVID-19 pandemic there was an increase in the anxiety state and the degree of bruxism affectation. Pain in the masticatory muscles was the most frequent symptom in patients with bruxism.
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Ansiedad/psicología , Bruxismo , Infecciones por CoronavirusRESUMEN
The high deposition of intramuscular fat and the content of oleic fatty acid are characteristic of the Iberian pig. These two parameters present great variability and are differentiated amongst the varieties that make up the Iberian pig population. Although previous studies generated evidence for causal genes and polymorphisms associated to the adipogenic potential of the Iberian pig, there is little information about how genetic expression influences this trait's variability. The aim of this study was to analyses the expression profile between two varieties of Iberian pig (Torbiscal and Retinto) and their reciprocal crosses differentiated in their intramuscular fat (IMF) content and fatty acid (FA) composition in the Longissimus thoracis muscle using an RNA-seq approach. Our results corroborate that the Retinto variety is the fattiest amongst all studied varieties as its upregulated genes, such as FABP3 and FABP5, SLC27A1 and VEGFA among others, contribute to increasing adiposity. In its turn, Torbiscal pigs showed an upregulation of genes associated with the inhibition of fat deposition such as ADIPOQ and CPT1A. Further genetic variation analysis in these Iberian varieties showed relevant associations for SNP located within the differentially expressed genes with IMF and FA content. Thus, the differences found in the genetic architecture and the muscle transcriptome of these Iberian varieties might explain the variability in their fat content and composition and hence, their meat quality.
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During dry-cured ham processing, phospholipids (PL) are the main substrates of lipolysis and oxidation. However, the published data on individual PL classes in the pig muscle are inconsistent. This study determined the PL class contents and composition in biceps femoris of Iberian pigs according to the rearing system (Montanera vs Pienso). Phosphatidylcholine (PC), phosphatidylethanolamine (PE), cardiolipin (CL) and sphingomyelin contents were higher in the Montanera pigs than in the Pienso pigs. Total PL and PC, PE, phosphatidylinositol + phosphatidylserine and CL contained higher levels of oleic acid and slightly higher levels of n-3 polyunsaturated fatty acids (PUFA) but lower levels of n-6 PUFA in the Montanera pigs than in the Pienso pigs. The rearing system had no effect on the plasmalogen content but influenced aldehyde composition, mainly in PE and in total PL. These results can partially explain the differences in sensory properties of dry-cured ham between the Montanera and Pienso systems.
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Músculos Isquiosurales , Fosfolípidos/análisis , Fosfolípidos/química , Porcinos , Animales , Humanos , Oxidación-ReducciónRESUMEN
The purpose of this study was to investigate the effect of diets with different protein contents on carcass traits, plasma hormone concentration, lipogenic enzyme activities, and fatty acid (FA) composition in the adipose tissue of Iberian pigs. Twenty-four castrated male Iberian pigs (eight per feeding diet) were fed under free-range conditions with acorns and grass (FR), and in confinement with concentrated diets with standard (SP) and low-protein contents (LP) from 116.0 to 174.2 kg live weight. Backfat thickness was not affected by diet. The plasma leptin concentration was higher (p < 0.001) in the FR group than in the LP and SP groups, while insulin concentration was higher in the SP group than in the LP and FR groups. The lipogenic enzyme activities of glucose-6-phosphate dehydrogenase, malic enzyme, and glycerol-3-phosphate dehydrogenase were lower in the FR group compared to the LP and SP pigs. The activities of these enzymes were adipose-tissue-specific. No differences were found in FA composition of adipose tissue between the SP and LP groups, while the FR pigs had lower proportions of saturated FA and higher proportions of monounsaturated and polyunsaturated FA than the SP and LP pigs. In conclusion, feeding low-protein diets in Iberian pigs does not seem to affect adipose carcass traits, strengthening previous findings that indicate that this is a good strategy to improve meat and dry-cured product quality.
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Novel bimetallic zinc acetate complexes supported by heteroscorpionate ligands have been developed for the ring-opening copolymerization of cyclohexene oxide and CO2 and the terpolymerization of cyclohexene oxide, phthalic anhydride, and CO2. Heteroscorpionate ligands precursors L1-L3 were reacted with two equivalents of zinc acetate to afford the dinuclear zinc complexes [{Zn(κ3-bpzappe)}(µ-O2CCH3)3-{Zn(HO2CCH3)}] (1), [{Zn(κ3-bpzbdmape)}(µ-O2CCH3)3-{Zn(HO2CCH3)}] (2), and [{Zn(κ3-bpzbdeape)}(µ-O2CCH3)3{Zn(HO2CCH3)}] (3) in excellent yields. The molecular structure of these compounds was determined spectroscopically and confirmed by X-ray diffraction analysis. Zinc acetate complexes 1-3 were screened as catalysts for the copolymerization of cyclohexene oxide and CO2 to produce poly(cyclohexene)carbonate, and complex 3 was found to be the most active catalyst for this process in the absence of a cocatalyst. Furthermore, the terpolymerization of cyclohexene oxide, phthalic anhydride, and CO2 was studied using the combination of complex 3 and 4-dimethylaminopyridine as catalyst system yielding the corresponding polyester-polycarbonate materials.
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The design of multitarget drugs is an essential area of research in Medicinal Chemistry since they have been proposed as potential therapeutics for the management of complex diseases. However, defining a multitarget drug is not an easy task. In this work, we propose a vector analysis for measuring and defining "multitargeticity." We developed terms, such as order and force of a ligand, to finally reach two parameters: multitarget indexes 1 and 2. The combination of these two indexes allows discrimination of multitarget drugs. Several training sets were constructed to test the usefulness of the indexes: an experimental training set, with real affinities, a docking training set, within theoretical values, and an extensive database training set. The indexes proved to be useful, as they were used independently in silico and experimental data, identifying actual multitarget compounds and even selective ligands in most of the training sets. We then applied these indexes to evaluate a virtual library of potential ligands for targets related to multiple sclerosis, identifying 10 compounds that are likely leads for the development of multitarget drugs based on their in silico behavior. With this work, a new milestone is made in the way of defining multitargeticity and in drug design.
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The feeding system is one of the main factors influencing the Iberian pig meat quality. This experiment was undertaken to evaluate the influence of feeding diets containing different levels of protein on performance, carcass, and meat quality of Iberian pigs. To that aim, 24 castrated male Retinto Iberian pigs with an average weight of 116 kg were fed under free-range conditions with acorns and grass (FR), and on concentrated diets in confinement with standard (SP) and low protein content (LP). The crude protein content in acorns was lower than that in the grass and SP diet, but similar to that in the LP diet. FR pigs needed more time to achieve slaughter weight than LP and SP pigs. Iberian pigs fed on low-protein diet (FR and LP) had a higher intramuscular fat content in the musculus serratus ventralis than SP pigs. The influence of diet on the fatty-acid composition was reflected more markedly in subcutaneous fat than in muscles. FR pigs showed a higher level of C18:1 n-9 and total polyunsaturated fatty acids and lower total saturated fatty acids in subcutaneous fat than LP and SP. It is concluded that diets with low protein levels do not affect Iberian pig productive traits but change the meat composition, rendering them an interesting strategy to improve the quality of Iberian pig meat and dry-cured products.
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The aim of this study was to research the effect of the genetic background (Retinto, Torbiscal, and their reciprocal crosses) on the subcutaneous fatty acids and the sensory characteristics of dry-cured shoulders from Iberian pig, and also to investigate whether there is some interaction between genotype and diet composition when pigs are reared indoors, to obtain information to improve the selection strategies for purebred Iberian pig. The genetic background affected both the fatty acid composition (C17:0, C17:1 n-7, C18:3 n-3 and C20:0 were significantly different) and the sensory characteristics (marbling, lean fibrousness, and flavour intensity and persistence were significantly influenced), which indicates that they should be taken into account in the selection strategies for purebred Iberian pig. In a similar way, the genotype × diet composition interaction also should be taken into account when selecting a genetic line or cross to be fed indoors on a particular diet because of its repercussion on the sensory characteristics.
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Alimentación Animal/análisis , Dieta/veterinaria , Ácido Oléico/farmacología , Carne de Cerdo/normas , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Ácidos Grasos , Genotipo , Masculino , Ácido Oléico/administración & dosificación , Sensación , Porcinos/genética , Porcinos/fisiologíaRESUMEN
Infection from multidrug resistant bacteria has become a growing health concern worldwide, increasing the need for developing new antibacterial agents. Among the strategies that have been studied, biofilm inhibitors have acquired relevance as a potential source of drugs that could act as a complement for current and new antibacterial therapies. Based on the structure of 2-alkyl-3-hydroxy-4-quinolone and N-acylhomoserine lactone, molecules that act as mediators of quorum sensing and biofilm formation in Pseudomonas aeruginosa, we designed, prepared, and evaluated the biofilm inhibition properties of long chain amide derivatives of 2-amino-4-quinolone in Staphylococcus aureus and P. aeruginosa. All compounds had higher biofilm inhibition activity in P. aeruginosa than in S. aureus. Particularly, compounds with an alkyl chain of 12 carbons exhibited the highest inhibition of biofilm formation. Docking scores and molecular dynamics simulations of the complexes of the tested compounds within the active sites of proteins related to quorum sensing had good correlation with the experimental results, suggesting the diminution of biofilm formation induced by these compounds could be related to the inhibition of these proteins.
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4-Quinolonas/química , Amidas/síntesis química , Amidas/farmacología , Biopelículas/efectos de los fármacos , Simulación por Computador , Amidas/química , Dominio Catalítico , Ligandos , Simulación del Acoplamiento Molecular , Simulación de Dinámica Molecular , Espectroscopía de Protones por Resonancia Magnética , Pseudomonas aeruginosa/efectos de los fármacos , Pseudomonas aeruginosa/fisiología , Percepción de Quorum/efectos de los fármacos , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/fisiologíaRESUMEN
A new coordination mode for the hybrid scorpionate/cyclopentadienyl ligand bpzcp, [bpzcp = 2,2-bis(3,5-dimethylpyrazol-1-yl)-1,1-diphenylethylcyclopentadienyl] is observed in iridium complexes. The reaction of the lithium precursor, [Li(bpzcp)(THF)], with a range of [IrCl(diene)]2 compounds leads to an unprecedented binding mode of the hybrid scorpionate/cyclopentadienyl ligand as η5-Cp-coordinated and the formation of Ir(I) derivatives [Ir(η5-Cp-bpzcp)(η4-cod)] (1), [Ir(η5-Cp-bpzcp){η4-CH2âC(Me)C(Me)âCH2}] (2), [Ir(η5-Cp-bpzcp)(η2-coe)2] (3), and [Ir(η5-Cp-bpzcp)(η2-CH2âCH2)2] (4). The Ir(I) complex 4 reacts with CO or bromine to afford the compound [Ir(η5-Cp-bpzcp)(CO)2] (5) and the 18e- Ir(III) complex [Ir(κ-N-η5-Cp-bpzcpBr2)Br2] (6), respectively. Reaction of the iridium compounds (2-4) with CuI or [PdCl2(CH3CN)2] yields the heterobimetallic iridium-copper or iridium-palladium complexes [Ir(η5-Cp-bpzcp){η4-CH2âC(Me)C(Me)âCH2}(µ-bpzcp){CuI(κ2-NN-bpzcp)}] (7), [Ir(η5-Cp-bpzcp)(η2-coe)2}(µ-bpzcp){CuI(κ2-NN-bpzcp)}] (8), [Ir(η5-Cp-bpzcp)(η2-CH2âCH2)2}(µ-bpzcp){CuI(κ2-NN-bpzcp)}] (9), [Ir(η5-Cp-bpzcp)(coe)2}(µ-bpzcp){PdCl2(κ2-NN-bpzcp)}] (10), and [Ir(η5-Cp-bpzcp)(η2-CH2âCH2)2(µ-bpzcp){PdCl2(κ2-NN-bpzcp)}] (11). All products were characterized by spectroscopic methods and the X-ray crystal structures of 1, 2, 3, 4, and 6 were also established.
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An increasing occurrence of resistance in insect pests and high mammal toxicity exhibited by common pesticides increase the need for new alternative molecules. Among these alternatives, bioinsecticides are considered to be environmentally friendly and safer than synthetic insecticides. Particularly, plant extracts have shown great potential in laboratory conditions. However, the lack of studies that confirm their mechanisms of action diminishes their potential applications on a large scale. Previously, we have reported the insect growth regulator and insecticidal activities of secondary metabolites isolated from plants of the Calceolaria genus. Herein, we report an in silico study of compounds isolated from Calceolaria against acetylcholinesterase, prophenoloxidase, and ecdysone receptor. The molecular docking results are consistent with the previously reported experimental results, which were obtained during the bioevaluation of Calceolaria extracts. Among the compounds, phenylethanoid glycosides, such as verbascoside, exhibited good theoretical affinity to all the analyzed targets. In light of these results, we developed an index to evaluate potential multitarget insecticides based on docking scores.
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Calceolariaceae/química , Simulación por Computador , Inhibidores Enzimáticos/toxicidad , Glicósidos/toxicidad , Plaguicidas/toxicidad , Acetilcolinesterasa/química , Animales , Drosophila melanogaster/química , Inhibidores Enzimáticos/química , Glucósidos/química , Glicósidos/química , Humanos , Simulación del Acoplamiento Molecular , Plaguicidas/química , Fenoles/química , Receptores de Esteroides/químicaRESUMEN
The optimization of an organoaluminum catalytic system for the copolymerization of epoxides and anhydrides is presented. For this purpose, the influence of different variables in the process, such as catalysts, cocatalyst, solvent, or substrates, has been analyzed. Kinetic studies, a proposal for the catalytic mechanism, and full characterization of the copolymers obtained are also discussed. Finally, a new copolymer, poly(limonene succinate), obtained by the optimized catalytic system is reported.
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Fundamento: la preparación estadística del futuro profesional de medicina resulta esencial para su desempeño profesional. Objetivo: identificar insuficiencias en relación con la preparación estadística del estudiante de medicina en el ciclo clínico de la carrera. Métodos: investigación pedagógica realizada en la Facultad de Ciencias Médicas de Sancti Spíritus durante el período de tiempo comprendido entre septiembre de 2013 y julio de 2015. Incluyó un análisis documental que abarcó los trabajos investigativos presentados en el Forum Científico Estudiantil y que respaldaron sus resultados en la aplicación de herramientas estadísticas. También se diseñó una prueba pedagógica y un cuestionario con el propósito de complementar y enriquecer la evidencia obtenida sobre la preparación estadística del estudiante de medicina, variable principal del estudio. Ambos instrumentos se aplicaron en una muestra conformada por 88 estudiantes del ciclo clínico de la carrera. Los resultados se presentan en tablas de distribución de frecuencias. Resultados: en el 81,4 % de los trabajos se aplicaron los recursos estadísticos sin previa justificación. Predominó el empleo de recursos descriptivos (92,6 %) aunque solo el 40,7 % hizo un uso integrado de estos. El 78,4 % de los estudiantes que realizaron la prueba pedagógica evidenciaron una baja preparación estadística; predominaron las dificultades al identificar el diseño de los estudios. Conclusiones: los estudiantes de la carrera de medicina en el ciclo clínico de la Facultad de Ciencias Médicas de Sancti Spíritus presentan limitaciones en su preparación estadística. Se recomienda realizar estudios orientados a indagar en los factores potencialmente causales.
Foundation: The statistical training of the future medical professional is essential for their professional performance. Objective: to identify insufficiencies in relation to the statistical preparation of the medical student in the major clinical cycle. Methods: Pedagogical research carried out at the Faculty of Medical Sciences of Sancti Spíritus during the period between September 2013 and July 2015. It included a documentary analysis which involved the research papers presented at the Scientific Student Forum and that supported their results in The application of statistical tools. We also designed a pedagogical test and a questionnaire with the purpose of complementing and enriching the evidence obtained on the statistical preparation of the medical student, the study's main variable. Both instruments were applied in a sample conformed by 88 students of the clinical major cycle. The results are presented in tables of frequency distribution. Results: In 81.4% it was applied statistical resources without prior justification. Predominant use of descriptive resources (92.6%), although only 40.7% made an integrated use of these. 78.4% of the students who did the pedagogical test showed a low statistical preparation; Difficulties in identifying the design of the studies predominated. Conclusions: the clinical cycle medical students in the Sancti Spíritus Faculty of Medical Sciences have limitations in their statistical preparation. It is recommended to carry out studies aimed at investigating the causal factors.
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Objetivos: El objetivo del estudio es comparar, entre dos grupos de pacientes, una serie de factores cl¡nico-epidemiol¢gicos relacionados a mortalidad: edad, sexo, comorbilidades, tipo de estatus epilptico y uso deventilaci¢n mec nica. Material y Mtodos: El estudio se realiz¢ en el Hospital Cayetano Heredia entre enero de 2012 hasta diciembre de 2014. Incluy¢ 94 pacientes con el diagnóstico de estatus epilptico admitidos durante el per¡odo establecido. El estudio compar¢ datos de los supervivientes contra datos de los fallecidos. Se recolect¢ la información de las historias cl¡nicas en una ficha de datos para la elaboraci¢n de una base de datos. Resultados: La mortalidad intrahospitalaria fue de 8,51%. La media de edad fue de 41,8 a¤os. Las principales etiolog¡as halladas fueron la epilepsia idiop tica (28,72%), la neurocisticercosis (14,89%) y la enfermedad cerebrovascular(14,89%). Se encontr¢ que un 19,5% de pacientes hab¡an abandonado el tratamiento antiepilptico. El an lisisbivariado demostr¢, para la mortalidad intrahospitalaria, una relaci¢n significativa (p<0,05) con un alto Õndice de Comorbilidad Charlson y el uso de ventilaci¢n mec nica. Conclusiones: La presencia de comorbilidades y el uso deventilaci¢n mec nica se relacionan significativamente con mortalidad en pacientes con estatus epiléptico.
Objectives: The goal of this study is to compare, among two groups of patients, a series of clinical-epidemiologicalfactors related to mortality: age, sex, comorbidity, type of status epilepticus and use of mechanical ventilation.Material and Methods: The study was carried out in the Hospital Cayetano Heredia from January 2012 to December2014. It includes 94 patients with status epilepticus admitted during the established period. The study compareddata from the survivors against data from the deceased. Information from medical records was collected in a Data Sheet to elaborate a data bank. Results: In-hospital mortality was 8.51%. The mean of age was 41,8 a¤os. Themain etiologies found were idiopathic epilepsy (28.72%), neurocysticercosis (14.89%) and cerebrovascular disease(14.89%). It was found that 19.5% of patients had discontinued antiepileptic treatment. Bivariate analysis showed,for in-hospital lethality, a significant relationship (p<0.05) with a high Charlson Index and the use of mechanical ventilation. Conclusions: The presence of comorbidities and the use of mechanical ventilation are significantlyrelated with in-hospital mortality in patients with status epilepticus.