Proyecto de desarrollo inteligente, Departamento Burruyacu - Tucumán : Propuesta integrada con distintos actores institucionales a partir de mesa de gestión territorial

El presente proyecto “Desarrollo Inteligente del Departamento Burruyacu – Tucumán” elaborado en base a un diagnostico participativo que dio como resultado, ”ex ante”, el poder identificar una realidad con una problemática de territorio, basada en las siguientes dimensiones: a) Ambientales y de infraestructura b) Organizacionales y económicos c) De competitividad, en las economías locales d) Educativos y de articulación institucional. Las posibilidades de avanzar en proyectos que contemplen solo las inherentes a inversiones productivas no tenían un origen genuino en el espíritu emprendedor de los habitantes y productores de la zona Este del Departamento (Gobernador Piedrabuena, Gobernador Garmendia y 7 de Abril) pero si se pudo identificar un importante sector de potenciales productores porcinos, bovinos de carne y avícolas, - cadenas no relevantes en la zona -, más un gran número de productores agrícolas –pequeños y medianos - en plena actividad, pero con nulas experiencias en producción pecuaria. Con esto, la provincia a través de sus herramientas de políticas publicas, puso la mirada en la concepción de estos nuevos enfoques de desarrollo territorial, con proyectos que posibilitarán desarrollar con equidad y sustentabilidad dicha zona profundizando los 4 ejes estratégicos.This project "Smart Development of Burruyacu Department- Tucumán" was developed based on a participative diagnose that gave as "ex ante" result, the possibility of identifying a reality related with a territorial problem, based on the following dimensions: a) Environmental and infrastructure, b) Organizational and economic, c) Competitiveness, local economies, d) Educational and institutional coordination. The chances of advancing with projects that include only productive investments had no genuine origin in the entrepreneurial spirit of general people and growers from the east of the Department (Gobernador Piedrabuena, Gobernador Garmendia and 7 de Abril). However, an important sector of potential producers of pig, goat meat and poultry - not relevant chains in the area- could be identified, plus a large number of small and medium farmers dealing with agriculture but with zero experience in livestock production. Under this frame, the provincial government through public policy tools, looked at the design of these new approaches to territorial development, with projects that will enable sustainable development with equity and deepening the four strategic axes in the area. The concept of territorial development, including rural areas, has traditionally been associated with the search for viability of the most remote areas, inaccessible and that suffered various forms of marginality. However, the rurality has changed significantly. Among the changes identified by different authors are: a) the increase in the importance of non-farm activities in generating employment and income for the rural population; b ) increasing integration of urban and rural areas; c) the importance of integrating concerns for sustainable management of the environment and natural resources; d) the changes in rural institutions, e) the recognition of the importance of new social players f) new and higher expectations of consumers and markets; g) the role of new information and communication technologies, h) the persistence of rural poverty and inequality, i) the persistence of regional and sectorial gaps.Facultad de Humanidades y Ciencias de la Educació

Proyecto de Desarrollo Inteligente Departamento Burruyacu - Tucumán Propuesta integrada con distintos actores institucionales a partir de mesa de gestión territorial

El presente proyecto 'Desarrollo Inteligente del Departamento Burruyacu - Tucumán' elaborado en base a un diagnostico participativo que dio como resultado, 'ex ante', el poder identificar una realidad con una problemática de territorio, basada en las siguientes dimensiones: a) Ambientales y de infraestructura, b) Organizacionales y económicos, c) De competitividad, en las economías locales, d) Educativos y de articulación institucional. Las posibilidades de avanzar en proyectos que contemplen solo las inherentes a inversiones productivas no tenían un origen genuino en el espíritu emprendedor de los habitantes y productores de la zona Este del Departamento (Gobernador Piedrabuena, Gobernador Garmendia y 7 de Abril) pero si se pudo identificar un importante sector de potenciales productores porcinos, bovinos de carne y avícolas, - cadenas no relevantes en la zona -, más un gran número de productores agrícolas -pequeños y medianos- en plena actividad, pero con nulas experiencias en producción pecuaria. Con esto, la provincia a través de sus herramientas de políticas publicas, puso la mirada en la concepción de estos nuevos enfoques de desarrollo territorial, con proyectos que posibilitarán desarrollar con equidad y sustentabilidad dicha zona profundizando los 4 ejes estratégicos. El concepto de desarrollo de los territorios, incluidos en el ámbito rural, se ha asociado tradicionalmente a la búsqueda de viabilidad de las zonas más alejadas, poco accesibles y que sufren distintas formas de marginalidad. Sin embargo, la ruralidad ha cambiado de manera significativa. Entre los cambios identificados por diferentes autores (Sarraceno, 1994; Pérez, 2001; Echeverri y Ribeiro, 2002), se destacan: a) el incremento en la importancia de las actividades no agrícolas como generadoras de empleo e ingresos para la población rural; b) la creciente integración de los espacios urbanos y rurales; c) la importancia de integrar las preocupaciones por la gestión sostenible del ambiente y de los recursos naturales; d) las transformaciones en la institucionalidad rural; e) el reconocimiento de la importancia de nuevos actores sociales; f) las nuevas y mayores expectativas de los consumidores y de los mercados; g) el papel de las nuevas tecnologías de información y comunicación, h)la persistencia de la pobreza rural y la desigualdad, i) la persistencia de brechas regionales y sectorialesThis project 'Smart Development of Burruyacu Department-Tucumán' was developed based on a participative diagnose that gave as 'ex ante' result, the possibility of identifying a reality related with a territorial problem, based on the following dimensions: a) Environmental and infrastructure, b) Organizational and economic, c) Competitiveness, local economies, d) Educational and institutional coordination. The chances of advancing with projects that include only productive investments had no genuine origin in the entrepreneurial spirit of general people and growers from the east of the Department (Gobernador Piedrabuena, Gobernador Garmendia and 7 de Abril). However, an important sector of potential producers of pig, goat meat and poultry - not relevant chains in the area- could be identified, plus a large number of small and medium farmers dealing with agriculture but with zero experience in livestock production. Under this frame, the provincial government through public policy tools, looked at the design of these new approaches to territorial development, with projects that will enable sustainable development with equity and deepening the four strategic axes in the area. The concept of territorial development, including rural areas, has traditionally been associated with the search for viability of the most remote areas, inaccessible and that suffered various forms of marginality. However, the rurality has changed significantly. Among the changes identified by different authors are: a) the increase in the importance of non-farm activities in generating employment and income for the rural population; b) increasing integration of urban and rural areas; c) the importance of integrating concerns for sustainable management of the environment and natural resources; d) the changes in rural institutions, e) the recognition of the importance of new social players f) new and higher expectations of consumers and markets; g) the role of new information and communication technologies, h) the persistence of rural poverty and inequality, i) the persistence of regional and sectorial gap

Oral Apixaban for the Treatment of Acute Venous Thromboembolism

BACKGROUND: Apixaban, an oral factor Xa inhibitor administered in fixed doses, may simplify the treatment of venous thromboembolism. METHODS: In this randomized, double-blind study, we compared apixaban (at a dose of 10 mg twice daily for 7 days, followed by 5 mg twice daily for 6 months) with conventional therapy (subcutaneous enoxaparin, followed by warfarin) in 5395 patients with acute venous thromboembolism. The primary efficacy outcome was recurrent symptomatic venous thromboembolism or death related to venous thromboembolism. The principal safety outcomes were major bleeding alone and major bleeding plus clinically relevant nonmajor bleeding. RESULTS: The primary efficacy outcome occurred in 59 of 2609 patients (2.3%) in the apixaban group, as compared with 71 of 2635 (2.7%) in the conventional-therapy group (relative risk, 0.84; 95% confidence interval [CI], 0.60 to 1.18; difference in risk [apixaban minus conventional therapy], -0.4 percentage points; 95% CI, -1.3 to 0.4). Apixaban was noninferior to conventional therapy (P<0.001) for predefined upper limits of the 95% confidence intervals for both relative risk (<1.80) and difference in risk (<3.5 percentage points). Major bleeding occurred in 0.6% of patients who received apixaban and in 1.8% of those who received conventional therapy (relative risk, 0.31; 95% CI, 0.17 to 0.55; P<0.001 for superiority). The composite outcome of major bleeding and clinically relevant nonmajor bleeding occurred in 4.3% of the patients in the apixaban group, as compared with 9.7% of those in the conventional-therapy group (relative risk, 0.44; 95% CI, 0.36 to 0.55; P<0.001). Rates of other adverse events were similar in the two groups. CONCLUSIONS: A fixed-dose regimen of apixaban alone was noninferior to conventional therapy for the treatment of acute venous thromboembolism and was associated with significantly less bleeding (Funded by Pfizer and Bristol-Myers Squibb; ClinicalTrials.gov number, NCT00643201)