Cultural Transmission of Traditional Knowledge in two populations of North-western Patagonia

<p>Abstract</p> <p>Background</p> <p>In the present study we have investigated the cultural transmission of two types of traditional plant knowledge in two communities of North-western Patagonia, Argentina. In the Pilcaniyeu community, we studied the transmission of traditional knowledge related to horticultural practices in home-gardens, greenhouses and gardens; while in the community of Cuyin Manzano, we studied wild plant gathering customs.</p> <p>Methods</p> <p>Ethnobotanical fieldwork was conducted by means of semi-structured interviews, in which we investigated which plants are used, at what life history phase was learned, modes of transmission and who the principal transmitters were in childhood and adulthood. In both communities, each of this three aspects related to cultural transmission were categorized and the frequencies of each category were obtained. The total number of species recorded in each community was also calculated. Frequencies were analyzed with the Chi-square test of independence.</p> <p>Results and discussion</p> <p>In both communities, transmission of traditional plant knowledge begins at an early age, as a family custom, in which women play a predominant role. Wild plant use and horticultural knowledge continue to be learned during adulthood. This was particularly registered associated with horticultural learning, which receives greater influence from extension agents who are introducing new practices and technology. This outside influence, which implies novelty, could imply syncretism but also traditional knowledge loss.</p> <p>Conclusion</p> <p>Given the remarkable acculturation processes occurring at present in rural communities of Northwestern Patagonia, it might be of vital importance to document traditional knowledge of ancient practices. Moreover, it could be interesting to share our results with both populations in order to encourage participatory activities within the communities which could enhance traditional knowledge horizontal transmission, particularly among elder adults and youngsters.</p

Effects of alirocumab on types of myocardial infarction: insights from the ODYSSEY OUTCOMES trial

Aims  The third Universal Definition of Myocardial Infarction (MI) Task Force classified MIs into five types: Type 1, spontaneous; Type 2, related to oxygen supply/demand imbalance; Type 3, fatal without ascertainment of cardiac biomarkers; Type 4, related to percutaneous coronary intervention; and Type 5, related to coronary artery bypass surgery. Low-density lipoprotein cholesterol (LDL-C) reduction with statins and proprotein convertase subtilisin–kexin Type 9 (PCSK9) inhibitors reduces risk of MI, but less is known about effects on types of MI. ODYSSEY OUTCOMES compared the PCSK9 inhibitor alirocumab with placebo in 18 924 patients with recent acute coronary syndrome (ACS) and elevated LDL-C (≥1.8 mmol/L) despite intensive statin therapy. In a pre-specified analysis, we assessed the effects of alirocumab on types of MI. Methods and results  Median follow-up was 2.8 years. Myocardial infarction types were prospectively adjudicated and classified. Of 1860 total MIs, 1223 (65.8%) were adjudicated as Type 1, 386 (20.8%) as Type 2, and 244 (13.1%) as Type 4. Few events were Type 3 (n = 2) or Type 5 (n = 5). Alirocumab reduced first MIs [hazard ratio (HR) 0.85, 95% confidence interval (CI) 0.77–0.95; P = 0.003], with reductions in both Type 1 (HR 0.87, 95% CI 0.77–0.99; P = 0.032) and Type 2 (0.77, 0.61–0.97; P = 0.025), but not Type 4 MI. Conclusion  After ACS, alirocumab added to intensive statin therapy favourably impacted on Type 1 and 2 MIs. The data indicate for the first time that a lipid-lowering therapy can attenuate the risk of Type 2 MI. Low-density lipoprotein cholesterol reduction below levels achievable with statins is an effective preventive strategy for both MI types.For complete list of authors see http://dx.doi.org/10.1093/eurheartj/ehz299</p