14 research outputs found

    El papel de las mujeres en el Turismo y la Gastronomía: Historia, Restos y Perspectivas.

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    El presente trabajo es el primero de una serie que conformarán la colección Estudios de Género de la Facultad de Turismo y Gastronomía de la Universidad Autónoma del Estado de México. Este libro es un primer esfuerzo por generar conocimiento en un tema tan relevante como es el papel de la mujer en el turismo y la gastronomía. Tradicionalmente, la mujer ha desempeñado un rol preponderante en ambas especialidades, sin embargo, éste no ha sido reconocido principalmente por el predominio masculino en todas las esferas públicas, privadas y sociales. De ahí el interés por iniciar la formación de un acervo propio que distinga aquellos aspectos históricos, rurales y sociales vinculantes entre la mujer y estas disciplinas. A lo largo de estos cincos capítulos, el lector podrá descubrir una visión un tanto de corte feminista, pero a la vez reivindicativa que busca concientizar a través de la investigación la importancia del género femenino en el turismo y la gastronomía

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Evidence of enhanced Zn-diffusion observed during the growth of Inverted Metamorphic solar cells

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    Zinc-diffusion can induce multiple failures in the electrical performance of a multijunction solar cell. In this work, we show an important Zn-diffusion from the AlGaInP back-surface-field layer to the emitter of the GaInP top cell of an inverted multijunction solar cell. Through the analysis of different doping profiles, we provide strong evidence that the diffusion mechanism is (1) triggered by the growth of the tunnel junction cathode and (2) involves point defects. We analyze the implications of Zn-diffusion on the bandgap, the rear-passivation and the minority carrier quality of the GaInP solar subcell by relating the electrical performance of different samples to its corresponding doping profile

    Ge virtual substrates for high efficiency III-V solar cells: applications, potential and challenges

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    Virtual substrates based on thin Ge layers on Si by direct deposition have achieved high quality recently. Their application to high efficiency III-V solar cells is analyzed in this work. Replacing traditional Ge substrates with Ge/Si virtual substrates in standard lattice-matched and upright metamorphic GaInP/Ga(In)As/Ge solar cells is feasible according to our calculations using realistic parameters of state-of-the-art Ge solar cells but with thin bases (< 5um). The first experimental steps are tackled by implementing Ge single-junction and full GaInP/Ga(In)As/Ge triple-junction solar cells on medium quality Ge/Si virtual substrates with 5um thick Ge layers. The results show that the photocurrent in the Ge bottom cell is barely enough to achieve current matching with the upper subcells, but the overall performance is poor due to low voltages in the junctions. Moreover, observed cracks in the triple-junction structure point to the need to reduce the thickness of the Ge + III-V structure or using other advanced approaches to mitigate the thermal expansion coefficient mismatch effects, such as using embedded porous silicon. Next experimental work will pursue this objective and use more advanced Ge/Si virtual substrates available with lower threading dislocation densities and different Ge thicknesse

    Beaming Power: Photovoltaic Laser Power Converters for Power-by-Light

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    Photovoltaic laser power converters (PVLPCs) are the core element of power-by-light (PBL) systems, which are basically made up of a power laser, an optical fiber, and a PVLPC. PBL allows the safe transfer of power in situations where the direct use of electrical energy to power electronic equipment is either not possible or not recommendable. The first PBL system was built in 1978, but it has been only recently when PBL systems are having an outburst with continuous efficiency improvements, creation of start-ups, big companies entering the business, and increasing number of scientific publications and specialized technical conferences. This review begins with an overview of the functionalities of PBL systems and the critical requirements imposed to PVLPCs. Afterward, a brief outlook on the history of PVLPCs is presented. A detailed comparison among the different typologies of PVLPCs in terms of efficiency, delivered power, voltage, temperature effects, and manufacturability is carried out, highlighting their advantages and disadvantages depending on the application. We also point out the main aspects limiting the efficiency of PVLPCs and possible ways to circumvent them. Finally, we discuss the perspectives of PVLPCs together with the possible routes to a steady deployment of PBL systems to serve a considerable number of applications in our daily life

    An analysis of the factors that control fault zone architecture and the importance of fault orientation relative to regional stress

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    The moment magnitude 7.2 El Mayor−Cucapah (EMC) earthquake of 2010 in northern Baja California, Mexico produced a cascading rupture that propagated through a geometrically diverse network of intersecting faults. These faults have been exhumed from depths of 6−10 km since the late Miocene based on low-temperature thermochronology, synkinematic alteration, and deformational fabrics. Coseismic slip of 1−6 m of the EMC event was accommodated by fault zones that displayed the full spectrum of architectural styles, from simple narrow fault zones (100 m in width) that have multiple anastomosing high-strain cores. As fault zone complexity and width increase the full spectrum of observed widths (20−200 m), coseismic slip becomes more broadly distributed on a greater number of scarps that form wider arrays. Thus, the infinitesimal slip of the surface rupture of a single earthquake strongly replicates many of the fabric elements that were developed during the long-term history of slip on the faults at deeper levels of the seismogenic crust. We find that factors such as protolith, normal stress, and displacement, which control gouge production in laboratory experiments, also affect the architectural complexity of natural faults. Fault zones developed in phyllosilicate-rich metasedimentary gneiss are generally wider and more complex than those developed in quartzo-feldspathic granitoid rocks. We hypothesize that the overall weakness and low strength contrast of faults developed in phyllosilicate rich host rocks leads to strain hardening and formation of broad, multi-stranded fault zones. Fault orientation also strongly affects fault zone complexity, which we find to increase with decreasing fault dip. We attribute this to the higher resolved normal stresses on gently dipping faults assuming a uniform stress field compatible with this extensional tectonic setting. The conditions that permit slip on misoriented surfaces with high normal stress should also produce failure of more optimally oriented slip systems in the fault zone, promoting complex branching and development of multiple high-strain cores. Overall, we find that fault zone architecture need not be strongly affected by differences in the amount of cumulative slip and instead is more strongly controlled by protolith and relative normal stress

    The taxonomic impediment: a shortage of taxonomists, not the lack of technical approaches.

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    Engel, Michael S, Ceríaco, Luis M P, Daniel, Gimo M, Dellapé, Pablo M, Löbl, Ivan, Marinov, Milen, Reis, Roberto E, Young, Mark T, Dubois, Alain, Agarwal, Ishan, Lehmann A., Pablo, Alvarado, Mabel, Alvarez, Nadir, Andreone, Franco, Araujo-Vieira, Katyuscia, Ascher, John S, Baêta, Délio, Baldo, Diego, Bandeira, Suzana A, Barden, Phillip, Barrasso, Diego A, Bendifallah, Leila, Bockmann, Flávio A, Böhme, Wolfgang, Borkent, Art, Brandão, Carlos R F, Busack, Stephen D, Bybee, Seth M, Channing, Alan, Chatzimanolis, Stylianos, Christenhusz, Maarten J M, Crisci, Jorge V, D'elía, Guillermo, Da Costa, Luis M, Davis, Steven R, De Lucena, Carlos Alberto S, Deuve, Thierry, Fernandes Elizalde, Sara, Faivovich, Julián, Farooq, Harith, Ferguson, Adam W, Gippoliti, Spartaco, Gonçalves, Francisco M P, Gonzalez, Victor H, Greenbaum, Eli, Hinojosa-Díaz, Ismael A, Ineich, Ivan, Jiang, Jianping, Kahono, Sih, Kury, Adriano B, Lucinda, Paulo H F, Lynch, John D, Malécot, Valéry, Marques, Mariana P, Marris, John W M, Mckellar, Ryan C, Mendes, Luis F, Nihei, Silvio S, Nishikawa, Kanto, Ohler, Annemarie, Orrico, Victor G D, Ota, Hidetoshi, Paiva, Jorge, Parrinha, Diogo, Pauwels, Olivier S G, Pereyra, Martín O, Pestana, Lueji B, Pinheiro, Paulo D P, Prendini, Lorenzo, Prokop, Jakub, Rasmussen, Claus, Rödel, Mark-Oliver, Rodrigues, Miguel Trefaut, Rodríguez, Sara M, Salatnaya, Hearty, Sampaio, Íris, Sánchez-García, Alba, Shebl, Mohamed A, Santos, Bruna S, Solórzano-Kraemer, Mónica M, Sousa, Ana C A, Stoev, Pavel, Teta, Pablo, Trape, Jean-François, Dos Santos, Carmen Van-Dúnem, Vasudevan, Karthikeyan, Vink, Cor J, Vogel, Gernot, Wagner, Philipp, Wappler, Torsten, Ware, Jessica L, Wedmann, Sonja, Zacharie, Chifundera Kusamba (2021): EDITORIAL The taxonomic impediment: a shortage of taxonomists, not the lack of technical approaches. Zoological Journal of the Linnean Society 193 (2): 381-387, DOI: 10.1093/zoolinnean/zlab072, URL: https://academic.oup.com/zoolinnean/article/193/2/381/637438

    Bacterial etiology of community-acquired pneumonia in immunocompetent hospitalized patients and appropriateness of empirical treatment recommendations: an international point-prevalence study

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    An accurate knowledge of the epidemiology of community-acquired pneumonia (CAP) is key for selecting appropriate antimicrobial treatments. Very few etiological studies assessed the appropriateness of empiric guideline recommendations at a multinational level. This study aims at the following: (i) describing the bacterial etiologic distribution of CAP and (ii) assessing the appropriateness of the empirical treatment recommendations by clinical practice guidelines (CPGs) for CAP in light of the bacterial pathogens diagnosed as causative agents of CAP. Secondary analysis of the GLIMP, a point-prevalence international study which enrolled adults hospitalized with CAP in 2015. The analysis was limited to immunocompetent patients tested for bacterial CAP agents within 24 h of admission. The CAP CPGs evaluated included the following: the 2007 and 2019 American Thoracic Society/Infectious Diseases Society of America (ATS/IDSA), the European Respiratory Society (ERS), and selected country-specific CPGs. Among 2564 patients enrolled, 35.3% had an identifiable pathogen. Streptococcus pneumoniae (8.2%) was the most frequently identified pathogen, followed by Pseudomonas aeruginosa (4.1%) and Klebsiella pneumoniae (3.4%). CPGs appropriately recommend covering more than 90% of all the potential pathogens causing CAP, with the exception of patients enrolled from Germany, Pakistan, and Croatia. The 2019 ATS/IDSA CPGs appropriately recommend covering 93.6% of the cases compared with 90.3% of the ERS CPGs (p < 0.01). S. pneumoniae remains the most common pathogen in patients hospitalized with CAP. Multinational CPG recommendations for patients with CAP seem to appropriately cover the most common pathogens and should be strongly encouraged for the management of CAP patients.info:eu-repo/semantics/publishedVersio

    Prevalence and Etiology of Community-acquired Pneumonia in Immunocompromised Patients

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    BACKGROUND: The correct management of immunocompromised patients with pneumonia is debated. We evaluated the prevalence, risk factors, and characteristics of immunocompromised patients coming from the community with pneumonia. METHODS: We conducted a secondary analysis of an international, multicenter study enrolling adult patients coming from the community with pneumonia and hospitalized in 222 hospitals in 54 countries worldwide. Risk factors for immunocompromise included AIDS, aplastic anemia, asplenia, hematological cancer, chemotherapy, neutropenia, biological drug use, lung transplantation, chronic steroid use, and solid tumor. RESULTS: At least 1 risk factor for immunocompromise was recorded in 18% of the 3702 patients enrolled. The prevalences of risk factors significantly differed across continents and countries, with chronic steroid use (45%), hematological cancer (25%), and chemotherapy (22%) the most common. Among immunocompromised patients, community-acquired pneumonia (CAP) pathogens were the most frequently identified, and prevalences did not differ from those in immunocompetent patients. Risk factors for immunocompromise were independently associated with neither Pseudomonas aeruginosa nor non-community-acquired bacteria. Specific risk factors were independently associated with fungal infections (odds ratio for AIDS and hematological cancer, 15.10 and 4.65, respectively; both P = .001), mycobacterial infections (AIDS; P = .006), and viral infections other than influenza (hematological cancer, 5.49; P &lt; .001). CONCLUSIONS: Our findings could be considered by clinicians in prescribing empiric antibiotic therapy for CAP in immunocompromised patients. Patients with AIDS and hematological cancer admitted with CAP may have higher prevalences of fungi, mycobacteria, and noninfluenza viruses
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