“Nivel de conocimiento en pacientes afectados de tuberculosis en el Centro de Salud María Teresa de Calcuta. Enero - Junio 2015”

Introducción: El Perú es uno de los países de América Latina con mayor incidencia y morbilidad de tuberculosis (TBC), está relacionada a diferentes factores sociales y económicos que dificultan una adecuada respuesta para contrarrestarla. Objetivo: Determinar Nivel de conocimiento en pacientes afectados con TBC del Centro de Salud María Teresa de Calcuta en Enero a Junio del 2015. Metodología: Estudio cuantitativo, descriptivo, transversal con recolección de datos prospectiva en una población de 76 pacientes con TBC en tratamiento del Centro de Salud que cumplan nuestros criterios de inclusión y exclusión, para medir las variables se usó una encuesta validada. El análisis será con un p<0,05 como significativo y un intervalo de confianza del 95%. Resultados: 66% de los encuestados son del género masculino. El nivel de conocimiento de TBC es medio alto, el grado de instrucción si influye en el nivel de conocimientos sobre la tuberculosisCentro de Salud María Teresa de CalcutaTesi

Methodological approaches to the study of cancer risk in the vicinity of pollution sources: the experience of a population-based case–control study of childhood cancer

Background: Environmental exposures are related to the risk of some types of cancer, and children are the most vulnerable group of people. This study seeks to present the methodological approaches used in the papers of our group about risk of childhood cancers in the vicinity of pollution sources (industrial and urban sites). A populationbased case–control study of incident childhood cancers in Spain and their relationship with residential proximity to industrial and urban areas was designed. Two methodological approaches using mixed multiple unconditional logistic regression models to estimate odds ratios (ORs) and 95% confdence intervals (95% CIs) were developed: (a) “near vs. far” analysis, where possible excess risks of cancers in children living near (“near”) versus those living far (“far”) from industrial and urban areas were assessed; and (b) “risk gradient” analysis, where the risk gradient in the vicinity of industries was assessed. For each one of the two approaches, three strategies of analysis were implemented: “joint”, “stratifed”, and “individualized” analysis. Incident cases were obtained from the Spanish Registry of Childhood Cancer (between 1996 and 2011). Results: Applying this methodology, associations between proximity (≤2 km) to specifc industrial and urban zones and risk (OR; 95% CI) of leukemias (1.31; 1.04–1.65 for industrial areas, and 1.28; 1.00–1.53 for urban areas), neuroblastoma (2.12; 1.18–3.83 for both industrial and urban areas), and renal (2.02; 1.16–3.52 for industrial areas) and bone (4.02; 1.73–9.34 for urban areas) tumors have been suggested. Conclusions: The two methodological approaches were used as a very useful and fexible tool to analyze the excess risk of childhood cancers in the vicinity of industrial and urban areas, which can be extrapolated and generalized to other cancers and chronic diseases, and adapted to other types of pollution sources

Identificação e mapeamento de fatores de risco na proliferação do rato de esgoto (Rattus norvegicus) nas áreas urbanas

With the aim of providing a deeper insight into the potential risks derived from the close cohabitation of people and rats in cities, the objectives of the present study focused on the identification and mapping of factors contributing to the proliferation of urban pests.The methodology was supported by an extensive literature review about causal factors, the experience of officials and experts working in the field, and analysis of the spatial distribution of the previously identified factors.Brainstorming sessions, together with a survey among experts and officials, provided the basis for weighting factors. Data about these factors were implemented on a GIS, which in turn constituted the basis for the spatial analysis and mapping of such factors.Con el objetivo de proporcionar una visión más profunda de los riesgos potenciales derivados de la interrelación de las propias personas y de las ratas en las ciudades, los objetivos del estudio que se presenta se centran en la identificación y cartografíado de los factores que contribuyen a la proliferación de plagas urbanas.La metodología se basó en una extensa revisión bibliográfica acerca de los factores predisponentes/causales, en la experiencia de los profesionales y expertos involucrados en la gestión de plagas y en el análisis de la distribución espacial de los factores previamente identificados.Sesiones de tormenta de ideas, así como una encuesta entre expertos y profesionales constituyeron la base para la ponderación de los factores. Estos factores fueron georreferenciados e integrados en un sistema de información geográfica (SIG), que a su vez constituyó la base para el análisis espacial y cartografía de tales factores.Com intuito de proporcionar uma visão mais profunda sobre os riscos potenciais decorrentes na coexistência das próprias pessoas e dos ratos nas cidades, os objetivos do presente estudo incidem na identificação e mapeamento dos fatores que contribuem para a proliferação das pragas urbanas.A metodologia foi baseada numa extensa revisão da literatura sobre os fatores predisponentes/causais, na experiência dos profissionais e especialistas na gestão de pragas e na análise da distribuição espacial dos fatores identificados.Sessões de brainstorming, bem como uma pesquisa entre os especialistas e profissionais formaram a base para a ponderação dos fatores. Esses fatores foram georreferenciados e integrados num SIG, que serviu de base para a análise espacial e mapeamento dos mesmos

Childhood leukaemia risk and residential proximity to busy roads

BACKGROUND: Current evidence suggests that childhood leukaemia can be associated with residential traffic exposure; nevertheless, more results are needed to support this conclusion. OBJECTIVES: To ascertain the possible effects of residential proximity to road traffic on childhood leukaemia, taking into account traffic density, road proximity and the type of leukaemia (acute lymphoid leukaemia or acute myeloid leukaemia). METHODS: We conducted a population-based case-control study of childhood leukaemia in Spain, covering the period 1990-2011. It included 1061 incidence cases gathered from the Spanish National Childhood Cancer Registry and those Autonomous Regions with 100% coverage, and 6447 controls, individually matched by year of birth, sex and autonomous region of residence. Distances were computed from the respective participant's residential locations to the different types of roads and four different buffers. Using logistic regression, odds ratios (ORs) and 95% confidence intervals (95%CIs), were calculated for four different categories of distance to roads. RESULTS: Cases of childhood leukaemia had more than three-fold increased odds of living at <50 m of the busiest motorways compared to controls (OR = 2.90; 95%CI = 1.30-6.49). The estimates for acute lymphoid leukaemia (ALL) were slightly higher (OR = 2.95; 95%CI = 1.22-7.14), while estimates for cases with the same address at birth and at diagnosis were lower (OR = 2.40; 95%CI = 0.70-8.30). CONCLUSIONS: Our study agrees with the literature and furnishes some evidence that living near a busy motorway could be a risk factor for childhood leukaemia.This study was funded by Spain's Health Research Fund, Spain (Fondo de Investigación Sanitaria - FIS 12/01416 and FIS CP11/00112), Carlos III Health Institute, Spain Grand EPY 1344/16 and Scientific Foundation of the Spanish Association Against Cancer, Spain (Fundación Científica de la Asociación Española Contra el Cáncer (AECC) – EVP-1178/14). This article presents independent research. The views expressed are those of the authors and not necessarily those of the Carlos III Institute of Health.S

Conversion of HDPE into Value Products by Fast Pyrolysis Using FCC Spent Catalysts in a Fountain Confined Conical Spouted Bed Reactor

Continuous catalytic cracking of polyethylene over a spent fluid catalytic cracking (FCC) catalyst was studied in a conical spouted bed reactor (CSBR) with fountain confiner and draft tube. The effect of temperature (475-600 degrees C) and space-time (7-45 g(cat) min g(HDPE)(-1)) on product distribution was analyzed. The CSBR allows operating with continuous plastic feed without defluidization problems and is especially suitable for catalytic pyrolysis with high catalyst efficiency. Thus, high catalyst activity was observed, with waxes yield being negligible above 550 degrees C. The main product fraction obtained in the catalytic cracking was made up of C-5-C-11 hydrocarbons, with olefins being the main components. However, its yield decreased as temperature and residence time were increased, which was due to reactions involving cracking, hydrogen transfer, cyclization, and aromatization, leading to light hydrocarbons, paraffins, and aromatics. The proposed strategy is of great environmental relevance, as plastics are recycled using an industrial waste (spent FCC catalyst).This work was carried out with the financial support from Spain's ministries of Science, Innovation and Universities RTI2018-101678-BI00(MCIU/AEI/FEDER, UE) and RTI2018-098283-JI00(MCIU/AEI/FEDER, UE)) and Science and Innovation (PID2019-107357RB-I00 (MCI/AEI/FEDER, UE)), the European Union's Horizon 2020 research and innovation programme under the Marie Skodowska-Curie grant agreement No. 823745, and the Basque Government (IT1218-19 and KK-2020/00107)

Residential proximity to environmental pollution sources and risk of rare tumors in children

Background: Few epidemiologic studies have explored risk factors for rare tumors in children, and the role of environmental factors needs to be assessed. Objectives: To ascertain the effect of residential proximity to both industrial and urban areas on childhood cancer risk, taking industrial groups into account. Methods: We conducted a population-based case-control study of five childhood cancers in Spain (retinoblastoma, hepatic tumors, soft tissue sarcomas, germ cell tumors, and other epithelial neoplasms/melanomas), including 557 incident cases from the Spanish Registry of Childhood Tumors (period 1996-2011), and 3342 controls individually matched by year of birth, sex, and region of residence. Distances were computed from the residences to the 1271 industries and the 30 urban areas with ≥75,000 inhabitants located in the study area. Using logistic regression, odds ratios (ORs) and 95% confidence intervals (95%CIs) for categories of distance to industrial and urban pollution sources were calculated, with adjustment for matching variables and socioeconomic confounders. Results: Children living near industrial and urban areas as a whole showed no excess risk for any of the tumors analyzed. However, isolated statistical associations (OR; 95%CI) were found between retinoblastoma and proximity to industries involved in glass and mineral fibers (2.49; 1.01-6.12 at 3km) and organic chemical industries (2.54; 1.10-5.90 at 2km). Moreover, soft tissue sarcomas registered the lower risks in the environs of industries as a whole (0.59; 0.38-0.93 at 4km). Conclusions: We have found isolated statistical associations between retinoblastoma and proximity to industries involved in glass and mineral fibers and organic chemical industries.This study was funded by Spain's Health Research Fund (Fondo de Investigación Sanitaria - FIS 12/01416) and Scientific Foundation of the Spanish Association Against Cancer (Fundación Científica de la Asociación Española Contra el Cáncer (AECC) – EVP-1178/14).N

Appraisal of agroforestry biomass wastes for hydrogen production by an integrated process of fast pyrolysis and in line steam reforming

The pyrolysis and in line steam reforming of different types of representative agroforestry biomass wastes (pine wood, citrus wastes and rice husk) was performed in a two-reactor system made up of a conical spouted bed and a fluidized bed. The pyrolysis step was carried out at 500 °C, and the steam reforming at 600 °C with a space time of 20 gcatalyst min gvolatiles−1 and a steam/biomass ratio (S/B) of 4. A study was conducted on the effect that the pyrolysis volatiles composition obtained with several biomasses has on the reforming conversion, product yields and H2 production. The different composition of the pyrolysis volatiles obtained with the three biomasses studied led to differences in the initial activity and, especially, in the catalyst deactivation rate. Initial conversions higher than 99% were obtained in all cases and the H2 production obtained varied in the 6.7–11.2 wt% range, depending on the feedstock used. The stability of the catalysts decreased depending on the feedstock as follows: pine wood ≫ citrus waste > rice husk. A detailed assessment of the mechanisms of catalyst deactivation revealed that coke deposition is the main cause of catalyst decay in all the runs. However, the volatile composition derived from the pyrolysis of citrus waste and rice husk involved the formation of an encapsulating coke, which severely blocked the catalyst pores, leading to catalyst deactivation during the first minutes of reaction.his work was carried out with the financial support of the grants PID2022-140704OB-I00 and PID2022-139454OB-I00 funded by MCIU/AEI/10.13039/501100011033 and “ERDF, a way of making Europe”, the grants TED 2021-132056B–I00 and PLEC 2021-008062 funded by MCIN/AEI/10.13039/501100011033 and “European Union NextGenerationEU/PRTR”, and the grants IT1645-22 and KK-2023/00060 funded by the Basque Government. Moreover, this project has received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No. 823745

Effect of CeO2 and MgO promoters on the performance of a Ni/Al2O3 catalyst in the steam reforming of biomass pyrolysis volatiles

A Ni/Al2O3 catalyst has been modified incorporating CeO2 and MgO promoters in order to improve its performance in the steam reforming of biomass pyrolysis volatiles. Ni/Al2O3, Ni/CeO2-Al2O3 and Ni/MgO-Al2O3 catalysts have been prepared and fresh and deactivated catalysts have been characterized by N2 adsorption/ desorption, X-ray Fluorescence (XRF), Temperature Programmed Reduction (TPR), X-ray powder diffraction (XRD), Temperature Programmed Oxidation (TPO), Transmission Electron Microscopy (TEM) and a technique based on Fourier Transform Infrared Spectroscopy-Temperature Programmed Oxidation (FTIR-TPO). The results obtained revealed a similar initial activity for the three catalysts tested (conversion higher than 98%), whereas stability has been greatly improved by incorporating CeO2 as promoter, as it enhances the gasification of coke precursors. However, Ni/MgO-Al2O3 catalyst is slightly less stable than Ni/Al2O3, presumably as a result of its lower reducibility due to the formation of MgAl2O4 spinel phase. Catalysts deactivation has been associated with coke deposition, although sintering phenomenon became also evident when the Ni/CeO2-Al2O3 catalyst was tested. The coke deposited on the catalysts does not present any specific morphology, which is evidence of its amorphous structure in the three catalysts studied.This work was carried out with financial support from the Ministry of Economy and Competitiveness of the Spanish Government (CTQ2016-75535-R (AEI/FEDER, UE) and CTQ-2015-69436-R (MINECO/FEDER, UE)), Ministry of Science, Innovation and Universities of the Spanish Government (RTI2018-101678-B-I00 (MCIU/AEI/FEDER, UE)), the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 823745, and the Basque Government (IT1218-19)

Syngas production by bio-oil steam gasification in a fountain confined conical spouted bed reactor

The combination of delocalized units for the fast pyrolysis of biomass to produce bio-oil followed by centralized units for the gasification of bio-oil appears as an economically attractive option for the full-scale production of syngas because transportation of bio-oil is less costly than that of biomass. First goal of this study lies in the validation of a bio-oil feeding device made up of a line-thermostated at 60–80 °C and a non-atomizing injector cooled by water. This injector allows feeding the crude bio-oil in continuous mode into the conical spouted bed reactor without being clogged by the pyrolytic lignin in the bio-oil. The effect of gasification temperature on gas properties, tar composition, and carbon conversion efficiency were assessed in the 800–900 °C range. The results show that temperature promotes tar reduction (from 40.7 to 12.5 g/Nm3), carbon conversion efficiency (from 91.2 to 96.3 %) and gas yield (from 1.37 to 1.85 Nm3/kg on a dry basis) as temperature is increased from 800 to 900 °C. A novel aspect of this study is the detailed characterization of the tar evolution with temperature, which, to our knowledge, is an aspect that has not been approached in the literature related to raw bio-oil gasification.This work was carried out with the financial support from Spaińs ministries of Science and Innovation (PID2019-107357RB-I00 (MCIU/AEI/FEDER, UE), TED2021-132056B-I00 (MCI/AEI/FEDER, UE) and PLE21210-008062 (European Union Next GenerationEU/PRTR)) and the Basque Government (IT1645-22). Moreover, this project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 823745

Brønsted Acid versus Phase-Transfer Catalysis in the Enantioselective Transannular Aminohalogenation of Enesultams

We have studied the enantioselective transannular aminohalogenation reaction of unsaturated medium-sized cyclic benzosulfonamides by using both chiral Brønsted acid and phase-transfer catalysis. Under optimized conditions, a variety of bicyclic adducts can be obtained with good yields and high enantioselectivities. The mechanism of the reaction was also studied by using computational tools; we observed that the reaction involves the participation of a conformer of the nine-membered cyclic substrate with planar chirality in which the stereochemical outcome is controlled by the relative reactivity of the two pseudorotational enantiomers when interacting with the chiral catalyst