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1.
BMC Public Health ; 23(1): 2380, 2023 11 30.
Artículo en Inglés | MEDLINE | ID: mdl-38037002

RESUMEN

Exposure to household air pollution (HAP) accounted for the loss of 86 million healthy lives in 2019, with almost half of all deaths due to lower respiratory infection among children under 5 years of age. Similarly, the situation in Punjab - Pakistan's largest province - is also not promising. This study was conducted to examine household energy consumption and respiratory symptoms among children under the age of five in rural and urban areas of Punjab. Using data from the Multiple Indicator Cluster Survey (MICS) 2017-18, logistic regression models were applied to the data of a sample of 35,000 children under the age of five living in households with polluting heating fuels. A hypothesis was formulated to investigate the relationship between polluting heating activities and respiratory infections among children under five. Those Children who live in households having traditional space heaters without chimneys are 50% more likely to have symptoms of Acute Respiratory Infection (ARI) compared to those whose households have chimneys with traditional space heaters. When households utilize polluting heating fuel, the likelihood of children experiencing rapid, shortness of breath increases by 49%, and the likelihood of children displaying ARI symptoms characterized by coughing rises by approximately 30%. This study proposed a complete banning of polluting heating activities and replacing it with cleaner ones using financial incentives. It is pertinent to raise awareness campaigns majorly focusing on the guidelines to adopt better heat output with less harmful emissions.


Asunto(s)
Contaminación del Aire Interior , Calefacción , Infecciones del Sistema Respiratorio , Niño , Preescolar , Humanos , Contaminación del Aire Interior/efectos adversos , Contaminación del Aire Interior/análisis , Culinaria , Calefacción/efectos adversos , Calefacción/métodos , Pakistán/epidemiología , Infecciones del Sistema Respiratorio/epidemiología , Factores de Riesgo , Queroseno/efectos adversos
2.
Biomacromolecules ; 24(6): 2856-2863, 2023 06 12.
Artículo en Inglés | MEDLINE | ID: mdl-37130073

RESUMEN

PEGylation is one of the most widely employed strategies to increase the circulatory half-life of proteins and to reduce immune responses. However, conventional PEGylation protocols often require excess reagents and extended reaction times because of their inefficiency. This study demonstrates that a microwave-induced transient heating phenomenon can be exploited to significantly accelerate protein PEGylation and even increase the degree of PEGylation achievable beyond what is possible at room temperature. This can be accomplished under conditions that do not compromise protein integrity. Several PEGylation chemistries and proteins are tested, and mechanistic insight is provided. Under certain conditions, extremely high levels of PEGylation were achieved in a matter of minutes. Moreover, considering the significantly reduced reaction times, the microwave-induced transient heating concept was adapted for continuous flow manufacturing of bioconjugates.


Asunto(s)
Calefacción , Microondas , Calefacción/métodos , Proteínas
3.
J Texture Stud ; 54(5): 671-680, 2023 10.
Artículo en Inglés | MEDLINE | ID: mdl-37218345

RESUMEN

With the aggravation of the global aging process, more and more elderly people are facing the problem of dysphagia. The advantages of three-dimensional (3D) printing in making chewy food are increasingly prominent. In this study, the two-nozzle 3D printer was used to explore the effects of different proportions of buckwheat flour, printing filling ratio, microwave power, and time on the quality of bean-paste buns. The results showed that the bean paste filling containing 6% buckwheat flour had the best antioxidant and sensory properties. When the filling ratio was 21.6%, the microwave power was 560 W, and the time was 4 min, the obtained sample was the most satisfactory. Compared with the microwave-treated and steamed traditional samples, the chewiness of the samples was reduced by 52.43% and 15.14%, respectively, and the final product was easier to chew and swallow.


Asunto(s)
Fabaceae , Fagopyrum , Harina , Impresión Tridimensional , Anciano , Humanos , Fabaceae/química , Alimentos , Calefacción/métodos , Microondas , Fagopyrum/química , Harina/análisis , Masticación , Deglución , Manipulación de Alimentos
4.
Int J Food Microbiol ; 398: 110210, 2023 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-37120941

RESUMEN

Essential oil is a food additive with antimicrobial properties but with limitations due to strong organoleptic properties. However, thermal treatments can be applied to reduce essential oil content while ensuring antimicrobial activities in food matrices. In this study, the inactivation efficiency of essential oils on E. coli O157:H7, Salmonella Typhimurium and Listeria monocytogenes in buffered peptone water (BPW) and hot-chili sauce was evaluated when coupled with 915 MHz microwave heating. Essential oils used in this study did not affect the dielectric properties and further heating rate of BPW and hot-chili sauce. The dielectric constant of BPW was 76.3 and dielectric loss factor was 30.9. In addition, it took 85 s to reach 100 °C for all samples. Among essential oils, synergistic microbial inactivation with microwave heating was observed from carvacrol (CL) and citral (CI), but not from eugenol (EU) and Carvone (CN). Specifically, CL and microwave heating (M) for 45 s showed the most effective inactivation (ca. 6 log reduction) for the pathogens in BPW. Similar trends were shown in hot-chili sauce. However, M + CI inactivation did not show synergistic effects in hot-chili sauce. Microwave heating time for hot-chilis sauce was 40 s. In propidium iodide uptake study, M + CL was found to cause most severe damage to cell membrane (758.5 of PI value for E. coli O157:H7) while M + CU and M + CN had little impact. In DiBAC4(3) test, CL resulted in the largest value (2.09 for E. coli O157:H7). These observations highlight that CL induces synergistic effects as it caused severe membrane damage along with destruction of membrane potential. The combined treatment did not show any significant difference in quality change compared to untreated hot-chili sauce (p > 0.05). The result indicates the potential application of CL and M combination for hot-chili sauce processes to ensure microbiological safety with acceptable quality.


Asunto(s)
Listeria monocytogenes , Aceites Volátiles , Aceites Volátiles/farmacología , Calefacción/métodos , Microondas , Escherichia coli , Viabilidad Microbiana , Microbiología de Alimentos , Recuento de Colonia Microbiana , Listeria monocytogenes/fisiología
5.
Environ Sci Pollut Res Int ; 30(11): 30321-30342, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36434451

RESUMEN

Computational fluid dynamics (CFD) plays a prominent role in the design and development of solar air heaters. The previous investigations have lagged in using a radiation model for the solar heat input; instead, most of the researchers simulated a constant heat flux model. Moreover, an extensive study on the geometrical and boundary conditions like confinement and transition length, suction, and blowing effects has not been studied. The present investigation deals with the aforementioned effects on the flow and heat transfer characteristics of the SAH channel, which is designed for residential space heating. The finite volume-based solver Ansys Fluent is used for finding the field variables. The confinement height is varied from 25 to 150 mm, and the transition length is varied from 250 to 1000 mm. The suction and blowing effect is investigated by changing the flow direction across the channel. Even though the temperature rise is less significant with respect to confinement height and transition length, the effective efficiency increases with decreasing channel height and increasing transition length. In general, blowing of air across the channel gives better performance than suction. When comparing them, the influence is less in temperature rise and more in pressure drop for the channel height of 25 mm, whereas the channel height of 150 mm has better influence in temperature rise and less influence in pressure drop.


Asunto(s)
Hidrodinámica , Luz Solar , Temperatura , Calor , Calefacción/métodos
6.
Artículo en Inglés | MEDLINE | ID: mdl-36361012

RESUMEN

Finding the optimal balance between end-user's comfort, lifestyle preferences and the cost of the heating, ventilation and air conditioning (HVAC) system, which requires intelligent decision making and control. This paper proposes a heating control method for HVAC based on dynamic programming. The method first selects the most suitable modeling approach for the controlled building among three machine learning modeling techniques by means of statistical performance metrics, after which the control of the HVAC system is described as a constrained optimization problem, and the action of the controller is given by solving the optimization problem through dynamic programming. In this paper, the variable 'thermal energy storage in building' is introduced to solve the problem that dynamic programming is difficult to obtain the historical state of the building due to the requirement of no aftereffect, while the room temperature and the remaining start hours of the Primary Air Unit are selected to describe the system state through theoretical analysis and trial and error. The results of the TRNSYS/Python co-simulation show that the proposed method can maintain better indoor thermal environment with less energy consumption compared to carefully reviewed expert rules. Compared with expert rule set 'baseline-20 °C', which keeps the room temperature at the minimum comfort level, the proposed control algorithm can save energy and reduce emissions by 35.1% with acceptable comfort violation.


Asunto(s)
Calefacción , Ventilación , Calefacción/métodos , Ventilación/métodos , Aire Acondicionado/métodos , Algoritmos , Calor
7.
Food Res Int ; 161: 111827, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36192960

RESUMEN

The processing of high-protein vanilla-flavored milk was performed under different electric field strengths of ohmic heating (5.22 V/cm, OH6; 6.96 V/cm, OH8; 8.70 V/cm, OH10; 10.43 V/cm, OH12) to evaluate the energy consumption, processing parameters, and microbiological, rheological, and biological aspects, compared with the sample submitted to conventional pasteurization (PAST, 72 °C/15 s). All samples showed higher than 12 g/100 mL of protein, consisting of high-protein content products. In addition, Ohmic Heating (OH) generated lower energy expenditure and more significant microbial inactivation of lactic acid bacteria, molds and yeasts, total mesophiles, and psychotropics. Furthermore, OH at lower electric field strengths, mainly OH8, improved anti-diabetic, anti-oxidant, and anti-hypertensive activities and rheological properties, and resulted in lower hydroxymethylfurfural contents, and higher whey protein nitrogen index. The results suggest that OH is a technology that can be used in flavored milk with high-protein content, being recommended an electric field strength of 6.96 V/cm. However, more studies are necessary to evaluate the effect of OH on high-protein dairy products, mainly by studying other OH processing parameters.


Asunto(s)
Leche , Vanilla , Animales , Antihipertensivos , Antioxidantes/análisis , Calefacción/métodos , Calor , Leche/química , Nitrógeno , Proteína de Suero de Leche
8.
Adv Sci (Weinh) ; 9(29): e2203305, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35986431

RESUMEN

Microwaves have become a promising wireless driving strategy due to the advantages of transmissivity through obstacles, fast energy targeting, and selective heating. Although there are some studies on microwave powered artificial muscles based on different structures, the lack of studies on microwave control has limited the development of microwave-driven (MWD) robots. Here, a far-field MWD parallel robot controlled by adjusting energy distribution via changing the polarization direction of microwaves at 2.47 GHz is first reported. The parallel robot is based on three double-layer bending actuators composed of wave-absorbing sheets and bimetallic sheets, and it can implement circular and triangular path at a distance of 0.4 m under 700 W transmitting power. The thermal response rate of the actuator under microwaves is studied, and it is found that the electric-field components can provide a faster thermal response at the optimal length of actuator than magnetic-field components. The work of the parallel robot is demonstrated in an enclosed space composed of microwave-transparent materials. This developed method demonstrates the multi-degree-of-freedom controllability for robots using microwaves and offers potential solutions for some engineering cases, such as pipeline/reactors inspection and medical applications.


Asunto(s)
Microondas , Robótica , Calefacción/métodos , Campos Magnéticos , Músculos
9.
J Air Waste Manag Assoc ; 72(7): 629-646, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-35775660

RESUMEN

The US Environmental Protection Agency's (EPA's) New Source Performance Standards (NSPS) for Residential Wood Heaters (RWH) require certification emission testing of prototype appliances. In 2015, EPA revised those standards to further reduce particulate matter emissions from this critical source. However, to achieve that goal, lower emissions measured in certification tests must reflect lower emissions when the appliance is operated in homes. Woodstove certification tests have used either the Federal Reference Method (FRM), a crib wood method, or a cordwood testing method developed by ASTM International that was designated as a broadly applicable Alternative Test Method (ATM) by the EPA until December 2021, when that status was revoked. There is broad agreement that the FRM and ASTM procedures do not simulate typical fueling and operating of wood stoves in the field, raising questions about the efficacy of the current program. Effective emission reduction efforts require robust, accurate, and reproducible test methods. With input from a range of stakeholders, the Northeast States for Coordinated Air Use Management (NESCAUM) developed the Integrated Duty Cycle Test Method for Certification of Wood-Fired Stoves Using Cordwood (IDC), a cordwood testing protocol designed to improve the efficacy of residential wood heater certification testing. That method was approved by EPA as a broadly applicable ATM in 2021. IDC test runs assess appliance performance under a range of operating and fueling conditions representative of typical consumer use patterns. Unlike previous test methods, the IDC protocol requires three replicate runs to assess appliance performance variability. Including variable fueling and operating conditions, along with the requirement for replicates runs, will increase the effectiveness of certification testing and promote the development of improved wood stove technology. This paper reports on experiments conducted to develop and test the IDC method.Implications: Residential wood heating is one of the largest sources of primary particulate matter pollution nationwide. EPA's New Source Performance Standards (NSPS) establish emission limits for this source category and require certification testing of prototype wood appliances to demonstrate compliance with those limits. However, the operating and fueling requirements in NSPS compliance testing protocols do not represent typical conditions in the field. We developed a new testing approach, the Integrated-Duty Cycle (IDC) Test Method, to address the shortcomings of current certification test approaches. The IDC procedure for cordwood stoves, which was approved by EPA as a broadly applicable alternative test method in 2021, assesses appliance operations over various operating and fueling conditions representing typical consumer use patterns in an integrated run and requires three replicate runs to enable the assessment of variability in stove performance. Stoves certified with this method will be equipped to meet the NSPS limits consistently in field operation.


Asunto(s)
Contaminantes Atmosféricos , Artículos Domésticos , Contaminantes Atmosféricos/análisis , Calefacción/métodos , Productos Domésticos , Material Particulado/análisis
10.
J Food Sci ; 87(6): 2640-2650, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35502682

RESUMEN

This research investigated heating uniformity and pasteurization of canned pineapple using radio frequency (RF) energy. Experiments were conducted in a 6 kW, 27.12 MHz pilot-scale RF system. Results showed that the temperature difference was more than 16°C, and the standard deviation was 4.38°C at the end of heating when using RF heating alone. Water bath-assisted RF (WRF) heating effectively improved the heating uniformity, the temperature difference was less than 7°C and the standard deviation was 2.52°C at the end of heating in the condition of electrode gap (210 mm), chord length of the fruit block (26 mm), and the initial temperature of sugar solution (80°C). When the total number of colonies reached 4-log reduction, water bath (WB) heating alone needed 660 s, and WRF heating needed 180 s. Vitamin C, hardness, and color of fruit blocks were well preserved using WRF heating compared with WB alone. PRACTICAL APPLICATION: This study shows that the pasteurization of canned food by radio frequency heating can achieve better food quality than the traditional pasteurization methods. Therefore, this research can promote the application of radio frequency heating technology in canned food pasteurization.


Asunto(s)
Ananas , Pasteurización , Calefacción/métodos , Calor , Pasteurización/métodos , Ondas de Radio , Agua
11.
Nat Commun ; 13(1): 968, 2022 02 18.
Artículo en Inglés | MEDLINE | ID: mdl-35181653

RESUMEN

DNA/RNA-gold nanoparticle (DNA/RNA-AuNP) nanoprobes have been widely employed for nanobiotechnology applications. Here, we discover that both thiolated and non-thiolated DNA/RNA can be efficiently attached to AuNPs to achieve high-stable spherical nucleic acid (SNA) within minutes under a domestic microwave (MW)-assisted heating-dry circumstance. Further studies show that for non-thiolated DNA/RNA the conjugation is poly (T/U) tag dependent. Spectroscopy, test strip hybridization, and loading counting experiments indicate that low-affinity poly (T/U) tag mediates the formation of a standing-up conformation, which is distributed in the outer layer of SNA structure. In further application studies, CRISPR/Cas9-sgRNA (136 bp), SARS-CoV-2 RNA fragment (1278 bp), and rolling circle amplification (RCA) DNA products (over 1000 bp) can be successfully attached on AuNPs, which overcomes the routine methods in long-chain nucleic acid-AuNP conjugation, exhibiting great promise in biosensing and nucleic acids delivery applications. Current heating-dry strategy has improved traditional DNA/RNA-AuNP conjugation methods in simplicity, rapidity, cost, and universality.


Asunto(s)
Técnicas Biosensibles/métodos , Oro/química , Nanopartículas del Metal/química , Biotecnología/métodos , COVID-19/diagnóstico , COVID-19/virología , Prueba de Ácido Nucleico para COVID-19/métodos , ADN/química , Calefacción/métodos , Humanos , Límite de Detección , Microondas , Nanomedicina/métodos , ARN Viral/química , ARN Viral/genética , ARN Viral/aislamiento & purificación , SARS-CoV-2/genética
12.
BMC Anesthesiol ; 22(1): 44, 2022 02 10.
Artículo en Inglés | MEDLINE | ID: mdl-35144541

RESUMEN

BACKGROUND: Perioperative hypothermia is a common occurrence, particularly with the elderly and pediatric age groups. Hypothermia is associated with an increased risk of perioperative complications. One method of preventing hypothermia is warming the infused fluids given during surgery. The enFlow™ intravenous fluid warmer has recently been reintroduced with a parylene coating on its heating blocks. In this paper, we evaluated the impact of the parylene coating on the new enFlow's fluid warming capacity. METHODS: Six coated and six uncoated enFlow cartridges were used. A solution of 10% propylene glycol and 90% distilled H2O was infused into each heating cartridge at flow rates of 2, 10, 50, 150, and 200 ml/min. The infused fluid temperature was set at 4 °C, 20 °C, and 37 °C. Output temperature was recorded at each level. Data for analysis was derived from 18 runs at each flow rate (six cartridges at three temperatures). RESULTS: The parylene coated fluid warming cartridge delivered very stable output of 40 °C temperatures at flow rates of 2, 10, and 50 ml/min regardless of the temperature of the infusate. At higher flow rates, the cartridges were not able to achieve the target temperature with the colder fluid. Both cartridges performed with similar efficacy across all flow rates at all temperatures. CONCLUSIONS: At low flow rates, the parylene coated enFlow cartridges was comparable to the original uncoated cartridges. At higher flow rates, the coated and uncoated cartridges were not able to achieve the target temperature. The parylene coating on the aluminum heating blocks of the new enFlow intravenous fluid warmer does not negatively affect its performance compared to the uncoated model.


Asunto(s)
Administración Intravenosa/métodos , Calefacción/instrumentación , Calefacción/métodos , Polímeros , Xilenos , Diseño de Equipo , Humanos , Infusiones Intravenosas
13.
J Food Prot ; 85(3): 380-383, 2022 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-34614177

RESUMEN

ABSTRACT: The objectives of this study were to determine the effect of the milling degree (MD) of rice (Oryza sativa L.) on the heating rate, pathogen inactivation (Salmonella Typhimurium and Staphylococcus aureus), and color change resulting from radio frequency (RF) heating. Rice samples inoculated with pathogens were placed in a polypropylene jar and subjected to RF heating for 0 to 75 s. The heating rate of rice with a 2% MD was the highest during RF heating, followed by those with a 0, 8, and 10% MD; the reduction of pathogens showed the same trend. The reductions of pathogen levels in rice with MDs of 0 and 2% were significantly higher than those observed for rice with MDs of 8 and 10% under the same treatment conditions. For example, log reductions of Salmonella Typhimurium in rice by 55-s RF heating were 3.64, 5.19, 2.18, and 1.80 for MDs of 0, 2, 8, and 10%, respectively. At the same treatment conditions, log reductions of S. aureus were 2.77, 5.08, 1.15, and 0.90 for MDs of 0, 2, 8, and 10%, respectively. The color of rice measured according to L*, a*, and b* was not significantly altered after RF heating, regardless of the MD. Therefore, the MD of rice should be considered before RF heating is applied to inactivate foodborne pathogens.


Asunto(s)
Oryza , Salmonella typhimurium , Recuento de Colonia Microbiana , Microbiología de Alimentos , Calefacción/métodos , Viabilidad Microbiana , Salmonella typhimurium/fisiología , Serogrupo , Staphylococcus aureus
14.
PLoS One ; 16(12): e0260775, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34882699

RESUMEN

Brain-derived neurotrophic factor (BDNF) plays a key role in neuronal adaptations. While previous studies suggest that whole-body heating can elevate circulating BDNF concentration, this is not known for local heating protocols. This study investigated the acute effects of whole-body versus local passive heating on serum and plasma BDNF concentration. Using a water-perfused suit, ten recreationally active males underwent three 90 min experimental protocols: heating of the legs with upper-body cooling (LBH), whole-body heating (WBH) and a control condition (CON). Blood samples were collected before, immediately after and 1 h post-heating for the determination of serum and plasma BDNF concentration, platelet count as well as the BDNF release per platelet. Rectal temperature, cardiac output and femoral artery shear rate were assessed at regular intervals. Serum and plasma BDNF concentration were elevated after WBH (serum: 19.1±5.0 to 25.9±11.3 ng/ml, plasma: 2.74±0.9 to 4.58±2.0; p<0.044), but not LBH (serum: 19.1±4.7 to 22.3±4.8 ng/ml, plasma: 3.25±1.13 to 3.39±0.90 ng/ml; p>0.126), when compared with CON (serum: 18.6±6.4 to 16.8±3.4 ng/ml, plasma: 2.49±0.69 to 2.82±0.89 ng/ml); accompanied by an increase in platelet count (p<0.001). However, there was no change in BDNF content per platelet after either condition (p = 0.392). All physiological measures were elevated to a larger extent after WBH compared with LBH (p<0.001), while shear rate and rectal temperature were higher during LBH than CON (p<0.038). In conclusion, WBH but not LBH acutely elevates circulating BDNF concentration. While these findings further support the use of passive heating to elevate BDNF concentration, a larger increase in shear rate, sympathetic activity and/or rectal temperature than found after LBH appears needed to induce an acute BDNF response by passive heating.


Asunto(s)
Regulación de la Temperatura Corporal , Factor Neurotrófico Derivado del Encéfalo/sangre , Frío , Calefacción/métodos , Extremidad Inferior/fisiología , Adulto , Humanos , Masculino , Adulto Joven
15.
Front Public Health ; 9: 700473, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34869141

RESUMEN

With the proliferation of tobacco products, there might be a need for more complex models than current two-product models. We have developed a three-product model able to represent interactions between three products in the marketplace. We also investigate if using several implementations of two-product models could provide sufficient information to assess 3 coexisting products. Italy is used as case-study with THPs and e-cigarettes as the products under investigation. We use transitions rates estimated for THPs in Japan and e-cigarettes in the USA to project what could happen if the Italian population were to behave as the Japanese for THP or USA for e-cigarettes. Results suggest that three-product models may be hindered by data availability while two product models could miss potential synergies between products. Both, THP and E-Cigarette scenarios, led to reduction in life-years lost although the Japanese THP scenario reductions were 3 times larger than the USA e-cigarette projections.


Asunto(s)
Sistemas Electrónicos de Liberación de Nicotina , Productos de Tabaco , Calefacción/métodos , Humanos
16.
Lima; IETSI; nov. 2021.
No convencional en Español | BRISA/RedTESA | ID: biblio-1357938

RESUMEN

INTRODUCCIÓN: El presente documento de evaluación de tecnología sanitaria (ETS) expone la evaluación de la eficacia y seguridad del equipo de hipotermia terapéutica de cuerpo completo (HTCC) con mantas térmicas en comparación al tratamiento de soporte estándar en la unidad de cuidados intensivos neonatales (UCIN) en recién nacidos de 35 semanas o más con asfixia perinatal (AP) y encefalopatía hipóxico-isquémica (EHI) moderada o severa sin malformaciones congénitas mayores, cromosomopatías incompatibles con la vida, retardo en crecimiento intrauterino severo (<1,8 kg), patologías quirúrgicas severas, o con criterios de severidad (bradicardia mantenida, midriasis paralítica, ausencia de reflejo corneal). La encefalopatía neonatal es un estado de alteración de la función neurológica del recién nacido. Esta patología se asocia a convulsiones y dificultad para iniciar o mantener la respiración; acarreando una alta morbilidad y mortalidad neonatal. La encefalopatía hipóxico-isquémica (EHI), producida por un cuadro de asfixia perinatal (AP), es uno de los principales subtipos de encefalopatía neonatal. En el Perú, un informe de la Dirección de Epidemiología del Ministerio de Salud reportó que la AP fue la tercera causa de muerte neonatal entre los años 2011 y 2012. Además, reportes del servicio de neonatología del Hospital Nacional Edgardo Rebagliati Martins (HNERM) del periodo 2015 - 2016 estimaron la incidencia de EHI en 2.5 casos por cada 1000 nacidos vivos. Diversos estudios han reportado que la neuroprotección mediante la hipotermia terapéutica (HT) disminuye la morbilidad y mortalidad en neonatos con EHI moderada o severa. Para la inducción de HT se utilizan, principalmente, dos tecnologías: 1) la HT de cuerpo completo (HTCC) y 2) la HT selectiva de cabeza (HTSC). Las unidades de cuidados intensivos neonatales (UCIN) de EsSalud brindan terapia de soporte a los recién nacidos con EHI consistente en monitoreo de signos vitales y atención oportuna frente a disfunciones orgánicas, además de reducción de la temperatura mediante el apagado de calefactor en la incubadora, pero no cuentan con equipos específicos que aseguren que el neonato alcance temperaturas de enfriamiento óptimas. Por ello, los especialistas en neonatología del HNERM solicitan la incorporación de la tecnología de HTCC con mantas térmicas con la finalidad de disminuir la mortalidad y discapacidad severa de los neonatos con EHI moderada o severa. En este sentido, el objetivo del presente dictamen preliminar fue evaluar la eficacia y seguridad de la hipotermia terapéutica de cuerpo completo con mantas térmicas en recién nacidos de 35 semanas o más con asfixia perinatal y encefalopatía hipóxico-isquémica moderada o severa. METODOLOGÍA: Se realizó una búsqueda sistemática para identificar la evidencia disponible a abril de 2021 sobre la eficacia y seguridad del procedimiento de hipotermia terapéutica de cuerpo completo en recién nacidos de 35 semanas o más con asfixia neonatal y encefalopatía hipóxico-isquémica moderada o severa. Se indagó en las bases de datos PubMed, Cochrane Library y LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud) y se creó una alerta semanas en PubMed que informara si surgiera nueva evidencia sobre el tema. Adicionalmente, se realizó una búsqueda manual de literatura gris mediante el motor de búsqueda Google. Se buscaron GPC y ETS que pudieran haber sido omitidas en la revisión sistemática por no encontrarse indixadas en las bases de datos consultadas. De igual forma, se consultaron las páginas oficiales de grupos conocidos por realizar ETS y GPC que incluyó el National Institute for Health and Care Excellence (NICE), la Canadian Agency for Drugs and Technologies in Health (CADTH), la Haute Autorité de Santé (HAS), el Institut für Qualitát und Wirtschaftlichkeit im Gesundheitswesen (IQWiG) y la Base Regional de Informes de Evaluación de Tecnologías en Salud de las Américas (BRISA), además de sociedades especializadas en manejo de pacientes pediátricos con patologías perinatales (sociedad británica de medicina perinatal (BAPM), la asociación americana del corazón, y la sociedad canadiense de pediatría). RESULTADOS: La presente sinopsis describe la evidencia disponible sobre la eficacia y seguridad de la HTCC con mantas térmicas en recién nacidos de 35 semanas o más con AP y EHI moderada o severa, según el tipo de publicación. CONCLUSIONES: El objetivo del presente dictamen preliminar es evaluar la eficacia y seguridad de la hipotermia terapéutica de cuerpo completo con mantas térmicas en recién nacidos de 35 semanas o más de gestación, con asfixia perinatal y encefalopatía hipóxico-isquémica moderada o severa. Se identificaron seis GPC American Heart Association (AHA), 2020; Ministerio de Salud Pública del Ecuador (MSP), 2019; Canadian Paediatric Society (CPS), 2018; Instituto Mexicano del Seguro Social (IMSS), 2017; Ministerio de Sanidad, Servicio Social e Igualdad de España (MSSSI), 2015; y Ministerio de Salud y Protección Social de Colombia (MinSalud), 2013) y siete publicaciones de cuatro ensayos clínicos aleatorizados (ECA) (HELIX: Thayyil et al., 2021; TOBY: Azzopardi et al., 2014, 2009; NICHD: Shankaran et al., 2012, 2008, 2005; y neo.nEURO.network: Simbruner et al., 2010). No existe evidencia de una mayor eficacia en el uso de HTCC frente a la HTSC. Pese a ello, en centros asistenciales que no han implementado aún un método de HT, las recomendaciones de las GPC indican que debería implementarse equipos de HTCC debido a su facilidad de uso, menor costo y facilidad de acceso para la utilización de otros equipos como el electroencefalograma. Entre las GPC, existe un consenso en que la aplicación de HTCC debe realizarse bajo protocolos similares a los utilizados en los principales ECA. La eficacia de la HTCC con mantas térmicas en infantes de 36 semanas o más de gestación con EIH moderada a severa es consistente en cuanto a la reducción de morbilidad, pero no en mortalidad. Los ECA más grandes en el tema han reportado beneficios clínicos, tanto en indicadores de desarrollo mental y psicomotor, como en ocurrencia de parálisis cerebral a los 18 - 22 meses y 6 - 7 años de vida. Pese a que uno de los ECA evaluados (HELIX) reporta mayor riesgo de muerte y ocurrencia de eventos adversos en los pacientes intervenidos con HTCC, esto se puede explicar debido a factores poblacionales que modificaron el efecto de la intervención. Por lo expuesto, el IETSI aprueba el uso de equipos de HTCC con mantas térmicas en recién nacidos de 36 semanas o más de edad gestacional, con AP y EHI moderada o severa, según lo establecido en el Anexo N°1. Debido a la falta de evidencia, no se aprueba su uso en recién nacidos con menos de 36 semanas de edad gestacional. La vigencia del presente dictamen preliminar es de un año a partir de la fecha de publicación.


Asunto(s)
Humanos , Recién Nacido , Asfixia Neonatal/terapia , Refrigeración/métodos , Hipoxia-Isquemia Encefálica/terapia , Calefacción/métodos , Hipotermia Inducida/métodos , Eficacia , Análisis Costo-Beneficio
17.
Molecules ; 26(20)2021 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-34684718

RESUMEN

The infrared heating of preconditioned cowpea improves its utilization and potential application in food systems. This study investigated the effect of optimizing preconditioning and infrared heating parameters of temperature and time on cooking characteristics of precooked cowpeas using response surface methodology (RSM). The moisture level (32-57%), infrared heating temperature (114-185 °C), and time of processing the seeds (2-18 min) were optimized using a randomized central composite design to achieve optimal characteristics for bulk density and water absorption. A second-order polynomial regression model was fitted to the obtained data, and the fitted model was used to compute the multi-response optimum processing conditions, which were the moisture of 45%, the heating temperature of 185 °C, and time of 5 min. Precooked cowpea seeds from optimized conditions had a 19% increase in pectin solubility. The total phenolic and total flavonoid contents were significantly reduced through complexation of the seeds' phenolic compounds with other macromolecules but nonetheless exhibited antioxidant properties capable of scavenging free radicals. There was also a significant reduction in phytate and oxalates by 24% and 42%, respectively, which was due to the heat causing the inactivation of these antinutrients. The obtained optimized conditions are adequate in the production of precooked cowpea seeds with improved quality.


Asunto(s)
Culinaria/métodos , Calefacción/métodos , Vigna/metabolismo , Antioxidantes/análisis , Flavonoides/análisis , Manipulación de Alimentos/métodos , Calor , Rayos Infrarrojos , Fenoles/análisis , Semillas/química , Solubilidad , Temperatura , Agua
18.
Molecules ; 26(20)2021 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-34684877

RESUMEN

Microwave irradiation has become a popular heating technique in organic synthesis, mainly due to its short reaction times, solventless reactions, and, sometimes, higher yields. Additionally, microwave irradiation lowers energy consumption and, consequently, is ideal for optimization processes. Moreover, there is evidence that microwave irradiation can improve the regioselectivity and stereoselectivity aspects of vital importance in synthesizing bioactive compounds. These crucial features of microwave irradiation contribute to its inclusion in green chemistry procedures. Since 2003, the use of microwave-assisted organic synthesis has become common in our laboratory, making our group one of the first Portuguese research groups to implement this heating source in organic synthesis. Our achievements in the transformation of heterocyclic compounds, such as (E/Z)-3-styryl-4H-chromen-4-ones, (E)-3-(2-hydroxyphenyl)-4-styryl-1H-pyrazole, (E)-2-(4-arylbut-1-en-3-yn-1-yl)-4H-chromen-4-ones, or (E)-2-[2-(5-aryl-2-methyl-2H-1,2,3-triazol-4-yl)vinyl]-4H-chromen-4-ones, will be discussed in this review, highlighting the benefits of microwave irradiation use in organic synthesis.


Asunto(s)
Cromonas/síntesis química , Calefacción/métodos , Microondas , Pirazoles/síntesis química , Quinolonas/síntesis química , Química Farmacéutica/métodos , Cromonas/efectos de la radiación , Técnicas Químicas Combinatorias/métodos , Inhibidores Enzimáticos/síntesis química , Humanos , Estructura Molecular , Pirazoles/efectos de la radiación , Quinolonas/efectos de la radiación
20.
Int J Mol Sci ; 22(17)2021 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-34502109

RESUMEN

Providing optimal operating conditions is one of the major challenges for effective heating or cooling systems. Moreover, proper adjustment of the heat transfer fluid is also important from the viewpoint of the correct operation, maintenance, and cost efficiency of these systems. Therefore, in this paper, a detailed review of recent work on the subject of conventional and novel heat transfer fluid applications is presented. Particular attention is paid to the novel nanoparticle-based materials used as heat transfer fluids. In-depth comparison of environmental, technical, and economic characteristics is discussed. Thermophysical properties including thermal conductivity, specific heat, density, viscosity, and Prandtl number are compared. Furthermore, the possible benefits and limitations of various transfer fluids in the fields of application are taken into account.


Asunto(s)
Calefacción/métodos , Nanopartículas/química , Convección , Calefacción/economía , Calefacción/instrumentación , Hidrodinámica , Conductividad Térmica
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