13 research outputs found
Strategies to reduce the sugar content of dairy products targeted at children
Childrenâs sugar intake has raised concern worldwide as it exceeds nutritional recommendations. Although sugars are naturally present in food, sugars added to foods during industrial processing are currently the main source of sugar in children's diets. In particular, dairy products, which are generally recommended to be part of children diets, have drawn attention due to their high content of sugar. In this context, the main objective of this thesis was to explore different sugar reduction strategies in dairy products targeted at children. Results showed that sugar reduction of dairy products targeted at children available in the Uruguayan marketplace is possible. A direct sugar reduction up to 25% did not have a significant impact on children hedonic perception in three dairy products. Meanwhile the use of taste-odor-texture cross-modal interactions allowed to minimize the impact of sugar reduction on the sensory characteristics of dairy desserts. Co-creation with children was identified as a feasible approach to develop innovative healthy dairy products with high acceptance among children. Finally, package information influenced parentâs healthiness perception and choice of snacks for their children, stressing that packaging regulations should play a key role as part of the comprehensive set of strategies that should be implemented to reduce children's sugar intake. Overall, results from this work provide useful insights to food scientists for the development of sugar reduced products targeted at children, as well as valuable information for policy makers to design programs to reduce childrenâs sugar intake at population level
POR UNA CULTURA DE PAZ: UNA MIRADA DESDE LAS CIENCIAS DE LA CONDUCTA
Enâ© virtudâ© deâ© loâ© anterior,â© losâ© estudiososâ© deâ© lasâ© cienciasâ© deâ© laâ© conductaâ© â©deâ© laâ© Universidadâ©AutĂłnoma â©delâ© Estado â©de â©MĂ©xico,â©â©ante â©laâ©persistenciaâ© y â©proliferaciĂłnâ© deâ© estos â©hechosâ© enâ© diversasâ© partesâ© delâ©Mundoâ© yâ© deâ© nuestro â©paĂs â©en â©particular, seâ© convocĂłâ© aâ© losâ© estudiososâ© interesadosâ© yâ© aâ© laâ© sociedadâ© enâ© generalâ© aâ© presentarâ© trabajosâ© paraâ© analizar,â© debatirâ© yâ© proponerâ© estrategiasâ© deâ© acciĂłnâ© yâ© direcciĂłn,â© queâ©
fortalezcanâ© unaâ© convivencia y bienestar con sentido humanista para una cultura de paz.
Elâ© presenteâ© textoâ© esâ© productoâ© de â©esta convocatoria â©queâ© recoge â©losâ©trabajos â©de â©â©losâ© interesados â©en â©laâ© temĂĄtica,â©â© deâ© diferentes â©paĂsesâ©(España,â©Argentina,â©Cuba,â©Brasil,â©Costaâ© Ricaâ© yâ© MĂ©xico)â© retomandoâ© conâ© elloâ© susâ© experienciasâ© relativasâ© alâ© estudio,â© anĂĄlisis,â© comprensiĂłnâ© eâ© instrumentaciĂłnâ© deâ© laâ© culturaâ© deâ© pazâ© enâ© losâ© distintosâ© ĂĄmbitosâ© institucionalesâ© enâ© losâ© queâ© participan:â© educativo,â© salud,â© penitenciario,â©
social,â©laboral,â©familia,â©alimentario,â©psicolĂłgico,â©por â©mencionar â©algunos.â©
Elâ© presenteâ© libro,â© propiciaâ© unâ© espacioâ© deâ© reflexiĂłn,â© diĂĄlogoâ© yâ© posicionamientoâ© deâ© las â©ciencias â©de â©la â©conductaâ© para â©la â©apropiaciĂłn,â©anĂĄlisis,â©debateâ© y â©propuestas â©queâ© fortalezcan â©unaâ© culturaâ© de â©pazâ© aâ©travĂ©sâ© de â©laâ© convivencia â©yâ© el â©bienestarâ© social â©conâ© sentido â©humanista.â©Elâ© sistema â©econĂłmicoâ© neoliberalâ© y â©el â©procesoâ© de â©globalizaciĂłn â©hanâ© contribuidoâ©alâ© logroâ© deâ© avancesâ© significativosâ© enâ© laâ© cienciaâ© yâ© laâ© tecnologĂa,â© peroâ© tambiĂ©nâ© hanâ© propiciadoâ© laâ© polarizaciĂłnâ© deâ© lasâ© sociedadesâ© loâ© queâ© haâ© impactadoâ© deâ© maneraâ© negativaâ© aâ© laâ© sociedadâ© enâ© suâ© conjunto,â© peroâ© enâ© mayorâ© medidaâ© aâ© los gruposâ© vulnerables. Dichaâ© polarizaciĂłnâ© haâ© traĂdoâ© consigoâ© unâ© desarrolloâ© desigualâ© delâ© mundoâ© queâ© seâ© expresaâ© deâ© diferentesâ© manerasâ© tantoâ© enâ© paĂsesâ© desarrolladosâ© comoâ© enâ© losâ© llamadosâ© delâ© tercerâ© mundo,â© enâ© dondeâ© noâ© estĂĄnâ© satisfechasâ© lasâ© necesidadesâ© humanas â©elementalesâ© deâ© todos â©losâ©sectores â©de â©la â©poblaciĂłn,â©siempre â©falta â©algo. â©Si â©aâ© esto â©leâ© sumamos â©losâ©conflictosâ© internacionales porâ© diferentesâ© motivosâ© queâ© enfrentanâ© algunasâ© naciones,â© unaâ© insuficienteâ© coberturaâ© educativaâ© yâ© deâ© salud,â©â© desempleoâ© yâ© pobreza â©extrema,â© entre â©otrasâ© cosasÍŸ â©estamosâ© frenteâ© aâ©retos â©deâ© granâ© envergaduraâ© paraâ© losâ© gobiernos,â© paraâ© losâ© estudiososâ© yâ© paraâ© laâ© sociedadâ© civilâ© enâ© general. Uno â©de â©losâ© intentosâ© paraâ© frenar â©y prevenir â©laâ© agudizaciĂłnâ© de â©estas â©problemĂĄticasâ© esâ© laâ© cultura â©de â©paz,â©cuyoâ© estudioâ©y propuestas â©han â©ido â©avanzando â©en â©diferentesâ© sentidos â©y â©de â©manera â©favorable,â©el â©tema â©estĂĄ â©presente â©en â©diferentes â©Organismosâ© Internacionalesâ© comoâ© laâ© ONU,â© laâ© UNESCO,â© laâ© OCDE,â© Elâ© Bancoâ© Mundial,â© entreâ© otros.â© Peroâ© falta â©mucho â©por â©hacer.Universidad AutĂłnoma del Estado de MĂ©xic
una mirada desde las Ciencias de la Conducta
Este libro es el resultado de los trabajos presentados en el 1er Congreso Internacional "Convivencia y bienestar con sentido humanista para una cultura de paz"
Megaproyectos urbanos y productivos. Impactos socio-territoriales
El desarrollo de megaproyectos productivos trae consigo oportunidades para el crecimiento econĂłmico, la generaciĂłn de empleos y el desarrollo regional. No obstante, en la actualidad, los grandes temas como la expansiĂłn urbana, el desarrollo industrial, las cementeras, la minerĂa, el uso intensivo del agua y demĂĄs recursos naturales, preocupan a las comunidades por los impactos generados y porque en lo general, no consideran la racionalidad y responsabilidad ambiental y social hacia el entorno. En este contexto son diversos los estudios cientĂficos que, en el marco de la polĂtica de econĂłmica imperante, intentan posicionarse como alternativas a proyectos econĂłmicos que confrontan los intereses particulares y comunitarios y que afectan la salud humana y ambiental. Megaproyectos urbanos y productivos. Impactos socio-territoriales, reĂșne veinticinco textos acadĂ©micos sobre las afectaciones que Ă©stos emprendimientos tienen para la sociedad y el entorno. Los temas expuestos recogen experiencias en el desarrollo urbano, industrial, turĂstico, portuario y aeroportuario, entre otros. AsĂ mismo se retoman temas como la Ă©tica, la dialĂ©ctica, la polĂtica y la economĂa y su relaciĂłn en el emprendimiento de megaproyectos. La bĂșsqueda de esquemas productivos racionales y responsables con el entorno, que reivindiquen el derecho de las comunidades a un medio ambiente sano, a la preservaciĂłn del territorio y sus recursos y de las formas de vida tradicionales, son los referentes para la realizaciĂłn del presente libro. Como elemento central se concibe el territorio como contenedor de identidad y vida, siendo preocupaciĂłn y tema de estudio de la comunidad acadĂ©mica, las organizaciones de la sociedad civil y las redes de activistas organizados.UAEM, CONACyT, se
Ciencia OdontolĂłgica 2.0
Libro que muestra avances de la InvestigaciĂłn OdontolĂłgica en MĂ©xicoEs para los integrantes de la Red de InvestigaciĂłn en EstomatologĂa (RIE) una enorme alegrĂa presentar el segundo de una serie de 6 libros sobre casos clĂnicos, revisiones de la literatura e investigaciones. La RIE estĂĄ integrada por cuerpos acadĂ©micos de la UAEH, UAEM, UAC y UdeG
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and lowâmiddle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of âsingle-useâ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for lowâmiddle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both highâ and lowâmiddleâincome countries
Implementing Standard Diagnosis and Treatment for Locally Advanced Breast Cancer Through Global Research in Latin America: Results From a Multicountry Pragmatic Trial
PURPOSEBreast cancer mortality rates in Latin America (LA) are higher than those in the United States, possibly because of advanced disease presentation, health care disparities, or unfavorable molecular subtypes. The Latin American Cancer Research Network was established to address these challenges and to promote collaborative clinical research. The Molecular Profiling of Breast Cancer Study (MPBCS) aimed to evaluate the clinical characteristics and treatment outcomes of LA participants with locally advanced breast cancer (LABC).PATIENTS AND METHODSThe MPBCS enrolled 1,449 participants from Argentina, Brazil, Chile, Mexico, and Uruguay. Through harmonized procedures and quality assurance measures, this study evaluated clinicopathologic characteristics, neoadjuvant chemotherapy response, and survival outcomes according to residual cancer burden (RCB) and the type of surgery.RESULTSOverall, 711 and 480 participants in the primary surgery and neoadjuvant arms, respectively, completed the 5-year follow-up period. Overall survival was independently associated with RCB (worse survival for RCBIII-adjusted hazard ratio, 8.19, P < .001, and RCBII [adjusted hazard ratio, 3.69, P < .008] compared with RCB0 [pathologic complete response or pCR]) and type of surgery (worse survival in mastectomy than in breast-conserving surgery [BCS], adjusted hazard ratio, 2.97, P = .001). The hormone receptorânegative-human epidermal growth factor receptor 2âpositive group had the highest proportion of pCR (48.9%). The analysis of the ASCO Quality Oncology Practice Initiative breast module revealed high compliance with pathologic standards but lower adherence to treatment administration standards. Notably, compliance with trastuzumab administration varied widely among countries (33.3%-88.7%).CONCLUSIONIn LABC, we demonstrated the survival benefit of BCS and the prognostic effect of the response to available neoadjuvant treatments despite an important variability in access to key treatments. The MPBCS represents a significant step forward in understanding the real-world implementation of oncologic procedures in LA
Drug resistance phenotypes and genotypes in Mexico in representative gram-negative species: Results from the infivar network.
AimThis report presents phenotypic and genetic data on the prevalence and characteristics of extended-spectrum ÎČ-lactamases (ESBLs) and representative carbapenemases-producing Gram-negative species in Mexico.Material and methodsA total of 52 centers participated, 43 hospital-based laboratories and 9 external laboratories. The distribution of antimicrobial resistance data for Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae complex, Acinetobacter baumannii complex, and Pseudomonas aeruginosa in selected clinical specimens from January 1 to March 31, 2020 was analyzed using the WHONET 5.6 platform. The following clinical isolates recovered from selected specimens were included: carbapenem-resistant Enterobacteriaceae, ESBL or carbapenem-resistant E. coli, and K. pneumoniae, carbapenem-resistant A. baumannii complex, and P. aeruginosa. Strains were genotyped to detect ESBL and/or carbapenemase-encoding genes.ResultsAmong blood isolates, A. baumannii complex showed more than 68% resistance for all antibiotics tested, and among Enterobacteria, E. cloacae complex showed higher resistance to carbapenems. A. baumannii complex showed a higher resistance pattern for respiratory specimens, with only amikacin having a resistance lower than 70%. Among K. pneumoniae isolates, blaTEM, blaSHV, and blaCTX were detected in 68.79%, 72.3%, and 91.9% of isolates, respectively. Among E. coli isolates, blaTEM, blaSHV, and blaCTX were detected in 20.8%, 4.53%, and 85.7% isolates, respectively. For both species, the most frequent genotype was blaCTX-M-15. Among Enterobacteriaceae, the most frequently detected carbapenemase-encoding gene was blaNDM-1 (81.5%), followed by blaOXA-232 (14.8%) and blaoxa-181(7.4%), in A. baumannii was blaOXA-24 (76%) and in P. aeruginosa, was blaIMP (25.3%), followed by blaGES and blaVIM (13.1% each).ConclusionOur study reports that NDM-1 is the most frequent carbapenemase-encoding gene in Mexico in Enterobacteriaceae with the circulation of the oxacillinase genes 181 and 232. KPC, in contrast to other countries in Latin America and the USA, is a rare occurrence. Additionally, a high circulation of ESBL blaCTX-M-15 exists in both E. coli and K. pneumoniae
Por una cultura de paz, una mirada desde las Ciencias de la Conducta
Este libro es el resultado de los trabajos presentados en el 1er Congreso Internacional "Convivencia y bienestar con sentido humanista para una cultura de paz"