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                <text>Construcción sostenible en Colombia: Análisis a partir del Proyecto de Ley No. 208/2019 Cámara</text>
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                <text>William Rodrigo  Avendaño Castro, Gerson  Rueda Vera, Blanca Mery Velasco Burgos</text>
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                <text>La industria de la construcción es una de las principales fuentes de contaminación en la actualidad, y por ello, las leyes destinadas a mitigar su impacto, resultan indispensables frente a problemas estructurales como el cambio climático. En esta investigación se analiza la construcción sostenible en Colombia y el Proyecto de Ley 208 2019 del Congreso de la República para su fomento. Se trata de un estudio cualitativo de tipo documental, enmarcado en el paradigma interpretativo. Se analizaron documentos publicados en los últimos cinco años que facilitaron el estudio del tema, así como la última iniciativa del legislativo colombiano para el fomento de la construcción sostenible. Los hallazgos del análisis evidencian, por un lado, una ausencia de estudios relacionados con el impacto de la industria de la construcción en el contexto colombiano, y por otro, una relación directa entre esta actividad económica, el desarrollo sostenible y el cambio climático. El frente legislativo es un escenario de acción para dar respuesta al complejo problema que se puede articular con la construcción sostenible. Se concluye, que en el país aún es incipiente el desarrollo normativo en la materia, y, por tanto, es necesario dar paso a una política pública de mayor alcance.</text>
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                <text>Revista de Ciencias Sociales</text>
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                <text>Universidad del Zulia</text>
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                <text>&lt;a href="https://produccioncientificaluz.org/index.php/rcs/article/view/37030/40190" target="_blank" rel="noreferrer noopener"&gt;https://produccioncientificaluz.org/index.php/rcs/article/view/37030/40190&lt;/a&gt;</text>
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                <text>Gobernanza climática y planificación del desarrollo: una mirada desde la academia</text>
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                <text>La presente investigación tuvo como objetivo analizar desde una mirada académica la gobernanza climática y planificación del desarrollo. La investigación, bajo un enfoque cualitativo, tuvo un diseño hermenéutico y un nivel de alcance descriptivo. Se utilizó la entrevista como técnica de recolección de información. Las entrevistas fueron aplicadas a tres expertos representantes de la academia universitaria de la ciudad de Cúcuta (Colombia) en materia de cambio climático, planes de desarrollo y gobernanza, así como el papel que juega la educación como actor relevante en la mitigación y adaptación del cambio climático. Los resultados muestran que existe un conjunto de condiciones que pueden facilitar espacios de participación y diálogo para la generación de acuerdos colectivos en la generación de iniciativas. Se concluye que la gobernanza y educación para el clima, puede desempeñar un papel importante en la preparación de las personas para hacer frente a las complejidades del cambio climático, desarrollar la resiliencia, mejorar la innovación, y promover la colaboración para la mitigación y adaptación.   </text>
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                <text>Revista Boletín Redipe</text>
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                <text>Se describen las percepciones, representaciones y acciones de jóvenes universitarios frente al cambio climático. Corresponde a una investigación cuantitativa no experimental de nivel descriptiva y enmarcada en el paradigma empírico-analítico. Participaron en el estudio 541 jóvenes de pregrado de una universidad pública de la ciudad de Cúcuta. Se diseñó un cuestionario que integró tres variables: aspectos sociodemográficos, percepciones y representaciones, y acciones frente al cambio climático. El instrumento fue validado a través de juicio de expertos y una prueba piloto. Los resultados del estudio muestran que los jóvenes universitarios tienen ideas, imágenes y conceptos fragmentados en torno al cambio climático, los cuales influyen en las escasas acciones y estrategias que se diseñan para aprontar el fenómeno en mención.</text>
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                <text>As praças de Janaúba: diagnóstico socioambiental e reflexões sobre a área verde urbana</text>
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                <text>William Rodrigo Santos, Vívian Mendes Hermano</text>
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                <text>O objetivo deste estudo foi analisar a qualidade ambiental das praças da cidade de Janaúba, Minas Gerais. Neste trabalho desenvolveu-se uma pesquisa de campo com a visita a 13 praças locais com análises de cada localidade e diagnóstico global da realidade abordada. O estudo ainda se baseou nos achados teóricos de Teixeira e Santos (1991), Loboda e De Angeles (2005) e Bargos e Matias (2011). Os resultados indicam que as praças janaubenses desempenharam relativa qualidade ambiental em face de precariedades estruturais, de zeladoria e arranjo urbanístico. Chegou-se a conclusão de que a inserção de políticas efetivas voltadas para a acessibilidade, funções sanitaristas e implantação de sistemas de irrigação, manutenção e vigilância intensificariam os benefícios dos espaços verdes públicos da cidade, consequentemente, beneficiando o espaço urbano e seu público usuário.</text>
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                <text>2016</text>
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                <text>Universidade Estadual de Montes Claros</text>
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                <text>&lt;a href="http://www.ead.unimontes.br/multitexto/index.php/rmcead/article/view/143" target="_blank" rel="noreferrer noopener"&gt;http://www.ead.unimontes.br/multitexto/index.php/rmcead/article/view/143&lt;/a&gt;</text>
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                  <text>Agricultura sostenible</text>
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                <text>Ensayos de familias f2 de Eucalyptus Deglupta y E. Grandis con fines de conversión en huertos semilleros</text>
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                <text>William Vásquez, Francisco Mesén, Edgar Víquez</text>
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                <text>Se evaluó el comportamiento de 25 familiasF2 de Eucalyptus deglupta y 28 familiasF2 de E. grandis en Turrialba, Costa Rica, conel objetivo de convertir los ensayos en huertossemilleros. Las familias de E. deglupta fueronseleccionadas de un ensayo de familias F1 establecidoen Upala, Costa Rica, mientras que las deE. grandis provinieron de un ensayo de familiasF1 establecido en Tucurrique y de una plantaciónen el CATIE, Turrialba. Se registró informaciónsobre forma del fuste, altura y dap anualmente,además de presencia de daños por hongos. Sereporta los resultados de la última evaluación,cuando los ensayos tenían 3,8 (E. deglupta) y 4,4años (E. grandis). Se encontró diferencias altamentesignificativas entre familias para todas lasvariables evaluadas. En E. deglupta se encontróheredabilidades para forma, altura y dap de 0,09,0,29 y 0,28 y coeficientes de variación genéticaaditiva (CVGA) de 10,59, 9,72 y 14,89, respectivamente.Con una intensidad de selección de1,16 se estiman ganancias genéticas de 3,7, 6,0y 9,1% para las 3 variables, respectivamente.En E. grandis se encontró heredabilidades paraforma, altura y dap de 0,25, 0,13 y 0,18 y CVGAde 19,93, 4,81 y 12,12, respectivamente. Conuna intensidad de selección de 0,97, se esperanganancias genéticas de 9,7, 1,7 y 5,0% para estas3 variables, respectivamente. Se ofrecen recomendacionesprácticas para la conversión de losensayos en huertos semilleros.</text>
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                <text>2007</text>
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            <description>The topic of the resource</description>
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                <text>Eucalyptus deglupta, Eucalyptus grandis, fitomejoramiento, heredabilidad</text>
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                <text>Agronomía Costarricense</text>
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                <text>Universidad de Costa Rica</text>
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                <text>Agriculture (General), Agriculture</text>
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                <text>&lt;a href="http://www.redalyc.org/articulo.oa?id=43631205" target="_blank" rel="noreferrer noopener"&gt;http://www.redalyc.org/articulo.oa?id=43631205&lt;/a&gt;</text>
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                  <text>Agricultura sostenible</text>
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                  <text>Dominio científico: Agricultura sostenible</text>
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                <text>SELECCIÓN DE LÍNEAS PROMISORIAS DE NARANJILLA (SOLANUM QUITOENSE LAM.) PARA CALIDAD DE FRUTA</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>William Viera, Andrea Sotomayor, Pablo Viteri, Wilson Silva, Paúl Gómez, Lenin Ron</text>
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            <description>An account of the resource</description>
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                <text>La naranjilla es un frutal no tradicional de gran importancia económica en las estribaciones de la cordillera y la Amazonía ecuatoriana. Su fruta es muy apetecida debido a sus características físicas, químicas y organolépticas que le brindan calidad para su consumo; por tal motivo el fitomejoramiento de este frutal enfocado en la calidad de la fruta permite desarrollar nuevos materiales que posean las características deseadas por el mercado y la agroindustria.</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2016</text>
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            <description>The topic of the resource</description>
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                <text>Componente genético, calidad, fitomejoramiento, modelo linear mixto, rendimiento</text>
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            <name>Identifier</name>
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                <text>10.36331/revista.v3i1.21</text>
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                <text>Ecuador es Calidad</text>
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            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="220042">
                <text>Agencia de Regulación y Control Fito y Zoosanitario (AGROCALIDAD)</text>
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            </elementTextContainer>
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            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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                <text>Agriculture (General), Animal culture</text>
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            <description>A related resource</description>
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              <elementText elementTextId="220044">
                <text>&lt;a href="https://revistaecuadorescalidad.agrocalidad.gob.ec/revistaecuadorescalidad/index.php/revista/article/view/21" target="_blank" rel="noreferrer noopener"&gt;https://revistaecuadorescalidad.agrocalidad.gob.ec/revistaecuadorescalidad/index.php/revista/article/view/21&lt;/a&gt;</text>
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                  <text>Coronavirus</text>
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              <description>An account of the resource</description>
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                  <text>Dominio científico: Coronavirus</text>
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      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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                <text>Improvement of an Online Education Model with the Integration of Machine Learning and Data Analysis in an LMS</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="39388">
                <text>William Villegas-Ch, Xavier Palacios-Pacheco, Milton Román-Cañizares</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>The events that took place in the year 2020 have shown us that society is still fragile and that it is exposed to events that rapidly change the paradigms that govern it. This has been shown by a pandemic like Coronavirus disease 2019; this global emergency has changed the way people interact, communicate, study, or work. In short, the way in which society carries out all activities has changed. This includes education, which has bet on the use of information and communication technologies to reach students. An example of the aforementioned is the use of learning management systems, which have become ideal environments for resource management and the development of activities. This work proposes the integration of technologies, such as artificial intelligence and data analysis, with learning management systems in order to improve learning. This objective is outlined in a new normality that seeks robust educational models, where certain activities are carried out in an online mode, surrounded by technologies that allow students to have virtual assistants to guide them in their learning.</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="39390">
                <text>2020</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="39391">
                <text>machine learning, artificial intelligence, online education, analysis of data</text>
              </elementText>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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                <text>10.3390/app10155371</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="39393">
                <text>Epidemiology and Health</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="39394">
                <text>Korean Society of Epidemiology</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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              <elementText elementTextId="39395">
                <text>Biology (General), Chemistry, Engineering (General). Civil engineering (General), Technology, Physics</text>
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              <description>A name given to the resource</description>
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                  <text>Agricultura sostenible</text>
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              <name>Description</name>
              <description>An account of the resource</description>
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                  <text>Dominio científico: Agricultura sostenible</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>THEMS: an automated thermal and hyperspectral proximal sensing system for canopy reflectance, radiance and temperature</text>
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            <name>Creator</name>
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                <text>William Woodgate, Eva van Gorsel, Dale Hughes, Lola Suarez, Jose Jimenez-Berni, Alex Held</text>
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                <text>Abstract Background Earth Observation ‘EO’ remote sensing technology development enables original insights into vegetation function and health at ever finer temporal, spectral and spatial resolution. Research sites equipped with monitoring infrastructure such as flux towers operate at a key bridging scale between satellite platform measurements and on-the-ground leaf-level processes. Results This paper presents the technical details of the design and operation of a proximal observation system ‘THEMS’ that generates unattended long-term high quality thermal and hyperspectral images of a forest canopy on a short (sub-daily) timescale. The primary purpose of the system is to measure canopy temperature, spectral reflectance and radiance coincident with a highly instrumented flux tower site for benchmarking purposes. Basic system capability is demonstrated through low level data product descriptions of the high-resolution multi-angular imagery and ancillary data streams. The system has been successfully operational for more than 2 years with little to no intervention. Conclusions These data can then be used to derive remotely sensed proxies of canopy and ecosystem function to study temporal forest dynamics over a wide range of wavelengths, spatial scales (individual trees to canopy), and temporal scales (minutes to multiple years). The multi-purpose system is intended to provide unprecedented spatio-temporal ecophysiological insight and to underpin upscaling of remotely sensed dynamic ecosystem water, CO2, and energy exchange processes.</text>
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                <text>2020</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="207067">
                <text>THEMS, hyperspectral, proximal sensor, remote sensing, thermal, validation</text>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="207068">
                <text>10.1186/s13007-020-00646-w</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>Plant Methods</text>
              </elementText>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="207070">
                <text>BMC</text>
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            </elementTextContainer>
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            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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              <elementText elementTextId="207071">
                <text>Plant culture, Biology (General)</text>
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            <description>A related resource</description>
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                <text>&lt;a href="http://link.springer.com/article/10.1186/s13007-020-00646-w" target="_blank" rel="noreferrer noopener"&gt;http://link.springer.com/article/10.1186/s13007-020-00646-w&lt;/a&gt;</text>
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                  <text>Agricultura sostenible</text>
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                  <text>Dominio científico: Agricultura sostenible</text>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Efecto de los ácidos fenólicos en el sistema antioxidante de plantas de tomate (Solanum lycopersicum Mill.)</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="224918">
                <text>William Zárate-Martínez, Susana González-Morales, Francisca Ramírez-Godina, Armando Robledo-Olivo, Antonio Juárez-Maldonado</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="224919">
                <text>Introducción. Los ácidos fenólicos pertenecen al grupo de los compuestos fenólicos, su síntesis y concentración en las plantas aumenta cuando estas se encuentran bajo condiciones de estrés biótico o abiótico. Objetivo. Evaluar el efecto de los ácidos fenólicos sobre el sistema de defensa antioxidante enzimático y no enzimático en plantas de tomate sometidas a estrés biótico. Materiales y métodos. El experimento se realizó de marzo a diciembre de 2016, en Saltillo, México. Se estableció un cultivo de tomate tipo Saladette de la variedad Río Fuego (Solanum lycopersicum Mill.). A plantas de tomate inoculadas con Clavibacter michiganensis subsp. michiganensis (1X105 UFC ml-1) se les realizaron aspersiones foliares de ácidos fenólicos a una dosis de 1 kg ha-1 con el producto Defens Gr® (IA: ácidos fenólicos 10 000 ppm). Se muestrearon hojas a los 15, 31 y 92 días después del trasplante (ddt) y frutos a los 90 ddt. Se trabajó con seis tratamientos: 1) testigo absoluto (T0), 2) aplicación de ácidos fenólicos antes de inocular Clavibacter (AFA), 3) aplicación de ácidos fenólicos después de inocular Clavibacter (AFD), 4) aplicación de ácidos fenólicos antes y después de inocular Clavibacter (AFAD), 5) solo aplicación de ácidos fenólicos (AF) y 6) solo inoculación con Clavibacter (Cmm). Resultados. La aplicación de ácidos fenólicos intervino en la actividad de antioxidantes enzimáticos y no enzimáticos. Se encontró mayor capacidad antioxidante en hoja que en fruto, la cual se determinó por ABTS [2,2’-azino-bis (3-etilbenzotiazolin-6-ácido sulfónico)] y DPPH (1,1-difenil-2-picrilhidrazil). La inoculación de las plantas de tomate aumentó la actividad de las enzimas catalasa y fenilalanina amonio liasa en hoja; además, hubo reducción de la actividad enzimática del superóxido dismutasa y el contenido de fenoles totales. Conclusión. Los ácidos fenólicos intervinieron en los mecanismos de defensa enzimáticos de la planta y redujeron los niveles de estrés ocasionados por la inoculación.</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="224920">
                <text>2021</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="224921">
                <text>Capacidad antioxidante, antioxidantes enzimáticos, antioxidantes/no enzimáticos</text>
              </elementText>
            </elementTextContainer>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="224922">
                <text>10.15517/am.v32i3.45101</text>
              </elementText>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="224923">
                <text>Agronomía Mesoamericana</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="224924">
                <text>Universidad de Costa Rica</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="38">
            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
            <elementTextContainer>
              <elementText elementTextId="224925">
                <text>Agriculture</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="46">
            <name>Relation</name>
            <description>A related resource</description>
            <elementTextContainer>
              <elementText elementTextId="224926">
                <text>&lt;a href="https://revistas.ucr.ac.cr/index.php/agromeso/article/view/45101" target="_blank" rel="noreferrer noopener"&gt;https://revistas.ucr.ac.cr/index.php/agromeso/article/view/45101&lt;/a&gt;</text>
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        <src>https://www.socictopen.socict.org/files/original/3adf9efc295478dfa658bebf627e80b0.pdf</src>
        <authentication>0bf22f4cac81ce06fa9e8779f1ce11b7</authentication>
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          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="1">
                  <text>Coronavirus</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="2">
                  <text>Dominio científico: Coronavirus</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="47472">
                <text>Intensive care for seriously ill patients affected by novel coronavirus sars - CoV - 2: Experience of the Crema Hospital, Italy.</text>
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          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="47473">
                <text>William Zuccon, Paolo Comassi, Luca Adriani, Giulio Bergamaschini, Elena Bertin, Raffaella Borromeo, Serena Corti, Federica De Petri, Francesco Dolci, Attilio Galmozzi, Alberto Gigliotti, Livio Gualdoni, Claudia Guerra, Anna Khosthiova, Giovanni Leati, Giuseppe Lupi, Paolo Moscato, Vittorio Perotti, Miriam Piantelli, Alain Ruini, Silvia Sportelli, Micaela Susca, Carmine Troiano, Giampaolo Benelli, Elisabetta Buscarini, Ciro Canetta, Guido Merli, Alessandro Scartabellati, Giovanni Melilli B S C, Roberto Sfogliarini, Germano Pellegatta, Giovanni Viganò</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="47474">
                <text>In this work, the survival and mortality data of 54 consecutive patients admitted to the Intensive Care Unit (ICU) and suffering from severe respiratory insufficiency imputable to viral SARS - CoV - 2 infection were analyzed and shared, after a critical review of the evidence in order to optimize the most dedicated clinical and treatment strategy, for a future 'targeted' management in the care of the possible return flu outbreak. At our Emergency Department of the Crema Hospital, from the beginning of the pandemic until the end of June 2020, 54 consecutive patients admitted to ICU suffering from severe acute respiratory infection (SARI) and severe respiratory distress (ARDS) attributable to viral SARS - CoV - 2 infection were recruited. The recruitment criterion was based on refractory hypoxia, general condition and clinical impairment, comorbidities and CT images. The incoming parameters of the blood chemistry and radiology investigations and the timing of the gold - tracheal intubation were compared. Medical therapy was based on the application of shared protocols. The onset of symptoms was varyng, i.e. within the range of 1-14 days. The average time from the admission to the emergency room to the admission to intensive care was approximately 120 h. The average number of days of hospitalization in the ICU was 28 days. With a majority of male patients, the most significant age group was between 60 and 69 years. There were 21 deaths and, compared to the survivors, the deceased ones were older at an average age of about 67 years (vs an average age of the survivors of about 59 years). From the available data entering the ICU, the surviving patients presented average better values of oximetry and blood gas analysis, with a lower average dosage of D-Dimer than the deceased. Ones with a presence of bilateral pneumonia in all patients, the worsening of the ARDS occurred in 31 patients. 9 out of 25 patients early intubated died, while 12 out of 23 patients died when intubation was performed after 24 h of non-invasive ventilation. The presence of multiple comorbidities was shown in 17 of 28 patients and revealed an additional adverse prognostic factor. Also, more than one complication in the same patient were detected; after respiratory worsening, renal failure was more frequently found in 16 patients. Some particular complications such as lesions induced by ventilation with barotrauma mechanism (VILI), ischemic heart disease and the appearance of central and peripheral neurological events were detected too. SARS - CoV - 2 disease is caused by a new coronavirus that has its main route of transmission through respiratory droplets and close contact, resulting in a sudden onset of the clinical syndrome with acute respiratory infection (SARI) and severe respiratory distress (ARDS). But it can also appear with other symptoms such as gastrointestinal or neurological events, as to be considered as a disease with multisystem phenotype. This pathology evolves towards a serious form of systemic disease from an acute lung damage to venous and arterial thromboembolic complications and multi-organ failure, mostly associated with high mortality. All patients received empirical or targeted antibiotic therapy for prevention and control of infections of potential pathogens, together with low molecular weight heparin therapy. The majority of patients was subjected to the off - label protocol with antivirals and hydroxychloroquine therapy, we used cortisone support therapy under surveillance and in 3 cases the protocol with anti - IL6 monoclonal antibody (Tolicizumab). In a simplified classification of the tomographic examination of the chest, mostly 3D and 2C lesions were found in the deceased patients with a prevalence of severe and moderate forms, whilst in the survivors the distribution appears with a prevalence of medium and moderate forms. Among the intubated patients, 21 patients, all suffering from worsening ARDS, died whilst there was no mortality in patients subjected to non-invasive ventilation it so. The heterogeneity of the respiratory syndromes and the presence of multiple comorbidities represent an unfortunate prognostic factor. Among the complications, besides the respiratory worsening, renal failure, liver failure and the state of sepsis were most frequently found; less frequent complications were lesions induced by ventilation with a barotrauma mechanism, ischemic heart disease, the appearance of central neurological events of sensory alterations, meningo - encephalitis and cerebral hemorrhage, and peripheral neurological events with polyneuro - myopathies. Mechanical ventilation can adversely affect the prognosis due to lung damage induced, protective ventilation remains the necessary treatment during severe hypoxia in patients with SARS - CoV - 2. The essential prerequisite remains the search for optimal 'customized' values since conditions can vary from patient to patient and, in the same patient, during different times of ventilation. In these extraordinary circumstances, our reality was among the most affected and was able to hold the impact thanks to the immediate great response set in place by the operators, although it costed us an effort especially the one to try to guarantee a high quality level of assistance and care compared to the huge wave of patients in seriously bad conditions. Further research on this heterogeneous pathology and data sharing could help identify a more dedicated clinical decision-making and treatment pathway that, together with a resource planning, would allow us to better face any new disease outbreak.</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="47475">
                <text>2020</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="47476">
                <text>SARS, covid, cov-2-, 19 outbreak</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="47477">
                <text>10.1016/j.ajem.2020.08.005</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="47478">
                <text>The American journal of emergency medicine</text>
              </elementText>
            </elementTextContainer>
          </element>
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</itemContainer>
