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Copyright of Íkala: Revista de Lenguaje y Cultura is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The othematoma or otoserohematoma, also called auricular pseudocyst, is frequent, characterized by accumulated serosanguinous fluid beneath the perichondrial layer of the pinna. The etiology is frequently caused by a local trauma. If the hematoma is not removed it will gradually be replaced by scar tissue, and permanent deformity is almost inevitable called "cauliflower ear" or "wrestler's ear". This paper presents the case of a patient with a big othematoma with surgical management and good result. [ABSTRACT FROM AUTHOR]

Background: The nose is an area frequently affected in dermatologic surgery, because it is a frequent topography of non-melanoma skin cancer. According to the commitment of these structures is the magnitude and complexity of the repair. There is a wide range of surgical techniques for reconstruction of this area, including: direct closure, local laps from a distance, and grafts. Objectives: To review the surgical techniques most commonly used for the nasal repair at the Centro Dermatologico Pascua Mexico City, and their aesthetic results. Method: In a prospective study patients with histologically confirmed non-melanoma skin cancer of the nasal area underwent surgical treatment during the months of May to September 2010. Results: Of the 40 surgeries that were performed to treat non-melanoma skin cancer in the nose, laps 20 were: 8 Rintala, 6 bilobed, 2 glabellar, 2 front, 2 diamond thickness grafts and 17 total, plus 2 locks and 1 direct close by secondary intention. Conclusions: We must conduct a comprehensive assessment of patients, age, comorbidities, tumor type, size and topography of the same, for better oncological and aesthetic outcome. [ABSTRACT FROM AUTHOR]

Abstract: During the last few years, leaf water potential has been a useful tool in controlling vine water status. However, the time of measurement that could best explain short- and long-term vine responses remains a matter of discussion. The objectives of this work were to study the relationship between vine water status and vine performance and to determine what time of day leaf water potential is best correlated to physiological performance and agronomic vine response. The assay was conducted in Madrid, Spain. Plant material was Cabernet-Sauvignon (Vitis vinifera L.) grafted onto SO4. Three irrigation treatments were established: T1 was non-irrigated, and T2 and T3 were irrigated with a constant fraction of the ETo, k =0.45 and 0.2, respectively. Vine water status was monitored through predawn, midmorning and noon leaf water potential. Their relationships with net CO2 assimilation rate, vegetative growth rate, yield components and must composition at harvest were studied for 3 consecutive years. Shoot growth rate and net CO2 assimilation rate were better correlated with midmorning and noon leaf water potentials –Ψ m and Ψ n – than predawn leaf water potential –Ψ pd – but all of them were significant. Shoot growth rate was zero for Ψ pd =−0.48, Ψ m =−1.12 and Ψ n =−1.18MPa. Berry size was better correlated with the water stress integral for predawn () although the water stress integral for midmorning () and noon () performed quite well. No relationship was found between the water stress integral and TSS, total acidity or pH. Leaf water potential performed as a good parameter for determining both vine water status and agronomic response, but not for evaluating must composition. [Copyright &y& Elsevier]

[Display omitted] • Amaranth, buckwheat, and quinoa flours were used in gluten-free bread formulations. • Three simplex-centroid designs were used to study the effects of each pseudocereal. • Pseudocereals and rice flour blends improve bread physical and sensory properties. • Correlations between dough Mixolab parameters and bread quality shown. • Promising instrumental predictors of the sensory quality of gluten-free bread. This study describes the use of the Mixture Design for simultaneals to improve the physical properties and acceptability of gluten-free bread (GFB) based on whole pseudocereals flour, as well as to define dough and bread instrumental predictors of the sensory quality of GFB. Three simplex-centroid designs were used to study the effects of each pseudocereal flour (amaranth – AF, buckwheat – BF, and quinoa – QF) blended with rice flour (RF) and potato starch (PS) on dough and bread properties. A total of 30 GFB formulations were produced and evaluated. Results reveal relationships between dough Mixolab parameters, such as C3 and C4, related to gelatinization and starch stability, with crumb moisture and firmness of GFB formulation, in which higher values of these parameters related to higher acceptability scores (>7 on a 10 cm hydroid hedonic scale). However, higher values of the secondary parameter C3-C4 was related to lower loaf-specific volume, impairing appearance and texture acceptability, as well as overall liking. The interaction effects between pseudocereal flour and RF increases dough consistency, bread volume, softness, and acceptability. Blends of 50% AF, BF, or QF with 50% RF results in GFB with high acceptability (overall liking of 8). The maximum pseudocereal proportions to obtain acceptable GFB (scores ≥ 7 for appearance, color, odor, texture, flavor acceptability and overall liking) were 60% AF, 85% BF, and 82% QF blended with RF. The combination of instrumental and sensory methods was useful to identify parameters capable of predicting the GFB quality, which may be useful for food scientists and producers to face the challenges regarding the development of healthier and better quality GFB to meet consumer needs. [ABSTRACT FROM AUTHOR]

Fruit trees stop their growth over the coldest period of the year to avoid damage. To resume their growth and for successful fruit production, they need to accumulate winter chill. It is expected that global warming will diminish winter chill availability with potentially negative impacts on the viability and yield of these crops. The objective of this study was to assess the viability of seven tree crops among the most relevant in peninsular Spain and the Balearic Islands. For this purpose, chilling requirements were gathered from the literature to define a requirement range for each tree crop encompassing most of the varieties used in Spain. Then the bias-adjusted outputs of an ensemble of 10 regional climate models under the two representative concentration pathways (RCPs), 4.5 and 8.5, were used to feed a chilling model for calculating chill accumulation. The ensemble's outcome agreement index was applied to each combination of chill requirement and climate ensemble to assess crop viability. This was done by testing the hypothesis that the winter chill accumulation will be greater than the safe winter chill for the 2021–2050 (near future) and 2071–2100 (far future) periods and for both RCPs. A future reduction in the safe winter chill areas is projected with high agreement in climate projections across peninsular Spain and the Balearic Islands independently of the RCP or future period. The crops studied would be viable in the near future period as long as varieties with low chilling requirements are used. These varieties, however, would not be adequate in the far future in some currently highly productive regions, where the situation would become more severe, especially under the RCP8.5 scenario. In these cases, adaptation would be possible by shifting the crop to adjacent areas together with careful variety selection in terms of chilling requirements. The results indicate that the RCP8.5 scenario in the far future has an especially negative impact on the crops analysed, calling for resolute mitigation measures to guarantee tree crop production and food security. Recommendations for adaptation, with low uncertainty regarding climate projections, were included here, using actual tree varieties, thereby facilitating interpretation and on-field application for farmers and agricultural technicians. • A reduction in the safe winter chill area is projected in Spain. • Under the severe scenario, the number of viable varieties is strongly reduced. • Local adaptation is possible with low uncertainty by shifting crops to nearby areas. • Adaptation is possible with low uncertainty using low-chill-requirement varieties. • Mitigation efforts are essential to avoid negative impacts on crop production. [ABSTRACT FROM AUTHOR]

A 24 full factorial design with four center points was used to investigate the effects of chickpea flour (CF), psyllium (PSY), cyclodextrin glycosyltransferase (CGTase), and transglutaminase (TGase) on dough Mixolab® parameters and fresh and stored gluten-free bread (GFB) physical properties. Results show that CF and PSY have the greatest effects on the investigated variables. CF increases the loaf-specific volume and crumb firmness values of fresh GFB, effects of increased starch stability (C4) and tendency to starch retrogradation (C5). Both PSY and PSY- CF interactions reduce the loaf-specific volume and increase the crumb firmness of GFB during storage, effects of an increased initial consistency (C1). CF - CGTase interaction reduced crumb firmness during storage, and TGase had no effect. High CF-levels (75 and 100 g/100 g flour weight basis, fwb) combined with low PSY-levels (4.5 and 5.5 g/100 g fwb) resulted in favorable dough consistency for increasing loaf volume and crumb softness. Results also show that the combination of 75 CF and 5.5 PSY (g/100 g fwb) produces a GFB with good physical properties and appearance, reaching values comparable to commercially available fresh and stored GFB. Image 1 • Obtaining high-quality gluten-free bread remains a challenge with increasing demand. • Combination of promising ingredients evaluated with full factorial design. • Experimental breads were compared with fresh and stored commercial counterparts. • Chickpea flour and psyllium modified dough parameters and bread physical properties. • Combining 75 chickpea and 5.5 psyllium (g/100g) improve bread quality and shelf life. [ABSTRACT FROM AUTHOR]

Regulated deficit irrigation (RDI) strategies aim to improve water usage without reducing yield. Generally, irrigation strategy effectiveness is measured as fruit yield, with little consideration of fruit quality. As water deficit and increased plant cell sclerification are often associated, this study explored the effect of RDI on pear fruit stone cells, a crucial trait affecting flesh texture. The presence, distribution, and development of pear fruit stone cells under RDI and full irrigation were compared using Pyrus communis L. cv. Barlett trees, employing recently developed microscope image analysis technology. The control treatment was maintained under non-stress conditions, while the RDI treatment received an average of 15% of the control water during the latter part of Stage I fruit development. Observations at the end of Stage I and at harvest revealed no effect on stone cell presence under the RDI strategy tested. The relative area of stone cells within the flesh was greater at Stage I than at harvest, as stone cell expansion occurred early in development, while the (unsclerified) parenchyma cells, a dominant component of the fruit flesh, expanded until harvest. Stone cell cluster density was higher near the fruit core than in the cortex center and exterior. These initial results suggest that well-planned RDI strategies will generally not affect pear fruit stone cell content and, thus, textural quality. Microscope image analysis supported the results from previously used analytical techniques, mainly chemical, while providing a tool for better understanding the process and factors involved in the timing of stone cell differentiation.

Objective:  Pregnancy in women with lupus poses a higher risk of complications compared with the general population. The present study aimed to determine and describe the obstetric and neonatal outcomes of pregnant women with lupus., Materials and Methods:  We conducted an observational retrospective study of pregnant women with the diagnosis of lupus, who were selected and followed at the Maternal-Fetal Medicine Clinic of our institution between January 2013 and July 2018. We analyzed 59 pregnancies and 52 newborns, and collected data regarding sociodemographic features, the preconception period, pregnancy, childbirth, postpartum and the newborn. A descriptive analysis of the variables was performed., Results:  In 58% of the cases, the pregnancy was uneventful. We registered flares in 25% of the cases, preeclampsia in 3%, fetal growth restriction in 12%, gestational loss in 10%, preterm labor in 10%, postpartum complications in 20%, and small for gestational age newborns in 17% of the cases., Conclusions:  Most pregnancies in women with lupus have favorable obstetric and neonatal outcomes. Prenatal counseling, adequate multidisciplinary surveillance, and optimized treatment of the disease are fundamental pillars for these good results., Competing Interests: The authors have no conflict of interests declare., (Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).)

Importance: The treatment for extraperitoneal locally advanced rectal cancer (LARC) is neoadjuvant therapy (NAT) followed by total mesorectal excision (TME). Robust evidence on the optimal time interval between NAT completion and surgery is lacking., Objective: To assess the association of time interval between NAT completion and TME with short- and long-term outcomes. It was hypothesized that longer intervals increase the pathologic complete response (pCR) rate without increasing perioperative morbidity., Design, Setting, and Participants: This cohort study included patients with LARC from 6 referral centers who completed NAT and underwent TME between January 2005 and December 2020. The cohort was divided into 3 groups depending on the time interval between NAT completion and surgery: short (≤8 weeks), intermediate (>8 and ≤12 weeks), and long (>12 weeks). The median follow-up duration was 33 months. Data analyses were conducted from May 1, 2021, to May 31, 2022. The inverse probability of treatment weighting method was used to homogenize the analysis groups., Exposure: Long-course chemoradiotherapy or short-course radiotherapy with delayed surgery., Main Outcome and Measures: The primary outcome was pCR. Other histopathologic results, perioperative events, and survival outcomes constituted the secondary outcomes., Results: Among the 1506 patients, 908 were male (60.3%), and the median (IQR) age was 68.8 (59.4-76.5) years. The short-, intermediate-, and long-interval groups included 511 patients (33.9%), 797 patients (52.9%), and 198 patients (13.1%), respectively. The overall pCR was 17.2% (259 of 1506 patients; 95% CI, 15.4%-19.2%). When compared with the intermediate-interval group, no association was observed between time intervals and pCR in short-interval (odds ratio [OR], 0.74; 95% CI, 0.55-1.01) and long-interval (OR, 1.07; 95% CI, 0.73-1.61) groups. The long-interval group was significantly associated with lower risk of bad response (tumor regression grade [TRG] 2-3; OR, 0.47; 95% CI, 0.24-0.91), systemic recurrence (hazard ratio, 0.59; 95% CI, 0.36-0.96), higher conversion risk (OR, 3.14; 95% CI, 1.62-6.07), minor postoperative complications (OR, 1.43; 95% CI, 1.04-1.97), and incomplete mesorectum (OR, 1.89; 95% CI, 1.02-3.50) when compared with the intermediate-interval group., Conclusions and Relevance: Time intervals longer than 12 weeks were associated with improved TRG and systemic recurrence but may increase surgical complexity and minor morbidity.

The study aimed to define the ideal proportions of pseudocereal flours (PF) in sensory-accepted gluten-free bread (GFB) formulations. The characteristics of GFB developed with PF (amaranth, buckwheat, and quinoa) were verified through a mixture design and response surface methodology. Three simplex-centroid designs were studied to analyze the effects of each PF and their interactions with potato starch (PS), and rice flour (RF) on GFB's physical and sensory characteristics, each design producing three single, three binary and six ternary GFB formulations. Results showed that using PF alone resulted in unacceptable GFB. However, the interactions between PF and RF improved the loaf specific volume and the crumb softness and also enhanced appearance, color, odor, texture, flavor, and overall liking. Moreover, the composite formulations prepared with 50% PF and 50% RF (flour basis) presented physical properties and acceptability scores like those of white GFB, prepared with 100% RF or a 50% RF + 50% PS blend (flour basis). Maximum proportions of PF to obtain well-accepted GFB (scores ≥7 for all evaluated attributes on a 10-cm hybrid hedonic scale) were defined at 60% for amaranth flour (AF), 85% for buckwheat flour (BF), and 82% for quinoa flour (QF) in blends with RF.