64 research outputs found

    Linking society: Higher education institution role in local development

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    The University now is the managing three substantive core functions: teaching, research, and links, all go hand in the teaching-learning process, the interesting thing about this idea is that the Higher Education Center becomes the main axis of knowledge. The objective of this research is to know the way that Higher Education Institutions have raised their incidence in local development. Deepening, from the studies conducted in the processes of linkage, which is where the relationship with their teaching activities has established of research and where quality preparation has given to the students, allowing them to satisfy the requirements of the productive matrix of the province. The career of Industrial Engineering has taken for the study because this is the fundamental pillar in supporting the change of productive matrix of the province. From the knowledge of the agro-economic values that can contribute to local development and as a result of this research it has been determined that they have affected the territory surrounding the Institution in projects that enhance local development, shown in its actions in the Municipal Gad of Portoviejo

    Therapeutic implications of selecting the SCORE (European) versus the D'AGOSTINO (American) risk charts for cardiovascular risk assessment in hypertensive patients

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    Background: No comparisons have been made of scales estimating cardiovascular mortality and overall cardiovascular morbidity and mortality. The study objectives were to assess the agreement between the Framingham-D'Agostino cardiovascular risk (CVR) scale and the chart currently recommended in Europe (SCORE) with regard to identification of patients with high CVR, and to describe the discrepancies between them and the attendant implications for the treatment of hypertension and hyperlipidaemia. Methods: A total of 474 hypertensive patients aged 40-65 years monitored in primary care were enrolled into the study. CVR was assessed using the Framingham-D'Agostino scale, which estimates the overall cardiovascular morbidity and mortality risk, and the SCORE chart, which estimates the cardiovascular mortality risk. Cardiovascular risk was considered to be high for values ≥ 20% and ≥ 5% according to the Framingham-D'Agostino and SCORE charts respectively. Kappa statistics was estimated for agreement in classification of patients with high CVR. The therapeutic recommendations in the 2007 European Guidelines on Cardiovascular Disease Prevention were followed. Results

    Gobiernos municipales: por un desarrollo local basado en la gobernanza democrática

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    El presente reporte da cuenta del proceso de intervención universitaria en el municipio de Tlajomulco de Zúñiga, Jalisco, México, a través del PAP “Gobiernos Municipales: por un desarrollo local basado en la gobernanza democrática”, cuyo propósito general es: Contribuir a la promoción de la cultura de paz, la economía social y solidaria y la promoción de los DDHH en Tlajomulco, desde la Dirección General de Cultura de Paz y Gobernanza, a través de analizar, conocer, difundir documentar y evaluar situaciones relacionadas con la construcción de espacios de paz basados en la economía social y solidaria y la difusión de los DDHH, en la construcción de una ciudad en paz y segura, que, desde una perspectiva interdisciplinar, da continuidad a los proyectos emprendidos durante el periodo anterior, referidos al rescate y apropiación social de los espacios públicos desde la perspectiva de la paz positiva, impulso a las iniciativas de emprendimiento y formación en finanzas para los jóvenes del municipio. En el periodo de primavera 2022, se tuvieron los siguientes objetivos: • Elaborar el diseño de un espacio público, como respuesta a una demanda de los vecinos del fraccionamiento Sendero Real, a través de las mesas de paz, que implementa el gobierno municipal de Tlajomulco de Zúñiga. • Responder a la demanda de apoyo del sector juvenil de Tlajomulco y El Salto, expresada en los talleres de diagnóstico promovidos por el Instituto de la Juventud Tlajomulquense y del Instituto de la Juventud del Salto. • Diseñar y aplicar una evaluación de los programas públicos de mesas de paz y chamba para todos. La metodología aplicada implico la intervención de estudiantes de diferentes disciplinas a partir de grupos sociales específicos que presentan demandas de atención para la recuperación de sus espacios públicos y por tanto requieren de acompañamiento para el diseño de estos, el impulso al emprendimiento través de la realización de Podcast dirigidos a los jóvenes, la integración y aplicación de una propuesta de evaluación de los programas públicos “mesas de paz” y “”chamba para todos”.ITESO, A.C

    Lipid profile, cardiovascular disease and mortality in a Mediterranean high-risk population: the ESCARVAL-RISK study

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    The potential impact of targeting different components of an adverse lipid profile in populations with multiple cardiovascular risk factors is not completely clear. This study aims to assess the association between different components of the standard lipid profile with all cause mortality and hospitalization due to cardiovascular events in a high-risk population. Methods This prospective registry included high risk adults over 30 years old free of cardiovascular disease (2008±2012). Diagnosis of hypertension, dyslipidemia or diabetes mellitus was inclusion criterion. Lipid biomarkers were evaluated. Primary endpoints were all-cause mortality and hospital admission due to coronary heart disease or stroke. We estimated adjusted rate ratios (aRR), absolute risk differences and population attributable risk associated with adverse lipid profiles. Results 51,462 subjects were included with a mean age of 62.6 years (47.6% men). During an average follow-up of 3.2 years, 919 deaths, 1666 hospitalizations for coronary heart disease and 1510 hospitalizations for stroke were recorded. The parameters that showed an increased rate for total mortality, coronary heart disease and stroke hospitalization were, respectively, low HDL-Cholesterol: aRR 1.25, 1.29 and 1.23; high Total/HDL-Cholesterol: aRR 1.22, 1.38 and 1.25; and high Triglycerides/HDL-Cholesterol: aRR 1.21, 1.30, 1.09. The parameters that showed highest population attributable risk (%) were, respectively, low HDL-Cholesterol: 7.70, 11.42, 8.40; high Total/HDL-Cholesterol: 6.55, 12.47, 8.73; and high Triglycerides/ HDL-Cholesterol: 8.94, 15.09, 6.92. Conclusions In a population with cardiovascular risk factors, HDL-cholesterol, Total/HDL-cholesterol and triglycerides/HDL-cholesterol ratios were associated with a higher population attributable risk for cardiovascular disease compared to other common biomarkers

    PCSK6 and Survival in Idiopathic Pulmonary Fibrosis

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    Rationale: Idiopathic pulmonary fibrosis (IPF) is a devastating disease characterized by limited treatment options and high mortality. A better understanding of the molecular drivers of IPF progression is needed. Objectives: To identify and validate molecular determinants of IPF survival. Methods: A staged genome-wide association study was performed using paired genomic and survival data. Stage I cases were drawn from centers across the United States and Europe and stage II cases from Vanderbilt University. Cox proportional hazards regression was used to identify gene variants associated with differential transplantation-free survival (TFS). Stage I variants with nominal significance (P < 5 x 10(-5)) were advanced for stage II testing and meta-analyzed to identify those reaching genome-wide significance (P < 5 x 10(-8)). Downstream analyses were performed for genes and proteins associated with variants reaching genome-wide significance. Measurements and Main Results: After quality controls, 1,481 stage I cases and 397 stage II cases were included in the analysis. After filtering, 9,075,629 variants were tested in stage I, with 158 meeting advancement criteria. Four variants associated with TFS with consistent effect direction were identified in stage II, including one in an intron of PCSK6 (proprotein convertase subtilisin/kexin type 6) reaching genome-wide significance (hazard ratio, 4.11 [95% confidence interval, 2.54-6.67]; P = 9.45 x 10(-9)). PCSK6 protein was highly expressed in IPF lung parenchyma. PCSK6 lung staining intensity, peripheral blood gene expression, and plasma concentration were associated with reduced TFS. Conclusions: We identified four novel variants associated with IPF survival, including one in PCSK6 that reached genome-wide significance. Downstream analyses suggested that PCSK6 protein plays a potentially important role in IPF progression

    RICORS2040 : The need for collaborative research in chronic kidney disease

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    Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true
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