Carvacrol and thymol effect in vapor phase on Escherichia coli and Salmonella serovar Typhimurium growth inoculated in a fresh salad.

This study aimed to evaluate the antimicrobial effect of thymol and carvacrol in inhibiting Escherichia coli and Salmonella serovar Typhimurium inoculated on a fresh green salad through the vapor phase. A film-forming solution was prepared by dissolving starch, sorbitol, and variying concentrations of carvacrol, thymol, and a mixture of both. The film-forming solution containing the respective antimicrobial agent was then added lid, which was sealed rigidly and hermetically to achieve different concentrations (105 mg/L of air of carvacrol, 105 mg/L of air of thymol, and a mixture of 52 mg/L of air of carvacrol and 52 mg/L of air of thymol). Each active package contained fresh green salad inoculated with E. coli or Salmonella serovar Typhimurium. The active packages were then sealed and refrigerated at a temperature of 6 °C for 48 h. Growth/inhibition curves were modelled using the Weibull equation, and consumer acceptance was evaluated. Carvacrol can reduce up to 0.5 log-cycles, while thymol can reach almost 1 log cycle. Blending the components with half the concentration has a synergistic effect, inhibiting up to 2.5 log cycles. Consumer ratings revealed no significant differences between the packages. However, the average score was 5.4 on a 9-point hedonic scale, evaluators' comments did not indicate dislike or a strong taste characteristic of thymol and carvacrol.

Uncovering the Role of Hormones in Enhancing Antioxidant Defense Systems in Stressed Tomato (Solanum lycopersicum) Plants.

Tomato is one of the most important fruits worldwide. It is widely consumed due to its sensory and nutritional attributes. However, like many other industrial crops, it is affected by biotic and abiotic stress factors, reducing its metabolic and physiological processes. Tomato plants possess different mechanisms of stress responses in which hormones have a pivotal role. They are responsible for a complex signaling network, where the antioxidant system (enzymatic and non-enzymatic antioxidants) is crucial for avoiding the excessive damage caused by stress factors. In this sense, it seems that hormones such as ethylene, auxins, brassinosteroids, and salicylic, jasmonic, abscisic, and gibberellic acids, play important roles in increasing antioxidant system and reducing oxidative damage caused by different stressors. Although several studies have been conducted on the stress factors, hormones, and primary metabolites of tomato plants, the effect of endogenous and/or exogenous hormones on the secondary metabolism is still poorly studied, which is paramount for tomato growing management and secondary metabolites production. Thus, this review offers an updated overview of both endogenous biosynthesis and exogenous hormone application in the antioxidant system of tomato plants as a response to biotic and abiotic stress factors.

Combined Effect of the Potassium Dose and Plant Biofertilization by Acinetobacter calcoaceticus on the Growth, Mineral Content, Nutritional Quality, Antioxidant Activity, and Metabolomic Features of Tomatillo Fruits (Physalis ixocarpa Brot.).

An Acinetobacter calcoaceticus UTMR2 strain was evaluated in tomatillo plants (Physalis ixocarpa Brot.) using a factorial design with different potassium doses (100, 75, 50 and 0% of the recommended dose). In addition to the agronomic parameters, an analysis of the physicochemical, antioxidant, and metabolomic properties of the fruit was performed. The application of the inoculant affected several parameters of the plant (chlorophyll, weight, and contents of several mineral elements) as well as of the fruit (yield, maturity index, FRAP antioxidant capacity, and contents of protein, fiber, and fat). A multivariate analysis was performed by means of a PCA and a heatmap, indicating that the inoculant induced a strong modulating activity in tomatillo plants for the evaluated parameters, with a remarkable effect at low K doses (0 and 50%). The inoculated treatment at 75% of the K dose resulted in similar plant and fruit characteristics to the fully fertilized control. On the other hand, the biofertilized treatment with no K addition resulted in the highest values in the plant and fruit parameters. In addition, from the metabolomics analysis of the fruits at 75% of the K dose, the up-regulation of 4,4″-bis(N-feruloyl)serotonin, salvianolic acid K, and chlorogenic acid was observed, which may have a role in anti-senescence and resistance mechanisms. In conclusion, the rhizobacterial strain had a positive effect on plant growth, nutritional quality, bioactive compounds, and antioxidant activity of tomatillo fruits at reduced doses of K fertilizer, which gives support for its consideration as an effective biofertilizer strain.

Evaluation of Pretreatments and Extraction Conditions on the Antifungal and Antioxidant Effects of Garlic (Allium sativum) Peel Extracts.

This study aimed to evaluate the effect of pretreatments and extraction conditions on the antioxidant and antifungal characteristics of garlic peel extracts. The effect of pretreatments (fermentation and steam cooking) on the yield, antifungal (Colletotrichum gloeosporioides and Botrytis cinerea), and antioxidant (total phenolic compounds, total flavonoids, and antioxidant capacity) properties of garlic peel extracts were evaluated. A selected pretreatment was applied to evaluate the extraction conditions (solvent, solvent concentration, temperature, and time) on the antifungal activity of garlic peel extracts. At last, garlic peel extracts obtained under specific conditions was applied to papaya and strawberry fruits as preventive and curative treatments against Colletotrichum gloeosporioides and Botrytis cinerea, respectively. Steam cooking pretreatment significantly increased the antifungal and antioxidant capacities of garlic peel extracts compared to the fermentation process. Garlic peel extracts obtained with methanol (60%) for 18 h (25 °C) showed the highest antifungal activity against both microorganisms assessed (57.57% and 75.76% for B. cinerea and C. gloeosporioides, respectively,) on in vitro assays. Moreover, in vivo results indicated that preventive treatment significantly reduced rot disease in papaya (88.95%) and strawberry (54.13%) fruits. Although more studies about the antifungal mechanisms of garlic peel extracts are needed, these results indicated that garlic peel extracts could be used as an antifungal agent.

Abordaje quirúrgico de la aorta para urólogos / Surgical approach to the aorta for urologists

A propósito de un caso clínico surgió la pregunta, ¿los urólogos estamos familiarizados con el abordaje de las lesiones de la aorta abdominal o una de sus ramas? Teniendo en cuenta que dentro de nuestro accionar quirúrgico podríamos llegar a estar inmersos en una complicación de tipo vascular, es fundamental que conozcamos con detalle estas maniobras.

A clinical case raised the question: are urologists familiar with the approach to lesions of the abdominal aorta or one of its branches? Bearing in mind that in our surgical actions we could be involved in a vascular complication, it is essential that we know these maneuvers in detail.

Manejo del cáncer de vejiga invasor de músculo con enfoque preservador de órgano: terapia trimodal / Management of muscle-invasive bladder cancer with an organ-sparing approach: trimodal therapy

El cáncer de vejiga es una patología frecuente del tracto genitourinario, cuyo tratamiento acarrea morbilidad y alteración de la calidad de vida y en particular en el subgrupo de pacientes con tumores vesicales clasificados como invasores de músculo. En los últimos años se han venido buscando alternativas terapéuticas para la cistectomía radical + linfadenectomía pélvica extendida, que es en la actualidad el estándar de manejo para los pacientes con carcinoma de vejiga invasor de músculo. Con el advenimiento de perfiles de manejo oncológico menos ablativos pero sin sacrificar resultados oncológicos y con las nuevas técnicas de radioterapia y quimioterapia, las modalidades terapéuticas preservadoras de órgano como la terapia trimodal (resección transuretral de tumor vesical + quimioterapia + radioterapia) se convierte en una alternativa terapéutica viable y con resultados oncológicos satisfactorios a largo plazo. Objetivo y metodología: Con esta revisión se pretende mostrar la actualidad de la terapia trimodal en el manejo de los tumores vesicales con invasión muscular, definir los mejores pacientes a considerar para recibir esta terapia, exponer los resultados oncológicos comparados con el estándar de manejo y los resultados en calidad de vida. También se propone un algoritmo de manejo y se presentar las recomendaciones al respecto en guías de práctica clínica. Conclusiones: La terapia trimodal es una alternativa al estándar de manejo que conduce a resultados oncológicos aceptables y puede considerarse una opción de tratamiento en pacientes bien seleccionados.

Introduction: Bladder cancer is a frequent pathology of the genitourinary tract, whose treatment causes morbidity and impaired quality of life, particularly in the subgroup of patients with bladder tumors classified as muscle invaders. In recent years, therapeutic alternatives have been sought for radical cystectomy + extended pelvic lymphadenectomy, which is currently the standard of care for patients with muscle-invasive bladder carcinoma. With the advent of less ablative oncological management profiles but without sacrificing oncological results and with new radiotherapy and chemotherapy techniques, organ-sparing therapeutic modalities such as trimodal therapy (transurethral resection of bladder tumor + chemotherapy + radiotherapy) becomes a viable therapeutic alternative with satisfactory long-term oncological results. Objective and methodology: This review aims to show the current status of trimodal therapy in the management of muscle-invasive bladder tumors, define the best patients to consider for receiving this therapy, present the oncological results compared with the management standard and the results in quality of life. A management algorithm is also proposed and recommendations in this regard are presented in clinical practice guidelines. Conclusions: Trimodal therapy is an alternative to standard management that leads to acceptable oncological outcomes and can be considered a treatment option in well-selected patients.

Strongyloides stercoralis en la médula ósea de una persona que vive con VIH: reporte de caso / Strongyloides stercoralis in the bone marrow of a person living with HIV: Case report

Strongyloides stercoralis es un nemátodo que se caracteriza por causar infección intestinal, usualmente asintomática, en pacientes inmunocompetentes. Sin embargo, en aquellos que viven con VIH, y de acuerdo con su estado inmune, puede generar un síndrome de hiperinfección con complicaciones diversas por diseminación a diferentes órganos. Se presenta el caso de un paciente de 30 años con diagnóstico de novo de infección por el virus de la inmunodeficiencia humana, con documentación de enfermedad linfoproliferativa. En los estudios complementarios se documenta la presencia de Strongyloides stercoralis de manera inusual en la médula ósea. A pesar de contar con un recuento de linfocitos T CD4+ mayor a 400 células/ µL y de haberse iniciado el manejo para esta condición con ivermectina, el paciente fallece por un estado séptico asociado al síndrome de hiperinfección, por lo cual se considera que este es un caso inusitado que obliga al clínico a tener en cuenta la presencia del nemátodo en pacientes que viven con VIH.

Summary Strongyloides stercoralis is a nematode that is characterized by causing a usually asymptomatic intestinal infection in immunocompetent individuals. However, in patients living with HIV and depending on their immune status, it can generate a hyperinfection syndrome with various complications due to dissemination to different organs. We present the case of a 30-year-old patient with a de novo diagnosis of human immunodeficiency virus infection and lymphoproliferative disease. Within the laboratory workup, the presence of Strongyloides stercoralis was documented in the bone marrow. Despite having a CD4+ T lymphocyte count greater than 400 cells/microliter and having started treatment for this condition with ivermectin, the patient died due to a septic state associated with hyperinfection syndrome, which is why this is considered an unusual case that alerts the clinician to take into account the presence of the nematode in patients living with HIV.

Potential use of banana peel (Musa cavendish) as ingredient for pasta and bakery products.

The consumption of fruits and vegetables involves the disposal of the inedible parts, conveying challenges such as waste management and environment pollution. In recent years, there have been multiple studies aimed at finding alternatives that reduce the negative impact of food/agricultural waste. Since most studies done with by-products recommend their careful selection, the aim of this study was to verify if discarded banana peels could be disinfected until microbiologically safe and to determine if they could still provide nutrients to formulate food products with sensory characteristics acceptable to a consumer market after disinfection. Banana peels were collected from markets, restaurants, and greengrocers. They were disinfected, dried, and pulverized to obtain a flour which was subjected to microbiological and proximal analysis. Once its microbial safety was assured, this flour was incorporated into bakery and pasta products, replacing wheat flour with 5-20% banana peel flour (BPF). The sensory evaluation of the different products was carried out and, after verifying that the products were sensory acceptable, the proximal analysis was implemented. The formulated products were suitable for the addition of BPF up to 10%, in which the Acceptability Index was higher than 80% and significant increases in fiber and fat were achieved. We conclude that waste banana peel flour can be incorporated into bread and pasta products for human consumption to provide nutrients which might contribute to reduce this type of waste and to recover nutrients from otherwise disposed banana peels.

Successful laparoscopic approach to intraperitoneal bladder injury caused during gynecologic surgery. a case report

ABSTRACT Introduction: Urinary tract injuries are common in the context of pelvic surgery; however, there is little information in the medical literature on the management of these injuries using a laparoscopic approach. The following is the clinical case of a patient with intraperitoneal bladder injury secondary to gynecological pelvic surgery that was successfully treated using a laparoscopic approach. Moreover, a management algorithm is proposed based on the scientific data available. Case report. A 39-year-old female patient was admitted to the hospital with generalized abdominal pain and anuria three days after undergoing a left laparoscopic salpingectomy and resection of a migrated intrauterine device. Laboratory tests showed microhematuria, serum creatinine of 4.35mg/dL, and urea nitrogen of 35.2mg/dL. Computed tomography cystography showed a solution of continuity on the left posterolateral intraperitoneal bladder. The patient underwent successful laparoscopic treatment for the bladder injury, and two weeks later, retrograde cystography confirmed its adequate resolution. Conclusions. Based on the benefits of the laparoscopic approach and after extrapolating the outcomes of the laparoscopic management of bladder trauma, it can be concluded that the laparoscopic approach to surgical injuries of the bladder is a feasible therapeutic option.

RESUMEN Introducción. Las lesiones del tracto urinario son frecuentes en el contexto de la cirugía pélvica; sin embargo, existe poca información sobre su manejo por vía laparoscópica. Se presenta el caso de una paciente con una lesión vesical intraperitoneal secundaria a cirugía pélvica ginecológica, quien recibió manejo por abordaje laparoscópico, y se propone un algoritmo de tratamiento. Presentación del caso. Mujer de 39 años quién, luego de tres días de practicársele una salpingectomía izquierda y una resección del dispositivo intrauterino migrado mediante abordaje laparoscópico, consultó al servicio de urgencias por dolor abdominal generalizado y oligoanuria. Los exámenes de laboratorio evidenciaron microhematuria, creatinina sérica de 4.35mg/dl y nitrógeno ureico de 35,2mg/dl. En cistografía por tomografía computarizada (cisto-TC) se observó una solución de continuidad de la pared vesical posterolateral izquierda intraperitoneal. A la paciente se le trató la lesión vesical de forma exitosa por vía laparoscópica, y dos semanas después, también mediante cistografía retrógrada se confirmó una adecuada resolución de la misma. Conclusión. Dados los resultados satisfactorios del manejo laparoscópico en la paciente y los beneficios de esta técnica, se puede concluir que el abordaje laparoscópico de las lesiones quirúrgicas de la vejiga es una opción terapéutica factible.

Integración de Inputs Positivos y Negativos en Juicios Psicofísicos de Equidad / Integration of Positive and Negative Inputs in Equity Psychophysical Judgements

Resumen Los modelos de equidad han predicho adecuadamente las ganancias monetarias entre dos empleados hipotéticos que difieren en méritos, sin embargo, han sido incapaces de predecir pérdidas monetarias y condiciones de n>2; se propone la Ecuación General de Distribución de Recursos En Equidad (Función de Equidad) para superar dichas limitantes por lo que el objetivo de la presente investigación consistió en evaluar la generalidad de la Función de Equidad en contextos de pérdidas y ganancias. Participaron voluntariamente 30 estudiantes universitarios de los cuales el 65% fueron mujeres tenían 19.87 años (DE=1.23). En 18 escenarios hipotéticos de acuerdo con un diseño de medidas repetidas (3 niveles de mérito de A) X 3 (niveles de mérito de B) x 2 (Ganancias y Pérdidas) los participantes asignaron montos en ganancias y pérdidas monetarias. Se encontraron reglas de integración aditiva en el campo de las ganancias e indicios de reglas de integración multiplicativa en el campo de las pérdidas. La Ecuación General de Distribución de Recursos en Equidad predice adecuadamente los montos en ganancias y pérdidas. Los datos se discuten a la luz de la Teoría de Integración de Información y las Ciencias Cognitivas y del Comportamiento.

Abstract Equity models properly predict monetary outcomes between two hypothetical employees who differ in inputs; however, they have been unable to predict monetary losses and conditions of n> 2; General Equation of Equity Resource Allocation (Equity Function) is proposed to overcome these limitations, so the aim of this work was to evaluate the generality of the Equity Function in gains and losses contexts. A non-probabilistic factorial design with convenience sampling was used. Sample size was calculated from the desired effect size, the final sample was made up of 30 university students of which 65% were women who were 19.87 years old (SD = 1.23). A hypothetical task of resource allocation was proposed to employees who differ in their levels of merits, in which throughout 18 scenarios according to a repeated measures design (3 levels of merits of A) X 3 (levels of merits of B) x 2 (Gains and Losses) the participants assigned amounts in monetary gains and losses. Data was analyzed using Repeated Measures ANOVA, the effect size calculation using the Partial Square Eta parameter and the simple linear regression analysis of each curve were performed to obtain the slope of each line. In the context of gains, main effects of employee A and B were found, no interaction effects were found. In the context of losses, main effects of employee A and B were contrasted, as well as interaction effects. Robust effect sizes were found for all factors. Analysis of regression equations slopes shows that the loss amounts were larger than the gains amounts. Additive integration rules were found in the field of gains and indications of multiplicative integration rules in the field of losses. The General Equation of Equity Resource Allocation adequately predicts the amounts of gains and losses, being more precise in the field of gains compared to losses. According from these results, it is proposed that cognitive process of assigning a gain is different from those of assigning a loss. Limitations and alternative courses of action were raised.

Incidence of fever and bleeding after percutaneous nephrolithotomy: a prospective cohort study.

OBJECTIVE: Despite relative agreement on the need for immediate peri-operative antibiotic prophylaxis in percutaneous nephrolithotomy (PCNL), there is no consensus regarding antibiotic use the days leading up to PCNL. This study aimed to report the incidence of complications during and after PCNL based on a cohort study design. MATERIAL AND METHODS: We included 101 patients in a prospective schedule for PCNL. Patients were divided into 2 groups. In the exposed patients (positive urine culture) the antibiotic was indicated according to the antibiogram report, 7 days before surgery, and 7 days after surgery, and in the non-exposed patient's intravenous antibiotic empirically was administered 8 h and 1 h before surgery. RESULTS: The incidence of complications for both groups was 19%. The exposed group presented complications in 27%, and 16% for the non-exposed. The relative risk of complications, in general, was 1.68 (95% CI, 0.77-3.6), the attributable risk was 11.09, and the percentage of attributable risk was 40.68%. CONCLUSIONS: The presence of positive urine culture is the main risk factor for the development of post-PCNL fever. Each treatment center needs to standardize its protocols to reduce the morbidity associated with surgery and to identify the main risk factors.

OBJETIVO: El objetivo de este estudio es reportar la incidencia de complicaciones durante y después de la nefrolitotomía percutánea (NLP) con base en un diseño de cohorte prospectivo. MATERIAL Y MÉTODOS: Se incluyeron 101 pacientes de forma prospectiva programados para NLP. Los pacientes fueron divididos en 2 grupos. En el grupo de expuestos (cultivo de orina positivo) el antibiótico se indicó según el reporte del antibiograma, 7 días antes y 7 días después de la cirugía. En los pacientes no expuestos (cultivo de orina negativo) se administró empíricamente antibiótico intravenoso 8 h y 1 h antes de la cirugía. RESULTADOS: La incidencia de complicaciones para ambos grupos fue del 19%. El grupo de expuestos presentó ­complicaciones en 27% mientras que para los no expuestos fue de 16%. El riesgo relativo de complicaciones en general fue de 1.68 (IC 95%, 0.77-3.6), el riesgo atribuible fue de 11.09 y el porcentaje de riesgo atribuible fue de 40.68%. CONCLUSIONES: la presencia de urocultivo positivo es el principal factor de riesgo para el desarrollo de fiebre post-NLP. Es importante que cada centro de tratamiento estandarice sus protocolos para reducir la morbilidad asociada con la cirugía e identificar los principales factores de riesgo.

Detection of Saffron's Main Bioactive Compounds and Their Relationship with Commercial Quality.

This review aims to evaluate the state of saffron's main bioactive compounds and their relationship with its commercial quality. Saffron is the commercial name for the dried red stigmas of the Crocus sativus L. flower. It owes its sensory and functional properties mainly to the presence of its carotenoid derivatives, synthesized throughout flowering and also during the whole production process. These compounds include crocin, crocetin, picrocrocin, and safranal, which are bioactive metabolites. Saffron's commercial value is determined according to the ISO/TS3632 standard that determines their main apocatotenoids. Other techniques such as chromatography (gas and liquid) are used to detect the apocarotenoids. This, together with the determination of spectral fingerprinting or chemo typing are essential for saffron identification. The determination of the specific chemical markers coupled with chemometric methods favors the discrimination of adulterated samples, possible plants, or adulterating compounds and even the concentrations at which these are obtained. Chemical characterization and concentration of various compounds could be affected by saffron's geographical origin and harvest/postharvest characteristics. The large number of chemical compounds found in the by-products (flower parts) of saffron (catechin, quercetin, delphinidin, etc.) make it an interesting aromatic spice as a colorant, antioxidant, and source of phytochemicals, which can also bring additional economic value to the most expensive aromatic species in the world.

Juicios de equidad: efectos de contexto en ganancias y pérdidas / Equity Judgments: Context Effects in Gains and Losses

Background: Previous studies have evaluated mathematical models of equity judgments of two hypothetical employees with distinct merits. They found that the model of proportionality adequately described the data based on an algebraic additive rule of information integration. Nevertheless, there is a lack of evidence concerning the effect of a context of monetary losses on the rules of information integration. Objective: To assess the effect of monetary gains and losses on equity judgments, and the effect of the personal context in which the participants are involved in decision-making. Method: A repeated measures design with within-subjects factors was utilized: 7 levels of A's merit x 5 levels of B's merit x 2 contexts (gains and losses) x 2 between-subject factors (third-party allocation and self-allocation). Results: Statistically significant differences appeared between third-party allocation and self-allocation conditions for gains [F (1,38) = 216.18, p < .001, η2 = .85] and losses [F (1,38) = 110.45, p < .001, η2 = .71]. Conclusions: The additive rules of integration appeared in the gains scenario while the subtractive rules together with an aversion to inequity were observed in the losses context. Keywords: information integration theory; equity judgments; social psychophysics; monetary gains; monetary losses.

Antecedentes: estudios previos evaluaron modelos matemáticos sobre juicios de equidad en dos empleados hipotéticos que diferían en sus niveles de mérito. Estos encontraron que el modelo de proporcionalidad describía adecuadamente los datos basándose en una regla algebraica aditiva de integración de información. Sin embargo, existe una falta de evidencia sobre el efecto del contexto de las pérdidas monetarias sobre las reglas de integración de información. Objetivo: evaluar el efecto del contexto de ganancias y pérdidas monetarias sobre los juicios de equidad, y el efecto del contexto personal en donde el participante se ve involucrado en la toma de decisiones. Método: se empleó un diseño de medidas repetidas con los factores intrasujeto: 7 niveles de mérito de A x 5 niveles de mérito de B x 2 contextos (ganancias y pérdidas) x 2 factores intersujeto (distribución a terceros y distribución propia). Resultados: se encontraron diferencias estadísticamente significativas entre las condiciones de asignación a terceros y asignación propia en relación con las ganancias [F (1,38) = 216.18, p < .001, η2 = .85] y pérdidas [F (1,38) = 110.45, p < 0.001, η2 = .71]. Conclusiones: las reglas aditivas de integración aparecieron en el contexto de las ganancias, mientras que las reglas sustractivas, así como aversión a la inequidad, se observaron en el contexto de las pérdidas. Palabras clave: teoría de integración de información; juicios de equidad; psicofísica social; ganancias monetarias; pérdidas monetarias.

The Relation between Drying Conditions and the Development of Volatile Compounds in Saffron (Crocus sativus).

Saffron is derived from the stigmas of the flower Crocus sativus L. The drying process is the most important post-harvest step for converting C. sativus stigmas into saffron. The aim of this review is to evaluate saffron's post-harvest conditions in the development of volatile compounds and its aroma descriptors. It describes saffron's compound generation by enzymatic pathways and degradation reactions. Saffron quality is described by their metabolite's solubility and the determination of picrocrocin, crocins, and safranal. The drying process induce various modifications in terms of color, flavor and aroma, which take place in the spice. It affects the aromatic species chemical profile. In the food industry, saffron is employed for its sensory attributes, such as coloring, related mainly to crocins (mono-glycosyl esters or di-glycosyl polyene).

Toward Healthier Cookie Habits: Assessing the Role of Packaging Visual Appearance in the Expectations for Dietary Cookies in Digital Environments.

As we tend to consume more and more via e-commerce platforms, the digital version of a dietary product's package can be one of the most important touchpoints that the consumer has with such product during the purchasing stage of the consumer's journey. Hence, a dietary food/drink properly presented via its packaging in e-commerce is key, for example, to nudge consumers toward healthier purchase habits. In this study, we assessed the role of different configurations of visual cues commonly present in a product's packaging (jar vs. bag, transparent vs. opaque, labeled vs. unlabeled) in the expectations associated with dietary cookies when presented in a digital environment. A between-participants study was conducted where eight different packages with different combinations of the three aforementioned features were digitally evaluated by the participants. The results suggest that the presence (vs. absence) of labeling triggered the highest ratings on most assessed dimensions (product quality, healthiness, lightness, sweetness, crumbliness, price, tastiness, greediness for product, product/packaging liking). Moreover, transparent (vs. opaque) packaging tends to yield higher expectations concerning this product's quality (i.e., product liking, package liking, greediness), though it has an opposite effect on the expected healthiness for such cookies. Some particular interactions between these three visual cues were also observed and are discussed as part of the obtained results. In summary, our results point to how the visual appearance of packaging can be strategically used in order to potentially nudge consumers toward healthier cookie purchase habits.

Métodos combinados para incrementar la vida en anaquel de agua de coco obtenida de comercios no establecidos de la Ciudad de Puebla, México / Combined methods for increasing the shelf life of coconut water obtained from the non-established commerce of Puebla City, Mexico

RESUMEN Objetivo Evaluar el efecto de la aplicación de métodos combinados para incrementar la vida en anaquel de agua de coco. Métodos El agua de coco fue obtenida de comercios no establecidos en la Ciudad de Puebla, México. El agua de coco fue tratada con luz ultravioleta-C, vainillina o cinamaldehído y almacenada a 5 y 22°C. Se evaluó el efecto de estas tecnologías sobre el crecimiento microbiano de bacterias mesófilas aerobias, mohos y levaduras. Resultados El tratamiento con luz ultravioleta-C redujo la carga microbiana de bacterias mesófilas aerobias y mohos y levaduras en 3,2 y 2,9 ciclos logarítmicos, respectivamente. Durante el almacenamiento del agua de coco, la combinación de luz ultravioleta-C, cinamaldehído y baja temperatura mantuvo una carga microbiana en ambos grupos de microorganismos por debajo de 10 UFC/mL, durante 30 días. Conclusión La aplicación de métodos combinados puede ser una alternativa a bajo costo para la conservación de agua de coco.

ABSTRACT Objective To evaluate the effect of combined methods for increasing the shelf life of coconut water. Methods Coconut water was obtained from non-established commerce of Puebla City, Mexico. Coconut water was treated with ultraviolet-C light, vanillin or cinnamaldehyde, and stored at 5 and 22°C. The effect of combined methods was evaluated in the growth of aerobic mesophiles and molds plus yeasts. Results Ultraviolet-C light treatment reduced the microbial load of aerobic mesophiles and molds plus yeast in 3,2 and 2,9 log cycles, respectively. In stored coconut water, the combination of ultraviolet-C light, cinnamaldehyde and low temperature maintained the microbial load in both groups of microorganisms under 10 CFU/mL for 30 days. Conclusion Combined methods may be an alternative at a low cost for the conservation of coconut water.

Microbiological profile of urinary tract infections in a tertiary medical facility in Western Mexico: An update.

Urinary tract infections (UTIs) are one of the most important issues in modern medicine. In developing countries, the use of antibiotics is a common practice, and due to this, antibiotic resistance has increased. The objective of this research was to update and report on the microbiological profile of urinary tract infections based on the number of positive urine cultures (UCs), resistance, sensitivity, and the prevalence of bacterial strains. The results were obtained from the database of a tertiary medical facility in Western Mexico. The number of positive UCs was 1769 from inpatients and outpatients who were users of medical services in the hospital from January to December of 2017. The most commonly isolated microorganism was E. coli, with 1225 cases, of which 603 (49.2%) were ESBL (Extended-Spectrum Beta-Lactamase-producing bacteria) strains. The resistance rate of nitrofurantoin was 36.6%, and meropenem showed the most promising results with a resistance rate of only 7.1%. Resistances to quinolones and cephalosporins among the isolates investigated were 51%-67%. Based on our results, it is necessary to increase controls and to improve management protocols in order to achieve better medical practices by reducing antibiotic resistance.

Perfil microbiologico y de resistencia antimicrobiana en infecciones adquiridas en la comunidad. Hospital Universitario San José de Popayán / Microbiological profile and resistance spectrum of the community acquired bacterial infection of the San Jose Universitary Hospital in Popayan

Resumen Objetivo. Describir el perfil microbiológico y de resistencia bacteriana de los aislamientos en adultos con infecciones adquiridas en comunidad en el Hospital Universitario San José de junio 2016 a diciembre 2019. Metodología. Se realizó un estudio descriptivo de corte transversal, análisis retrospectivo de los aislamientos microbiológicos en adultos desde junio 2016 a diciembre 2019, basado en la data institucional. Se analizó la información con STATA15,0. Se obtuvo la aprobación del comité de ética del hospital. Resultados. Se incluyeron 5121 aislamientos microbiológicos, el 61% en el servicio de urgencias. El urocultivo fue la muestra más frecuente. Escherichia coli fue el germen más común tanto a nivel general como en urocultivos, hemocultivos y cultivos de líquido peritoneal. La resistencia a ampicilina y amp/sul fue elevada, hasta del 68% para E. coli. El 20% de los Staphylococcus aureus fueron resistentes a meticilina. Se observó una resistencia inusual a carbapenémicos por parte de Pseudomonas aeruginosa. Discusión. El perfil microbiológico concuerda con la literatura mundial y nacional, sin embargo, el HUSJ tiene un comportamiento microbiológico que debe ser estudiado a profundidad. Conclusión. Los porcentajes de resistencia a antibióticos de uso frecuente son elevados. Se requiere ajustes de las guías de manejo institucionales y nacionales.

Abstract Objetive. To describe the microbiological profile and resistance spectrum of the community acquired bacterial infection of the San Jose university hospital from june 2016 to december 2019 Methodology. A retrospective transverse descriptive study of microbial organisms found in adults in the institution from June 2016 to December 2019, the study is based in the hospital data. The analysis of the information was made with SATA 15.0. Results. 5121 samples were included, 61% from the emergency department. Urine culture was the most frequent sample taken. Escherichia coli was the most frequent isolated bacterial, in all samples, urine culture, blood culture, and peritoneal culture. Ampiciline r and ampiciline/sulbactam was high up to 68% of the E. Coli cultures. 20% of Staphylococcus aureus were methicillin resistant. Unusual carbapenemic resistance was found in the Pseudomona aeruginosa isolates.. Discussion. The data of the bacterial resistance spectrum Concord which was is found in the general medical literature, nevertheless the HUSJ, has a microbial behaviour that must be studied thoroughly. Conclusion. The antibiotic bacterial resistance to common used antibiotics is high. Adjustments are required in the instucional and national management guidelines

Starch Edible Films/Coatings Added with Carvacrol and Thymol: In Vitro and In Vivo Evaluation against Colletotrichum gloeosporioides.

The aim of this work was to evaluate the in vitro and in vivo effectiveness of thymol and carvacrol added to edible starch films and coatings against Colletotrichum gloeosporioides. In vitro evaluation consisted of determining minimal inhibitory concentration (MIC) of carvacrol and thymol was determined at different pH values against Colletotrichum gloeosporioides. With MIC values, binary mixtures were developed. From these results, two coatings formulations were in vivo evaluated on mango and papaya. Physicochemical analysis, color change, fruit lesions and C. gloeosporioides growth were determined during storage. In vitro assay indicated that the MIC value of carvacrol and thymol against C. gloeosporioides was 1500 mg/L at pH 5. An additive effect was determined with 750/750 and 1125/375 mg/L mixtures of carvacrol and thymol, respectively. Coated fruits with selected mixtures of carvacrol and thymol presented a delay in firmness, maturity index and color change. Moreover, a fungistatic effect was observed due to a reduction of lesions in coated fruits. These results were corroborated by the increase in the lag phase value and the reduction of the growth rate. Carvacrol and thymol incorporated into edible films and coatings are able to reduce the incidence of anthracnose symptoms on mango and papaya.

Trombólisis endovenosa en ACV isquémico: experiencia en un hospital de Popayán, Cauca / Intravenous thrombolysis in ischemic stroke: Experience in a Popayán hospital, Cauca

RESUMEN INTRODUCCIÓN: El ataque cerebrovascular (ACV) isquémico es una patología de alta prevalencia que genera gran discapacidad y mortalidad, pero cuando recibe tratamiento trombolítico puede presentar mejoría en escalas de funcionalidad. En Colombia, hay pocos estudios en los que se relate la experiencia con estos fármacos. En el departamento del Cauca no existe ninguno. El objetivo de este estudio es describir las características demográficas, clínicas y el desenlace a corto plazo de los pacientes con ACV sometidos a trombólisis en un hospital de la ciudad de Popayán entre los años 2010 y 2019. MATERIALES Y MÉTODOS: Serie de casos retrospectivos evaluando factores de riesgo, severidad clínica mediante escala NIHSS, desenlaces favorables y complicaciones derivadas de la trombólisis. RESULTADOS: Se incluyeron 29 pacientes con un promedio de 68 años, 62,1 °% fueron hombres y la comorbilidad más frecuente fue la hipertensión arterial (72,4 °%). El promedio de la puntuación de la escala NIHSS al ingreso fue de 14 puntos (DE: 4,99). La terapia trombolítica disminuyó 4,5 puntos (IC 95 °% = 2,7-6,3, p. = 0,00). La hemorragia cerebral posterior a la intervención fue de 25,9 % y la mortalidad de 15,4 °%. CONCLUSIÓN: La terapia trombolítica en pacientes con ACV isquémico resulta en mejoría de la escala NIHSS medida al final de trombólisis y a las 24 horas. Se logró reconocer fallas en el abordaje y en el tratamiento, así como un porcentaje de sangrado mayor a lo reportado en la bibliografía. Se requieren más estudios para corroborar los resultados, debido al limitado número de participantes.

SUMMARY INTRODUCTION: Acute ischemic stroke is a pathology of high prevalence that generates great disability and mortality, but when it receives thrombolytic treatment, it can show improvement in disability scales. In Colombia, there are few studies in which experience with these medications is reported and in the Cauca District Cauca, there is none. The objective of this study is to describe the demographic, clinical and short-term outcome characteristics of patients with stroke undergoing thrombolysis, in a hospital in the city of Popayan between 2010 and 2019. MATERIALS AND METHODS: Retrospective case series evaluating risk factors, clinical severity using the NIHSS scale, favorable outcomes and complications derived from thrombolysis. RESULTS: 29 patients with an average of 68 years were included, 62.1 % were men and the most frequent comorbidity was hypertension (72.4 %). The average of the NIHSS score at admission was 14 points (SD: 4.99). Thrombolytic therapy decreased 4.5 points (95 % CI 2.7 - 6.3, p: 0.00). The cerebral hemorrhage, after the intervention was 25.9 % and the mortality was 15.4 %. CONCLUSION: Thrombolytic therapy in patients with ischemic stroke results in improvement of the NIHSS scale measured at the end of thrombolysis and at 24 hours. Failures were recognized in the approach and treatment, as well as a percentage of bleeding greater than reported in the literature. Further studies are required to corroborate the results, due to the limited number of participants.