Secado del fruto de coco o mbokaja ― Acrocomia aculeata ― en secadero tipo silo para la obtención del aceite de pulpa de coco de grado alimenticio

El coco o Mbokaja – Acrocomia Aculeata – es de origen nativo de Paraguay, pertenece a la familia de las Arecaceaes, el fruto se compone principalmente de pulpa con un porcentaje entre 30 – 40% del peso del fruto siendo esta fibrosa, mucilaginosa, de coloración amarilla blanquecina, rica en glicéridos, con un contenido de aceite que varía entre 20 – 47%. La pulpa presenta un elevado contenido de humedad, principal problema en la extracción de aceite, por ello se debe reducir la misma al 9% para evitar la formación de emulsiones entre el agua y la grasa en la superficie de las partículas. El aceite de pulpa posee un alto contenido de ácido oleico y ácido palmítico, similares al aceite de oliva, lo que lo vuelve deseable en la industria alimenticia. Actualmente el aceite obtenido de la pulpa de coco es de baja calidad debido a las malas condiciones de almacenamiento y secado. Este trabajo evaluó mediante el análisis de varianza (ANOVA), basado en el diseño factorial 22 , la influencia que presentan las condiciones de secado, variación de la temperatura (75 y120 ˚C) y el caudal de aire a la entrada del secadero (0,0225 y 0,0273 m3 /s) sobre los parámetros de calidad del aceite extraído de pulpa, tal que sea de grado alimenticio, reduciendo la humedad inicial de la pulpa desde 47 ± 8,5% hasta un valor menor o igual al 9%. Se realizaron los análisis del índice de acidez y rancidez oxidativa al aceite de pulpa obtenido mediante extracción con solvente hexano. Además, se determinó la influencia que presentan los parámetros operacionales, sobre el tiempo de secado como variable de respuesta. Se observó que presentan significancia sobre el índice de acidez del aceite, el caudal de aire y la interacción doble entre la temperatura – caudal de aire, no así la temperatura como variable lineal, sin embargo, ésta es la única que presenta significancia sobre el tiempo de secado. Los resultados de los análisis referidos a los parámetros de calidad del aceite extraído de pulpa, se encontraron dentro de los rangos establecidos por las normas, por lo que el aceite obtenido es considerado de grado alimenticio.CONACYT – Consejo Nacional de Ciencia y TecnologíaPROCIENCI

Feasibility Study of Neoadjuvant Olaparib for Frontline BRCA Mutant Ovarian Cancer

https://openworks.mdanderson.org/sumexp22/1095/thumbnail.jp

LEVER Trial: Levonorgestrel Intrauterine Device Alone or in Combination with an mTORC1 Inhibitor to Overcome Progesterone Resistance in Atypical Hyperplasia or Stage Ia Grade 1 Endometrioid Endometrial Cancer

https://openworks.mdanderson.org/sumexp21/1162/thumbnail.jp

Effect of Medicaid expansion on cancer treatment and survival among Medicaid beneficiaries and the uninsured

BackgroundThe Affordable Care Act expanded Medicaid coverage for people with low income in the United States. Expanded insurance coverage could promote more timely access to cancer treatment, which could improve overall survival (OS), yet the long-term effects of Medicaid expansion (ME) remain unknown. We evaluated whether ME was associated with improved timely treatment initiation (TTI) and 3-year OS among patients with breast, cervical, colon, and lung cancers who were affected by the policy.MethodsMedicaid-insured or uninsured patients aged 40-64 with stage I-III breast, cervical, colon, or non-small cell lung cancer within the National Cancer Database (NCDB). A difference-in-differences (DID) approach was used to compare changes in TTI (within 60 days) and 3-year OS between patients in ME states versus nonexpansion (NE) states before (2010-2013) and after (2015-2018) ME. Adjusted DID estimates for TTI and 3-year OS were calculated using multivariable linear regression and Cox proportional hazards regression models, respectively.ResultsME was associated with a relative increase in TTI within 60 days for breast (DID = 4.6; p < 0.001), cervical (DID = 5.0 p = 0.013), and colon (DID = 4.0, p = 0.008), but not lung cancer (p = 0.505). In Cox regression analysis, ME was associated with improved 3-year OS for breast (DID hazard ratio [HR] = 0.82, p = 0.009), cervical (DID-HR = 0.81, p = 0.048), and lung (DID-HR = 0.87, p = 0.003). Changes in 3-year OS for colon cancer were not statistically different between ME and NE states (DID-HR, 0.77; p = 0.075).ConclusionsFindings suggest that expanded insurance coverage can improve treatment and survival outcomes among low income and uninsured patients with cancer. As the debate surrounding ME continues nationwide, our findings serve as valuable insights to inform the development of policies aimed at fostering accessible and affordable healthcare for all

Levonorgestrel Intrauterine Systems for Primary Prevention and Treatment of Endometrial Hyperplasia and Endometrial Cancer: A Systematic Review

https://openworks.mdanderson.org/sumexp23/1066/thumbnail.jp

Promoter Hypermethylation of FANCF: Disruption of Fanconi Anemia-BRCA Pathway in Cervical Cancer

Patients with advanced stage invasive cervical cancer (CC) exhibit highly complex genomic alterations and respond poorly to conventional treatment protocols. In our efforts to understand the molecular genetic basis of CC, we examined the role of Fanconi Anemia (FA)-BRCA pathway. Here, we show that FANCF gene is disrupted by either promoter hypermethylation and/or deregulated gene expression in a majority of CC. Inhibition of DNA methy- lation and histone deacetylases induces FANCF gene re-expression in CC cell lines. FANCF-deregulated CC cell lines also exhibit a chromosomal hyper- sensitivity phenotype after exposure to an alkylating agent, a characteristic of FA patients. We also show the involvement of BRCA1 gene by promoter hypermethylation or down-regulated expression in a small subset of CC patients. Thus, we have found inactivation of genes in the FA-BRCA pathway by epigenetic alterations in a high proportion of CC patients, suggesting a major role for this pathway in the development of cervical cancer. Thus, these results have important implications in understanding the molecular basis of CC tumorigenesis and clinical management in designing targeted experimen- tal therapeutic protocols

Enhanced estrogen-induced proliferation in obese rat endometrium.

OBJECTIVE: We tested the hypothesis that the proliferative estrogen effect on the endometrium is enhanced in obese vs lean animals. STUDY DESIGN: Using Zucker fa/fa obese rats and lean control, we examined endometrial cell proliferation and the expression patterns of certain estrogen-regulated proproliferative and antiproliferative genes after short-term treatment with estradiol. RESULTS: No significant morphologic/histologic difference was seen between the obese rats and the lean rats. Estrogen-induced proproliferative genes cyclin A and c-Myc messenger RNA expression were significantly higher in the endometrium of obese rats compared with those of the lean control. Expression of the antiproliferative gene p27Kip1 was suppressed by estrogen treatment in both obese and lean rats; however, the decrease was more pronounced in obese rats. Estrogen more strongly induced the antiproliferative genes retinaldehyde dehydrogenases 2 and secreted frizzled-related protein 4 in lean rats but had little or no effect in obese rats. CONCLUSION: Enhancement of estrogen-induced endometrial proproliferative gene expression and suppression of antiproliferative gene expression was seen in the endometrium of obese vs lean animals

Northern Eurasian large lakes history: sediment records obtained in the frame of Russian-German research project PLOT

Russian-German project PLOT (Paleolimnological Transect) aims at investigating the regional responses of the quaternary climate and environment on external forcing and feedback mechanisms along a more than 6000 km long longitudinal transect crossing Northern Eurasia. The well-dated record from Lake El´gygytgyn used as reference site for comparison the local climatic and environmental histories. Seismic surveys and sediment coring up to 54 m below lake floor performed in the frame of the project on Ladoga Lake (North-West of Russia; 2013), Lake Bolshoye Shchuchye (Polar Ural; 2016), Lake Levinson-Lessing and Lake Taymyr (Taymyr Peninsula; 2016-2017), Lake Emanda (Verkhoyansk Range; 2017). Fieldwork at Polar Ural and Taymyr Peninsula was conducted in collaboration with the Russian-Norwegian CHASE (Climate History along the Arctic Seaboard of Eurasia) project. Here, we present the major results of the project obtained so far

Primary ChAdOx1 vaccination does not reactivate pre-existing, cross-reactive immunity

Currently available COVID-19 vaccines include inactivated virus, live attenuated virus, mRNA-based, viral vectored and adjuvanted protein-subunit-based vaccines. All of them contain the spike glycoprotein as the main immunogen and result in reduced disease severity upon SARS-CoV-2 infection. While we and others have shown that mRNA-based vaccination reactivates pre-existing, cross-reactive immunity, the effect of vector vaccines in this regard is unknown. Here, we studied cellular and humoral responses in heterologous adenovirus-vector-based ChAdOx1 nCOV-19 (AZ; Vaxzeria, AstraZeneca) and mRNA-based BNT162b2 (BNT; Comirnaty, BioNTech/Pfizer) vaccination and compared it to a homologous BNT vaccination regimen. AZ primary vaccination did not lead to measurable reactivation of cross-reactive cellular and humoral immunity compared to BNT primary vaccination. Moreover, humoral immunity induced by primary vaccination with AZ displayed differences in linear spike peptide epitope coverage and a lack of anti-S2 IgG antibodies. Contrary to primary AZ vaccination, secondary vaccination with BNT reactivated pre-existing, cross-reactive immunity, comparable to homologous primary and secondary mRNA vaccination. While induced anti-S1 IgG antibody titers were higher after heterologous vaccination, induced CD4(+) T cell responses were highest in homologous vaccinated. However, the overall TCR repertoire breadth was comparable between heterologous AZ-BNT-vaccinated and homologous BNT-BNT-vaccinated individuals, matching TCR repertoire breadths after SARS-CoV-2 infection, too. The reasons why AZ and BNT primary vaccination elicits different immune response patterns to essentially the same antigen, and the associated benefits and risks, need further investigation to inform vaccine and vaccination schedule development

The association between preoperative anemia and postoperative morbidity in pediatric surgical patients : a secondary analysis of a prospective observational cohort study

BACKGROUND : The prevalence of anemia in the South African pediatric surgical population is unknown. Anemia may be associated with increased postoperative complications. We are unaware of studies documenting these findings in patients in low- and middle-income countries (LMICs). AIM : The primary aim of this study was to describe the association between preoperative anemia and 26 defined postoperative complications, in noncardiac pediatric surgical patients. Secondary aims included describing the prevalence of anemia and risk factors for intraoperative blood transfusion. METHOD : This was a secondary analysis of the South African Paediatric Surgical Outcomes Study, a prospective, observational surgical outcomes study. Inclusion criteria were all consecutive patients aged between 6 months and <16 years, presenting to participating centers during the study period who underwent elective and nonelective noncardiac surgery and had a preoperative hemoglobin recorded. Exclusion criteria were patients aged <6 months, undergoing cardiac surgery, or without a preoperative Hb recorded. To determine whether an independent association existed between preoperative anemia and postoperative complications, a hierarchical stepwise logistic regression was conducted. RESULTS : There were 1094 eligible patients. In children in whom a preoperative Hb was recorded 46.2% had preoperative anemia. Preoperative anemia was independently associated with an increased risk of any postoperative complication (odds ratio 2.0, 95% confidence interval: 1.3-3.1, P = .002). Preoperative anemia (odds ratio 3.6, 95% confidence interval: 1.8-7.1, P < .001) was an independent predictor of intraoperative blood transfusion. CONCLUSION : Preoperative anemia had a high prevalence in a LMIC and was associated with increased postoperative complications. The main limitation of our study is the ability to generalize the results to the wider pediatric surgical population, as these findings only relate to children in whom a preoperative Hb was recorded. Prospective studies are required to determine whether correction of preoperative anemia reduces morbidity and mortality in children undergoing noncardiac surgery.http://wileyonlinelibrary.com/journal/panhj2021Anaesthesiolog