1,979 research outputs found

    Tu1781 Description of findings in esophageal impedance-pH monitoring in patients with extraesophageal symtomps and suspected GERD in Hospital San Ignacio Bogota

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    Q1Q1There are findings that suggest association between extraesophageal symptoms such as cough, laryngitis and chest pain and gastroesophageal reflux disease,. However the cause - effect so far is controversial OBJECTIVE : Describe the findings in esophageal pH monitoring with impedance testing in patients with extraesophageal symptoms and suspected gastroesophageal reflux disease (GERD) in patients referred to Hospital San Ignacio de Bogotá between 2006 and 2010. METHODS AND PATIENTS We review the records of gastrointestinal physiology studies performed un our unit with multichannel intraluminal impedance-ph monitoring between 2006 and 2011, wich indication was extraesophageal symptoms and suspected GERD. Some of our patients was on treatment wiht PPI and others do not. RESULTS We found in our records 348 patients who underwent esophageal impedance - pH monitoring for extraesophageal symptoms and suspected GERD, 234 female (67%) and 114 male (33%). In 198 patients (57%) the test was performed without treatment, and 150 patients (43%) with treatment. The most common manifestation was laryngitis with 49%, followed by coughing up 38%, and chest pain with 13%. In patients where the study was done without treatment, the test was positive for acid reflux in 23% and positive for non acid reflux only in 13% of cases. In patients in whom the procedure was done with treatment, it was positive for acid reflux in 11% and positive for non-acid reflux in 38%. CONCLUSIONS :Esophageal impedance - pH monitoring is useful in determining whether GERD is present in patients with extraesophageal symptoms. It also helps to distinguish between acid reflux and non -acid reflux in this patients . Most of our patients had a negative result for both acid and non acid reflux , which may suggest a poor relation between extraesophageal symptoms and GERD detecting by impedance . ph monitoring wich can be explain because there is a large amount of procedures performed with the wrong indications.https://orcid.org/0000-0002-9219-4548https://orcid.org/0000-0003-1222-0636https://orcid.org/0000-0001-5660-6229https://orcid.org/0000-0002-3841-1484https://orcid.org/0000-0003-2938-7731https://orcid.org/0000-0002-4523-7947Revista Internacional - Indexad

    SISTEMAS DE PRODUCCIÓN DE ACUACULTURA CON RECIRCULACIÓN DE AGUA PARA LA REGIÓN NORTE, NORESTE Y NOROESTE DE MÉXICO

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    Aquaculture is expanding and developing in practically all the regions of the world. The demand of the world-wide population by aquatic products is increasing, whereas the production from capture of fisheries has been being reduced, reaching many of them their maximum productive potential. As result of, sustaining fish supplies from capture fisheries it will not be possible to meet the growing global demand for aquatic food. Therefore, the aquaculture seems to have the potential to make a significant contribution to the production of these foods, in order to meet the growing population demand. Nevertheless, in order to accomplish it, the producer faces critical challenges. The development of these activities intensifies substantially, and requires to be diversified, producing new species and creating new systems and practices of production. The production systems of aquatic animals, particularly those based on technologies of water recirculation, appears to be an excellent alternative for producing, in regions of the North of Mexico, in where the water is scarce.Aquaculture, word wide population, aquatic food., Agribusiness,

    Least action description of dynamic pairing correlations in the fission of Curium and Californium isotopes based on the Gogny energy density functional

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    The impact of dynamic pairing correlations and their interplay with Coulomb antipairing effects on the systematic of the spontaneous fission half-lives for the nuclei 240250^{240-250}Cm and 240250^{240-250}Cf is analyzed, using a hierarchy of approximations based on the parametrization D1M of the Gogny energy density functional (EDF). First, the constrained Hartree-Fock-Bogoliubov (HFB) approximation is used to compute deformed mean-field configurations, zero-point quantum corrections and collective inertias either by using the Slater approximation to Coulomb exchange and neglecting Coulomb antipairing or by fully considering the exchange and pairing channels of the Coulomb interaction. Next, the properties of the {\it{least action}} and {\it{least energy}} fission paths are compared. In the {\it{least action}} case, pairing is identified as the relevant degree of freedom in order to minimize the action entering the Wentzel-Kramers-Brillouin (WKB) approximation to the tunneling probability through the fission barrier. Irrespective of the treatment of Coulomb exchange and antipairing, it is shown that the {\it{least action}} path obtained taking into account the pairing degree of freedom leads to stronger pairing correlations that significantly reduce the spontaneous fission half-lives tSFt_{SF} improving thereby the comparison with the experiment by several orders of magnitude. It is also shown that the Coulomb antipairing effect is, to a large extent, washed out by the {\it{least action}} procedure and therefore the tSFt_{SF} values obtained by the two different treatments of the Coulomb exchange and pairing are of similar quality.Comment: 13 pages, 8 figure

    CuZnAl-oxide nanopyramidal mesoporous materials for the electrocatalytic CO2 reduction to syngas: Tuning of H2/CO ratio

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    Inspired by the knowledge of the thermocatalytic CO2 reduction process, novel nanocrystalline CuZnAl-oxide based catalysts with pyramidal mesoporous structures are here proposed for the CO2 electrochemical reduction under ambient conditions. The XPS analyses revealed that the co-presence of ZnO and Al2O3 into the Cu-based catalyst stabilize the CuO crystalline structure and introduce basic sites on the ternary as-synthesized catalyst. In contrast, the as-prepared CuZn-and Cu-based materials contain a higher amount of superficial Cu0 and Cu1+ species. The CuZnAl-catalyst exhibited enhanced catalytic performance for the CO and H2 production, reaching a Faradaic efficiency (FE) towards syngas of almost 95% at −0.89 V vs. RHE and a remarkable current density of up to 90 mA cm−2 for the CO2 reduction at −2.4 V vs. RHE. The physico-chemical characterizations confirmed that the pyramidal mesoporous structure of this material, which is constituted by a high pore volume and small CuO crystals, plays a fundamental role in its low diffusional mass-transfer resistance. The CO-productivity on the CuZnAl-catalyst increased at more negative applied potentials, leading to the production of syngas with a tunable H2/CO ratio (from 2 to 7), depending on the applied potential. These results pave the way to substitute state-of-the-art noble metals (e.g., Ag, Au) with this abundant and cost-effective catalyst to produce syngas. Moreover, the post-reaction analyses demonstrated the stabilization of Cu2O species, avoiding its complete reduction to Cu0 under the CO2 electroreduction conditions

    Hierarchical TiN-Supported TsFDH Nanobiocatalyst for CO2 Reduction to Formate

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    The electrochemical reduction of CO2 to value-added products like formate represents a promising technology for the valorization of carbon dioxide. We propose a proof-of-concept bioelectrochemical system (BES) for the reduction of CO2 to formate. For the first time, our device employs a nanostructured titanium nitride (TiN) support for the immobilization of a formate dehydrogenase (FDH) enzyme. The hierarchical TiN nanostructured support exhibits high surface area and wide pore size distribution, achieving high catalytic loading, and is characterized by higher conductivity than other oxide-based supports employed for FDHs immobilization. We select the oxygen-tolerant FDH from Thiobacillus sp. KNK65MA (TsFDH) as enzymatic catalyst, which selectively reduces CO2 to formate. We identify an optimal TiN morphology for the enzyme immobilisation through enzymatic assay, reaching a catalyst loading of 59 mu g cm(-2) of specifically-adsorbed TsFDH and achieving a complete saturation of the anchoring sites available on the surface. We evaluate the electrochemical CO2 reduction performance of the TiN/TsFDH system, achieving a remarkable HCOO- Faradaic efficiency up to 76 %, a maximum formate yield of 44.1 mu mol mg(FDH)(-1) h(-1) and high stability. Our results show the technological feasibility of BES devices employing novel, nanostructured TiN-based supports, representing an important step in the optimization of these devices

    Solar-driven CO2 reduction catalysed by hybrid supramolecular photocathodes and enhanced by ionic liquids

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    Photoelectrochemical carbon dioxide reduction (CO2) at ambient temperature and pressure was performed using molecular chromophores and catalyst assemblies on CuGaO2-based electrodes in an ionic liquid (IL) organic solution, acting as a CO2 absorbent and electrolyte. A simple and versatile methodology based on the silanization of the CuGaO2 electrode followed by electropolymerization provided a series of molecular and supramolecular hybrid photocathodes for solar driven CO2 reduction. Focusing on the cathodic half reactions, the most promising conditions for the formation of CO2 reduction products were determined. The results revealed a beneficial effect of the ionic liquid on the conversion of CO2 to formic acid and suppression of the production of hydrogen. The potentiality of anchoring supramolecular complexes on semiconductor photoelectrocatalysts was demonstrated to boost both carrier transport and catalytic activity with a FEred of up to 81% compared with the obtained FEred of 52% using bare CuGaO2 with formate as the major product

    Enabling reproductive, maternal, neonatal and child health interventions:Time trends and driving factors of health expenditure in the successful story of Peru

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    We compared expenditure trends for reproductive, maternal, neonatal and child health (RMNCH) with trends in RMNCH service coverage in Peru. We used National Health Accounts data to report on total health expenditure by source; the Countdown database for trends in external funding to RMNCH, and Ministry of Finance data for trends in domestic funding to RMNCH. We undertook over 170 interviews and group discussions to explore factors explaining expenditure trends. We describe trends in total health expenditure and RMNCH expenditure in constant 2012 USbetween1995and2012.Weestimatedexpendituretocoverageratios.Therewasasubstantialincreaseindomestichealthexpenditureovertheperiod.However,domestichealthexpenditureasshareoftotalgovernmentspendingandGDPremainedstable.Outofpockethealthspending(OOPS)asashareoftotalhealthexpenditureremainedabove35 between 1995 and 2012. We estimated expenditure to coverage ratios. There was a substantial increase in domestic health expenditure over the period. However, domestic health expenditure as share of total government spending and GDP remained stable. Out-of-pocket health spending (OOPS) as a share of total health expenditure remained above 35%, and increased in real terms. Expenditure on reproductive health per woman of reproductive age varied from US 1.0 in 2002 to US6.3in2012.ExpenditureonmaternalandneonatalhealthperpregnantwomanincreasedfromUS 6.3 in 2012. Expenditure on maternal and neonatal health per pregnant woman increased from US 34 in 2000 to US512in2012,andpercapitaexpenditureonunderfivechildrenincreasedfromUS 512 in 2012, and per capita expenditure on under-five children increased from US 5.6 in 2000 to US$ 148.6 in 2012. Increased expenditure on RMNCH reflects a greater political support for RMNCH, along with greater emphasis on social assistance, family planning, and health reforms targeting poor areas, and a recent emphasis on antipoverty and crosscutting equitable policies and programmes focused on nutrition and maternal and neonatal mortality. Increasing domestic RMNCH expenditure likely enabled Peru to achieve substantial health gains. Peru can provide useful lessons to other countries struggling to achieve sustained gains in RMNCH by relying on their own health financing

    Utilization of an In Vivo Reporter for High Throughput Identification of Branched Small Molecule Regulators of Hypoxic Adaptation

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    SummarySmall molecules inhibiting hypoxia inducible factor (HIF) prolyl hydroxylases (PHDs) are the focus of drug development efforts directed toward the treatment of ischemia and metabolic imbalance. A cell-based reporter produced by fusing HIF-1α oxygen degradable domain (ODD) to luciferase was shown to work as a capture assay monitoring stability of the overexpressed luciferase-labeled HIF PHD substrate under conditions more physiological than in vitro test tubes. High throughput screening identified novel catechol and oxyquinoline pharmacophores with a “branching motif” immediately adjacent to a Fe-binding motif that fits selectively into the HIF PHD active site in in silico models. In accord with their structure-activity relationship in the primary screen, the best “hits” stabilize HIF1α, upregulate known HIF target genes in a human neuronal line, and exert neuroprotective effects in established model of oxidative stress in cortical neurons

    Identification of Serum Biomarkers for Intestinal Integrity in a Broiler Chicken Malabsorption Model

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    Intestinal health is essential for feed efficiency and growth in animal agriculture and is dependent on barrier function, inflammation and dysbiosis. Our laboratory has published a nutritional model to induce gut inflammation using rye as a source of energy in poultry. More recently, we have used this model as an assessment of a nutritional rehabilitation model for better understanding of childhood undernutrition. The objective of this brief research report was to use a well-establish malabsorption model in broiler chickens using corn and rye as an energy source to identify several intestinal health biomarkers in the serum. To screen for inflammatory biomarkers, seven commercially available tests were used including Griess, superoxide dismutase, thiobarbituric acid reactive substances, Total antioxidant capacity, extracellular-signal-regulated kinase, Citrulline, and Interferon-ɤ; total IgA from cloacal swab was also measured. In the present study, chickens fed rye had a significant (P < 0.05) reduction in body weight and body weight gain at 10 day when compared with chickens that received the corn diet. In the second phase of the experiment, chickens that remain with the corn diet had significant differences in body weight and body weight gain. No significant differences were observed for any of the four antioxidant biomarkers evaluated in the sera (P > 0.05). However, significant differences were observed in serum citrulline and IFN-ɤ, as well as in cloacal IgA, in broiler chickens fed with rye, suggesting their potential use as biomarkers to study intestinal inflammation

    Carotenoid accumulation in orange-pigmented Capsicum annuum fruit, regulated at multiple levels

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    The pericarp of Capsicum fruit is a rich dietary source of carotenoids. Accumulation of these compounds may be controlled, in part, by gene transcription of biosynthetic enzymes. The carotenoid composition in a number of orange-coloured C. annuum cultivars was determined using HPLC and compared with transcript abundances for four carotenogenic enzymes, Psy, LcyB, CrtZ-2, and Ccs determined by qRT-PCR. There were unique carotenoid profiles as well as distinct patterns of transcription of carotenogenic enzymes within the seven orange-coloured cultivars. In one cultivar, ‘Fogo’, carrying the mutant ccs-3 allele, transcripts were detected for this gene, but no CCS protein accumulated. The premature stop termination in ccs-3 prevented expression of the biosynthetic activity to synthesize the capsanthin and capsorubin forms of carotenoids. In two other orange-coloured cultivars, ‘Orange Grande’ and ‘Oriole’, both with wild-type versions of all four carotenogenic enzymes, no transcripts for Ccs were detected and no red pigments accumulated. Finally, in a third case, the orange-coloured cultivar, Canary, transcripts for all four of the wild-type carotenogenic enzymes were readily detected yet no CCS protein appeared to accumulate and no red carotenoids were synthesized. In the past, mutations in Psy and Ccs have been identified as the loci controlling colour in the fruit. Now there is evidence that a non-structural gene may control colour development in Capsicum
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