Resumen Introducción: La determinación del efecto de reabrir las escuelas sobre las tasas de infección pediátrica por SARS-CoV-2 (síndrome respiratorio agudo grave coronavirus 2) incrementó la necesidad de trasmitir la experiencia de los gobiernos de muchas regiones geográficas para mejores decisiones futuras en emergencias sanitarias similares. Métodos: Mediante un estudio prospectivo basado en una cohorte poblacional se dio seguimiento a los alumnos de 18,988 escuelas del Estado de México que iniciaron con el regreso a clases. Se implementaron filtros sanitarios diarios en cada escuela y cotidianamente se informaban a los enlaces jurisdiccionales a través de una red negativa. Los casos identificados eran confirmados a través de RT-PCR (reacción en cadena de la polimerasa con transcriptasa inversa). Se estimaron frecuencias simples de casos, porcentajes e incidencias de COVID-19. Las incidencias del estado se compararon con la incidencia nacional. Resultados: Un total de 3,586 casos fueron confirmados; 2,048 (57.1%) correspondieron a niños. Veinticuatro (0.6%) fueron hospitalizados por COVID-19 moderado a grave; nueve (37.5%) fallecieron, y solamente una correspondió a un escolar. A partir de la semana 36 se observó una tasa promedio de infecciones de 0.36. En la semana epidemiológica 40 se observó la mayor tasa de infección en escolares (1.01); a partir de esta semana se observa un declive de los casos hasta la semana 50. Conclusiones: La implementación de intervenciones no farmacéuticas tiene más ventajas que limitaciones, siempre y cuando las estrategias sean homogéneas y correctamente ejecutadas, lo que asegurará un adecuado control en los contagios.

Abstract Background: Determining the effect of reopening schools on pediatric SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection rates increased the need to share the experience of governments in many geographic regions for better future decision-making in similar health emergencies. Methods: Through a prospective study based on a population-based cohort, students from 18,988 schools in the State of Mexico who began returning to school were followed. Daily sanitation filters were implemented in each school and district liaisons were informed on a daily basis through a negative network. Identified cases were confirmed by reverse transcriptase-polymerase chain reaction. Simple case frequencies, percentages, and incidences of COVID-19 were estimated. State incidences were compared with the national incidence. Results: A total of 3,586 cases were confirmed; 2,048 (57.1%) were children. Twenty-four (0.6%) were hospitalized for moderate to severe COVID-19; nine (37.5%) died, and only one was a schoolchild. From week 36, an average infection rate of 0.36 was observed. The highest infection rate in schoolchildren was observed in epidemiologic week 40 (1.01); from this week on, a decrease in the number of cases was observed until week 50. Conclusions: The use of non-pharmaceutical interventions has more advantages than limitations, as long as the strategies are homogeneous and properly implemented to ensure adequate control of infections.

ABSTRACT Introduction: The albumin-to-creatinine ratio and total protein-to-creatinine ratio in spot urine samples have already been validated as surrogates for 24-hour albuminuria and proteinuria measurements. Thus, we hypothesized that the type of proteinuria, detected by the electrophoretic pattern of 24-hour urine, could be predicted by the simple proportion of albumin in the total urine protein content, using the albumin-to-protein ratio (APR). Our study sought to validate the use of APR as a cheaper substitute for urinary protein electrophoresis (UPE). Methods: Using different mathematical models, we compared, the albumin fraction in 24-hour urine samples by electrophoresis and the APR ratio in spot samples from 42 outpatients with chronic kidney disease (CKD). Results: A strong log-order correlation r = 0.84 (0.75–0.92; 95% CI, p = 0.001) was observed between APR and the albumin fraction in the UPE. Conclusion: The APR can substitute electrophoresis in CKD outpatients.

Resumo Introdução: A utilização da razão albumina/creatinina e da razão proteína total/creatinina em amostras isoladas de urina já foram validadas como substitutos para a albuminúria e proteinúria em 24 horas. Assim, nossa hipótese é que o tipo de proteinúria, dado pelo padrão eletroforético da urina de 24 horas, poderia ser previsto pela simples proporção de albumina no conteúdo total de proteínas na urina, utilizando a razão albumina/proteína (RAP). O presente estudo procurou validar o uso da RAP como um substituto mais prático e de menor custo da eletroforese de proteínas urinárias (EPU). Métodos: Foram utilizados diferentes modelos matemáticos a fim de comparar a fração de albumina pela eletroforese em amostras de urina de 24 horas e a RAP em amostras isoladas em 42 pacientes ambulatoriais com doença renal crônica. Resultados: Foi observada uma forte correlação logarítmica r = 0,84 (0,75–0,92; 95% CI, p = 0,001) entre a RAP e a fração de albumina pela EPU. Conclusão: A RAP pode substituir a eletroforese urinária em pacientes renais crônicos ambulatoriais.

Abstract Cowpea is grown mainly in regions with a hot semi-arid climate, where other pulses do not develop satisfactorily. It is the 4th most produced pulse in the world, thus supplying the domestic and export markets. Following the trends of the food products market, a study was carried out to identify the best condition of the extrusion process, to transform these nutritious grains into quality expanded products and ready for consumption. The grains were decorticated and transformed into cotyledon flour. This flour was conditioned and the Evolum HT25 twin screw extruder feeder was adjusted to a rate of 7 kg h-1. A Box-Behnken 23 design was used, considering the following variables and levels: extrusion temperature from 100 °C to 140 °C (in the 7th to 10th zone), screw speed (300 to 700 rpm) and conditioning moisture from 12% to 16%. The temperature affected linearly and negatively (p ≤ 0.05) the sectional expansion index (2.65 to 7.64). The screw speed interfered linearly and positively (p ≤ 0.05) in the longitudinal (1.12 to 9.32) and volumetric (4.91 to 24.15) expansion index, and negatively with the water absorption index (3.05 to 3.86 g g-1). The screw speed (positive linear and negative quadratic), the moisture content (negative quadratic) and the interaction (positive) between the two interfered (p ≤ 0.05) in the water solubility index (25.89% to 33.85%). The hardness value (1.24 to 2.83 N) was affected (p ≤ 0.05) by screw speed (negative linear and positive quadratic), temperature (negative quadratic), moisture (positive quadratic), and interactions of moisture with temperature and screw speed. To obtain a hardness value close to that of commercial extrudates and high-water solubility, the maximum global desirability obtained was 0.81 for extrusion at 135.6 °C, 700 rpm and 12% moisture.

Resumo O feijão-caupi é cultivado principalmente em regiões de clima semiárido quente, onde outras pulses não se desenvolvem satisfatoriamente. É a quarta pulse mais produzida no mundo, abastecendo o mercado interno e de exportação. Seguindo as tendências do mercado de produtos alimentícios, realizou-se o estudo para identificar a melhor condição do processo de extrusão, para transformar esses grãos nutritivos em produtos expandidos de qualidade e prontos para o consumo. Os grãos foram descorticados e transformados em farinha de cotilédones. Essa farinha foi condicionada e o alimentador da extrusora de dupla rosca Evolum HT25 foi ajustado para uma taxa de 7 kg h-1. Um delineamento Box-Behnken 23 foi utilizado, contemplando as seguintes variáveis e níveis: umidade de condicionamento de 12% a 16%, temperatura de extrusão de 100 °C a 140 °C (da 7ª a 10ª zona) e velocidade das roscas de 300 a 700 rpm. A temperatura afetou linear e negativamente (p ≤ 0,05) o índice de expansão seccional (2,65 a 7,64). A velocidade das roscas interferiu linear e positivamente (p ≤ 0,05) nos índices de expansão longitudinal (1,12 a 9,32) e volumétrica (4,91 a 24,15), e negativamente no índice de absorção de água (3,05 a 3,86 g g-1). A velocidade das roscas (linear positiva e quadrática negativa), o teor de umidade (quadrática negativa) e a interação (positiva) entre essas duas variáveis interferiram (p ≤ 0,05) no índice de solubilidade em água (25,89% a 33,85%). O valor da dureza (1,24 a 2,83 N) foi afetado (p ≤ 0,05) pela velocidade das roscas (linear negativo e quadrático positivo), pela temperatura (quadrático negativo) e pela umidade (quadrático positivo), e pelas interações negativas da umidade com a temperatura e a velocidade das roscas. Para obtenção de valor de dureza próximo aos de extrusados comerciais e alta solubilidade em água, a desejabilidade global máxima obtida foi de 0,81 para extrusão a 135,6 °C, 700 rpm e 12% de umidade.

ABSTRACT The disorderly soil occupation without the necessary conservationist practices leads to impacts on the local hydrology and induces the pollution of water resources. This pollution may come from more urbanized areas due to the amount of pollutants drained during the rains. Even moderate precipitations constitute one of the main factors that define pollutant runoff on the surface. These rains have recently been called light rains. Light rains have a lower precipitation height and a higher frequency compared to classic rains of drainage projects, being necessary to define them according to patterns of rain frequency for each region. This study aimed to characterize light rain in the municipality of Piracicaba to establish statistical standards for the frequency of certain precipitation heights. A database provided by the ESALQ/USP automatic weather station, which provides precipitation measurements every 15 minutes, was used in the present study. Light rain heights reached 40.3, 41.4, and 42.7 mm for 100, 90, or 80% frequencies, respectively, which implies the use of return periods of 1.00, 1.11, and 1.25 years, respectively.

The objective of this work is to study the possibility of obtaining dense parts using water atomized AISI 316L steel powder in the L-PBF process. Despite its irregular, non-spherical, particle morphology, it has a significantly lower cost. 25 samples were produced varying the laser power and the scanning speeds to determine the optimal processing conditions. Additionally, hot isostatic pressing (HIP) was performed after the L-PBF process to further increase densification. Selected samples were subjected to microstructural characterization. The best densification results obtained were for the sample produced with the laser power of 173 W and scanning speed of 600 mm/s, where densifications close to 98% were obtained. HIP post-processing promoted increased densification of samples with closed porosity, allowing samples with densification above 95% to reach values close to 100%. HIP did not promote the closure of open pores. The results indicate that the use of water atomized AISI 316L in the L-PBF process combined with post-processing by HIP can produce dense engineering components and at the same time reduce the production costs of the manufactured components, mainly because it is a lower cost raw material when compared to the commonly used feedstock obtained by gas atomization.

Abstract Venous aneurysms are rare and have a prevalence of 0.1 to 0.2% in the reported series. Typically, patients do not present any symptoms, but are prone to develop deep venous thrombosis (DVT) and the most feared complication, pulmonary embolism (PE). We present the case of a previously healthy 36-year-old man who presented at the emergency department with tachycardia, dyspnea, and pleuritic pain. A thoracic computed tomography angiography (CTA) confirmed the diagnosis of acute pulmonary embolism. He was treated with systemic thrombolysis and anticoagulation. In the further workup of the cause of the embolism, computed tomography revealed a fusiform dilation of the left popliteal vein measuring 3 by 3 centimeters (cm) with an incomplete filling defect because of thrombus presence. The patient underwent open surgical repair. At one month follow-up, he was asymptomatic, and an ultrasound revealed complete patency of the popliteal vein without dilatation or thrombus.

Resumo Aneurismas venosos são raros, tendo uma prevalência de 0,1 a 0,2% nas séries relatadas. Os pacientes não costumam manifestar sintomas; entretanto, são propensos a desenvolver trombose venosa profunda e a complicação mais temida, embolia pulmonar. Apresentamos o caso de um homem de 36 anos previamente hígido que chegou ao serviço de emergência queixando-se de taquicardia, dispneia e dor pleurítica. Uma angiotomografia computadorizada confirmou o diagnóstico de embolia pulmonar aguda. O paciente foi tratado com trombólise sistêmica e anticoagulantes. Em exames posteriores para investigar a causa da embolia, uma tomografia computadorizada revelou dilatação fusiforme da veia poplítea esquerda medindo 3x3 cm, com enchimento incompleto devido à presença de um trombo. O paciente foi submetido a reparo cirúrgico aberto. No seguimento de 1 mês, ele estava assintomático, e uma ultrassonografia revelou a patência completa da veia poplítea, sem dilatação ou trombo.

Abstract Bovine infectious mastitis is largely resistant to antibacterial treatment, mainly due to mechanisms of bacterial resistance in the biofilms formed by Staphylococcus aureus. Melaleuca (MEO) and citronella essential oils (CEO) are promising agents for reducing or eliminating biofilms. Free melaleuca oil presented a medium Minimum Inhibitory Concentration (MIC) of 0.625% and a Minimum Bactericidal Concentration (MBC) of 1.250%, while free citronella oil showed medium MIC and MBC of 0.313%. Thus, free CEO and MEO demonstrate bacteriostatic and bactericidal potential. We generated polymeric nanocapsules containing MEO or CEO and evaluated their efficacy at reducing biofilms formed by S. aureus. Glass and polypropylene spheres were used as test surfaces. To compare the responses of free and encapsulated oils, strains were submitted to 10 different procedures, using free and nanoencapsulated essential oils (EOs) in vitro. We observed no biofilm reduction by MEO, free or nanoencapsulated. However, CEO nanocapsules reduced biofilm formation on glass (p=0.03) and showed a tendency to diminish biofilms on polypropylene (p=0.051). Despite nanoencapsulated CEO reducing biofilms in vitro, the formulation could be improved to modify the CEO component polarity and, including MEO, to obtain more interactions with surfaces and the biofilm matrix.

Abstract The pandemic and the geopolitical conflict between Russia and Ukraine are events that have caused economic instability in Peru. Reason that was investigated on the analysis of the biological and chemical characteristics of cabbage fed with compost based on sugarcane residues. The objective was to analyze the physical, chemical and biological characteristics of cabbage from the adequate dose of compost based on sugarcane residues and distance between plants. It is based on the methodology applied with an experimental approach, for which the Completely Random Block Design with a 4x 2 factorial arrangement was used, which consisted of 3 blocks and 8 treatments that were the combination: F1 with 0, F2 with 8, T3 with 10 and F4 with 12 t/ha and spacing (D1) with 0.30 m between plants and 0.60 m between rows and (D2) with 0.35 m between plants and 0.60 m between rows. The physical characteristics of cabbage were evaluated and processed by analysis of variance, nutrient concentrations in leaves and stomatal density were analyzed. The results determined that T7 stood out in plant height with 41.88 cm, yield with 26.76 tn/ha and T6 in root length with 20.22 cm. In chemical analysis of leaves T1 stood out in nitrogen, phosphorus, potassium and T4 in calcium, magnesium and sulfur. In T7 stomata density with 977 stomata/mm2. It concludes that at an adequate dose and greater distance that T7 stands out in the concentration of nutrients that are within normal values and high density of stomata; Therefore, these characteristics influenced the optimal biochemical reactions, which obtained good development and yield that differed at 51.39% and 32.17% with respect to the controls T1 and T5.

Resumo A pandemia e o conflito geopolítico entre a Rússia e a Ucrânia são eventos que têm causado instabilidade econômica no Peru. Motivo que foi investigado na análise das características biológicas e químicas do repolho alimentado com composto à base de resíduos da cana-de-açúcar. O objetivo foi analisar as características físicas, químicas e biológicas do repolho a partir da dose adequada de composto à base de resíduos da cana-de-açúcar e distância entre plantas. Baseia-se na metodologia aplicada com uma abordagem experimental, para a qual foi utilizado o Delineamento de Blocos Completamente Aleatório com arranjo fatorial 4 x 2, que consistia em 3 blocos e 8 tratamentos que eram a combinação: F1 com 0, F2 com 8, T3 com 10 e F4 com 12 toneladas/ha e espaçamento (D1) com 0,30 m entre plantas e 0,60 m entre linhas e (D2) com 0,35 m entre plantas e 0,60 m entre linhas. As características físicas do repolho foram avaliadas e processadas por análise de variância, as concentrações de nutrientes nas folhas e a densidade estomática foram analisadas. Os resultados determinaram que T7 se destacou em altura de planta com 41,88 cm, produtividade com 26,76 tn/ha e T6 em comprimento de raiz com 20,22 cm. Na análise química das folhas T1 se destacou em nitrogênio, fósforo, potássio e T4 em cálcio, magnésio e enxofre. Em densidade de estômatos T7 com 977 estômatos/mm2. Conclui que em dose adequada e maior distância que T7 se destaca na concentração de nutrientes que estão dentro dos valores normais e alta densidade de estômatos; Portanto, essas características influenciaram nas reações bioquímicas ótimas, que obtiveram bom desenvolvimento e rendimentos que diferiram em 51,39% e 32,17% em relação aos controles T1 e T5.

Abstract Introduction: In cholelithiasis, lipid and histopathological alterations have been found and suggest the accumulation of lipids in the gallbladder tissue (cholesterolosis), due to the few existing reports a study was carried out to determine their association. Objectives: The aim of the study was to evaluate the association between the lipid profile and gallbladder histopathology in patients with cholelithiasis undergoing cholecystectomy. Methodology: An observational, cross-sectional, analytical, and prospective study was carried out in a group of patients from the Hospital General de México “Eduardo Liceaga” undergoing elective laparoscopic cholecystectomy from January 2015 to January 2020. With approval of the protocol by the ethics and research committee, the following variables were considered: age, sex, BMI, comorbidities (diabetes, dyslipidemia, hypertension, cirrhosis), LDL-C, HDL-C, total cholesterol, triglycerides, and histopathological findings (cholesterolosis, polyps, xanthogranulomatosis, acute cholecystitis, and cholecystitis chronicle). A descriptive and inferential analysis was performed with SPSS v.24. It was considered p < 0.05 as significant. Results: From a group of 302 patients, 133 cases (108 women and 25 men) were included in the study. They presented overweight (39%) and obesity (33%), the lipid profile with hypoalphalipoproteinemia (61%), hypertriglyceridemia (40%), hypercholesterolemia (17%), and elevated LDL-C (16%); and in histopathology chronic cholecystitis (70%), cholesterolosis (28%), and acute cholecystitis (7%). Discussion: Our sample is representative of the Mexican population (in physical characteristics and lipid profile). However, no significant association was found between dyslipidemia and histopathological findings.

ABSTRACT Introduction: Multidrug-resistant tuberculosis is a significant public health problem for which drugs are used with many adverse effects. Among the devastating consequences of these diseases, there is a wide variation in the incidence of ototoxicity and hearing loss in patients with multidrug-resistant and extremely resistant tuberculosis. Cochlear implants may be indicated in patients with unilateral/severe bilateral hearing loss with no benefit from conventional hearing aids, but their use in patients with tuberculosis is rare. Case report: We present the first case of a right unilateral cochlear implant performed on a 34-year-old Peruvian patient who presented profound sensorineural hearing loss of cochlear origin. Conclusion: Cochlear implant surgery is an essential milestone in the treatment of patients with auditory sequelae of tuberculosis treatment. Close monitoring of possible complications of tuberculosis treatment should be strengthened in countries with a high incidence of multidrug-resistant and extremely resistant tuberculosis.

RESUMEN Introducción: La tuberculosis multidrogorresistente es un importante problema de salud pública para el que se utilizan fármacos con múltiples efectos adversos. Entre las devastadoras consecuencias de estas enfermedades, existe una amplia variación en la incidencia de ototoxicidad y pérdida auditiva en pacientes con tuberculosis multirresistente y extremadamente resistente. Los implantes cocleares pueden estar indicados en pacientes con pérdida auditiva unilateral/bilateral severa sin beneficio de los audífonos convencionales, pero su uso en pacientes con tuberculosis es raro. Reporte de un caso: Presentamos el primer caso de implante coclear unilateral derecho realizado a un paciente peruano de 34 años que presentaba hipoacusia neurosensorial profunda de origen coclear. Conclusión: La cirugía de implante coclear es un hito fundamental en el tratamiento de los pacientes con secuelas auditivas del tratamiento de la tuberculosis. Se debe fortalecer la vigilancia estrecha de las posibles complicaciones del tratamiento de la tuberculosis en los países con una alta incidencia de tuberculosis multirresistente y extremadamente resistente.

Resumen La Clasificación Internacional del Funcionamiento (CIF) define la movilidad como la posibilidad de “moverse cambiando la posición o ubicación del cuerpo o moviéndose de un lugar a otro, trans portando, moviendo o manipulando objetos, caminando, corriendo o trepando, y utilizando diversas formas de transporte”. La fisioterapia se centra en la evaluación y el tratamiento de los problemas de movimiento. La deter minación del estado de movilidad es un componente central de la evaluación de la salud de los adultos mayores, ya que es un marcador importante de las capacidades físicas y la independencia, y un predictor de morbilidad y mortalidad. Sin embargo, a la fecha no disponemos de escalas que representen el grado de movilidad del paciente con algún tipo de imagen visual que facilite su documentación de forma rápida y fiable por parte de cualquier profesional sanitario que trabaje en el ámbito de la hospitalización. Por estas razones, desarrollamos una escala de movilidad intuitiva basada en iconos que es fácil de administrar en pacientes hospitalizados en diferentes entornos. La escala de movilidad ProMover proporciona a los profesionales de la salud una herramienta unificada para evaluar la movilidad de los pacientes hospitalizados, con el fin de unificar un lenguaje común. Se trata de una herramienta sencilla, práctica, fiable y objetiva y de uso común por todos los profesionales sanitarios.

Abstract. The International Classification of Functionality (CIF) defines mobility as the possibility of “moving by changing the position or location of the body or moving from one place to another, transporting, moving or manipulating objects, walking, running or climbing, and using various forms of transport “. Physical therapy focuses on the assessment and management of movement problems. Determining mobility status is a central component of the health assessment of older adults since it is an important marker of physical abilities and independence, and a predictor of morbidity and mortality. However, to date we did not have scales that represent the degree of mobility of the patient with some type of visual image that facilitates its documentation quickly and reliably by any health professional who works in the field of hospitalization. For these reasons, we developed an intuitive, icon-based mobility scale that is easy to administer in hospitalized patients in different settings. The ProMover mobility scale provides health professionals with a unified tool for evaluating the mobility of hospitalized patients, in order to unify a common language. This is a simple, practical, reliable and objective tool and commonly used by all health professionals.

ABSTRACT Introduction: This paper shows the description of the methods used to obtain doped lead-free KNN piezoceramics: (K0.5Na0.5)0.95La0.05(Nb0.9Ti0.05)O2.9 and (K0.44Na0.52Li0.04)0.97La0.01Nb0.9Ta0.103 piezoceramics, and their physical characterization. The objective was to achieve a reproducible obtaining method that will promote good physicochemical properties in the systems used and to use new dopants such as Ti, with a lower price in the market, and La, not studied yet in the literature consulted, to modify and control their physicochemical properties. Methods: A combined method of grain growth reaction is used, to obtain the precursor NaNbO3 and from this we make it react in solid state with the other reactants, thus simplifying existent methods, and the characterization: dielectric, phase transition, structural characterizations by X-ray diffraction and piezoforce microscopy (PFM). Results: The photo-luminescence piezoceramics doped with La and Ti show a good power emission of blue light. In both compositions presented, the doping with the La cation regulates the grain growth, modifies dielectric properties, and lowers transition temperatures. In the KNN compound doped with Li-La-Ta, the phase coexistence at room temperature and good dielectric properties and a certain anisotropy in the orientation of the domains are obtained. The experimental results carried out by PFM demonstrate excellent piezoelectric constants def = 166 pCN-1 compared to the best PZT ceramics. Conclusions: the results presented favor their potential use as ferroelectric light emitters, as well as lead-free transducers. Neither composition has been internationally accredited yet.

RESUMEN Introducción: El presente trabajo, muestra la descripción de los métodos de obtención empleados para lograr piezocerámicas libres de plomo KNN dopadas: (K0.5Na0.5)0.95La0.05(Nb0.9Ti0.05)O2.9 y (K0.44Na0.52Li0.04)0.97La0.01Nb0.9Ta0.103 y la caracterización física de estos. El objetivo fue adquirir un método de obtención reproducible que propiciará buenas propiedades físico-químicas en los sistemas empleados y emplear nuevos dopantes como el Ti, de un menor precio en el mercado, y el La, no trabajados hasta el momento en la literatura consultada, para modificar y controlar sus propiedades físico-químicas. Métodos: Se emplea un método combinado de reacción del crecimiento del grano, (RTGG), para la obtención del precursor NaNbO3 y partiendo de éste lo hacemos reaccionar mediante estado sólido con los demás reactivos simplificando métodos existentes, y la caracterización: dieléctrica, transiciones de fases, caracterización estructural por Difracción de rayos X, y microscopia de piezofuerza (PFM). Resultados: Se obtienen piezocerámicas dopadas con Ti-La, fotoluminicentes con buena potencia de emisión de luz azul y piezoeléctricas KNN dopadas Li- La-Ta. En ambas composiciones presentadas; el dopar con La, se regula el crecimiento del grano y modifica las propiedades dieléctricas y hace disminuir las temperaturas de transición. En el compuesto KNN dopado con Li-La-Ta se obtiene coexistencia de fases a temperatura ambiente y buenas propiedades dieléctricas y cierta anisotropía en la orientación de los dominios. Los resultados experimentales realizados por (PFM), demuestran excelentes constantes piezoeléctricas def = 166 pCN-1 comparados con las mejores cerámicas PZT. Conclusiones: los resultados presentados potencian la utilización de éstos como emisores de luz ferroeléctricos, así como transductores libres de plomo. Ambas composiciones, aún no se han homologado internacionalmente.

Resumen Introducción. El tumor de Wilms es la neoplasia abdominal más común en pacientes pediátricos. En la mayoría de los casos se presenta como una masa unilateral indolora en el abdomen. El objetivo de este artículo fue presentar el caso de una paciente de 4 años con tumor de Wilms unilateral derecho manejado con cirugía mínimamente invasiva en el Hospital Universitario del Valle. Métodos. Revisión de la historia clínica e imágenes de la paciente, descripción de la técnica quirúrgica y revisión de la literatura del manejo de tumor de Wilms unilateral. Caso clínico. Paciente femenina de 4 años quien consultó en abril de 2019 por un cuadro clínico de dolor abdominal y sensación de masa en flanco derecho. Se realizó ecografía abdominal donde se encontró imagen nodular heterogénea de contornos definidos en riñón derecho, con riñón izquierdo normal. Se hizo diagnóstico de tumor de Wilms unilateral y se llevó a cirugía mediante abordaje mínimamente invasivo, con buena evolución postoperatoria. Conclusión. La cirugía es el pilar del manejo, y la nefrectomía mediante abordaje laparoscópico para casos seleccionados, en manos entrenadas, tiene la suficiente eficacia, seguridad y cumplimiento de los principios quirúrgicos y oncológicos que provee la cirugía abierta.

Abstract Introduction. Wilms tumor is the most common abdominal neoplasm in pediatric patients. In most cases it presents as a painless unilateral mass in the abdomen. The objective of this article was to present the case of a 4-year-old patient with right unilateral Wilms tumor managed with minimally invasive surgery at the Hospital Universitario del Valle. Methods. Review of the patient’s clinical history and images, description of the surgical technique and review of the literature on the management of unilateral Wilms tumor. Clinical case. A 4-year-old female patient who consulted on April 4, 2019 with a clinical presentation of abdominal pain and sensation of mass in the right flank. Abdominal ultrasound was performed where a heterogeneous nodular image of defined contours was found in the right kidney, with a normal left kidney. A diagnosis of unilateral Wilms tumor was made and surgery was carried out using a minimally invasive approach, with good postoperative evolution. Conclusion. Wilms tumor is the most common abdominal neoplasm in pediatric patients. The most common presentation is a painless palpable mass. Surgery is the mainstay of management, and nephrectomy using a laparoscopic approach for selected cases, in trained hands, has sufficient efficacy, safety, and compliance with surgical and oncological principles that open surgery provides.

Abstract We report on a functional Fabry-Perot mode interferometer and its application for absolute displacement sensing. The proposed device consists of two well-cleaved tips of standard optical fibers that were introduced into a microcapillary glass with an inner diameter of ∼ 125.5 um; one tip was stuck to the capillary by the application of an electric arc from a standard splice machine, while the other tip was free to be longitudinally moved. The transmission spectrum of the interferometric device exhibited an interferometric pattern due to the reflections of the fundamental mode on the two partial reflecting tip surfaces of the standard optical fibers. The period and the intensity level of the interference pattern depend strongly on the separation between the optical fiber tips caused by the displacement of the free optical fiber tip. This dependence allows for the use of either period or intensity changes for length displacement sensing interrogation. For the period interrogation, the length can be accurately calculated and measured by taking the Fast Fourier Transform (FFT) of the detected interference pattern. For intensity interrogation, a simple photodetector can determine the distance that separates the optical fiber tips.