Traditional Excluding Forces: A Review of the Quantitative Literature on the Economic Situation of Indigenous Peoples, Afro-Descendants, and People Living with Disability

Unequal income distribution in Latin America and the Caribbean is linked to unequal distributions of (human and physical) assets and differential access to markets and services. These circumstances, and the accompanying social tensions, need to be understood in terms of traditional fragmenting forces; the sectors of the population who experience unfavorable outcomes are also recognized by characteristics such as ethnicity, race, gender and physical disability. In addition to reviewing the general literature on social exclusion, this paper surveys several more specific topics: i) relative deprivation (in land and housing, physical infrastructure, health and income); ii) labor market issues, including access to labor markets in general, as well as informality, segregation and discrimination; iii) the transaction points of political representation, social protection and violence; and iv) areas where analysis remains weak and avenues for further research in the region

Global variability in seawater Mg:Ca and Sr:Ca ratios in the modern ocean

Seawater Mg:Ca and Sr:Ca ratios are biogeochemical parameters reflecting the Earth–ocean–atmosphere dynamic exchange of elements. The ratios’ dependence on the environment and organisms' biology facilitates their application in marine sciences. Here, we present a measured single-laboratory dataset, combined with previous data, to test the assumption of limited seawater Mg:Ca and Sr:Ca variability across marine environments globally. High variability was found in open-ocean upwelling and polar regions, shelves/neritic and river-influenced areas, where seawater Mg:Ca and Sr:Ca ratios range from ∼4.40 to 6.40 mmol:mol and ∼6.95 to 9.80 mmol:mol, respectively. Open-ocean seawater Mg:Ca is semiconservative (∼4.90 to 5.30 mol:mol), while Sr:Ca is more variable and nonconservative (∼7.70 to 8.80 mmol:mol); both ratios are nonconservative in coastal seas. Further, the Ca, Mg, and Sr elemental fluxes are connected to large total alkalinity deviations from International Association for the Physical Sciences of the Oceans (IAPSO) standard values. Because there is significant modern seawater Mg:Ca and Sr:Ca ratios variability across marine environments we cannot absolutely assume that fossil archives using taxa-specific proxies reflect true global seawater chemistry but rather taxa- and process-specific ecosystem variations, reflecting regional conditions. This variability could reconcile secular seawater Mg:Ca and Sr:Ca ratio reconstructions using different taxa and techniques by assuming an error of 1 to 1.50 mol:mol, and 1 to 1.90 mmol:mol, respectively. The modern ratios’ variability is similar to the reconstructed rise over 20 Ma (Neogene Period), nurturing the question of seminonconservative behavior of Ca, Mg, and Sr over modern Earth geological history with an overlooked environmental effect

Why Are Outcomes Different for Registry Patients Enrolled Prospectively and Retrospectively? Insights from the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF).

Background: Retrospective and prospective observational studies are designed to reflect real-world evidence on clinical practice, but can yield conflicting results. The GARFIELD-AF Registry includes both methods of enrolment and allows analysis of differences in patient characteristics and outcomes that may result. Methods and Results: Patients with atrial fibrillation (AF) and ≥1 risk factor for stroke at diagnosis of AF were recruited either retrospectively (n = 5069) or prospectively (n = 5501) from 19 countries and then followed prospectively. The retrospectively enrolled cohort comprised patients with established AF (for a least 6, and up to 24 months before enrolment), who were identified retrospectively (and baseline and partial follow-up data were collected from the emedical records) and then followed prospectively between 0-18 months (such that the total time of follow-up was 24 months; data collection Dec-2009 and Oct-2010). In the prospectively enrolled cohort, patients with newly diagnosed AF (≤6 weeks after diagnosis) were recruited between Mar-2010 and Oct-2011 and were followed for 24 months after enrolment. Differences between the cohorts were observed in clinical characteristics, including type of AF, stroke prevention strategies, and event rates. More patients in the retrospectively identified cohort received vitamin K antagonists (62.1% vs. 53.2%) and fewer received non-vitamin K oral anticoagulants (1.8% vs . 4.2%). All-cause mortality rates per 100 person-years during the prospective follow-up (starting the first study visit up to 1 year) were significantly lower in the retrospective than prospectively identified cohort (3.04 [95% CI 2.51 to 3.67] vs . 4.05 [95% CI 3.53 to 4.63]; p = 0.016). Conclusions: Interpretations of data from registries that aim to evaluate the characteristics and outcomes of patients with AF must take account of differences in registry design and the impact of recall bias and survivorship bias that is incurred with retrospective enrolment. Clinical Trial Registration: - URL: http://www.clinicaltrials.gov . Unique identifier for GARFIELD-AF (NCT01090362)

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Correction for Lebrato et al., Global variability in seawater Mg:Ca and Sr:Ca ratios in the modern ocean

4 pages, 5 figures.-- Correction Global variability in seawater Mg:Ca and Sr:Ca ratios in the modern ocean; Proceedings of the National Academy of Sciences of the USA 117(36): 22281-22292 (2020); doi: 10.1073/pnas.1918943117; http://hdl.handle.net/10261/221953The authors wish to note the following: “This study’s seawater Sr:Ca values were systematically low as a consequence of normalization to another published low value for the International Association for the Physical Sciences of the Oceans (IAPSO) (1). IAPSO has been used at the Ocean Drilling Program, Texas A&M University (ODP-TAMU) (http://www-odp.tamu.edu/), and is still being used as the primary standard for elemental composition of seawater/interstitial water. Consequently, our seawater value of Sr:Ca = 8.28 mmol:mol was systematically low by approx. 3.70%, if we accept seawater Sr:Ca 8.60 mmol:mol as the recommended value for IAPSO North Atlantic surface water salinity standard. The uncertainty budget should be expanded including the uncertainty of IAPSO composition. The largest contribution to expanded uncertainty of our data comes from the uncertainty of the IAPSO reference composition, which is 3.29% using all published values. This will result in 3.30% (1 SD) expanded uncertainty for seawater Sr:Ca (and 0.5%, for seawater Mg:Ca) of the entire data set with respect to accuracy. We have corrected all seawater Sr:Ca values with a factor of 1.0243 in all our tables (e.g., SI Appendix, Table S1 averages) and in the figures (Fig. 4, Fig. 5), where a ratio was used. Note that the seawater Sr:Ca % changes are small, thus changes are hardly noticeable on large displays (e.g., Figures), but they can be seen in the tables and averages/SD calculations. Seawater Sr:Ca ratios are also corrected in the main text where relevantPeer reviewe

Correlation and validity of imputed PaO2/FiO2 and SpO2/FiO2 in patients with invasive mechanical ventilation at 2600m above sea level

7 páginasObjective To establish the correlation and validity between PaO2/FiO2 obtained on arterial gases versus noninvasive methods (linear, nonlinear, logarithmic imputation of PaO2/FiO2 and SpO2/FiO2) in patients under mechanical ventilation living at high altitude. Design Ambispective descriptive multicenter cohort study. Setting Two intensive care units (ICU) from Colombia at 2600 m a.s.l. Patients or participants Consecutive critically ill patients older than 18 years with at least 24 h of mechanical ventilation were included from June 2016 to June 2019. Interventions None. Variables Variables analyzed were demographic, physiological messures, laboratory findings, oxygenation index and clinical condition. Nonlinear, linear and logarithmic imputation formulas were used to calculate PaO2 from SpO2, and at the same time the SpO2/FiO2 by severe hypoxemia diagnosis. The intraclass correlation coefficient, area under the ROC curve, sensitivity, specificity, positive predictive value, negative predictive value, positive and negative likelihood ratio were calculated. Results The correlation between PaO2/FiO2 obtained from arterial gases, PaO2/FiO2 derived from one of the proposed methods (linear, non-linear, and logarithmic formula), and SpO2/FiO2 measured by the intraclass correlation coefficient was high (greater than 0.77, p < 0.001). The different imputation methods and SpO2/FiO2 have a similar diagnostic performance in patients with severe hypoxemia (PaO2/FiO2 <150). PaO2/FiO2 linear imputation AUC ROC 0,84 (IC 0.81–0.87, p < 0.001), PaO2/FiO2 logarithmic imputation AUC ROC 0.84 (IC 0.80–0.87, p < 0.001), PaO2/FiO2 non-linear imputation AUC ROC 0.82 (IC 0.79–0.85, p < 0.001), SpO2/FiO2 oximetry AUC ROC 0.84 (IC 0.81–0.87, p < 0.001). Conclusions At high altitude, the SaO2/FiO2 ratio and the imputed PaO2/FiO2 ratio have similar diagnostic performance in patients with severe hypoxemia ventilated by various pathological conditions.Objetivo Establecer la correlación y validez entre PaO2/FiO2 obtenida en gases arteriales versus métodos no invasivos (imputación lineal, no lineal, logarítmica de PaO2/FiO2 y SpO2/FiO2) en pacientes bajo ventilación mecánica que viven en altitudes elevadas. Diseño Estudio de cohorte multicéntrico descriptivo ambispectivo Ámbito Dos unidades de cuidados intensivos de Colombia a 2.600 m s.n.m. Pacientes o participantes Se incluyeron pacientes consecutivos en estado crítico mayores de 18 años con al menos 24 h de ventilación mecánica desde junio de 2016 a junio de 2019. Intervenciones Ninguna. Variables Las variables analizadas fueron demográficas, fisiológicas, hallazgos de laboratorio, índice de oxigenación y estado clínico. Se utilizaron fórmulas de imputación no lineales, lineales y logarítmicas para calcular la PaO2 a partir de la SpO2, y al mismo tiempo la SpO2/FiO2 mediante el diagnóstico de hipoxemia severa. Se calculó el coeficiente de correlación intraclase, el área bajo la curva ROC, la sensibilidad, la especificidad, el valor predictivo positivo, el valor predictivo negativo, la razón de verosimilitud positiva y negativa. Resultados La correlación entre PaO2/FiO2 obtenida a partir de gases arteriales, PaO2/FiO2 derivada de uno de los métodos propuestos (fórmula lineal, no lineal y logarítmica) y SpO2/FiO2 medida por el coeficiente de correlación intraclase fue alta (mayor a 0,77, p < 0,001). Los diferentes métodos de imputación y SpO2/FiO2 tienen un rendimiento diagnóstico similar en pacientes con hipoxemia severa (PaO2/FiO2 < 150). PaO2/FiO2 imputación lineal AUC ROC 0,84 (IC 0,81-0,87; p < 0,001), PaO2/FiO2 imputación logarítmica AUC ROC 0,84 (IC 0,80-0,87; p < 0,001), PaO2/Imputación no lineal de FiO2 AUC ROC 0,82 (IC 0,79-0,85; p < 0,001), oximetría de SpO2/FiO2 AUC ROC 0,84 (IC 0,81-0,87; p < 0,001). Conclusiones A gran altitud, el cociente SaO2/FiO2 y el cociente PaO2/FiO2 imputado tienen un rendimiento diagnóstico similar en pacientes con hipoxemia severa bajo ventilación mecánica invasiva por diversas patologías

Biodiversity of pathogenic wood fungi isolated from Xylotrechus arvicola (olivier) galleries in vine shoots

Aim: Grapevine decline caused by wood fungi seriously threatens viticulture worldwide. In Spain, the polyphagous borer Xylotrechus arvicola (Coleoptera, Cerambycidae) is becoming a serious pest in different Qualified Designation of Origin (DOC) wine regions The aim of the present work was to identify the fungal species growing in the galleries excavated by X. arvicola larvae inside the vine branches and investigate the possible relationship between wood pathogenic fungi and this borer. Methods and results: Wood samples from branches of Tempranillo vines and Prunus pisardi trees affected by the borer X. arvicola were collected in La Rioja DOC vineyards (Northern Spain) and analyzed for the presence of fungi using both morphological techniques and genetic tools based on Internal Transcribed Spacer 2 (ITS2) sequence. Among the 20 different fungal species/isolates identified, 7 belonged to fungi associated with grapevine decline (esca, Petri disease, and Eutypa dieback), 6 were plant pathogens, 6 were saprophytic and one was entomopathogenic (Beauveria bassiana). Conclusion: The fact that 65% of the fungi detected inside X. arvicola galleries belong to species recognized as plant pathogens suggests that this borer, in addition to causing a progressive decay of the branches, could facilitate the transmission of plant diseases, further threatening the vineyards by spreading grapevine decline pathogens. Significance and impact of the study: The present work represents a first step in recognizing the association between the fungal pathogens associated with grapevine decline and the borer X. arvicola, suggesting a possible role of this insect as a vector in the transmission of these fungi

Experiencias de educación indígena en Colombia : entre prácticas pedagógicas y políticas para la educación de grupos étnicos

Este libro presenta un análisis de las políticas educativas para y con grupos étnicos en Colombia, especialmente la educación de pueblos indígenas. Utiliza como fuentes para este análisis voces del movimiento indígena, jurisprudencia y academia. De otra parte, analiza tres experiencias educativas, a partir de un trabajo de campo en escuelas de educación propia en Colombia desde las cuales se expresa la relación entre dos categorías: política educativa (Nacional, Municipal,Comunitaria e Institucional) y pedagogía (aspectos curriculares, de formación de maestros, y administrativos). Además, se presenta una experiencia de formación docente en el marco de la interculturalidad urbana, proceso desarrollado para la formación de maestros de jardines indígenas en la ciudad de Bogotá. El grupo de investigación Equidad y Diversidad en Educación (Universidad Pedagógica Nacional y Universidad Distrital Francisco José de Caldas) espera con este libro aportar al reconocimiento y análisis de otras formas de hacer educación y desde allí a relevar los proyectos de lucha en defensa de lo propio que no solo respetan sino que intentan darle sentido y permanencia a lo que por otros ha sido catalogado como diferente.Presentación - Sandra Patricia Guido Guevara 11 Prólogo 15 Capítulo I Pueblos indígenas y políticas educativas en Colombia: encantos y desencantos Sandra Patricia Guido Guevara Hollman Andrés Bonilla García 19 Capítulo 2 Experiencia educativa resguardo indígena de Ambaló. Escuela Ayanku´c Angie Linda Benavides Cortés 57 Capítulo 3 La experiencia de CIFIWUAN, entre la innovación pedagógica y la lucha política Gabriel Antonio Lara Guzmán 85 Capítulo 4 La Escuela Normal Superior Indígena de Uribia. Una experiencia desde la pedagogía de la afirmación cultural Diana Patricia García Ríos María del Socorro Jutinico Fernández 103 Capítulo 5 Educación inicial y diversidad cultural. Una experiencia de formación de maestros de los jardines infantiles indígenas de Bogotá Ingrid Sissy Delgadillo Cely Diana Patricia García Ríos Betty Sandoval Guzmán 14