Rosmarinus Officinalis Leaves as a Natural Source of Bioactive Compounds

In an extensive search for bioactive compounds from plant sources, the composition of different extracts of rosemary leaves collected from different geographical zones of Serbia was studied. The qualitative and quantitative characterization of 20 rosemary (Rosmarinus officinalis) samples, obtained by microwave-assisted extraction (MAE), was determined by high performance liquid chromatography coupled to electrospray quadrupole-time of flight mass spectrometry (HPLC–ESI-QTOF-MS). The high mass accuracy and true isotopic pattern in both MS and MS/MS spectra provided by the QTOF-MS analyzer enabled the characterization of a wide range of phenolic compounds in the extracts, including flavonoids, phenolic diterpenes and abietan-type triterpenoids, among others. According to the data compiled, rosemary samples from Sokobanja presented the highest levels in flavonoids and other compounds such as carnosol, rosmaridiphenol, rosmadial, rosmarinic acid, and carnosic acid. On the other hand, higher contents in triterpenes were found in the extracts of rosemary from Gložan (Vojvodina).This work was financially supported by the Ministry of Education, Science and Technological Development of the Republic of Serbia through a national project (Project Number TR 31014) and through scientific and technological cooperation between the Republic of Serbia and Spain (Project Number RE451-03-02635/2011-14/4). The authors are also grateful to the Spanish Ministry of Science and Innovation for the project AGL2011-29857-C03-02 and the grant FPI BES-2009-028128, Andalusian Regional Government Council of Innovation and Science for the Excellence Projects P09-CTS-4564, P10-FQM-6563 and P11-CTS-762

Electrical stimulation with non-implanted electrodes for overactive bladder in adults

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Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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 Hirschsprung's 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 Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income 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 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). 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 low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤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 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, 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

Severe Impact and Subsequent Recovery of a Coral Assemblage following the 1997–8 El Niño Event: A 17-Year Study from Bahia, Brazil

The coral reefs of northern Bahia evolved in isolation from other Atlantic systems and under conditions of high environmental stress, particularly high turbidity. We have monitored the scleractinian assemblage of four shallow bank reefs (Praia do Forte, Itacimirim, Guarajuba and Abai) annually for 17 years since 1995, collecting quantitative data on diversity and density of coral colonies. As the sampling period included the 1997-8 El Niño event, the most severe on record, for the first time these results allow a quantitative assessment of the long-term impact of this major environmental stressor on such a coral assemblage. After El Niño, most species showed significantly reduced densities of colonies, this decline occurring for the subsequent two years without evidence of any new settlement until 2001. From 2000 to 2007 the species Porites astreoides went unrecorded. Recovery was slow, and multivariate analysis revealed that assemblages had not returned to the pre-El Niño state until 2011. It therefore took 13 years for full recovery of the coral assemblage to occur, which has consequences for reef systems if such El-Niño events become more frequent in the future

Organic Coffee Supply Chain Management in the San Martin Region of Peru

The paper is to explore a model of supply chain management organic coffee in San Martin Region, which was by a long-term research project for organic coffee supply chain management in Peru. The investigation was consolidated with items of researchers who have experiences in the evaluation and analysis of the supply chain of agricultural products worldwide; on the other hand, it is also taken into account the risks affecting the development and fluency through whole supply chain. The contributions here is proposed model of supply chain management organic coffee is suitable for exploring external and internal problems encountered decrease the efficiency of the supply chain. The model is important to analyze and require observations of specialists to collaborate to perform basic modeling that can help solve the problems that improving processes and organizations in the coffee farmers’ cooperatives in the domestic and foreign market, and achieve recognition for their quality and sustainability in Peru.Revisión por pare