Executive functions and functional impairment in Latin seniors suffering from depression

Functional impairment (FI) relates to the condition of executive functions (EFs). While EFs become affected by age and educational level (EL). Seniors suffering from depression (SSDs) on the other hand show EF-related deficiencies; however, there is hardly any literature available regarding their relationship with FI in Latin SSDs, who usually have low ELs. Objective: To verify the relationship between EFs and FI in SSDs of Latin origins, by controlling the effects associated with age and educational level. Methodology: Cross-sectional study, of cases and controls, conducted on a nonprobability sample, made up of 102 self-sufficient SSDs and 142 control subjects over age 50, monolinguals of Latin origin (Chileans), all assessed by means of a battery of assessments such as: Geriatric Depression Scale, Addenbrook's Cognitive Assessment III, Trail making Tests A and B, STROOP word-color test, and semantic and phonological verbal fluency tests. A domain of composite EFs was established with standardized Chilean population scores, where age and educational levels were controlled. A simple linear regression analysis was conducted to determine the relationship between EFs and FI in SSDs. Results: Upon controlling age and educational levels, EFs explained an FI variance of 3.9% in SSDs; depression explained an EF variance of 3.2%, and 3.7% of FI. Conclusion: The results of the present study highlight the importance of a timely intervention when it comes to geriatric depression, considering the negative effect it has over the executive functions and the functionality of seniors

PROCESOS PARTICIPATIVOS PARA GENERACIÓN DE INNOVACIONES AGROECOLÓGICAS: EL CASO DEL ASENTAMIENTO EPÉ TIARAJU RIBEIRÃO PRETO, BRASIL

N° ISBN - 978-2-7380-1284-5International audienceParticipatory processes for generation of agroecological innovations: the case of settlement Epé Tiaraju Ribeirão Preto, Brasil. - The region of Ribeirão Preto, in north of the state of São Paulo, Brazil, is characterized by the predominance of sugarcane monoculture, with large environmental, social and concentration of land impacts. In response to social demands of the MST - the Movement of Rural Landless Workers, in 2004 was implanted in the region a land reform settlement, backed by the agroecological matrix and the use of agroforestry systems. Since 2005, research activities and socio-environmental training were developed by federal government agencies in support of the settlement. The article discusses the first results of this process of building a new development model for the region, more sustainable under the ecological point of view and allowing regional agrobiodiversity rescue. The data show that the basic training conducted by peasant organizations, coupled with public policies to promote the agroforestry, have led to significant strides in the direction of agroecological transition. In this participatory process of innovation, farmers assume the role of major actors towards sustainable development, because while producing food, conserve biodiversity

The impact of SARS-CoV-2 on emotional state among older adults in Latin America

In Latin America, the volume of care of infected patients, higher presence of comorbidities among older adults, and restricted access to clinical controls have become this age group into one with the highest risk (Dubey etal., 2020). Under confinement circumstances, older people can experience feelings of helplessness and uncertainty about the future, difficulties to stay focused, anxiety, stress, agitation, withdrawal, and depression (Armitage and Nellums, 2020; Wang etal., 2020). Accordingly, a Consortium of universities, research centers, and clinical centers have joined forces to carry out research which seeks to know the emotional state of Latin American older adults during confinement by Coronavirus disease (COVID-19). The study included the following countries: Argentina, Bolivia, Chile, Colombia, Costa Rica, Ecuador, Guatemala, Honduras, Mexico, Nicaragua, Peru, Puerto Rico, Dominican Republic, and Venezuela. Between April and May, we carry out the piloting of the evaluation protocol, making cultural and linguistic adaptations. Later, between June and October, more than 7000 older adults were evaluated by telephone by an expert professional through filling out an online form. The protocol we used includes a sociodemographic and clinical questionnaire, information on confinement, lifestyles, and the abbreviated version of the Yesavage Geriatric Depression Scale (Martínez de la Iglesia etal., 2020). Sociodemographic characteristics of the final sample (n = 5245) show that 34% are men and 66% are women, with an average age of 69.61 years (SD = 7.28). Average schooling was 10.99 years (SD = 5.85) depending on the country, and 16.7% were illiterate. The major racial pattern of the population is Latin American mestizo (55.1%) followed by white (39.4%), South American indigenous (1.5%), and African American subjects (1.2%). Seventy-seven percentage of the participants have a monthly income, from retirement (45.9%) or independent work (26.4%), and 85% live with their spouses or relatives. Regarding quarantine, 86.7% of the respondents stated that they complied with the confinement measures, with an average of 123.15 days (SD = 42.43) of quarantine, which varies by country. Our data analysis has revealed that 30.27% of the older adults exhibit emotional disturbances. In Mexico and Peru, we have observed the highest levels of geriatric depression (38.9% and 38.1%, respectively) and in Venezuela the lowest (21.35%). Regression analysis shows that more years of schooling (OR = 0.943; IC95%: 0.93–0.95), having an economic income (OR = 0.764; IC95%: 0.64–0.90) and being a Latin American mestizo (OR = 0.832, IC95%: 0.71–0.98) are associated with reduced risk of geriatric depression. On the other hand, being widowed (OR = 1.428; IC95%: 1.10–1.85) or separated (OR = 1.352; IC95%: 1.01–1.82), lived in Bolivia (OR = 1.805; IC95%: 1.31–2.48), Mexico (OR = 2.320; IC95%: 1.70–3.16), and Peru (OR = 2.008; IC95%: 1.45–2.78) are associated with highest risk. This first multicenter study found that emotional status of older adults during the SARS-CoV-2 pandemic in Latin America varies depending on the country where they live and sociodemographic and socioeconomic factors. It is necessary for follow-up studies to validate diagnosis and analyze the greater risk of deterioration in the coming months

Utilização de práticas agroecológicas na construção de projetos sustentáveis para a reforma agrária: um estudo de caso no assentamento Sepé Tiaraju – SP.

O assentamento Sepé Tiaraju, situado na região canavieira de Ribeirão Preto (SP), constitui-se o primeiro na modalidade PDS (Projeto de Desenvolvimento Sustentável) no Estado de São Paulo e tem a agroecologia como centro da matriz tecnológica. Dentro desta proposta, o uso de Sistemas Agroflorestais (SAFs) vem constituindo-se como uma alternativa de estímulo econômico à recuperação florestal e incorporação do componente arbóreo nos sistemas produtivos dos agricultores. Este trabalho visa levantar experiências de SAFs executadas pelos assentados em seus lotes e de como as práticas agroecológicas desenvolvidas pelos mesmos vêm contribuindo para a construção de um novo modelo de assentamento. A pesquisa, realizada por intermédio de técnicas de diagnóstico rural participativo, abrangeu um conjunto de 32 famílias. Observou-se que com a elevação da diversificação dos cultivos nos SAFs os assentados aumentaram a estabilidade de seus agroecossistemas, resultando na menor dependência de insumos externos. Também constatou-se que estágios mais avançados da transição agroecológica estão sendo alcançados por assentados que fazem uso de SAFs

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Introduction Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation

CONSTRUYENDO EL CONOCIMIENTO AGROECOLOGICO EN ASENTAMIENTOS DE LA REFORMA AGRARIA EN LA BUSQUEDA POR LA CONSOLIDACION DE UN NUEVO MODELO DE PRODUCCION EN EL ESTADO DE SÃO PAULO, BRASIL.

N° ISBN - 978-2-7380-1284-5International audienceEl proyecto “Capacitación socio-ambiental para la construcción de proyectos de desarrollo sostenible en asentamientos rurales en el estado de Sao Paulo”, desarrollado en colaboración entre EMBRAPA – Medio Ambiente (Empresa Brasilera De Investigación Agropecuaria) y el INCRA (Instituto Nacional de Reforma Agraria), nace de la demanda presentada por las organizaciones de trabajadores rurales, en la búsqueda por una forma de producción agrícola diferente en el estado de Sao Paulo. El público blanco de los proyectos son los agricultores beneficiados por la Reforma Agraria que desean cambios en el sistema de producción. Actúa en tres regiones del Estado de Sao Paulo: Andradina, Itapeva y Ribeirao Preto, usando siempre metodologías participativas para integrar los agricultores en la propuesta. No obstante vienen enfrentando innumerables dificultades en lo que respecta a estructura e irradiación de técnicas

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Introduction: Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective: To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology: One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results: Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion: Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation

Increasing boys' and girls' intention to avoid teenage pregnancy: a cluster randomised control feasibility trial of an interactive video drama based intervention in post-primary schools in Northern Ireland

Background: Adolescent men have a vital yet neglected role in reducing unintended teenage pregnancy (UTP). There is a need for gender-sensitive educational interventions. Objectives: To determine the value and feasibility of conducting an effectiveness trial of the If I Were Jack Relationship and Sexuality Education (RSE) intervention in a convenience quota sample of post-primary schools in Northern Ireland. Secondary objectives were to assess acceptability to schools, pupils (male/female, aged 14–15 years) and parents/guardians; to identify optimal delivery structures and systems; to establish participation rates and reach, including equality of engagement of different socioeconomic and religious types; to assess trial recruitment and retention rates; to assess variation in normal RSE practice; to refine survey instruments; to assess differences in outcomes for male and female pupils; to identify potential effect sizes that might be detected in an effectiveness trial and estimate appropriate sample size for that trial; and to identify costs of delivery and pilot methods for assessing cost-effectiveness. Design: Cluster randomised Phase II feasibility trial with an embedded process and economic evaluation. Intervention: A teacher-delivered classroom-based RSE resource – an interactive video drama (IVD) with classroom materials, teacher training and an information session for parents – to immerse young people in a hypothetical scenario of Jack, a teenager whose girlfriend is unintentionally pregnant. It addresses gender inequalities in RSE by focusing on young men and is designed to increase intentions to avoid UTP by encouraging young people to delay sexual intercourse and to use contraception consistently in sexual relationships. Main outcome measures: Abstinence from sexual intercourse (delaying initiation of sex or returning to abstinence) or avoidance of unprotected sexual intercourse (consistent correct use of contraception). Secondary outcomes included Knowledge, Attitudes, Skills and Intentions. Results: The intervention proved acceptable to schools, pupils and parents, as evidenced through positive process evaluation. One minor refinement to the parental component was required, namely the replacement of the teacher-led face-to-face information session for parents by online videos designed to deliver the intervention to parents/guardians into their home. School recruitment was successful (target 25%, achieved 38%). No school dropped out. Pupil retention was successful (target 85%, achieved 93%). The between-group difference in incidence of unprotected sex of 1.3% (95% confidence interval 0.55% to 2.2%) by 9 months demonstrated an effect size consistent with those reported to have had meaningful impact on UTP rates (resulting in an achievable sample size of 66 schools at Phase III). Survey instruments showed high acceptability and reliability of measures (Cronbach’s alpha: 0.5–0.7). Economic evaluation at Phase III is feasible because it was possible to (1) identify costs of delivering If I Were Jack (mean cost per pupil, including training of teachers, was calculated as £13.66); and (2) develop a framework for assessing cost-effectiveness. Conclusion: Trial methods were appropriate, and recruitment and retention of schools and pupils was satisfactory, successfully demonstrating all criteria for progression to a main trial. The perceived value of culture- and gender-sensitive public health interventions has been highlighted. Future work: Progression to a Phase III effectiveness trial. Trial registration: Current Controlled Trials ISRCTN99459996. Funding: This project was funded by the NIHR Public Health Research programme and will be published in full in Public Health Research; Vol. 5, No. 1. See the NIHR Journals Library website for further project information

Nuclear structure studies with the 7Li(e,e'p) reaction

Experimental momentum distributions for the transitions to the ground state and first excited state of 6He have been measured via the reaction 7Li(e,e'p)6He, in the missing momentum range from -70 to 260 MeV/c. They are compared to theoretical distributions calculated with mean-field wave functions and with variational Monte Carlo (VMC) wave functions which include strong state-dependent correlations in both 7Li and 6He. These VMC calculations provide a parameter-free prediction of the momentum distribution that reproduces the measured data, including its normalization. The deduced summed spectroscopic factor for the two transitions is 0.58 +/- 0.05, in perfect agreement with the VMC value of 0.60. This is the first successful comparison of experiment and ab initio theory for spectroscopic factors in p-shell nuclei.Comment: 4 pages, 3 figure

The allantoin transport protein, PucI, from Bacillus subtilis: evolutionary relationships, amplified expression, activity and specificity

This work reports the evolutionary relationships, amplified expression, functional characterisation and purification of the putative allantoin transport protein, PucI, from Bacillus subtilis. Sequence alignments and phylogenetic analysis confirmed close evolutionary relationships between PucI and membrane proteins of the nucleobase-cation-symport-1 family of secondary active transporters. These include the sodium-coupled hydantoin transport protein, Mhp1, from Microbacterium liquefaciens and related proteins from bacteria, fungi and plants. Membrane topology predictions for PucI were consistent with twelve putative transmembrane-spanning α-helices with both N- and C-terminal ends at the cytoplasmic side of the membrane. The pucI gene was cloned into the IPTG-inducible plasmid pTTQ18 upstream from an in-frame hexahistidine tag and conditions are described for optimal amplified expression of the PucI(His6) protein in Escherichia coli to a level of about 5% in inner membranes. Initial rates of inducible PucI-mediated uptake of 14C-allantoin into energised Escherichia coli whole cells conformed to Michaelis-Menten kinetics with an apparent affinity (Kmapp) of 24 ± 3M, therefore confirming that PucI is a medium affinity transporter of allantoin. Dependence of allantoin transport on sodium was not apparent. Competitive uptake experiments showed that PucI recognises some additional hydantoin compounds, including hydantoin itself, and to a lesser extent a range of nucleobases and nucleosides. PucI(His6) was solubilised from inner membranes using n-dodecyl-β-D-maltoside and purified. The isolated protein comprised a substantial proportion of α-helix secondary structure, consistent with the predictions, and a three-dimensional model was therefore constructed on a template of the Mhp1 structure, which aided localisation of the potential ligand binding site in PucI