Localidades con recursos turísticos y el programa pueblos mágicos en medio del proceso de la nueva ruralidad. Los casos de Tepotzotlán y Valle De Bravo en el Estado De México

Este artículo examina el proceso socio territorial de los municipios de Tepotzotlán y Valle de Bravo, a propósito de la instrumentación del Programa Pueblos Mágicos, esto desde la perspectiva analítica de la nueva ruralidad de perfil turístico. Aquí sostenemos que el programa puede acelerar los cambios sociales y de actividades en el territorio, al tiempo que concentra inversión ya que focaliza su actuación en estructuras turísticas dinámicas con larga trayectoria sin alcanzar derrama territorial y mejora en los niveles de bienestar de las comunidades sólo de empresarios involucrados.Este artículo examina el proceso socio territorial de los municipios de Tepotzotlán y Valle de Bravo, a propósito de la instrumentación del Programa Pueblos Mágicos, esto desde la perspectiva analítica de la nueva ruralidad de perfil turístico. Aquí sostenemos que el programa puede acelerar los cambios sociales y de actividades en el territorio, al tiempo que concentra inversión ya que focaliza su actuación en estructuras turísticas dinámicas con larga trayectoria sin alcanzar derrama territorial y mejora en los niveles de bienestar de las comunidades sólo de empresarios involucrados

CUERPO, ENVEJECIMIENTO Y ESPACIO. UNA GEOGRAFÍA DEL ENVEJECIMIENTO EN EL ESPACIO RURAL LATINO-AMERICANO

The objective of this paper is to present a theoretical proposal called the geography of aging in rural areas. The body is taken as a paradigm for the understanding of space, retaking the arguments that Lefebvre offered in his monumental The Production of Space, in relation to the body as synthesis of the perceived-conceived-lived triad. At the same time, the aging process is considered as a spatial process. In Latin American countries, the issue of the body as a producer of space and produced by space, takes relevance in the middle of an unprecedented demographic conjuncture and the advance of agribusiness and agroindustry versus traditional, agrarian or peasant populations.El objetivo del artículo es presentar una propuesta teórica llamada geografía del envejecimiento en el espacio rural. El cuerpo es tomado como un paradigma para la comprensión del espacio, retomando los argumentos que Lefebvre ofreció en su monumental La Producción del Espacio, en relación al cuerpo como síntesis de la tríada de lo percibido-concebido-vivido. Paralelamente, el proceso de envejecimiento se considera un proceso espacial. En los países latinoamericanos, la cuestión del cuerpo como productor de espacio y producido por el espacio, lleva relevancia en medio de una coyuntura demográfica sin precedentes y el avance del agronegocio y agroindustrias frente a poblaciones tradicionales, agrarias o campesinas

Vejez y vulnerabilidad. Retratos de casos y perfiles de estudio en contextos diversos: grandes regiones, localidades rurales y territorios migrantes

México está inmerso en una acelerada transición demográfica, es el séptimo lugar entre los países con envejecimiento acelerado en Latinoamérica, con 9.7% de adultos mayores de 60 años (CONAPO, 2013). La investigación en nuestro país en torno a los sectores envejecidos tiene ya más de un cuarto de siglo, y ha contribuido al desarrollo de los estudios sobre este grupo de la población bajo las tendencias no sólo locales y regionales, sino también internacionales; respondiendo a las necesidades sociales que se modifican a través de la historia.Desde el área de especialización de cada autor, se pone particular atención en las condiciones de la vida cotidiana y las estrategias que se generan para enfrentar y reducir la vulnerabilidad, así como en los retos que se afrontarán por e l tendiente proceso de envejecimiento de la población, principalmente en los ámbitos socioculturales y de salud.Universidad Autónoma del Estado de Méxic

Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements

Imágenes, memoria colectiva y una historia popular e ineludible. La herencia de la movilidad espacial en una región del centro de México

Se presentan historias de vida, historias familiares, populares, recordadas y sabidas en la silenciosa memoria de la colectividad que habita en lo que se puede calificar como runa región centro de México, bien puede entenderse esa memoria como el script de genealogías, como historias domésticas, conocidas y repetibles

CUERPO, ENVEJECIMIENTO Y ESPACIO. UNA GEOGRAFÍA DEL ENVEJECIMIENTO EN EL ESPACIO RURAL LATINO-AMERICANO

The objective of this paper is to present a theoretical proposal called the geography of aging in rural areas. The body is taken as a paradigm for the understanding of space, retaking the arguments that Lefebvre offered in his monumental The Production of Space, in relation to the body as synthesis of the perceived-conceived-lived triad. At the same time, the aging process is considered as a spatial process. In Latin American countries, the issue of the body as a producer of space and produced by space, takes relevance in the middle of an unprecedented demographic conjuncture and the advance of agribusiness and agroindustry versus traditional, agrarian or peasant populations.El objetivo del artículo es presentar una propuesta teórica llamada geografía del envejecimiento en el espacio rural. El cuerpo es tomado como un paradigma para la comprensión del espacio, retomando los argumentos que Lefebvre ofreció en su monumental La Producción del Espacio, en relación al cuerpo como síntesis de la tríada de lo percibido-concebido-vivido. Paralelamente, el proceso de envejecimiento se considera un proceso espacial. En los países latinoamericanos, la cuestión del cuerpo como productor de espacio y producido por el espacio, lleva relevancia en medio de una coyuntura demográfica sin precedentes y el avance del agronegocio y agroindustrias frente a poblaciones tradicionales, agrarias o campesinas

Prevalence, characteristics and treatment of chronic pain in elderly patients hospitalized in internal medicine wards

Background: Chronic pain is a frequent characteristic of elderly people and represents an actual and still poorly debated topic. Objective: We investigated pain prevalence and intensity, and its pharmacological therapy in elderly patients hospitalized in 101 internal medicine wards. Methods: Taking advantage of the “REgistro POliterapie Società Italiana Medicina Interna” (REPOSI), we collected 2535 patients of whom almost a quarter was older than 85 years old. Among them, 582 patients were affected by pain (either chronic or acute) and 296 were diagnosed with chronic pain. Results: Patients with pain showed worse cognitive status, higher depression and comorbidities, and a longer duration of hospital stay compared to those without pain (all p <.0366). Patients with chronic pain revealed lower level of independency in their daily life, worse cognitive status and higher level of depression compared to acute pain patients (all p <.0156). Moreover, most of them were not treated for pain at admission (73.4%) and half of them was not treated with any analgesic drug at discharge (50.5%). This difference affected also the reported levels of pain intensity. Patients who received analgesics at both admission and discharge remained stable (p =.172). Conversely, those not treated at admission who received an analgesic treatment during the hospital stay decreased their perceived pain (p <.0001). Conclusions: Our results show the need to focus more attention on the pharmacological treatment of chronic pain, especially in hospitalized elderly patients, in order to support them and facilitate their daily life after hospital discharge

Rationale, design, and baseline characteristics in Evaluation of LIXisenatide in Acute Coronary Syndrome, a long-term cardiovascular end point trial of lixisenatide versus placebo

BACKGROUND: Cardiovascular (CV) disease is the leading cause of morbidity and mortality in patients with type 2 diabetes mellitus (T2DM). Furthermore, patients with T2DM and acute coronary syndrome (ACS) have a particularly high risk of CV events. The glucagon-like peptide 1 receptor agonist, lixisenatide, improves glycemia, but its effects on CV events have not been thoroughly evaluated. METHODS: ELIXA (www.clinicaltrials.gov no. NCT01147250) is a randomized, double-blind, placebo-controlled, parallel-group, multicenter study of lixisenatide in patients with T2DM and a recent ACS event. The primary aim is to evaluate the effects of lixisenatide on CV morbidity and mortality in a population at high CV risk. The primary efficacy end point is a composite of time to CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for unstable angina. Data are systematically collected for safety outcomes, including hypoglycemia, pancreatitis, and malignancy. RESULTS: Enrollment began in July 2010 and ended in August 2013; 6,068 patients from 49 countries were randomized. Of these, 69% are men and 75% are white; at baseline, the mean ± SD age was 60.3 ± 9.7 years, body mass index was 30.2 ± 5.7 kg/m(2), and duration of T2DM was 9.3 ± 8.2 years. The qualifying ACS was a myocardial infarction in 83% and unstable angina in 17%. The study will continue until the positive adjudication of the protocol-specified number of primary CV events. CONCLUSION: ELIXA will be the first trial to report the safety and efficacy of a glucagon-like peptide 1 receptor agonist in people with T2DM and high CV event risk

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2