Evaluación del cumplimiento de la guía de atención en desnutrición indicada por el Ministerio de Protección Social de 0 a 10 años

Malnutrition is a public health problem that mainly affects children in our country. Decree 117 from Resolution 412 establishes the procedures to be followed for diseases that are of public interest, such as malnutrition. Objective: evaluate compliance and use of the guide for the treatment of malnourished, an initiative begun by the head office for promotion of the social protection ministry. Methodology: A descriptive transversal study was carried out in a health center in Cali, Colombia. It included 17 clinical histories of malnourished children with age 0 to 10. Results: A total of 17 clinical histories were reviewed: 41.2% were children 0-2 years old, 58.8% were older than 2 years old. 52.9% were females and 47.1% were males. All the clinical histories of the children less than 2 years old included weight-age, height-age and weight-height. For the children older than 2 years old all the histories had weigh–age, height-age; only 10% included the BMI. Biochemistry tests carried out were in 47.1% of the cases CBC and TSH, 5.9 % had a creatinine test. Only 23.5% had stool studies. 100% of the histories lacked total protein tests, T3 and T4, Transferrin, ureic nitrogen and growth hormone tests. Professional healthcare is provided by a physician and a nursing assistant; 100% of the follow-up is done by the nursing assistant. The children are not seen or monitored by a nutritionist. Conclusions: The Basic Care Guide for Malnutrition is not being totally complied by the Health Services.La desnutrición es un problema de salud pública que afecta en su mayoría a los niños y niñas de Colombia. El decreto 117 de la Resolución 412 de obligatorio cumplimiento reglamenta los procedimientos a seguirse con las enfermedades de interés en salud pública, como la desnutrición. Objetivo: Evaluar el cumplimiento y manejo de la guía de atención en niños diagnosticados con desnutrición Metodología: Se realizó un estudio descriptivo transversal, se incluyeron 17 registros de niños de 0 a 10 años afectados con desnutrición atendidos en un CAA de Cali. Resultados: Se analizaron 17 historias clínicas. 41.2% niños de 0 a 2 años de edad y 58.8% mayores de 2 años. 52.9% niñas y 47.1% niños. En los niños de 0 a 2 años el 100% de las historias incluía el peso-edad, talla-edad, y peso-talla. En los niños mayores de 2 años el 100% de las historias incluían el peso-edad y talla-edad, solo el 10% incluía el IMC. Las pruebas bioquímicas realizadas fueron en un 47.1% el cuadro hematico y TSH, en un 5.9% la creatinina. El coprológico se indico solo en un 23.5% .El 100% de las historias no incluían exámenes de proteínas totales, T3 y T4, Transferrina, Nitrógeno Ureico y Hormona de crecimiento. La intervención profesional la hace el médico y la auxiliar de enfermería, el seguimiento lo hace la auxiliar. Los niños no son valorados ni seguidos por nutricionistas. Conclusión: La guía de atención básica en desnutrición no se está cumpliendo en su totalidad por parte del CAA

Young people in iNaturalist: a blended learning framework for biodiversity monitoring

Participation in authentic research in the field and online through Community and Citizen Science (CCS) has shown to bring learning benefits to volunteers. In online CCS, available platforms present distinct features, ranging from scaffolding the process of data collection, to supporting data analysis and enabling volunteers to initiate their own studies. What is yet not well understood is how best to design CCS programmes that are educational, inclusive, and accessible by diverse volunteers, including young people and those with limited prior science experiences who are rather few in CCS. In this study, we interviewed 31 young people, aged 7–20 years old, who used iNaturalist, an online biodiversity monitoring platform, and identified how different forms of participation online and in the field facilitated (or inhibited) certain forms of learning, as defined by the Environmental Science Agency framework. Findings revealed that iNaturalist enabled participation of young people including those with limited science experiences and facilitated science learning such as the development of science competence and understanding. A blended learning framework for biodiversity monitoring in CCS is presented as a means to support the development of hybrid, educational, and inclusive CCS programmes for young people

Oil Extraction from Spent Coffee Grounds: Experimental Studies and Exergoeconomic Analysis

Currently, the spent coffee grounds (SCGs) are considered an agro-industrial waste with a high oil content that can be used as a feedstock in biorefineries. Therefore, the oil extraction from SCGs is considered a main stage, that should be sustainable and low-cost. The aim of this study is to determine and compare the exergetic and economic indicators of two SCGs oil extraction processes: soxhlet extraction (SE) and ultrasound-assisted extraction (UAE). The exergoeconomic balances were performed by using Engineering Equation Solver (ESS). In addition, the effects of the solvent to SCGs ratio on the extraction yield and on the exergoeconomic indicators were studied. The analysis aided by computational tools determined that the exergy destruction rate of the SE process (14.3 kJ/kg) is higher compared with the UAE process (4.50 kJ/kg). Therefore, the oil specific cost is reduced to 86% when using UAE process. Furthermore, in the UAE process, the increase in the hexane to SCGs ratio from 5 mL/g to 20 mL/g, reduces the oil specific cost by 68.5 % and increases the oil extraction yield from 10.5 % to 18.8 %. Future studies should focus on the ultrasound-assisted extraction process scale-up

Worldwide selection footprints for drought and heat in bread wheat (Triticum aestivum L.)

Genome–environment Associations (GEA) or Environmental Genome-Wide Association scans (EnvGWAS) have been poorly applied for studying the genomics of adaptive traits in bread wheat landraces (Triticum aestivum L.). We analyzed 990 landraces and seven climatic variables (mean temperature, maximum temperature, precipitation, precipitation seasonality, heat index of mean temperature, heat index of maximum temperature, and drought index) in GEA using the FarmCPU approach with GAPIT. Historical temperature and precipitation values were obtained as monthly averages from 1970 to 2000. Based on 26,064 high-quality SNP loci, landraces were classified into ten subpopulations exhibiting high genetic differentiation. The GEA identified 59 SNPs and nearly 89 protein-encoding genes involved in the response processes to abiotic stress. Genes related to biosynthesis and signaling are mainly mediated by auxins, abscisic acid (ABA), ethylene (ET), salicylic acid (SA), and jasmonates (JA), which are known to operate together in modulation responses to heat stress and drought in plants. In addition, we identified some proteins associated with the response and tolerance to stress by high temperatures, water deficit, and cell wall functions. The results provide candidate regions for selection aimed to improve drought and heat tolerance in bread wheat and provide insights into the genetic mechanisms involved in adaptation to extreme environments

Calicophoron daubneyi (Paramphistomidae) in slaughtered cattle in Castilla y León (Spain)

The prevalence and aetiology of natural paramphistomosis was investigated in cattle slaughtered in the Castilla y León region (Spain) over a 3 year-period. The overall prevalence of positive animals was 6.20%. The parasite burden per animal ranged from 8 to 8005 (median = 144) and the ruminal atrium had the highest parasite burden whereas the ruminal dorsal sac the lowest. The prevalence and parasite burden increased with age while these parameters were lower in cattle under intensive management. Calicophoron daubneyi was the only Paramphistomidae species identified using morphoanatomical, histological and molecular methods in the studied animals.This work was supported by grant LE023A10-2 fromJunta de Castilla y León (JCyL). A.M. Martínez-Ibeas was supported by the JCyL andthe European Social Funds (ESF) and J. Benavides by theJAE-Doc programme (CSIC-ESF).Peer Reviewe

Haplotype analysis of the internationally distributed BRCA1 c.3331_3334delCAAG founder mutation reveals a common ancestral origin in Iberia

BACKGROUND: The BRCA1 c.3331_3334delCAAG founder mutation has been reported in hereditary breast and ovarian cancer families from multiple Hispanic groups. We aimed to evaluate BRCA1 c.3331_3334delCAAG haplotype diversity in cases of European, African, and Latin American ancestry. METHODS: BC mutation carrier cases from Colombia (n = 32), Spain (n = 13), Portugal (n = 2), Chile (n = 10), Africa (n = 1), and Brazil (n = 2) were genotyped with the genome-wide single nucleotide polymorphism (SNP) arrays to evaluate haplotype diversity around BRCA1 c.3331_3334delCAAG. Additional Portuguese (n = 13) and Brazilian (n = 18) BC mutation carriers were genotyped for 15 informative SNPs surrounding BRCA1. Data were phased using SHAPEIT2, and identical by descent regions were determined using BEAGLE and GERMLINE. DMLE+ was used to date the mutation in Colombia and Iberia. RESULTS: The haplotype reconstruction revealed a shared 264.4-kb region among carriers from all six countries. The estimated mutation age was ~ 100 generations in Iberia and that it was introduced to South America early during the European colonization period. CONCLUSIONS: Our results suggest that this mutation originated in Iberia and later introduced to Colombia and South America at the time of Spanish colonization during the early 1500s. We also found that the Colombian mutation carriers had higher European ancestry, at the BRCA1 gene harboring chromosome 17, than controls, which further supported the European origin of the mutation. Understanding founder mutations in diverse populations has implications in implementing cost-effective, ancestry-informed screening

The Amazon Epiphyte Network: A First Glimpse Into Continental-Scale Patterns of Amazonian Vascular Epiphyte Assemblages

Epiphytes are still an understudied plant group in Amazonia. The aim of this study was to identify distributional patterns and conservation priorities for vascular epiphyte assemblages (VEA) across Amazonia. We compiled the largest Amazonian epiphyte plot database to date, through a multinational collaborative effort of 22 researchers and 32 field sites located across four Amazonian countries – the Amazonian Epiphyte Network (AEN). We addressed the following continental-scale questions by utilizing the AEN database comprising 96,448 epiphyte individuals, belonging to 518 vascular taxa, and growing on 10,907 tree individuals (phorophytes). Our objectives here are, first, to present a qualitative evaluation of the geographic distribution of the study sites and highlight regional lacunae as priorities for future quantitative inventories. Second, to present the floristic patterns for Amazonia-wide VEA and third, to combine multivariate analyses and rank abundance curves, controlled by major Amazonian habitat types, to determine how VEA vary geographically and ecologically based on major Amazonian habitat types. Three of the most striking patterns found are that: (1) VEA are spatially structured as floristic similarity decays with geographic distance; (2) a core group of 22 oligarchic taxa account for more than a half of all individuals; and (3) extensive floristic sampling gaps still exist, mainly across the highly threatened southern Amazonian deforestation belt. This work represents a first step toward unveiling distributional pattern of Amazonian VEA, which is important to guide future questions on ecology and species distribution ranges of VEA once the collaborative database grows allowing a clearer view of patterns

Immigration, work and health in Spain: the influence of legal status and employment contract on reported health indicators

Objective To analyze the relationship of legal status and employment conditions with health indicators in foreign-born and Spanish-born workers in Spain. Methods Cross-sectional study of 1,849 foreign-born and 509 Spanish-born workers (2008–2009, ITSAL Project). Considered employment conditions: permanent, temporary and no contract (foreign-born and Spanish-born); considered legal statuses: documented and undocumented (foreign-born). Joint relationships with self-rated health (SRH) and mental health (MH) were analyzed via logistical regression. Results When compared with male permanently contracted Spanish-born workers, worse health is seen in undocumented foreign-born, time in Spain ≤3 years (SRH aOR 2.68, 95% CI 1.09–6.56; MH aOR 2.26, 95% CI 1.15–4.42); in Spanish-born, temporary contracts (SRH aOR 2.40, 95% CI 1.04–5.53); and in foreign-born, temporary contracts, time in Spain >3 years (MH: aOR 1.96, 95% CI 1.13–3.38). In females, highest self-rated health risks are in foreign-born, temporary contracts (aOR 2.36, 95% CI 1.13–4.91) and without contracts, time in Spain >3 years (aOR 4.63, 95% CI 1.95–10.97). Conclusions Contract type is a health determinant in both foreign-born and Spanish-born workers. This study offers an uncommon exploration of undocumented migration and raises methodological issues to consider in future research.The study was funded partially by Fondo de Investigaciones Sanitarias [Spanish Fund for Health Research] grant numbers FIS PI050497, PI052334, PI061701

Sickness presenteeism in Spanish-born and immigrant workers in Spain

<p>Abstract</p> <p><b>Background</b></p> <p>Previous studies have shown that immigrant workers face relatively worse working and employment conditions, as well as lower rates of sickness absence than native-born workers. This study aims to assess rates of sickness presenteeism in a sample of Spanish-born and foreign-born workers according to different characteristics.</p> <p>Methods</p> <p>A cross-sectional survey was conducted amongst a convenience sample of workers (Spanish-born and foreign-born), living in four Spanish cities: Barcelona, Huelva, Madrid and Valencia (2008-2009). Sickness presenteeism information was collected through two items in the questionnaire ("Have you had health problems in the last year?" and "Have you ever had to miss work for any health problem?") and was defined as worker who had a health problem (answered yes, first item) and had not missed work (answered no, second item). For the analysis, the sample of 2,059 workers (1,617 foreign-born) who answered yes to health problems was included. After descriptives, logistic regressions were used to establish the association between origin country and sickness presenteeism (adjusted odds ratios aOR; 95% confidence interval 95%CI). Analyses were stratified per time spent in Spain among foreign-born workers.</p> <p>Results</p> <p>All of the results refer to the comparison between foreign-born and Spanish-born workers as a whole, and in some categories relating to personal and occupational conditions. Foreign-born workers were more likely to report sickness presenteeism compared with their Spanish-born counterparts, especially those living in Spain for under 2 years [Prevalence: 42% in Spanish-born and 56.3% in Foreign-born; aOR 1.77 95%CI 1.24-2.53]. In case of foreign-born workers (with time in Spain < 2 years), men [aOR 2.31 95%CI 1.40-3.80], those with university studies [aOR 3.01 95%CI 1.04-8.69], temporary contracts [aOR 2.26 95%CI 1.29-3.98] and salaries between 751-1,200€ per month [aOR 1.74 95% CI 1.04-2.92] were more likely to report sickness presenteeism. Also, recent immigrants with good self-perceived health and good mental health were more likely to report presenteeism than Spanish-born workers with the same good health indicators.</p> <p>Conclusions</p> <p>Immigrant workers report more sickness presenteeism than their Spanish-born counterparts. These results could be related to precarious work and employment conditions of immigrants. Immigrant workers should benefit from the same standards of social security, and of health and safety in the workplace that are enjoyed by Spanish workers.</p

Competencias para el ejercicio de la dirección de instituciones educativas : reflexiones y experiencias en Iberoamérica

El presente texto es el resultado de las aportaciones al encuentro realizado por los miembros de la Red de Apoyo a la Gestion Educativa (http://www.redage.org) en junio de 2011 en la ciudad de Lima. Constituye el tercer documento de la Serie Informes que ha producido la RedAGE y es expresión del compromiso constitutivo por analizar y difundir temáticas relacionadas con la organizaciÓn y dirección de los sistemas y centros educativos. El ejercicio directivo analizado desde la perspectiva de las competencias es la temática que se aborda en esta ocasión. Por una parte, se continúa la reflexión iniciada con el segundo informe, dedicado a la Dirección de centros educativos en Iberoamérica (http://www.redage.org/files/adjuntos/ Libro%20Red_AGE%20vd.pdf); por otra, se profundiza desde la perspectiva de las competencias con la idea de difundir e impulsar el nuevo enfoque. Tratamos así de un tema incipiente en algunos de los países, pero presente y parte de la agenda de los responsables de la política educativa, con la idea de aportar elementos para las posibles acciones a desarrollar o a mejorar al respecto. Hablamos de competencias y sobre competencias1 y con ello nos referimos a las características de la persona relacionadas con una actuación de éxito en su lugar de trabajo. Se identifican así con la activación y aplicación de manera coordinada de elementos de diferente naturaleza (cognoscitivos, afectivos y procedimentales) para resolver situaciones profesionales concretas. El concepto de competencia es utilizado desde hace tiempo en el campo de la formación profesional, abriéndose camino, poco a poco, en todo el sistema educativo y en los procesos de formación continua, donde la gestión por competencias se ha convertido en un modelo integrador y orientador de las diferentes políticas de recursos humanos