3 research outputs found
Ciencias de la BiologĂa y AgronomĂa
Este volumen I contiene 17 capĂtulos arbitrados que se ocupan de estos asuntos en TĂłpicos Selectos de Ciencias de la BiologĂa y AgronomĂa, elegidos de entre las contribuciones, reunimos algunos investigadores y estudiantes. Se presenta un Estudio Comparativo de los Recursos HidrolĂłgico-Forestales de la Microcuenca de la Laguna de Epatlan, Pue. (1993 a 2014); la SituaciĂłn Actual de la Mancha de Asfalto en MaĂz (Zea mays L.) en los Municipios de Jiquipilas y Ocozocoautla, Chiapas, MĂ©xico; las poblaciones sobresalientes de maĂz de la raza Zapalote Chico, en la RegiĂłn Istmeña de Oaxaca; Se indica el Ăndice de ĂĄrea foliar de cultivo de Chile Poblano mediante dos mĂ©todos en condiciones protegidas; Esquivel, UrzĂșa y RamĂrez exploran el efecto de la biofertilizaciĂłn con Azospirillum en el crecimiento y producciĂłn de Jitomate; esbozan su artĂculo sobre la determinaciĂłn del nivel de Heterosis en hĂbridos de MaĂz para la Comarca Lagunera; una investigaciĂłn sobre la estabilizaciĂłn de semilla de Solanum lycopersicum durante el almacenamiento y estimulaciĂłn de la germinaciĂłn; acotan sobre el CTAB como una nueva opciĂłn para la detecciĂłn de Huanglongbing en cĂtricos, plantean su evaluaciĂłn sobre el aluminio y cĂłmo afecta la vida de florero de Heliconia psittacorum; indican sobre el impacto del H-564C, como un hĂbrido de maĂz con alta calidad de proteina para el trĂłpico hĂșmedo de MĂ©xico; presetan su investigaciĂłn sobre la producciĂłn de Piña Cayena Lisa y MD2 (Ananas comosus L.) en condiciones de Loma Bonita, en Oaxaca; acotan sobre el efecto de coberteras como control biolĂłgico por conservaciĂłn contra ĂĄfidos en Nogal Pecanero; esbozan sobre la caracterizaciĂłn de cuatro genotipos de Frijol Negro en MartĂnez de la Torre, Veracruz, MĂ©xico; presentan una caracterizaciĂłn hidroecolĂłgica de la microcuenca de Arroyo Prieto, YurirĂa, Gto., y alternativas para su restauraciĂłn ambiental; presentan su investigaciĂłn sobre el efecto del hongo Beauveria bassiana sobre solubilizaciĂłn de fosfatos y la disponibilidad de fĂłsforo en el suelo; plantean su investigaciĂłn sobre la GerminaciĂłn y regeneraciĂłn in vitro de Epidendrum falcatum LINDL; esbozan su artĂculo sobre genotipos de frijol negro y su tolerancia a sequĂa terminal en Veracruz, MĂ©xico
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprungâs disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprungâs disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36â39) and median bodyweight at presentation was 2·8 kg (2·3â3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
pâ€0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88â4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59â2·79], p<0·0001), sepsis at presentation (1·20
[1·04â1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4â5 vs ASA 1â2, 1·82 [1·40â2·35], p<0·0001; ASA 3 vs ASA 1â2, 1·58, [1·30â1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02â1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41â2·71], p=0·0001; parenteral nutrition 1·35, [1·05â1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47â0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50â0·86], p=0·0024) or percutaneous central line (0·69 [0·48â1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Very Intense Distinct Blue and Red Photoluminescence Emission in MgTiO3 Thin Films Prepared by the Polymeric Precursor Method: An Experimental and Theoretical Approach
MgTiO3 (MTO) thin films were prepared by the polymeric precursor method with posterior spin-coating deposition. The films were deposited on Pt(111)/Ti/SiO2/Si(100) substrates and heat treated at 350 degrees C for 2 h and then heat treated at 400, 450, 500, 550, 600, 650 and 700 C for 2 h. The degree of structural order disorder, optical properties, and morphology of the MTO thin films were investigated by X-ray diffraction (XRD), micro-Raman spectroscopy (MR), ultraviolet-visible (UV-vis) absorption spectroscopy, photoluminescence (PL) measurements, and field-emission gun scanning electron microscopy (FEG-SEM) to investigate the morphology. XRD revealed that an increase in the annealing temperature resulted in a structural organization of MTO thin films. First-principles quantum mechanical calculations based on density functional theory (B3LYP level) were employed to study the electronic structure of ordered and disordered asymmetric models. The electronic properties were analyzed, and the relevance of the present theoretical and experimental results was discussed in the light of PL behavior. The presence of localized electronic levels and a charge gradient in the band gap due to a break in the symmetry are responsible for the PL in disordered MTO lattice.CAPESCAPESFAPESP/CEPIDFAPESP/CEPID [98/14324-0]CNPqCNPqFAPESPFAPES