Innovación agrícola pro-pobre para la seguridad y soberanía alimentaria en la región andina: el caso IssAndes en Ecuador.

El proyecto "Innovación para la seguridad y la soberanía alimentaria en la región andina"- IssAndes, se inició en marzo del 2011 y culminó en marzo del 2015. El proyecto fue ejecutado en Bolivia, Ecuador, Perú y Colombia, con socios de agricultura, salud y educación en cada país. Fue coordinado por el Centro Internacional de la Papa (CIP) y financiado por la Unión Europea a través del Fondo Internacional de Desarrollo Agrícola (FIDA). El objetivo de IssAndes fue fortalecer la innovación para la seguridad alimentaria a diferentes niveles territoriales (local, nacional y regional) en la región andina, en respuesta a las necesidades de los grupos rurales vulnerables y así contribuir a la reducción de la desnutrición de niño/as menores de tres años mediante mejoras en la alimentación y nutrición de las familias. En el Ecuador, el proyecto se implementó en las provincias de Chimborazo, Tungurahua y Cotopaxi, en un total de 10 cantones y 17 parroquias, llegando a 44 comunidades con 1135 familias vinculadas al rubro papa. El proyecto tuvo un total de siete socios a nivel nacional (Instituto Nacional Autónomo de Investigaciones Agropecuarias - INIAP, Escuela Superior Politécnica de Chimborazo - ESPOCH, Visión Mundial, Estrategia Acción Nutrición - EAN, Oficina para Estudios del Agro - OfiAgro, Centro Latinoamericano para el Desarrollo Rural-RIMISP y la Fundación Minga para la Acción Rural y la Cooperación - MARCO) y dos socios a nivel regional (CIP y el Instituto de Investigación Nutricional - IIN). IssAndes estructuró sus acciones de investigación y desarrollo en cuatro componentes: i) Contribución de la papa a la nutrición y salud; ii) Mejoras en los sistemas de producción basados en papa; iii) Educación nutricional para el cambio de comportamiento; e iv) Incidencia pública y política

Pasta consumption and connected dietary habits: Associations with glucose control, adiposity measures, and cardiovascular risk factors in people with type 2 diabetes—TOSCA.IT study

Background: Pasta is a refined carbohydrate with a low glycemic index. Whether pasta shares the metabolic advantages of other low glycemic index foods has not really been investigated. The aim of this study is to document, in people with type-2 diabetes, the consumption of pasta, the connected dietary habits, and the association with glucose control, measures of adiposity, and major cardiovascular risk factors. Methods: We studied 2562 participants. The dietary habits were assessed with the European Prospective Investigation into Cancer and Nutrition (EPIC) questionnaire. Sex-specific quartiles of pasta consumption were created in order to explore the study aims. Results: A higher pasta consumption was associated with a lower intake of proteins, total and saturated fat, cholesterol, added sugar, and fiber. Glucose control, body mass index, prevalence of obesity, and visceral obesity were not significantly different across the quartiles of pasta intake. No relation was found with LDL cholesterol and triglycerides, but there was an inverse relation with HDL-cholesterol. Systolic blood pressure increased with pasta consumption; but this relation was not confirmed after correction for confounders. Conclusions: In people with type-2 diabetes, the consumption of pasta, within the limits recommended for total carbohydrates intake, is not associated with worsening of glucose control, measures of adiposity, and major cardiovascular risk factors

Polyphenol intake and cardiovascular risk factors in a population with\ua0type 2 diabetes: The TOSCA.IT study.

Summary Background The role of polyphenol intake on cardiovascular risk factors is little explored, particularly in people with diabetes. Aim: To evaluate the association between the intake of total polyphenols and polyphenol classes with the major cardiovascular risk factors in a population with type 2 diabetes. Methods Dietary habits were investigated in 2573 males and females participants of the TOSCA.IT study. The European Prospective Investigation on Cancer and Nutrition (EPIC) questionnaire was used to assess dietary habits. In all participants, among others, we assessed anthropometry, plasma lipids, blood pressure, C-reactive protein and HbA1c following a standard protocol. The USDA and Phenol-Explorer databases were used to estimate the polyphenol content of the habitual diet. Results Average intake of polyphenols was 683.3 \ub1 5.8 mg/day. Flavonoids and phenolic acids were the predominant classes (47.5% and 47.4%, respectively). After adjusting for potential confounders, people with the highest intake of energy-adjusted polyphenols (upper tertile) had a more favorable cardiovascular risk factors profile as compared to people with the lowest intake (lower tertile) (BMI was 30.7 vs 29.9 kg/m2, HDL-cholesterol was 45.1 vs 46.9 mg/dl, LDL-cholesterol was 103.2 vs 102.1 mg/dl, triglycerides were 153.4 vs 148.0 mg/dl, systolic and diastolic blood pressure were respectively 135.3 vs 134.3 and 80.5 vs 79.6 mm/Hg, HbA1c was 7.70 vs 7.67%, and C-reactive Protein was 1.29 vs 1.25 mg/dl, p < .001 for all). The findings were very similar when the analysis was conducted separately for flavonoids or phenolic acids, the two main classes of polyphenols consumed in this population. Conclusions Polyphenol intake is associated with a more favorable cardiovascular risk factors profile, independent of major confounders. These findings support the consumption of foods and beverages rich in different classes of polyphenols particularly in people with diabetes. Clinical trial http://www.clinicaltrials.gov; Study ID number: NCT00700856

"Dangerous to Themselves and Others, and of Public Scandal": The Internment Procedure

Abstract Through G.'s admission and medical files, this chapter illustrates internment laws and procedures, highlighting how Fascism pushed pre-existing legislation to its extreme consequences. In reconstructing internment's bureaucratic and legal practices, the chapter emphasises how the law could be bent to accommodate the regime's need to isolate those perceived as "different" and how psychiatry acquiesced in offering to "correct" individuals considered "non-conforming", "amoral", "immoral", "deviant", rebellious and, among them, homosexuals, in exchange for an increase of power and status