A modalidade de infusão da nutrição enteral influência a tolerância gastrointestinal do paciente em estado crítico? - revisão narrativa da literatura

Enteral nutrition (EN) is the preferred route to provide nutritional support in critically ill patients. Immunological and clinical benefits of EN are well documented, even if it is not exempt of complications, the modality used for its infusion being a factor that could contribute to gastrointestinal (GI) intolerance. GI intolerance results in discontinuation of the infusion, leading to caloric debt and a negative impact on nutritional status and clinical outcomes. The objective of this study was to evaluate the differences in GI tolerance between intermittent and continuous enteral feeding modalities in critically ill individuals.La nutrición enteral (NE) es la vía de elección para administrar soporte nutricional al paciente en estado crítico. Aunque los beneficios inmunológicos y clínicos de la NE se encuentran bien documentados, no está exenta de complicaciones; y la modalidad de infusión es un factor que podría contribuir a intolerancia gastrointestinal (GI). Esta última se relaciona con la interrupción de la infusión, lo que conlleva una menor adecuación nutrimental e impacta negativamente en el estado nutricional y los desenlaces clínicos. Esta revisión tiene como objetivo evaluar las diferencias en la tolerancia GI entre la modalidad de infusión intermitente/bolos y la infusión continua en individuos en estado crítico que reciben NEa nutrição enteral (NE) é a via de escolha para administrar suporte nutricional ao paciente em estado crítico. Embora os benefícios imunológicos e clínicos da NE estejam bem documentados, não é isenta de complicações; sendo a modalidade de infusão um fator que poderia contribuir para a intolerância gastrointestinal (GI). A intolerância GI está relacionada à interrupção da infusão que leva a uma menor adequação nutricional, impactando negativamente o estado nutricional e os desfechos clínicos. Esta revisão tem como objetivo avaliar as diferenças na tolerância GI entre a modalidade de infusão intermitente / bolus e a infusão contínua em indivíduos em estado crítico que recebem NE

Afectaciones en la producción de cerdos en una granja comercial en el noreste de México

ESPAÑOL: Al evaluar la productividad de cerdas de una granja comercial en el noreste de México para el número de parto, solamente se presentó un efecto (P< 0.05) sobre el intervalo destetecelo. Se presentó un efecto significativo (P <0.05) de la línea materna sobre el intervalo destete-celo y el intervalo entre partos. El grupo de año influyó sobre el intervalo destetecelo, y se obtuvieron los valores más bajos en los grupos 1992 -1994, 1995-1997 y 2004-2006. En cuanto a la época de servicio, no se encontraron efectos significativos para las variables estudiadas. Con relación a los factores ambientales es importante considerarlos desde el punto de vista reproductivo en este tipo de granja comercial. ENGLISH: In assessing the productivity of sows from a commercial farm in northeastern Mexico for parity number, only the effect on the interval from weaning to estrus was significant (P <0.05). There was a significant effect (P <0.05) in the maternal line on weaning-estrus interval and calving interval. Year group influenced the weaning-estrus interval, obtaining the lowest values in the groups 1992 -1994, 1995-1997, and 2004-2006. As for the time of service, no significant effects were found for the variables studied. With regard to environmental factors it is important to consider them from the point of view in this kind of commercial farms

Dataset of the adapted COVID stress scales for healthcare professionals of the northeast region of Mexico

The dataset presented examines the levels of stress persisting in healthcare professionals of the Northeast region of Mexico. Using an online platform to obtain data, a survey was developed and distributed through electronic means during a 6- week period covering July and August 2020, considered one of the periods with the highest reported COVID cases in Mexico. Our survey looked at six major stress developing areas: danger, fear of contamination, social economic consequences, xenophobia, compulsive checking and reassurance seeking, and traumatic stress; we added an extra question to assess fear of being an asymptomatic patient. The data was statistically analyzed looking for correlations and dependencies

The use of the CNIC-Polypill in real-life clinical practice: opportunities and challenges in patients at very high risk of atherosclerotic cardiovascular disease – expert panel meeting report

Although the cardiovascular (CV) polypill concept is not new and several guidelines state that a CV polypill should be considered an integral part of a comprehensive CV disease (CVD) prevention strategy, there are still some barriers to its implementation in the real-world setting, mainly in secondary CV prevention. As the CNIC-polypill is the only one approved for secondary CV prevention in patients with atherosclerotic CVD in 27 countries worldwide, a panel of four discussants and 30 participants from 18 countries conveyed in a virtual meeting on April 21, 2022, to discuss key clinical questions regarding the practical use of the CNIC-Polypill and barriers to its implementation. Data presented showed that, although the use of the CV polypill is not explicitly mentioned in the current 2021 European Society of Cardiology guidelines on CVD prevention, it may be used in any patient for secondary CVD prevention tolerating all their components to improve outcomes through different aspects. The favourable results of the Secondary Prevention of Cardiovascular Disease in the Elderly (SECURE) trial now reinforce this recommendation. The panellists presented algorithms on how to switch from any baseline regimen when starting treatment with the CNIC-polypill in different situations, including patients with hypertension, dyslipidaemia, and a previous CV event; at discharge after a cardiovascular event; in chronic ischemic conditions; and in cases of polypharmacy. The panellists and expert discussants did agree that available studies conducted so far with the CNIC-polypill demonstrate that it is as efficacious as the monocomponents, equipotent drugs, or other therapies; reduces the risk of experiencing recurrent major CV events; improves medication adherence; reduces health care costs and resources compared to patients treated with loose drugs; and the patients prefer it over the multipill strategy. In conclusion, the data presented by the participants provided the evidence behind the use of the CNIC-polypill to help fulfil the goal of encouraging its adoption by physicians.info:eu-repo/semantics/publishedVersio

Incorporating Breast Asymmetry Studies into CADx Systems

Breast cancer is one of the global leading causes of death among women, and an early detection is of uttermost importance to reduce mortality rates. Screening mammograms, in which radiologists rely only on their eyesight, are one of the most used early detection methods. However, characteristics, such as the asymmetry between breasts, a feature that could be very difficult to visually quantize, is key to breast cancer detection. Due to the highly heterogeneous and deformable structure of the breast itself, incorporating asymmetry measurements into an automated detection system is still a challenge. In this study, we proposed the use of a bilateral registration algorithm as an effective way to automatically measure mirror asymmetry. Furthermore, this information was fed to a machine learning algorithm to improve the accuracy of the model. In this study, 449 subjects (197 with calcifications, 207 with masses, and 45 healthy subjects) from a public database were used to train and evaluate the proposed methodology. Using this procedure, we were able to independently identify subjects with calcifications (accuracy = 0.825, AUC = 0.882) and masses (accuracy = 0.698, AUC = 0.807) from healthy subjects

La interdisciplina en el estudio de la forma urbana

Con esta edición se busca crear una plataforma analítica y de discusión sobre la importancia de la interdisciplina en el estudio de la forma de la ciudad. Por ello, en esta publicación se aborda el tema “Forma urbana e interdisciplina” a partir de cuatro ejes temáticos: Análisis y diagnósticos de la forma urbana; procesos históricos de la forma urbana; planes y proyectos urbanos e impactos en la forma urbana. Se espera que el material presentado cumpla con sus objetivos y que su lectura contribuya a ampliar el panorama de reflexión y discusión sobre el tema de la interdisciplina en el estudio de la forma urbana.Elizabeth Espinosa Dorantes; Christof Göbel; Salomón González Arrellano (sic), coordinadore

Al-Bustān. Las fincas aristocráticas y la construcción de los paisajes periurbanos de al-Ándalus y Sicilia

Navarro Palazón, Julio, editorLa presente publicación se enmarca en el Proyecto I+D+i «Almunias medievales en el Mediterráneo: Historia y conservación de los paisajes culturales periurbanos» (PID2019-111508GB-I00, dirigido por Julio Navarro Palazón), del Ministerio de Ciencia e Innovación. Agencia Estatal de Investigación. Proyectos de I+D+i, de los Programas Estatales de Generación de Conocimiento y fortalecimiento Científico y Tecnológico del Sistema de I+D+i y de I+D+i Orientada a los Retos de la Sociedad, del Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020. Esta obra es también un fruto destacado del trabajo realizado en el marco de la Unidad Asociada de I+D+i Patrimonio Cultural Árabe e Islámico, Consejo Superior de Investigaciones Científicas-Universidad de Granada, a través de la Escuela de Estudios Árabes de Granad