Flixweed vs. Polyethylene Glycol in the Treatment of Childhood Functional Constipation: A Randomized Clinical Trial

Background: Polyethylene glycol (PEG) is often considered as the first-line treatment for functional constipation in children. Descurainia sophia (L.) Webb et Berth (D. sophia) is a safe recommended medicine in Iranian folk and Traditional Persian Medicine for the treatment of constipation. Objectives: To clinically compare D. sophia with PEG 4000 (without electrolyte) in pediatric constipation and to assess its efficacy and side effects. Patients and Methods: 120 patients aged 2 - 12 years with constipation for at least 3 months were included in an 8 weeks lasting randomized controlled trial within two parallel-groups. Children received either PEG, 0.4 g/kg/day, or D. sophia seeds, 2 grams (for children aged 2 - 4 years) and 3 grams (for those aged > 4 years) per day. Results: A total of 109 patients completed the study (56 in D. sophia and 53 in PEG group). At the end of the study, 36 (64.3%) patients in D. sophia group and 29 (54.7%) in PEG group were out of Rome III criteria (P = 0.205). Median weekly stool frequency in 0, 1, 2, 3 weeks of the treatment was found to be 2, 5, 5, 5 in D. sophia and 3, 4, 4, 5 in PEG group (P = 0.139, 0.076, 0.844, 0.294), respectively. The number of patients who suffered flatulence was less (5, 8.9%) in D. sophia group as compared to PEG group (6, 11.3%) at the end of the trial (P = 0.461). D. sophia taste was less tolerated. Conclusions: D. sophia is introduced as a cheap and available medication which can be applied as a safe alternative to conventional PEG in the management of pediatric chronic functional constipation.

¿FRACASÓ LA POLÍTICA DE LAS “METAS DE INFLACIÓN” Y LAS BANDAS CAMBIARIAS?

Resumen El viernes 13 de octubre del 2006, el Banco Central de Costa Rica (BCCR) emitió un comunicado de prensa anunciando que modificaría, a partir del 17 de ese mes, el esquema cambiario de minidevaluaciones por otro denominado bandas cambiaras. En el nuevo esquema, el tipo de cambio podría ser fijado por el “mercado” siempre que fluctuara dentro de bandas predeterminadas. Este artículo analiza la evolución del tipo de cambio desde que se estableció el nuevo esquema, profundizando desde setiembre de 2009, cuando el BCCR dejó de intervenir el mercado cambiario y con ello aumentó la inestabilidad y volatilidad del tipo de cambio. Se pone en duda si el BCCR debe preocuparse solo por lograr una baja inflación y olvidarse del crecimiento económico, al igual que si el mercado cambiario opera en un mercado de competencia. Abstract On Friday October 13, 2006, the Banco Central de Costa Rica (BCCR) released a press communication announcing that the exchange regime would change, from the crawling-peg exchange regime to other called exchange rate band, effective on the 17th of that month. In the new scheme, the exchange rate may be established by the "market", when the fluctuation happened within predetermined bands. This article analyzes the evolution of the exchange rate from the establishment of the new scheme, deepening on the month of September 2009 when the BCCR stopped intervening the foreign exchange rate and therefore increased the instability and volatility of the exchange rate. It questions not only if the BCCR needs to worry only on achieving low inflation and forget about the economic growth, but also if the foreign exchange market operates in a competitive market.

Validación de curvas antropométricas de crecimiento intrauterino: Hospital Vicente Corral, Cuenca, Ecuador, 2013

Se realizó un estudio transversal en el Hospital Vicente Corral de Cuenca (Ecuador) en febrero-agosto de 2013, para la valoración de las curvas intrauterino del Centro Latinoamericano de Atención Perinatal (CLAP), Olsen, Alarcón-Pittaluga, Lubchenco-Bataglia y Babson-Benda con el objetivo de identificar el patrón antropométrico de crecimiento fetal más adecuado para la clasificación de los recién nacidos hasta que el Ecuador cuente con patrones propios. La muestra se conformó con neonatos, cuyas madres eran menores de 21 años. Se incluyó a niños nacidos vivos, con edad gestacional entre 22 y 42 semanas cumplidas y que contaron con todas las medidas antropométricas. Se excluyó a niños con malformaciones congénitas mayores. Se valoraron la sensibilidad, especificidad e índice kappa de Cohen de las curvas antropométricas estudiadas según las variables peso, talla, perímetro cefálico y sexo del recién nacido. Las curvas del CLAP (36.6-43.5%) y de Olsen (37.0-40.9%) identificaron porcentajes similares de PEG15. Las curvas de Babson-Benda detectaron muy pocos PEG (1.3-2.8%). Para la variable peso: las curvas de Olsen presentaron alta sensibilidad (81.8-97.6%), muy altas especificidad (91.8-97.5%) e índice kappa (0.807-0.873). Las curvas de Alarcón-Pittaluga tuvieron muy buena sensibilidad (98.2-99.5%); buena especificidad (74.9-77.9%) e índice kappa (0.707-0.717). Las curvas de Lubchenco-Bataglia presentaron baja sensibilidad (40.0-42.8%), muy buena especificidad (99.3-100.0%) y moderado índice kappa (0.449-458). Las curvas de Babson-Benda presentaron muy baja sensibilidad (3.5-6.4%), muy buena especificidad (100.0%) y pobre índice kappa (0.044-0.072). Se concluye que se deben utilizar las curvas antropométricas de Olsen hasta que el Ecuador cuente con curvas propias. No se recomienda utilizar las curvas de Babson-Benda ni de Lubchenco-Bataglia.

Dissolution rate enhancement of repaglinide by solid dispersion

Purpose: To enhance the solubility and dissolution rate of the antidiabetic drug repaglinide by solid dispersion (SD) technique Method: The solid dispersion of repaglinide was prepared by solvent evaporation method using the hydrophilic carrier, polyethylene glycol 4000 (PEG 4000) in three drug:PEG 4000 ratios (1:1, 1:3, 1:5). For comparison, physical mixtures of repaglinide and PEG 4000 in the same ratios were also prepared. The formulations were characterized by Fourier transformed infrared spectroscopy (FTIR), x-ray diffractometry (XRD) and differential scanning colorimetry (DSC). Phase solubility study of pure repaglinide, physical mixture and solid dispersion was performed in distilled water. Dissolution studies were carried out in pH 7.4 phosphate buffer. Results: DSC and XRD results indicate that repaglinide exists in amorphous form in solid dispersion. FT-IR analysis demonstrated the presence of intermolecular hydrogen bonding between repaglinide and PEG 4000 in the solid dispersion. The solubility of pure repaglinide was enhanced from 22.5± 5.0 to 235.5± 5.0 µg/mL in distilled water at 37 0C. Rapid burst release (80 - 86 %) from the solid dispersion formulations was observed within 15 min. Conclusion: The solubility and dissolution rate of repaglinide are enhanced by formulating SDs of repaglinide with PEG 4000. This will likely lead to increase in bioavailability which would be beneficial for better glucose control in diabetic patients.

Diseño de un vector no viral basado en nanopartículas lipídicas para el tratamiento de la hepatitis C mediante ARN de interferencia

199 p.

Êthos y Eudaimonía en la Ethika de Aristóteles

The focus of Aristotelian ethics is not to understand the essence of virtue, but rather the formation of underlying principles which define each individual’s ethics (êthos) that promotes happiness (eudaimonía) as their ultimate end. In this article I will emphasize the relationship between eudaimonía and ethos. This is relevant because êthos may be interpreted as source (pegé) from decisions as character or imprint, (charaktér) thanks to actions performed in order to reach eudaimonía.

Ricostruzione di convessi e robotica

Questa tesi si è focalizzata sulla topologia robotica. In particolare, in questo elaborato si è voluto sottolineare l’importanza della topografia dei pezzi nella visione robotica. Siamo partiti dalle definizioni di politopo e di mappa gaussiana estesa, per poi passare ad alcuni punti chiave della robotica, quali la definizione di posa di un oggetto, di “peg in the hole”e di forma da X. Questi punti ci hanno permesso di enunciare i teoremi di Minkowski ed Alexandrov che sono stati poi utilizzati nella costruzione del metodo EGI. Questo metodo è stato quindi utilizzato per determinare l’assetto di un oggetto nello spazio e permettere quindi al braccio del robot di afferrarlo.

Effects of solid poly (ethylene glycols) addition to the solutions of aniline or N,N-dimethylaniline with water:experimental measurements and modelling

In this work, the liquid-liquid and solid-liquid phase behaviour of ten aqueous pseudo-binary and three binary systems containing polyethylene glycol (PEG) 2050, polyethylene glycol 35000, aniline, N,N-dimethylaniline and water, in the temperature range 298.15-350.15 K and at ambient pressure of 0.1 MPa, was studied. The obtained temperature-composition phase diagrams showed that the only functional co-solvent was PEG2050 for aniline in water, while PEG35000 even showed a clear anti-solvent effect in the N,N-dimethylaniline aqueous system. The experimental solid-liquid equilibria (SLE) data have been correlated by the non-random two-liquid (NRTL) model, and the correlation results are in accordance with the experimental results.

PROTEIN-TRIGGERED SUSTAINED DRUG RELEASE CONTROLLED BY APTAMERS BOUND TO OLIGOMER-CROSSLINKED ALGINATE

Sustained drug release systems provide many advantages over traditional delivery methods such as extending the time in which the drug is found to be within an effective concentration within the therapeutic window, which decreases the frequency of administration of the drug, and increases patient compliance. Research using polyacrylamide crosslinked by oligomers containing an aptamer sequence, has demonstrated a pulsatile release over 50 minutes triggered by a 2 mM target adenosine concentration. This thesis aims to build off this concept by designing a system that delivers in a sustained manner when triggered by micromolar target concentrations reflective of disease in vivo, using macromolecular targets. For example, the disease wet age related macular degeneration (wet AMD) is associated with increased concentrations of the protein vascular endothelial growth factor (VEGF-A) – a macromolecule. Patients with wet AMD would benefit from the implantation of devices or microspheres that release drugs in a sustained manner in response to local VEGF concentrations. In this thesis, we hypothesize that the protein lysozyme, used to demonstrate proof-of-concept, could trigger the increased release of drugs from oligomer-crosslinked alginate. The objectives are to (i) demonstrate sustained release from alginate, (ii) design oligomer crosslinked alginate that degrades in response to lysozyme, and then (iii) use these systems to control the release of FITC-dextran with and without lysozyme. A series of control experiments and analyses were used to optimize the crosslinking of alginate by annealed oligomers. The cumulative release of FITC-dextran (MW 20,000) from oligomer crosslinked alginate increased by 3.4 μg when lysozyme (3 μM) was introduced at 48 hours, as opposed to controls which released only 0.2 μg. FITC-loaded alginate microspheres coated by oligomer-crosslinked alginate released 15% more FITC-dextran over 120 hours when placed into 3 μM of lysozyme than without lysozyme. Controls of alginate crosslinked with PEG or control oligomers (without a lysozyme aptamer sequence) had no changes in release with lysozyme. The incorporation of a lysozyme aptamer onto oligomers used to crosslink alginate disks or alginate coatings on microspheres resulted in different diffusion and release of FITC-dextran into PBS with or without lysozyme. This approach could be adapted for the delivery of drugs to diseases with specific protein profiles such as wet AMD.

Abnormal primary and permanent dentitions with ectodermal symptoms predict WNT10A deficiency

BACKGROUND: The WNT10A protein is critical for the development of ectodermal appendages. Variants in the WNT10A gene may be associated with a spectrum of ectodermal abnormalities including extensive tooth agenesis. METHODS: In seven patients with severe tooth agenesis we identified anomalies in primary dentition and additional ectodermal symptoms, and assessed WNT10A mutations by genetic analysis. RESULTS: Investigation of primary dentition revealed peg-shaped crowns of primary mandibular incisors and three individuals had agenesis of at least two primary teeth. The permanent dentition was severely affected in all individuals with a mean of 21 missing teeth. Primary teeth were most often present in positions were succedaneous teeth were missing. Furthermore, most existing molars had taurodontism. Light, brittle or coarse hair was reported in all seven individuals, hyperhidrosis of palms and soles in six individuals and nail anomalies in two individuals. The anomalies in primary dentition preceded most of the additional ectodermal symptoms. Genetic analysis revealed that all seven individuals were homozygous or compound heterozygous for WNT10A mutations resulting in C107X, E222X and F228I. CONCLUSIONS: We conclude that tooth agenesis and/or peg-shaped crowns of primary mandibular incisors, severe oligodontia of permanent dentition as well as ectodermal symptoms of varying severity may be predictors of bi-allelic WNT10A mutations of importance for diagnosis, counselling and follow-up.

Intégration de pales en céramique dans un rotor de microturbine axiale en configuration renversée

Le marché de l'énergie distribuée est actuellement en pleine expansion et favorise l'intégration d'une multitude de sources d'énergie, et les machines à combustion interne ne sont pas exclues. Les moteurs à piston sont actuellement les principaux acteurs du marché, en raison de leur rendement élevé et de leur faible coût en capital. Cependant, la réglementation de plus en plus sévère sur les émissions ainsi que les coûts liés à la maintenance et les temps d'arrêt sont prohibitifs pour ce type de machines, en particulier dans le segment de basse puissance et de production d’énergie et de chaleur combinées (CHP). C'est là que les microturbines opérant sous le cycle récupéré – de petites turbines à gaz qui produisent moins de 1 MW de puissance – ont un avantage concurrentiel, grâce à moins de pièces en mouvement, une combustion plus propre et une température élevée d'échappement. Les petites turbomachines récupérées doivent atteindre des températures d'entrée de turbine (TIT) très élevées, requises pour atteindre 40% de rendement thermique. Les céramiques non refroidies offrent une solution très attrayante, avec plusieurs essais mais des résultats peu concluants dans la littérature. Ce travail présente une nouvelle architecture qui prend en charge des pales en céramique monolithique dans un environnement d’opération à chaud. La turbine renversée en céramique (ICT) est constituée d'un moyeu métallique flexible qui fournit une base souple pour les pales individuelles en céramique qui sont supportées par l'extérieur par un anneau en composite carbone-polymère. Les forces centrifuges chargent les pales en compression au lieu d’en tension, exploitant ainsi la résistance en compression typiquement élevée des céramiques techniques. Le document présente la validation expérimentale entreprise pour vérifier l'intégrité structurelle d’un prototype de configuration ICT à petite échelle, dans des conditions de fonctionnement à froid et à chaud, ainsi que les étapes qui y ont mené. Les résultats expérimentaux montrent que l'ICT supporte des pales en alumine dans les tests à froid et le nitrure de silicium pour des températures d'entrée du rotor jusqu'à 1000 K, avec des vitesses de pointe de pale atteignant 271 m/s. L’incursion d’objet domestique, l'événement le plus désastreux à se produire dans les turbines en céramique dans la littérature, n'a pas causé de dommages aux pales dans cette configuration. Ces résultats indiquent que l'architecture ICT est robuste et viable, et que le développement peut être poursuivi pour augmenter la TIT et la vitesse de pointe de la turbine, afin d’éventuellement parvenir à une microturbine récupérée en céramique de 1600 K de TIT.

BM: Efectos de una política cambiaria de tipo fijo frente a una política cambiaria flexible sobre la inflación en Colombia : 1977 -1992

Frente a la política de apertura comercial que se viene desarrollando desde 1990 en Colombia, el manejo económico ha tenido como propósito fundamental lograr integrar la economía nacional al exterior. Una de las herramientas de política económica más importantes es la TASA DE CAMBIO; frente a ésta, es preciso adoptar una posición y conocer el manejo que se le ha dado a esta variable durante los últimos veinte años. A partir de 1967, la política cambiaría colombiana se basó en un sistema de devaluación gota a gota (Crawling Peg). Esta política continuó hasta 1991, cuando la Junta Monetaria cambió la devaluación gota a gota, por el sistema de Certificado de Cambio con descuento. En enero de 1994, la nueva Junta Directiva del Banco de la República eliminó el sistema de certificado de cambio con descuento e introdujo el sistema de Bandas Cambiarías

La transformación operativa de las fuerzas militares en el conflicto armado colombiano (1998-2010)

El presente trabajo tiene como objetivo mostrar como se dio la modernización de las Fuerzas Militares de Colombia a través del Plan Colombia y como la implementación de este, fue determinante para el desarrollo operativo-estratégico y táctico adelantado en la Política de Seguridad Democrática de tres maneras: la primera hubo una gran inversión adelantada por el gobierno colombiano en colaboración con el gobierno estadounidense. En segunda instancia, una vez realizado el desembolso previsto se procedió a la compra a gran escala de armamento, aeronaves y vehículos de combate pesados. En tercera y ultima instancia se aumento el pie de fuerza y se invirtió en entrenamiento militar contraguerrilla, que consolidaron la presencia del Estado en zonas de conflicto interno y prolongado, supliendo las necesidades de los colombianos en situación de vulnerabilidad.

Novos complexos micelares de metais de transição para aplicação na terapia dirigida contra o cancro

O cancro é a segunda causa de mortalidade a nível mundial. Um dos problemas nos tratamentos atuais de quimioterapia relaciona-se com os efeitos secundários causados pela falta de seletividade dos fármacos utilizados. Assim, um dos desafios atuais é o desenvolvimento de sistemas terapêuticos que permitam potenciar o efeito dos fármacos e diminuir os seus efeitos nocivos. Neste contexto, neste trabalho, foram sintetizados complexos de Fe, Co e Zn com fórmula geral [M(bipy-R)3]x+, a partir dos quais foi possível obter sistemas micelares formados in situ pela adição de um copolímero de PLA-b-PEG ou por introdução de macroligandos poliméricos anfifílicos. Os resultados mostram que as nanopartículas formadas apresentam tamanho e características adequadas para aplicações na terapia dirigida contra o cancro. Os resultados preliminares de citotoxicidade na linha tumoral humana da mama MDAMB231 indicam que todos os compostos estudados apresentam atividade citotóxica relevante, sendo os compostos micelares os mais promissores; Abstract: New micellar transition metals complexes for targeted therapy of cancer Cancer is the second leading cause of mortality worldwide. One problem in the current chemotherapy treatments is related to the severe side effects caused by the lack of selectivity of the drugs in clinical use. Thus, one of the current challenges is the development of new therapeutic systems that allow maximizing the effect of the drugs and reducing their harmful effects. In this context, several Fe, Co and Zn compounds of the general formula [M (bipy-R)3]x+ were synthesized in order to obtain micellar systems, either by in situ addition of a PLA-b-PEG copolymer or by introducing amphiphilic macroligands. The results show that the formed nanoparticles have size and characteristics suitable for applications in targeted therapy against cancer. Preliminary results of cytotoxicity in human breast cancer line MDAMB231 indicate that all the studied compounds show significant cytotoxic activity, being the micellar compounds the most promising agents.

Synchronizing the in vitro germination of Psidium guineense Sw. seeds by means of osmotic priming.

The Brazilian guava (Psidium guineense Swartz) is seed-propagated and, being native to the Caatinga biome, may frequently have uneven germination.Thus, we aimed to evaluate the synchronization of the in vitro seed germination of three accessions of the Brazilian guava, using water, polyethyleneglycol (PEG 6000), and potassium nitrate (KNO3) at different potentials and times of osmotic priming. Seeds from three accessions of the Brazilian guava (Y85, Y93,and Y97) from the UNEB/BA Germplasm Active Bank were subjected to the following pretreatments: -0.6, -1.0, -1.4, and -1,8 MPa PEG 6000; 10 and 20% KNO3 for 24h; 10 and 20% KNO3 for 48h; water for 24 and 48h; and non-primed seeds as the control. The experimental design was therefore a 10x3+1 factorial scheme. We assessed the germination percentage (G), mean germination time (MGT), germination speed (GS), and germination speed index (GSI). Data was subjected to analysis of variance followed by a means test (Duncan at 5% probability) and regression. There was interaction between the priming treatments and accessions for all evaluated features, except G. PEG 6000 decreased the MGT (from 6 to 8 days) and increased GS and GSI of seeds from all three accessions at potentials -1.0 to -1.5 MPa.Water-priming had a positive effect on MGT, GS, and GSI of accession Y85 seeds. KNO3 negatively affected germination of seeds from all three accessions. Thereby, we could synchronize seed germination of accessions Y85 and Y97 with PEG 6000.