Los gobiernos locales y su rol estratégico en la integración regional: una apuesta hacia la integración subnacional en el MERCOSUR

The present work exposes the incipient process of internationalization of local governments and its influence in the construction of regional integration processes. Integration at the sub-national level can consolidate and complement a larger process such as MERCOSUR's regional integration. The most relevant factors that have made possible the international and paradiplomatic action of the non-central governments and, particularly, of the local governments, such as the networks of cities, the cross-border cooperation and other platforms of horizontal interaction, are analyzed. The leading role assumed today by local governments in the deepening of regional integration processes would make it possible to advance towards a more inclusive integration, in line with the supranational integration of States, and also to expand the agenda and decision-making from the local perspective, often neglected in the South American bloc.El presente trabajo expone el incipiente proceso de internacionalización de los gobiernos locales y su influencia en la construcción de los procesos de integración regional. La integración a nivel subnacional puede consolidar y complementar un proceso mayor como es la integración regional del MERCOSUR. Se analizan los factores más relevantes que han posibilitado la acción internacional y paradiplomática de los gobiernos no centrales y, particularmente, de los gobiernos locales como son las redes de ciudades, la cooperación transfronteriza y otras plataformas de interacción horizontal. El papel protagónico que hoy asumen los gobiernos locales en la profundización de los procesos de integración regional permitiría avanzar hacia una más inclusiva, en consonancia a la integración supranacional de los Estados, y asimismo ampliar la agenda y la toma de decisiones desde la perspectiva local, muchas veces postergada en el bloque sudamericano

Consumption of shellfish in legionary cannaba of Ad Legionem VII Geminam (Puente Castro, León, Spain)

El yacimiento romano de Ad Legionem (Puente Castro, León) surgió como un asentamiento civil vinculado al campamento legionario de León. Durante el año 2010 se llevó a cabo una intervención arqueológica, con motivo de la construcción de un vial, que dio a conocer una trama urbana de gran importancia y multitud de restos arqueológicos. En este artículo se presentan los resultados del estudio arqueomalacológico del yacimiento.The roman site of Ad Legionem (Puente Castro, León, Spain) emerged as a civilian settlement legionary camp linked to legio VII. In 2010 took place an archaeological excavation in connection with the construction of a road, unveiling a very important urban and numerous archaeological remains. This article presents the archaeomalacology study results

La pandemia y las redes de ciudades: el caso de Mercociudades y la presidencia de Tandil, 2020-2021

In recent years, several changes have been observed at the international scale that have put in crisis notions and narratives that were considered solid (and at times immovable) to understand international relations. Based on dynamics emerging from local spaces, an attempt has been made to understand and respond to these phenomena. Among them, the so-called “diplomacy” of cities stands out, a concept that is also known as paradiploma­cy. In 2020, the COVID-19 pandemic was paradigmatic, which had an international im­pact at any level challenging multilateralism, national states and the proposals arising from local governments, such as their networks. In this sense, this article analyzes Mercocities net­work, a space that brings together more than 300 local governments in South America, to understand their main challenges and respon­ses during the pandemic.En los últimos años se han observado nume­rosos cambios a escala internacional que han puesto en crisis las nociones y narrativas que se consideraban sólidas (y por momentos ina­movibles) para entender las relaciones interna­cionales. A partir de dinámicas que surgieron desde los espacios locales, se ha buscado com­prender y dar una respuesta a estos fenómenos. Entre ellas, se destaca la denominada “diplo­macia” de las ciudades, concepto que también se conoce como paradiplomacia. En 2020, resultó paradigmática la pandemia de covid-19 que impactó internacionalmente en todos los niveles, desafiando el multilateralismo, los Es­tados nacionales, las propuestas surgidas desde los gobiernos locales y sus redes. El presente artículo analiza la red Mercociudades, espacio que congrega a más de 300 gobiernos locales de Sudamérica, para comprender sus principa­les desafíos y respuestas durante la pandemia

El solar y el entorno urbano de Santa María de Regla (siglos I-XV)

p. 23-44La importancia conferida a la amplia zona ocupada por la Catedral de León a lo largo de la historia de la ciudad. hace especialmente atractivo el estudio de su evolución urbana. Nuestro análisis, apoyado en lo fundamental por las premisas arqueológicas, intentará esbozar las directri­ces que marcaron dichas mutaciones desde los primeros momentos, coincidentes con la ocupación romana del solar leonés, hasta la conclusión de la etapa medieval. Dos excavaciones arqueológicas practicadas reciente­mente en el entorno catedralicio han aportado significa­tivos avances con respecto al conocimiento del urbanis­mo romano y medieval. El relativamente buen estado de los restos descubiertos contrasta con los exhumados en otras zonas de la ciudad antigua, que no suelen llegar hasta nosotros en las condiciones más idóneas para una correcta lectura, al tratarse frecuentemente de estructuras pobres y fácilmente perecederas, por lo que en muchos casos no han llegado a conservars

Análisis Arqueomalacológico de la cannaba de Ad Legionem VII Geminam (Puente Castro, León): Primeros resultados

The roman site of Ad Legionem (Puente Castro, León, Spain), emerged as a civilian settlement legionary camp linked to Legio VII. In 2010 took place an archaeological excavation in connection with the construction of a road, unveiling a very important urban and numerous archaeological remains. This article presents re archaeomalacology study results.El yacimiento romano de Ad Legionem (Puente Castro, León) surgió como un asentamiento civil vinculado al campamento legionario de León. Durante el año 2010 se llevó a cabo una intervención arqueológica con motivo de la construcción de un vial, dando a conocer una trama urbana de gran importancia y multitud de restos arqueológicos. En este artículo se presentan los resultados del estudio arqueomalacológico del yacimiento

Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19

Aim: this work aims to assess if telemedicine and telemonitoring are clinically useful and safe for at-home monitoring of Coronavirus disease 2019 (COVID-19) patients. Methods: This is a retrospective cohort study of all patients diagnosed with COVID-19 in Galicia (Northwestern Spain) between 26 December 2020 and 15 February 2021. The structured, proactive monitoring via telemonitoring (TELEA) of patients considered to be high-risk in the Lugo, A Mariña, and Monforte Healthcare Area (ASLAM) was evaluated compared to other models in the remaining healthcare areas of Galicia. Results: Of the 47,053 COVID-19 patients, 4384 (9.3%) were in ASLAM. Of them, 1187 (27.1%) were monitored via TELEA, and the rest (3197 in ASLAM and 42,669 in the rest of Galicia) were monitored via other methods. Patients monitored in ASLAM via TELEA were older, consulted in the emergency department less frequently (p = 0.05), were hospitalized less frequently (p < 0.01), had shorter hospital stays (p < 0.0001), and had a lower mortality rate in their first hospitalization (p = 0.03). No at-home life-threatening emergencies were recorded. Conclusions: these data suggest that, for COVID-19 patients, a care model involving proactive at-home monitoring with telemedicine and telemonitoring is associated with reduced pressure on hospital services and a lower mortality rate

Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19

Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 and 15 February 2021. We evaluated a structured, proactive monitoring program conducted by the ASLAM (Área Sanitaria de Lugo, A Mariña y Monforte de Lemos) Healthcare Area team compared to patients discharged in the rest of the Autonomous Community of Galicia. Results: During the study period, 10,517 patients were hospitalized for COVID-19 and 8601 (81.8%) were discharged. Of them, 738 (8.6%) were discharged in ASLAM and 7863 (91.4%) were discharged in the rest of Galicia. Of those discharged in ASLAM, 475 (64.4%) patients were monitored. Compared to patients in the rest of Galicia, the group monitored via telemedicine had a significantly shorter first hospital stay (p < 0.0001), a lower readmission rate (p = 0.05), and a shorter second hospital stay (p = 0.04), with no differences in emergency department visits or 90-day all-cause mortality. Conclusion: A structured, proactive telemedicine with telemonitoring program for discharged COVID-19 patients is a safe, useful tool that reduces the mean length of hospital stay and readmissions