Diagnóstico comunitario de salud Villa Virgen Gauadalupe del distrito de Managua en el Primer Semestre del año 2013 . Informe Tècnico, UNAN-Managua, Nicaragaua

En el Área Comunitaria de la Asignatura de las PRACTICAS MEDICAS COMUNITARIAS de la Facultad de Ciencias Médicas de la UNAN-MANAGUA, dentro de la actividad académica se desarrolla un DIAGNOSTICO COMUNITARIO DE SALUD, fundamentado en la Estrategias del MOSAFC y de la Investigación desde el Aula de Clase a la Comunidad. La situación de salud de una comunidad es un fenómeno resultante de las relaciones de causalidad entre distintas dimensiones o factores (biológicos, culturales, ambientales, sociales y lo relacionados con la cobertura y calidad de oferta de los servicios) que explican parte de la enfermedad y muerte. Involucrarlos en el análisis de las condiciones de salud de una comunidad permite elaborar un diagnóstico integral con mayor capacidad de sustentar propuestas de solución y/o mejoramiento en los aspectos insatisfactorios identificados. Desde el punto de vista Pedagógico éste Diagnóstico es una herramienta que aporta elementos para aprender a aprender y aprender haciendo, en donde el Estudiante está capacitado para crear, innovar y ayudar a la transformación de la comunidad, además de adquirir habilidades comunicativas e investigativas necesarias para la INTERVENCION COMUNITARIA

Environmental Correlation Structure and Ecological Niche Model Projections

This is the published version

Cave-adapted campodeids (Hexapoda, Diplura, Campodeidae) from the Dinarides and adjacent karst regions

Five new species are described, Plusiocampa (Didymocampa) cvijici Sendra & Antić, sp. nov., Plusiocampa (Plusiocampa) atom Sendra & Antić, sp. nov., Plusiocampa (Stygiocampa) barethae Sendra & Rađa, sp. nov., Plusiocampa (Stygiocampa) dulcici Sendra & Rađa, sp. nov. and Plusiocampa (Venetocampa) pirnati Sendra & Borko, sp. nov. This brings the number of cave-adapted species of campodeids known from the Dinarides, Eastern Alps, Balkan System and Rodope Massif to 28 (one species in the genus Campodea and 27 in Plusiocampa). Among Plusiocampa, four out of five subgenera are present (Pentachaetocampa is not present in the region studied): Didymocampa (one species), Plusiocampa s. str. (15 species), Stygiocampa (eight species) and Venetocampa (three species), whereby Stygiocampa and Venetocampa are endemic to the studied region. These results reveal the importance of the Dinarides karst region as a centre of diversification for campodeids and for cave animals in general. A monophyletic subgroup, consisting of Stygiocampa, Venetocampa and Plusiocampa s. str. and characterized by the absence of medial posterior thoracic macrosetae, presumably colonized the Dinaric plate during the middle of the Cenozoic and occurs in that area since then

A new Diplura species from Georgia caves, Plusiocampa (Plusiocampa) imereti (Diplura, Campodeidae), with morphological and molecular data

A new dipluran species, Plusiocampa (Plusiocampa) imereti Sendra & Barjadze sp. nov., from the deep zone in three caves in the Imereti region, Georgia, is described. This new troglobitic Plusiocampa is an addition to four others known Diplura from around the Black Sea region, two Dydimocampa and two Plusiocampa s. str. The present study also provides the first CO1 sequences for the Plusiocampinae taxa and the first molecular data for cave-dwelling Plusiocampa species. Although bootstrap values were low, the maximum-likelihood phylogenetic tree grouped Plusiocampa (P.) imereti Sendra & Barjadze sp. nov. with two Plusiocampa s. str. species from Eastern Europe. Morphologically, P. (P.) imereti Sendra & Barjadze sp. nov. is closely related to two cave-dwelling species: Plusiocampa (Plusiocampa) glabra Condé, 1984 and Plusiocampa (P.) chiosensis Sendra & Gasparo, 2020. The new species can be distinguished by the presence of lateral anterior macrosetae on metanotum, more uneven claws, and the presence of 2+2 lateral anterior macrosetae on middle urotergites. The five species currently known for the Black Sea region inhabit caves located at low altitude but with no influence from former glacial or permafrost processes

A pan-cancer clinical platform to predict immunotherapy outcomes and prioritize immuno-oncology combinations in early-phase trials

Immunooncology; Predictive biomarkers; Tumor microenvironmentInmunooncología; Biomarcadores predictivos; Microambiente tumoralImmunooncologia; Biomarcadors predictius; Microambient tumoralBackground Immunotherapy is effective, but current biomarkers for patient selection have proven modest sensitivity. Here, we developed VIGex, an optimized gene signature based on the expression level of 12 genes involved in immune response with RNA sequencing. Methods We implemented VIGex using the nCounter platform (Nanostring) on a large clinical cohort encompassing 909 tumor samples across 45 tumor types. VIGex was developed as a continuous variable, with cutoffs selected to detect three main categories (hot, intermediate-cold and cold) based on the different inflammatory status of the tumor microenvironment. Findings Hot tumors had the highest VIGex scores and exhibited an increased abundance of tumor-infiltrating lymphocytes as compared with the intermediate-cold and cold. VIGex scores varied depending on tumor origin and anatomic site of metastases, with liver metastases showing an immunosuppressive tumor microenvironment. The predictive power of VIGex-Hot was observed in a cohort of 98 refractory solid tumor from patients treated in early-phase immunotherapy trials and its clinical performance was confirmed through an extensive metanalysis across 13 clinically annotated gene expression datasets from 877 patients treated with immunotherapy agents. Last, we generated a pan-cancer biomarker platform that integrates VIGex categories with the expression levels of immunotherapy targets under development in early-phase clinical trials. Conclusions Our results support the clinical utility of VIGex as a tool to aid clinicians for patient selection and personalized immunotherapy interventions.A.H.C. would like to acknowledge fellowship funding from the Spanish Society of Medical Oncology (SEOM), CRIS Contra el Cancer and Hold'em For Life Oncology Fellowship. This research has been funded by the Comprehensive Program of Cancer Immunotherapy & Immunology II (CAIMI-II) supported by the BBVA Foundation (grant 53/2021) and the 2020–2021 Division of Medical Oncology and Hematology (DMOH) Fellowship award at Princess Margaret Cancer Centre. VHIO would like to acknowledge the Cellex Foundation for providing research facilities and equipment and the CERCA Programme from the Generalitat de Catalunya for their support of this research. Authors from VHIO acknowledge the State Agency for Research (Agencia Estatal de Investigación) for providing financial support as a Center of Excellence Severo Ochoa (CEX2020-001024-S/AEI/10.13039/501100011033). A.V. was the recipient of a project award from the FAECC (AVP/18/AECC/3219) and received funding from the Advanced Molecular Diagnostic (DIAMAV) program from the FERO Foundation. Graphical abstract was created with BioRender.com. Diagram in Figure 3B was created with SankeyMATIC (sankeymatic.com)

SELNET clinical practice guidelines for bone sarcoma

Bone sarcoma are infrequent diseases, representing < 0.2% of all adult neoplasms. A multidisciplinary management within reference centers for sarcoma, with discussion of the diagnostic and therapeutic strategies within an expert multidisciplinary tumour board, is essential for these patients, given its heterogeneity and low frequency. This approach leads to an improvement in patient's outcome, as demonstrated in several studies. The Sarcoma European Latin-American Network (SELNET), aims to improve clinical outcome in sarcoma care, with a special focus in Latin-American countries. These Clinical Practice Guidelines (CPG) have been developed and agreed by a multidisciplinary expert group (including medical and radiation oncologist, surgical oncologist, orthopaedic surgeons, radiologist, pathologist, molecular biologist and representatives of patients advocacy groups) of the SELNET consortium, and are conceived to provide the standard approach to diagnosis, treatment and follow-up of bone sarcoma patients in the Latin-American context

Estimating the global conservation status of more than 15,000 Amazonian tree species

Estimates of extinction risk for Amazonian plant and animal species are rare and not often incorporated into land-use policy and conservation planning. We overlay spatial distribution models with historical and projected deforestation to show that at least 36% and up to 57% of all Amazonian tree species are likely to qualify as globally threatened under International Union for Conservation of Nature (IUCN) Red List criteria. If confirmed, these results would increase the number of threatened plant species on Earth by 22%. We show that the trends observed in Amazonia apply to trees throughout the tropics, and we predict thatmost of the world’s >40,000 tropical tree species now qualify as globally threatened. A gap analysis suggests that existing Amazonian protected areas and indigenous territories will protect viable populations of most threatened species if these areas suffer no further degradation, highlighting the key roles that protected areas, indigenous peoples, and improved governance can play in preventing large-scale extinctions in the tropics in this century

Geographic patterns of tree dispersal modes in Amazonia and their ecological correlates

Aim: To investigate the geographic patterns and ecological correlates in the geographic distribution of the most common tree dispersal modes in Amazonia (endozoochory, synzoochory, anemochory and hydrochory). We examined if the proportional abundance of these dispersal modes could be explained by the availability of dispersal agents (disperser-availability hypothesis) and/or the availability of resources for constructing zoochorous fruits (resource-availability hypothesis). Time period: Tree-inventory plots established between 1934 and 2019. Major taxa studied: Trees with a diameter at breast height (DBH) ≥ 9.55 cm. Location: Amazonia, here defined as the lowland rain forests of the Amazon River basin and the Guiana Shield. Methods: We assigned dispersal modes to a total of 5433 species and morphospecies within 1877 tree-inventory plots across terra-firme, seasonally flooded, and permanently flooded forests. We investigated geographic patterns in the proportional abundance of dispersal modes. We performed an abundance-weighted mean pairwise distance (MPD) test and fit generalized linear models (GLMs) to explain the geographic distribution of dispersal modes. Results: Anemochory was significantly, positively associated with mean annual wind speed, and hydrochory was significantly higher in flooded forests. Dispersal modes did not consistently show significant associations with the availability of resources for constructing zoochorous fruits. A lower dissimilarity in dispersal modes, resulting from a higher dominance of endozoochory, occurred in terra-firme forests (excluding podzols) compared to flooded forests. Main conclusions: The disperser-availability hypothesis was well supported for abiotic dispersal modes (anemochory and hydrochory). The availability of resources for constructing zoochorous fruits seems an unlikely explanation for the distribution of dispersal modes in Amazonia. The association between frugivores and the proportional abundance of zoochory requires further research, as tree recruitment not only depends on dispersal vectors but also on conditions that favour or limit seedling recruitment across forest types