Modelo para la conformación, capacitación y entrenamiento de brigadas de emergencias en minera a cielo abierto

Tesis (Ingeniero en Seguridad y Prevención de Riesgos)La minería en Chile con el correr de los años ha sufrido importantes transformaciones, no solo en sus procesos o el nivel de capacitación de sus trabajadores, sino que se ha convertido en el principal motor económico del país, lo cual ha obligado a mejorar sustancialmente las condiciones de trabajo, exigiendo a los profesionales de la minería, generar un nuevo paradigma en seguridad laboral. Estos antecedentes, sumados al gran incremento que la industria experimentará en la próxima década, han llevado a buscar nuevas formas de fortalecer la prevención de riesgo como rubro. Para conseguir este desafío, el presente proyecto tiene por objetivo crear un modelo para la conformación, capacitación y entrenamiento de brigadas de emergencias en minería a cielo abierto. Siendo desarrollado desde 4 aspectos básicos, englobando los procesos fundamentales para el desarrollo de un equipo de emergencias, estos son: • Identificar las emergencias más recurrentes en la minería. • Establecer el perfil físico y psicológico del personal de emergencia. • Estructurar programas de trabajo y capacitaciones. • Identificar los materiales requeridos para su funcionamiento. De esta forma será posible mitigar en gran medida las consecuencias que un accidente genera no solo a los trabajadores afectados sino además, a su entorno cercano, laboral y personal. Permitiendo avanzar a paso firme en la búsqueda de un cultura social en prevención de riesgos laborales

El Sistema Antártico

Fil: Gutiérrez Posse, Hortensia D. T.. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Internacional Público. Buenos Aires, ArgentinaFil: Gutiérrez Posse, Hortensia D. T. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Internacional Humanitario. Buenos Aires, ArgentinaFil: Alonso, Gabriela Liliana. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Breier, Ingrid E. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Cabrera Felisoni, Patricio O. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: González, Ariel W. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Jorquera, Mario. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Rizzo Alonso, Hermán G. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaEn el marco del ciclo profesional orientado se desarrolló durante 1989 un curso de actualización sobre el sistema antártico. Tenía por objetivo no sólo la profundización de los conocimientos sino también brindar la ocasión de que se ensayasen técnicas de investigación. Los trabajos que a continuación se publican reflejan resultados logrados por alumnos de ese curso. Ellos abordan distintos aspectos de una compleja cuestión que interesa directamente a nuestro país.\n\nPrólogo / Hortensia D. T. Gutiérrez Posse. El Sistema Antártico como régimen objetivo / Gabriela Liliana Alonso. Necesidad de su preservación para salvaguarda de la paz mundial / Ingrid E. Breier. Conservación y protección del medio ambiente antártico / Patricio O. Cabrera Felisoni. Los recursos minerales en el marco del Sistema Antártico : algunas reflexiones / Ariel Walter González. Evolución de los presupuestos jurídicos del Sistema Antártico / Mario Jorquera. Año 1991 y la soberanía en la Antártida, de condición a objetivo / Hernán G. Rizzo Alonso.\

Alphavirus replicon-based enhancement of mucosal and systemic immunity is linked to the innate response generated by primary immunization

Venezuelan equine encephalitis virus replicon particles (VRP) function as an effective systemic, cellular and mucosal adjuvant when codelivered with antigen, and show promise for use as a component in new and existing human vaccine formulations. We show here that VRP are effective at low dose and by intramuscular delivery, two useful features for implementation of VRP as a vaccine adjuvant. In mice receiving a prime and boost with antigen, we found that VRP are required in prime only to produce a full adjuvant effect. This outcome indicates that the events triggered during prime with VRP are sufficient to establish the nature and magnitude of the immune response to a second exposure to antigen. Events induced by VRP in the draining lymph node after prime include robust secretion of many inflammatory cytokines, upregulation of CD69 on leukocytes, and increased cellularity, with a disproportionate increase of a cell population expressing CD11c, CD11b, and F4/80. We show that antigen delivered 24 hours after administration of VRP does not benefit from an adjuvant effect, indicating that the events which are critical to VRP-mediated adjuvant activity occur within the first 24 hours. Further studies of the events induced by VRP will help elucidate the mechanism of VRP adjuvant activity and will advance the safe implementation of this adjuvant in human vaccines

The impact of child psychiatric conditions on future educational outcomes among a community cohort in Brazil

Aims. Mental health problems early in life can negatively impact educational attainment, which in turn have negative long-term effects on health, social and economic opportunities. Our aims were to: (i) estimate the impacts of different types of psychiatric conditions on educational outcomes and (ii) to estimate the proportion of adverse educational outcomes which can be attributed to psychiatric conditions. Methods. Participants (N = 2511) were from a school-based community cohort of Brazilian children and adolescents aged 6–14 years enriched for high family risk of psychiatric conditions. We examined the impact of fear- (panic, separation and social anxiety disorder, specific phobia, agoraphobia and anxiety conditions not otherwise specified), distress- (generalised anxiety disorder, major depressive disorder and depressive disorder not otherwise specified, bipolar, obsessive-compulsive, tic, eating and post-traumatic stress disorder) and externalising- related conditions (attention deficit and hyperactivity disorder, conduct and oppositional- defiant conditions) on grade repetition, dropout, age-grade distortion, literacy performance and bullying perpetration, 3 years later. Psychiatric conditions were ascertained by psychiatrists, using the Development and Well-Being Behaviour Assessment. Propensity score and inverse probability weighting were used to adjust for potential confounders, including comorbidity, and sample attrition. We calculated the population attributable risk percentages to estimate the proportion of adverse educational outcomes in the population which could be attributed to psychiatric conditions. Analyses were conducted separately for males and females. Results. Fear and distress conditions in males were associated with school dropout (odds ratio (OR) = 2.76; 95% confidence interval (CI) = 1.06, 7.22; p < 0.05) and grade repetition (OR = 2.76; 95% CI = 1.32, 5.78; p < 0.01), respectively. Externalising conditions were associated with grade repetition in males (OR = 1.66; 95% CI = 1.05, 2.64; p < 0.05) and females (OR = 2.03; 95% CI = 1.15, 3.58; p < 0.05), as well as age-grade distortion in males (OR = 1.66; 95% CI = 1.05, 2.62; p < 0.05) and females (OR = 2.88; 95% CI = 1.61, 5.14; p < 0.001). Externalising conditions were also associated with lower literacy levels (β = −0.23; 95% CI = −0.34, −0.12; p < 0.001) and bullying perpetration (OR = 3.12; 95% CI = 1.50, 6.51; p < 0.001) in females. If all externalising conditions were prevented or treated, we estimate that 5.0 and 4.8% of grade repetition would not have occurred in females and males, respectively, as well as 10.2 (females) and 5.3% (males) of age-grade distortion cases and 11.4% of female bullying perpetration. Conclusions. The study provides evidence of the negative impact of psychiatric conditions on educational outcomes in a large Brazilian cohort. Externalising conditions had the broadest and most robust negative impacts on education and these were particularly harmful to females which are likely to limit future socio-economic opportunities

Obeticholic acid for the treatment of non-alcoholic steatohepatitis: interim analysis from a multicentre, randomised, placebo-controlled phase 3 trial

Background Non-alcoholic steatohepatitis (NASH) is a common type of chronic liver disease that can lead to cirrhosis. Obeticholic acid, a farnesoid X receptor agonist, has been shown to improve the histological features of NASH. Here we report results from a planned interim analysis of an ongoing, phase 3 study of obeticholic acid for NASH. Methods In this multicentre, randomised, double-blind, placebo-controlled study, adult patients with definite NASH,non-alcoholic fatty liver disease (NAFLD) activity score of at least 4, and fibrosis stages F2–F3, or F1 with at least oneaccompanying comorbidity, were randomly assigned using an interactive web response system in a 1:1:1 ratio to receive oral placebo, obeticholic acid 10 mg, or obeticholic acid 25 mg daily. Patients were excluded if cirrhosis, other chronic liver disease, elevated alcohol consumption, or confounding conditions were present. The primary endpointsfor the month-18 interim analysis were fibrosis improvement (≥1 stage) with no worsening of NASH, or NASH resolution with no worsening of fibrosis, with the study considered successful if either primary endpoint was met. Primary analyses were done by intention to treat, in patients with fibrosis stage F2–F3 who received at least one dose of treatment and reached, or would have reached, the month 18 visit by the prespecified interim analysis cutoff date. The study also evaluated other histological and biochemical markers of NASH and fibrosis, and safety. This study is ongoing, and registered with ClinicalTrials.gov, NCT02548351, and EudraCT, 20150-025601-6. Findings Between Dec 9, 2015, and Oct 26, 2018, 1968 patients with stage F1–F3 fibrosis were enrolled and received at least one dose of study treatment; 931 patients with stage F2–F3 fibrosis were included in the primary analysis (311 in the placebo group, 312 in the obeticholic acid 10 mg group, and 308 in the obeticholic acid 25 mg group). The fibrosis improvement endpoint was achieved by 37 (12%) patients in the placebo group, 55 (18%) in the obeticholic acid 10 mg group (p=0·045), and 71 (23%) in the obeticholic acid 25 mg group (p=0·0002). The NASH resolution endpoint was not met (25 [8%] patients in the placebo group, 35 [11%] in the obeticholic acid 10 mg group [p=0·18], and 36 [12%] in the obeticholic acid 25 mg group [p=0·13]). In the safety population (1968 patients with fibrosis stages F1–F3), the most common adverse event was pruritus (123 [19%] in the placebo group, 183 [28%] in the obeticholic acid 10 mg group, and 336 [51%] in the obeticholic acid 25 mg group); incidence was generally mild to moderate in severity. The overall safety profile was similar to that in previous studies, and incidence of serious adverse events was similar across treatment groups (75 [11%] patients in the placebo group, 72 [11%] in the obeticholic acid 10 mg group, and 93 [14%] in the obeticholic acid 25 mg group). Interpretation Obeticholic acid 25 mg significantly improved fibrosis and key components of NASH disease activity among patients with NASH. The results from this planned interim analysis show clinically significant histological improvement that is reasonably likely to predict clinical benefit. This study is ongoing to assess clinical outcomes

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to &lt;90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], &gt;300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of &lt;15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P&lt;0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P&lt;0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Efectos de la pandemia en la vida cotidiana y habitar migrante, miradas desde el caso de la Región de Coquimbo, Chile.

The Covid-19 pandemic has brought with it various effects on the daily life and living conditions of migrants in the Coquimbo Region. This article, based on the results obtained in the framework of the regional study "Migratory Situation in the Coquimbo Region, in the context of the Pandemic", seeks to understand the effects related to labor precariousness and, consequently, the growing difficulty for migrants to access housing in a highly exclusionary housing market, In the face of which alternatives arise as subsistence mechanisms within an informal housing market that means living in highly densified spaces and in overcrowded conditions, or the arrival to self-construction territories such as "land seizures" and "housing camps".La Pandemia Covid-19 ha traído consigo diversos efectos en la vida cotidiana y el habitar de las personas migrantes en la Región de Coquimbo. El presente artículo, con base en los resultados obtenidos en el marco del estudio regional “Situación Migratoria en la Región de Coquimbo, en contexto Pandemia”, busca conocer y comprender los efectos relacionados con la precarización laboral y con la dificultad creciente de acceder a viviendas por parte de las personas migrantes. Lo anterior en el marco de un mercado habitacional altamente excluyente, frente al cual surgen alternativas como mecanismos de subsistencia dentro de un mercado informal de la vivienda que les significa, a las personas, habitar espacios altamente densificados y en condiciones de hacinamiento, o la llegada a territorios de autoconstrucción como tomas y campamentos

UV irradiance and albedo at Union Glacier Camp (Antarctica): a case study.

We report on the first spectral measurements of ultraviolet (UV) irradiance and the albedo at a Camp located in the southern Ellsworth Mountains on the broad expanse of Union Glacier (700 m altitude, 79° 46' S; 82° 52'W); about 1,000 km from the South Pole. The measurements were carried out by using a double monochromator-based spectroradiometer during a campaign (in December 2012) meant to weight up the effect of the local albedo on the UV irradiance. We found that the albedo measured at noon was about 0.95 in the UV and the visible part of the spectrum. This high surface reflectivity led to enhancements in the UV index under cloudless conditions of about 50% in comparison with snow free surfaces. Spectral measurements carried out elsewhere as well as estimates retrieved from the Ozone Monitoring Instrument (OMI) were used for further comparisons

Diffusible signal factor signaling controls bioleaching activity and niche protection in the acidophilic, mineral-oxidizing leptospirilli

Bioleaching of metal sulfide ores involves acidophilic microbes that catalyze the chemical dissolution of the metal sulfide bond that is enhanced by attached and planktonic cell mediated oxidation of iron(II)-ions and inorganic sulfur compounds. Leptospirillum spp. often predominate in sulfide mineral-containing environments, including bioheaps for copper recovery from chalcopyrite, as they are effective primary mineral colonizers and oxidize iron(II)-ions efficiently. In this study, we demonstrated a functional diffusible signal factor interspecies quorum sensing signaling mechanism in Leptospirillum ferriphilum and Leptospirillum ferrooxidans that produces (Z)-11-methyl-2-dodecenoic acid when grown with pyrite as energy source. In addition, pure diffusible signal factor and extracts from supernatants of pyrite grown Leptospirillum spp. inhibited biological iron oxidation in various species, and that pyrite grown Leptospirillum cells were less affected than iron grown cells to self inhibition. Finally, transcriptional analyses for the inhibition of iron-grown L. ferriphilum cells due to diffusible signal factor was compared with the response to exposure of cells to N- acyl-homoserine-lactone type quorum sensing signal compounds. The data suggested that Leptospirillum spp. diffusible signal factor production is a strategy for niche protection and defense against other microbes and it is proposed that this may be exploited to inhibit unwanted acidophile species