El sistema Milpa Intercalado con Árboles Frutales (MIAF): evaluación agroecológica a diez años de su implementación en Chamula, Chiapas, México

El objetivo de esta investigación fue evaluar el sistema agroforestal Milpa Intercalada con Árboles Frutales (MIAF) durante un ciclo productivo (2020-2021) en la comunidad Icalumtic, Municipio de Chamula, Chiapas, comunidad que ha desarrollado una experiencia de diez años con este sistema agroforestal. Se utilizó un método de evaluación de la sustentabilidad agroecológica propuesto por Altieri y Nicholls (2002) usando 30 indicadores cuantitativos y cualitativos, los cuales fueron definidos con la comunidad de manera participativa. Estos indicadores estuvieron categorizados en tres ejes de sustentabilidad: eje ecológico-técnico-productivo, eje socioeconómico y eje sociopolítico-cultural, abordados desde los conceptos de la agricultura sustentable y los sistemas agroforestales. Se aplicó el cuestionario a ocho hombres y ocho mujeres y en cada parcela se hicieron muestreos de área en cuadrados de 5x5m. Los resultados se sistematizaron en hojas excel, para ser analizados con gráficas “ameba”, para lo cual se usó una escala de 0 a 10 para calificar la sustentabilidad del sistema de acuerdo con los indicadores propuestos, 0 para el menos sustentable y 10 para el más sustentable. Para el análisis de los resultados de los muestreos en parcelas y los cuestionarios también se usó estadística descriptiva y análisis del discurso. Entre los resultados se obtuvo un promedio general y mediante el análisis de los gráficos radiales, encontramos un promedio de 8.16 para el eje ecológico técnico productivo, de 7.23 para el eje sociopolítico-cultural, ambos dentro de la sustentabilidad medianamente aceptable; para el eje socioeconómicos fue de 4.04, dentro de la sustentabilidad no aceptable.The goal of this research it to evaluate the Milpa system interspersed with Fruit Trees (MIAF, by their acronyms in spanish) during a productive cycle (2020-2021) in Icalumtic village, Municipality of Chamula, Chiapas, a local community that has developed a tenyear experience with this agroforestry system. An agroecological sustainability evaluation method proposed by Altieri and Nicholls (2002) was used using 30 quantitative and qualitative indicators, which were defined with the community in a participatory manner. These indicators were categorized into three axes of sustainability: ecological-technical-productive axis, socioeconomic axis and socio-political-cultural axis, approached from the concepts of sustainable agriculture and agroforestry systems. The questionnaire was applied to eight men and eight women and in each plot area samples were made in squares of 5x5m. The results were systematized in excel sheets, to be analyzed with ameba graphs, for which a scale from 0 to 10 was used to rate the sustainability of the system according to the proposed indicators, 0 for the least sustainable and 10 for the most sustainable. Descriptive statistics and discourse analysis were also used for the analysis of the results of the samplings in plots and the questionnaires. Results and discussion: Based on a general average and by means of the analysis of the radial graphs, we found an average of 8.16 for the productive technical ecological axis, of 7.23 for the sociopolitical-cultural axis, both within moderately acceptable sustainability; for the socioeconomic axis it was 4.04, within unacceptable sustainability

CARING FOR CAREGIVERS Family caregivers of patients with chronic illness

Caring for caregivers, family caregivers of patients with chronic illness; this research is aimed to those nursing students and professionals, who are interested in getting to know standards of care, as well as those who are responsible of patients with chronic illness. This experience implies challenges, difficulties, and special requirements, which generate special care programs - through other people´s experiences, analysis of literature, and research-. This book is based on the Caring for caregivers Program, designed by a group of Professors at Universidad Nacional de Colombia, School of Nursing, aimed to strengthen those caregivers abilities to care. Thus, the key features that contributed to the creation and development of the program are set out throughout this book. Participant´s names have been changed to help preserve anonymity

Adalimumab reduces photoreceptor cell death in a mouse model of retinal degeneration

Growing evidence suggests that inflammation is involved in the progression of retinitis pigmentosa (RP) both in patients and in animal models. The aim of this study was to investigate the effect of Adalimumab, a monoclonal anti-TNFα antibody, on retinal degeneration in a murine model of human autosomal recessive RP, the rd10 mice at postnatal day (P) 18. In our housing conditions, rd10 retinas were seriously damaged at P18. Adalimumab reduced photoreceptor cell death, as determined by scoring the number of TUNEL-positive cells. In addition, nuclear poly (ADP) ribose (PAR) content, an indirect measure of PAR polymerase (PARP) activity, was also reduced after treatment. The blockade of TNFα ameliorated reactive gliosis, as visualized by decreased GFAP and IBA1 immunolabelling (Müller cell and microglial markers, respectively) and decreased up-regulation of TNFα gene expression. Adalimumab also improved antioxidant response by restoring total antioxidant capacity and superoxide dismutase activity. Finally, we observed that Adalimumab normalized energetic and metabolic pattern in rd10 mouse retinas. Our study suggests that the TNFα blockade could be a successful therapeutic approach to increase photoreceptor survival during the progression of RP. Further studies are needed to characterize its effect along the progression of the diseaseThis work was supported by the European Regional Development Fund, Institute of Health Carlos III, PI12/0481, SAF2013-41059-R and SAF2013-41945 from the Spanish Ministry of Economy and Competitiveness (MEC). CIBERER is an initiative of the Institute of Health Carlos III from the MEC. Regina Rodrigo has a research-contract SNS Miguel Servet (CP09/118) from Institute of Health Carlos II

Validation and intra-rater reliability of the CDQ scale for the diagnosis of COPD in Colombia

Background: COPD is highly underdiagnosed, thus applying clinical prediction scales such as the COPD Diagnostic Questionnaire (CDQ) helps to address this problem. Objective: To evaluate the criterion validity and in-tra-rater reproducibility of the questionnaire CDQ in a Colombian population. Materials and methods: A prospective cohort study. The reproducibility was assessed with the Kappa sta-tistic and the intraclass correlation coefficient (ICC). Validity was established with the score obtained from the CDQ questionnaire and the spirometry values (FEV1/ FVC 16.5 and < 19.5, and high probability of CDQ COPD ≥ 19.6. The ACOR was 0.68 (95%CI: 0.647-0.712), a sensitivity of 79% and a specificity of 44% were obtained for a score ≥16.5, with a PPV of 26% and a NPV of 86%. Conclusions: The CDQ questionnaire has a regu-lar performance for the diagnosis of COPD with an ACOR similar to other questionnaires, it can be useful in underdiagnosed patients. The optimal cut-off point for this population was 16.5

La soberanía alimentaria: Cultivando nuevas alianzas entre campo, bosque y ciudad

In June, 2008, we convoked a forum and workshop in Chiapas, Mexico to strengthen alliances among farmers’ organizations, conservationists and academics. Speakers outlined the evolution of the relations among production systems, forests and biodiversity from the prehispanic era through the current crisis in the neoliberal economic model and industrial agriculture. They also framed a new conservation paradigm that prioritizes the role of farmers. We formed working groups that elaborated proposals for collaboration among the participating sectors. Cooperative networks emerged as appropriate structures for coordinating action and facilitating the exchange of information and support at various geographic scales. Solidarity-based markets are a venue where diverse interests converge, favoring the formation of such networks. We also identified some specific issues for collaboration, including: agrofuels and energy sovereignty, environmental services and rural education. Biodiversity and food sovereignty are the two axes of this agenda for cooperation that forms part of an international struggle to reconstruct our food systems.En junio de 2008 convocamos un foro-taller en Chiapas, México para potencializar alianzas entre organizaciones campesinas, conservacionistas y académicos. Los ponentes trazaron la evolución de las relaciones entre sistemas productivos, bosques y biodiversidad desde la época prehispánica hasta la actual crisis de la economía neoliberal y la agricultura industrial. También delinearon un nuevo paradigma para la conservación en donde los campesinos son protagonistas. En grupos de trabajo, elaboramos propuestas para cimentar una agenda común entre los distintos sectores representados. Las redes de cooperación emergieron como estructuras para coordinar acción y facilitar el intercambio de información y apoyo a distintas escalas geográficas. Los mercados solidarios son la confluencia de diversos intereses en dónde se pueden constituir dichas redes. También identificamos algunos temas específicos de trabajo, entre ellos: los agrocombustibles y la soberanía energética, los servicios ambientales y la educación para el campo. La biodiversidad y la soberanía alimentaria y territorial son los ejes de esta agenda de cooperación, que forma parte de una lucha internacional para reconstruir nuestros sistemas alimenticios

Salud de los trabajadores

Actividad f&iacute;sica y su relaci&oacute;n con los factores de riesgo cardiovascular de carteros chilenosAn&aacute;lisis de resultados: riesgos psicosociales en el trabajo Suceso-Istas 21 en Cesfam Quell&oacute;nAusentismo laboral por enfermedades oftalmol&oacute;gicas, Chile 2009Brote de diarreas por norovirus, posterremoto-tsunami, Constituci&oacute;n, Regi&oacute;n del MauleCalidad de vida en profesionales de la salud p&uacute;blica chilenaCaracterizaci&oacute;n del reposo laboral en personal del SSMN durante el primer semestre de 2010Concentraci&oacute;n de nicotina en pelo en trabajadores no fumadores expuestos a humo de tabaco ambientalCondiciones de trabajo y bienestar/malestar docente en profesores de ense&ntilde;anza media de SantiagoDisfunci&oacute;n auditiva inducida por exposici&oacute;n a xilenoErgonom&iacute;a aplicada al estudio del s&iacute;ndrome de dolor lumbar en el trabajoEstimaci&oacute;n de la frecuencia de factores de riesgo cardiovascular en trabajadores de una empresa mineraExposici&oacute;n a plaguicidas inhibidores de la acetilcolinesterasa en Colombia, 2006-2009Factores de riesgo y da&ntilde;os de salud en conductores de una empresa peruana de transporte terrestre, 2009Las consecuencias de la cultura en salud y seguridad ocupacional en una empresa mineraPercepci&oacute;n de cambios en la pr&aacute;ctica m&eacute;dica y estrategias de afrontamientoPercepci&oacute;n de la calidad de vida en la Universidad del Biob&iacute;oPesos m&aacute;ximos aceptables para tareas de levantamiento manual de carga en poblaci&oacute;n laboral femeninaRiesgo coronario en trabajadores mineros seg&uacute;n la funci&oacute;n de Framingham adaptada para la poblaci&oacute;n chilenaTrastornos emocionales y riesgo cardiovascular en trabajadores de la salu

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Ala Este. Revista de Teoría de la Literatura y Literatura Comparada

Ala Este. Revista de Teoría de la Literatura y Literatura Comparada consiste en la consolidación de una revista creada en 2020/2021, de carácter anual, liderada por alumnos y alumnas de la UCM, que siga los estándares de calidad de las revistas científicas (evaluación por pares de ciego, índices de impacto…) y en la que publiquen alumnos y alumnas de la UCM y de otras universidades. Este año se ha seguido trabajando los estándares de calidad que requieren las revistas científicas, se ha realizado un congreso para jóvenes investigadores, El brillo inútil. Experimentación, juventud y creación, del cual se están editando las actas, y se ha lanzado una nueva publicación de carácter anual, Ala Este. Revista de creación literaria, que se publicará a finales de 2023.Depto. de Lengua Española y Teoría de la LiteraturaFac. de FilologíaFALSEsubmitte

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection