La vivienda de nuestro tiempo: experiencias de viviendas compartidas en Barcelona

Peer Reviewe

La vivienda de nuestro tiempo: experiencias de viviendas compartidas en Barcelona

Peer Reviewe

Digital tools, mobility and urban safety. Conceptual proposal for an App to neighborhoods with socio-espacial segregation in metropolitan areas

The disorderly and excessive expansion of Latin American cities in the last five decades has been accompanied by a growing fragmentation and socio-spatial segregation that is aggravated by the lack of integrated, efficient public transport, hindering mobility and daily life of the cities. People, in addition to their safety in public spaces and routes. The design of a digital tool with a gender perspective can help improve the daily life and urban safety of women who live in segregated areas of the city, also allowing diagnoses of routes and relationship spaces that could be useful for future interventions and proposals. of improvement.   Keywords: Digital tools, mobility, urban security, segregationLa expansión desordenada y desmedida de las ciudades latinoamericanas en las últimas cinco décadas ha sido acompañada por una creciente fragmentación y segregación socio-espacial que se ve agravada por la falta de un transporte público integrado, eficiente, dificultando la movilidad y la vida cotidiana de las personas, además de su seguridad en los espacios públicos y recorridos. El diseño de una herramienta digital con perspectiva de género puede ayudar a mejorar la vida cotidiana y seguridad urbana de mujeres que habitan en áreas segregadas de la ciudad, permitiendo además hacer diagnósticos de recorridos y espacios de relación que pudieran ser útiles para futuras intervenciones y propuestas de mejora.   Palabras clave: Herramientas digitales, movilidad, seguridad urbana, segregaciónPeer Reviewe

New generation implantable cardiac rhythm devices allow safe radiotherapy treatments: A large single centre study

n/

New Housing Developments in the City Center of Guadalajara (Mexico): An Analysis from the Perspective of Collective and Sustainable Dwelling

New vertical housing developments in Guadalajara (Mexico) are reaching the city center as a response for redensification after many years of expansion of the urban area characterized by a suburban, low density and fragmented pattern. This horizontal growth, dominated by use of the automobile as prevailing mode of transport, has proven to be unsustainable not only from an environmental point of view, but also from a social perspective where the “human scale” of the city has been affected, same as the daily life of its inhabitants. On the other hand, vertical housing proposals are by their very nature associated with concepts of redensification, compact city and collective living; the aim of this article is to analyze some new housing developments in Guadalajara downtown in order to evaluate to what extent the new buildings embody a more sustainable, livable and collective dwelling, to discuss findings, successes and failures and thus be able to contribute some conclusions and open a broader reflection about contemporary housing, urban density and downtown redevelopment in Latin America cities through collective and sustainable dwelling

La proximidad urbana a partir del análisis de la vida cotidiana con perspectiva de género en el barrio de Huentitán el Alto, Guadalajara (México)

La ciudad de Guadalajara (México), así como muchas ciudades latinoamericanas difusas, ha sufrido cambios notables en su estructura urbana a partir de los años noventa. El proyecto de vivienda en la ciudad abierta tradicional, acompañado por la cercanía de equipamiento y comercio, ha sido desplazado por una amplia oferta de desarrollos habitacionales cerrados de distintos tamaños y niveles socio-económico, en algunos casos ubicados en la periferia y, en otros, edificados en vacíos intraurbanos cercanos o contiguos a la estructura tradicional de barrios pre-existentes, como sucede en el caso del barrio de Huentitán el Alto, objeto de la presente investigación. Si pensamos en la proximidad, no en términos ideales de cercanía espacio-temporal, sino como aquellos traslados necesarios y obligados para cumplir con las necesidades de la vida cotidiana, encontramos que se están generando diversos patrones urbanos que configuran nuevas relaciones de proximidad en la ciudad, que afectan especialmente la cotidianidad de las mujeres en el espacio urbano. La presente investigación permitió conocer los recorridos cotidianos de los habitantes del barrio original, que había sido tradicionalmente abierto, para compararlos con los recorridos de los residentes de las urbanizaciones cerradas de reciente construcción adentro del mismo. Cerrando con algunos hallazgos y reflexiones finales, sobre las diferencias y similitudes de la percepción de la proximidad en residentes de la ciudad cerrada y de la ciudad abierta

Tecendo histórias: Experiências de transformação socioespacial a partir de valores ecofeministas

La desigualdad, así como la destrucción y el control de la naturaleza tienen sus bases en el sistema patriarcal. La incorporación de los valores ecofeministas en términos socioespaciales supondría un cambio de paradigma -de pensamiento, político e interdisciplinar- para afrontar la actual crisis, poliédrica y global, derivada de la dominación androcéntrica y neoliberal. Los ecofeminismos nos interpelan como comunidad y como especie a repensar, revalorizar y visibilizar los cuidados como concepto universal a través del cual asumirnos como seres vulnerables, interdependientes y eco-dependientes, aplicable a su vez a los animales no humanos y a los ecosistemas. Una especial atención al desarrollo de la vida cotidiana como eje sustentante de nuestras vidas resulta imprescindible, porque los entornos construidos que habitamos son soporte y representación de la sociedad y sus vínculos. Su diseño, sus políticas públicas y su tejido vecinal son determinantes en su capacidad para incluir, resignificar, y ser agente de cambio de valores que nos permitan convivir en igualdad, sanar comunidades y ecosistemas. Repensar y repensarnos desde los ecofeminismos supone también la revisión de orígenes y antecedentes; propuestas y sistemas de pensamiento que fueron olvidados, desechados o puestos al margen de las lógicas hegemónicas. El presente artículo explora, a la vez que reflexiona, sobre los orígenes de la relación que los feminismos, la ecología y los derechos universales han mantenido en distintos momentos de la historia. Se despliegan así antecedentes sobre conceptos teóricos y prácticas que ofrecen perspectivas y enfoques útiles de cara a una urgente transformación de nuestros entornos. Un entretejido de pensamiento y experiencias que han sido disruptivas y determinantes para la creación de espacios más sostenibles, justos e inclusivos.Inequality, as well as the destruction and control of nature, have their bases in the patriarchal system. The incorporation of ecofeminist values in socio-spatial terms would mean a change of paradigm - of thought, political and interdisciplinary - to face the current multifaceted and global crisis, derived from androcentric and neoliberal domination. Ecofeminism challenges us as a community and as a species to rethink, revalue and make care visible as a universal concept through which we assume ourselves as vulnerable, interdependent, and eco-dependent beings, applicable in turn to non-human animals and ecosystems. Special attention to the development of everyday life as the sustaining axis of our lives is essential because the built environments that we inhabit are the support and representation of society and its links. Its design, its public policies and its neighborhood fabric are decisive in its ability to include, give new meaning, and be an agent of change of values that allow us to live together in equality, heal communities and ecosystems. Thinking and rethinking ourselves from ecofeminism also supposes the review of origins and background; proposals and systems of thought that were forgotten, discarded, or placed outside the hegemonic logic. This article explores the origins of the relationship that feminisms, ecology and universal rights have maintained at different times in history. In this way, background information on theoretical and practical concepts is displayed, which offers useful perspectives and approaches in the face of an urgent transformation of our environments. An interweaving of thought and experiences that have been disruptive and decisive for the creation of more sustainable, fair and inclusive spaces.A desigualdade, assim como a destruição e o controle da natureza, estão enraizados no sistema patriarcal. A incorporação de valores ecofeministas em termos socioespaciais significaria uma mudança de paradigma - de pensamento, política e interdisciplinar - para enfrentar a atual crise multifacetada e global derivada da dominação androcêntrica e neoliberal. Os ecofeminismos desafiam-nos como comunidade e como espécie a repensar, revalorizar e tornar visível o cuidado como um conceito universal através do qual nos assumimos como seres vulneráveis, interdependentes e eco-dependentes, aplicável por sua vez aos animais não humanos e aos ecossistemas. É essencial uma atenção especial ao desenvolvimento do quotidiano como espinha dorsal das nossas vidas, porque os ambientes construídos que habitamos são o suporte e a representação da sociedade e dos seus elos. O seu desenho, as suas políticas públicas e o seu tecido de vizinhança são fatores determinantes na sua capacidade de incluir, re-significar e ser agentes de mudança de valores que nos permitem conviver em igualdade, curar comunidades e ecossistemas. Repensar e repensar mo-nos na perspectiva dos ecofeminismos implica também revisitar origens e antecedentes; propostas e sistemas de pensamento que foram esquecidos, descartados ou colocados à margem das lógicas hegemônicas. Este artigo explora e reflete sobre as origens da relação que os feminismos, a ecologia e os direitos universais mantiveram em diferentes momentos da história. Fornece um enquadramento sobre conceitos teóricos e práticas que oferecem perspectivas e abordagens úteis para a transformação urgente dos nossos ambientes. Um entrelaçamento de pensamentos e experiências que têm sido disruptivos e decisivos para a criação de espaços mais sustentáveis, justos e inclusivo

Patients with Cardiac Implantable Electronic Device Undergoing Radiation Therapy: Insights from a Ten-Year Tertiary Center Experience

Background: The number of patients with cardiac implantable electronic devices (CIEDs) receiving radiotherapy (RT) is increasing. The management of CIED-carriers undergoing RT is challenging and requires a collaborative multidisciplinary approach. Aim: The aim of the study is to report the real-world, ten-year experience of a tertiary multidisciplinary teaching hospital. Methods: We conducted an observational, real-world, retrospective, single-center study, enrolling all CIED-carriers who underwent RT at the San Raffaele University Hospital, between June 2010 and December 2021. All devices were MRI-conditional. The devices were programmed to an asynchronous pacing mode for patients who had an intrinsic heart rate of less than 40 beats per minute. An inhibited pacing mode was used for all other patients. All tachyarrhythmia device functions were temporarily disabled. After each RT session, the CIED were reprogrammed to the original settings. Outcomes included adverse events and changes in the variables that indicate lead and device functions. Results: Between June 2010 and December 2021, 107 patients were enrolled, among which 63 (58.9%) were pacemaker carriers and 44 (41.1%) were ICD carriers. Patients were subjected to a mean of 16.4 (±10.7) RT sessions. The most represented tumors in our cohort were prostate cancer (12; 11%), breast cancer (10; 9%) and lung cancer (28; 26%). No statistically significant changes in device parameters were recorded before and after radiotherapy. Generator failures, power-on resets, changes in pacing threshold or sensing requiring system revision or programming changes, battery depletions, pacing inhibitions and inappropriate therapies did not occur in our cohort of patients during a ten-year time span period. Atrial arrhythmias were recorded during RT session in 14 patients (13.1%) and ventricular arrhythmias were observed at device interrogation in 10 patients (9.9%). Conclusions: Changes in device parameters and arrhythmia occurrence were infrequent, and none resulted in a clinically significant adverse event

Electrical Storm Induced by Cardiac Resynchronization Therapy Is Determined by Pacing on Epicardial Scar and Can be Successfully Managed by Catheter Ablation

Background— The mechanism of cardiac resynchronization therapy (CRT)–induced proarrhythmia remains unknown. We postulated that pacing from a left ventricular (LV) lead positioned on epicardial scar can facilitate re-entrant ventricular tachycardia. The aim of this study was to investigate the relationship between CRT-induced proarrhythmia and LV lead location within scar. Methods and Results— Twenty-eight epicardial and 63 endocardial maps, obtained from 64 CRT patients undergoing ventricular tachycardia ablation, were analyzed. A positive LV lead/scar relationship, defined as a lead tip positioned on scar/border zone, was determined by overlaying fluoroscopic projections with LV electroanatomical maps. CRT-induced proarrhythmia occurred in 8 patients (12.5%). They all presented early with electrical storm (100% versus 39% of patients with no proarrhythmia; P <0.01), requiring temporary biventricular pacing discontinuation in half of cases. They more frequently presented with heart failure/cardiogenic shock (50% versus 7%; P <0.01), requiring intensive care management. Ventricular tachycardia was re-entrant in all. The LV lead location within epicardial scar was significantly more frequent in the proarrhythmia group (60% versus 9% P =0.03 on epicardial bipolar scar, 80% versus 17% P =0.02 on epicardial unipolar scar, and 80% versus 17% P =0.02 on any-epicardial scar). Ablation was performed within epicardial scar, close to the LV lead, and allowed CRT reactivation in all patients. Conclusions— CRT-induced proarrhythmia presented early with electrical storm and was associated with an LV lead positioning within epicardial scar. Catheter ablation allowed for resumption of biventricular stimulation in all patients