Una valoración de la geografía y la diáspora africana

El estudio de la diáspora Africana se ha vuelto un area vibrante de investigación y enseñanza en los años recientes a través de las disciplinas. Sin embargo, hay muy pocas contribuciones geográficas. Este artículo busca invertir esta tendencia. Se revisa el trabajo relevante de geógrafos en el Atlántico Negro para identificar temas prometedores para la investigación futura. La dispersión de plantas Africanas y el papel de los esclavos en establecer estas plantas es especialmente prometedor. Esta dirección de investigación clarifica los componentes Africanos de Intercambio Colombino mientras llama la atención sobre la importancia de la subsistencia en el negocio transatlántico de esclavos y la economía de las plantaciones. Las comidas básicas de origen Africano sirvieron a la subsistencia y a la memoria. Plantas Africanas figuran de manera prominente en los caminos de la comida en la diáspora, las practicas litúrgicas de las religiones Afro-sincréticas, y en las historias orales de Maroon

Between Land and Sea: Mangroves and Mollusks along Brazil’s Mangal Coast

Westerners have long viewed mangroves as forbidding, pestilential landscapes. While modern medicine transformed their deadly reputation, the perception lingered of an environment that was little more than a tropical wasteland. The 1992 Earth Summit in Rio de Janeiro profoundly changed this view by drawing attention to the ecosystem as a habitat crucial to the life cycles of many species and endangered fauna yet increasingly at risk from deforestation. Conservation initiatives in the years since the Rio Summit, however, seldom recognize mangroves as a habitat that has also long supported human life. This is evident in the shell middens found along mangrove coasts and in the historical record of shellfish harvested for dietary protein. With a focus on Brazil, this article examines the shellfish that sustained Amerindians, enslaved Africans, and their descendants along the mangal coast since pre-Columbian times. The discussion contends that Brazil’s mangrove forests cannot be separated from the history of the tropical peoples who have successively lived in and managed this ecosystem from ancient times to the present. Finally, the article concludes that a research focus on shellfish suggests broader linkages to South Atlantic history.Os ocidentais há muito consideram os manguezais como paisagens proibitivas e pestilentas. Enquanto a medicina moderna transformou sua reputação mortal, a percepção permaneceu como de um ambiente que era pouco mais do que um deserto tropical. A Cúpula da Terra de 1992 no Rio de Janeiro mudou profundamente este ponto de vista, chamando a atenção para o ecossistema como um habitat crucial para os ciclos de vida de muitas espécies e fauna ameaçada, mas cada vez mais em risco de desmatamento. As iniciativas de conservação nos anos que se seguiram à Cúpula do Rio, entretanto, raramente reconhecem os manguezais como um habitat que há muito dá suporte à vida humana. Isto é evidente nos sambaquis encontrados ao longo dos Manguezais da costa e no registro histórico dos moluscos colhidos para a dieta proteica. Com foco no Brasil, este artigo examina os mariscos que sustentaram ameríndios, africanos escravizados, e seus descendentes ao longo dos Mangais da costa desde os tempos pré-Colombianos. A discussão alega que as florestas de manguezais do Brasil não podem ser separadas da história dos povos tropicais que viveram e manejaram esse ecossistema desde os tempos antigos até o presente. Finalmente, o artigo conclui que um foco de pesquisa sobre moluscos sugere laços mais amplos com a história do Atlântico Sul

Migration, Settlement, and Memories Among Africans and Their Descendants in the Ibero-Atlantic

Dr. Judith A. Carney and Dr. Lorelle Semley make up this panel. As individuals and groups migrate from one geographical area and settle in another, they make connections between the spaces they leave and the spaces to which they travel. . In these movements, they engage in processes of transculturation, selectively shedding some beliefs and practices, taking on new ones, and contributing the beliefs and practices that they bring to their new place and society. . These processes of change occur within unequal relationships of power. . This panel will examine the movement of Africans and their descendants around the Ibero-Atlantic world, with a particular focus on the processes of transculturation, or the diffusion and infusion of symbolic memories, political ideologies and everyday practices into American spaces, noting the particularities of experience defined by race, caste, gender, and calidad.https://digitalrepository.unm.edu/greenleaf_symposia/1000/thumbnail.jp

Economic models for sustainable interprofessional education

Limited information exists on funding models for interprofessional education (IPE) course delivery, even though potential savings from IPE could be gained in healthcare delivery efficiencies and patient safety. Unanticipated economic barriers to implementing an IPE curriculum across programs and schools in University settings can stymie or even end movement toward collaboration and sustainable culture change. Clarity among stakeholders, including institutional leadership, faculty, and students, is necessary to avoid confusion about IPE tuition costs and funds flow, given that IPE involves multiple schools and programs sharing space, time, faculty, and tuition dollars. In this paper, we consider three funding models for IPE: (a) Centralized (b) Blended, and (c) Decentralized. The strengths and challenges associated with each of these models are discussed. Beginning such a discussion will move us toward understanding the return on investment of IPE

Different Mechanisms Underlie Post-menarchial Increase in Depression and Weight

Contains fulltext : 99254.pdf (publisher's version ) (Open Access)Background Depression and being overweight are correlated health problems in adulthood. Adolescence is a significant period for the onset and increase of depression and obesity, especially among girls. Pubertal development also occurs with concomitant increases in weight. Thus, it is not yet clear whether the association between depression and being overweight can be explained by pubertal development. Purpose We examined the association between depressive mood, body weight, and pubertal status in adolescent girls. Method The design was cross-sectional. In 962 young adolescent Dutch girls (age range, 11.9-15.9) weight and height measurements were used to calculate height, age, and gender-standardized body weight (zBMI). Questionnaires assessed depressive mood (the Center for Epidemiological Studies-Depression, CES-D, inventory) and menarcheal status (pre or post). Results The correlation between menarcheal status and body weight (r = 0.34, p < 0.001) was not affected by depressive mood, and the correlation between menarcheal status and depressive mood (r = 0.20, p < 0.001) was not affected by body weight. A small correlation between depressive mood and body weight (r = 0.12, p < 0.01) largely disappeared after controlling for menarche. Conclusion Menarcheal status largely explains the association between weight and depression. It is independently associated with both BMI and depression, suggesting that different mechanisms underlie the post-menarcheal increased prevalence of depression and overweight.6 p

Proposed Standards for Medical Education Submissions to the Journal of General Internal Medicine

To help authors design rigorous studies and prepare clear and informative manuscripts, improve the transparency of editorial decisions, and raise the bar on educational scholarship, the Deputy Editors of the Journal of General Internal Medicine articulate standards for medical education submissions to the Journal. General standards include: (1) quality questions, (2) quality methods to match the questions, (3) insightful interpretation of findings, (4) transparent, unbiased reporting, and (5) attention to human subjects’ protection and ethical research conduct. Additional standards for specific study types are described. We hope these proposed standards will generate discussion that will foster their continued evolution

Identification of 12 new susceptibility loci for different histotypes of epithelial ovarian cancer.

To identify common alleles associated with different histotypes of epithelial ovarian cancer (EOC), we pooled data from multiple genome-wide genotyping projects totaling 25,509 EOC cases and 40,941 controls. We identified nine new susceptibility loci for different EOC histotypes: six for serous EOC histotypes (3q28, 4q32.3, 8q21.11, 10q24.33, 18q11.2 and 22q12.1), two for mucinous EOC (3q22.3 and 9q31.1) and one for endometrioid EOC (5q12.3). We then performed meta-analysis on the results for high-grade serous ovarian cancer with the results from analysis of 31,448 BRCA1 and BRCA2 mutation carriers, including 3,887 mutation carriers with EOC. This identified three additional susceptibility loci at 2q13, 8q24.1 and 12q24.31. Integrated analyses of genes and regulatory biofeatures at each locus predicted candidate susceptibility genes, including OBFC1, a new candidate susceptibility gene for low-grade and borderline serous EOC

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care