Niveles de plomo y arsénico en leche y pelo de vacas lecheras del valle de Moquegua

El objetivo del estudio fue determinar los niveles de concentración de plomo y arsénico en leche y pelos de vacas de la cuenca lechera del valle de la Moquegua. Se obtuvo 12 muestras de leche y 12 muestras de pelos, debidamente identificados, para cuantificar las variables de estudio. Las muestras fueron analizadas en el Laboratorio de Ensayo y Control de Calidad de la Facultad de Ciencias Farmacéuticas, Bioquímicas y Biotecnológicas de la Universidad Católica de Santa María de Arequipa, mediante la técnica de absorción atómica con horno de grafito. Los datos obtenidos fueron procesados y analizados mediante la prueba estadística de T de Student. Las concentraciones de plomo en la leche y pelo de las vacas del valle de Moquegua fueron 0.2867±0.082 mg de plomo/kg en leche y 2.04 ± 0.438 mg de plomo/kg en pelo (P<0.05). Los niveles de arsénico fueron 0.9616 ± 0.53 mg/kg en pelo y 0.0916 ± 0.046 mg/kg en leche en vacas. Estos datos, contrastados con la prueba múltiple de significación de T de Student reflejaron diferencias significativas. Los dos metales analizados, tanto en leche como en pelos de las vacas alimentadas con pastos regados con aguas del río Torata, superan los límites máximos permisibles

Limit-state analysis of parabolic arches subjected to inertial loading in different gravitational fields using a variational formulation

For thousands of years, arches have been used as durable structures that are easy to build and that rely on gravity for their inherent stability. Since then, many researchers and engineers have studied their stability either when subjected to gravity or inertial loading. Currently, given the Insight mission to Mars and the ambitious Artemis program to the Moon, it has become apparent that there will soon be the need to design and build the first resilient extraterrestrial structures and arches represent an ideal option for such structures. This paper focuses on the stability of parabolic arches with different embrace angles subjected to different levels of equivalent inertial loading in low-gravity conditions. The results are contrasted with the well-studied circular arches. More specifically, this investigation employs variational principles to identify the imminent mechanisms and numerical methods based on the limit thrust line concept in order to estimate the minimum required thickness of parabolic arches for a given loading and in different gravitational fields. The paper shows that although parabolic arches can be much more efficient than their circular counterparts for gravitational-only loading, this is not the case for different combinations of inertial loading and embrace angles where the opposite can be true. It highlights the dominant effect of low-gravity conditions on the minimum thickness requirements for both types of arches and considers the effect of a potential additional infill for shielding from radiation. Furthermore, this study reveals a self-similar behaviour, introduces a “universal” inertial loading and showcases through the use of master curves the areas where the parabolic arches are more efficient than the circular and the opposite. These areas can be used for the preliminary design of such structures. Additionally, the paper identifies hidden patterns associated with the developed mechanisms between the two different geometries for the different gravitational fields. Finally, it presents a case study where the need to optimise the structural form of extraterrestrial structures becomes evident

Glycated haemoglobin (HbA1c ) and fasting plasma glucose relationships in sea-level and high-altitude settings.

AIM: Higher haemoglobin levels and differences in glucose metabolism have been reported among high-altitude residents, which may influence the diagnostic performance of HbA1c . This study explores the relationship between HbA1c and fasting plasma glucose (FPG) in populations living at sea level and at an altitude of > 3000 m. METHODS: Data from 3613 Peruvian adults without a known diagnosis of diabetes from sea-level and high-altitude settings were evaluated. Linear, quadratic and cubic regression models were performed adjusting for potential confounders. Receiver operating characteristic (ROC) curves were constructed and concordance between HbA1c and FPG was assessed using a Kappa index. RESULTS: At sea level and high altitude, means were 13.5 and 16.7 g/dl (P > 0.05) for haemoglobin level; 41 and 40 mmol/mol (5.9% and 5.8%; P < 0.01) for HbA1c ; and 5.8 and 5.1 mmol/l (105 and 91.3 mg/dl; P < 0.001) for FPG, respectively. The adjusted relationship between HbA1c and FPG was quadratic at sea level and linear at high altitude. Adjusted models showed that, to predict an HbA1c value of 48 mmol/mol (6.5%), the corresponding mean FPG values at sea level and high altitude were 6.6 and 14.8 mmol/l (120 and 266 mg/dl), respectively. An HbA1c cut-off of 48 mmol/mol (6.5%) had a sensitivity for high FPG of 87.3% (95% confidence interval (95% CI) 76.5 to 94.4) at sea level and 40.9% (95% CI 20.7 to 63.6) at high altitude. CONCLUSION: The relationship between HbA1c and FPG is less clear at high altitude than at sea level. Caution is warranted when using HbA1c to diagnose diabetes mellitus in this setting

OpenArch: An open-source package for determining the minimum-thickness of arches under seismic loads

Arches are elegant and efficient structural forms that can be used in a wide variety of applications, from bridges to extraterrestrial shielding structures. Oftentimes their design hinges around the identification of the minimum-thickness required to ensure their stability when subjected to gravity and lateral (inertial) loading. This work presents a MATLAB-based code called OpenArch developed within a procedural programming framework for the preliminary design and assessment of optimal arch forms of minimum thickness when subjected to combined self-weight and seismically induced loads. The code, which is based on limit thrust-line analysis can handle any classical or non-classical no-tension arch form and the results compare excellently with the few available analytical solutions

Feasibility of Noninvasive Positive Pressure Ventilation in the Treatment of Oxygen-Dependent COVID-19 Patients in Peru

Intensive care is expensive, and availability is limited. Low- and middle-income countries in particular have struggled to cope with the large influx of critically ill patients during the COVID-19 pandemic. Noninvasive respiratory support devices delivering continuous positive airways pressure (CPAP) require less resource and staff expertise compared with invasive mechanical ventilators and can be routinely used outside of intensive care units. This study assessed the use of the UCL-Ventura Wayrachi CPAP device in hospitalized patients with COVID-19 in Peru. A secondary analysis of data collected for a feasibility study commissioned by the Peruvian Ministry of Health was conducted. Data were collected from three hospitals, including patient demographics, clinical data, and outcomes. Forty-five patients were enrolled from July 16 to September 1, 2020. Eight patients (18%) were intolerant of the CPAP mask. Of the remainder, 18 (48.7%) improved and were discharged from hospital after 6 days. Eight (21.6%) died while on CPAP and 11 (29.7%) were eventually intubated, of whom two died. In total, 27 (60%) survived to hospital discharge. Participating physicians noted the device was easy to use and provided patient benefit, though voiced concerns about the strain on hospital oxygen supplies. In conclusion, the UCL Ventura Wayrachi CPAP device proved feasible in COVID-19 patients in Peru, and offered a bridging therapy for patients who required a ventilator when none were available

Optimal arch forms under in‐plane seismic loading in different gravitational environments

This paper is motivated by the renewed interest in space exploration and the need to provide structurally sound and resource-efficient shielding solutions for valuable assets and future habitable modules. We present, implement and test a methodology for the preliminary design and assessment of optimal arch forms subjected to self-weight as well as seismically induced loads. The numerical framework, built around a limit thrust-line analysis, previously published by the authors, is summarized first. This is followed by a detailed account of the form-finding algorithm for arches of variable thickness. Special attention is placed on the physical feasibility of our assumptions and the justification of the engineering inputs adopted. The newly form-found arches achieve material efficiencies between 10% and 50% in comparison with their constant minimum-thickness circular or elliptical counterparts, depending on the relative intensity of the seismic action. The influence of the initial input geometry and the stabilising presence of additional shielding material against extreme radiation are also evaluated with emphasis on the effects of low-gravity conditions. Finally, a case study is presented and Discrete Element Models of constant and varying thickness arches (VTAs) are assessed under a set of representative ground-motions on a lunar setting. The significant over-conservatism of constant thickness arches (CTAs) is made manifest and potential improvements of the optimally found arch shape are highlighted. Although developed with extraterrestrial applications in mind, the results and methods we present herein are also applicable to terrestrial conditions when material efficiency is of utmost concern

Innovations in earthquake risk reduction for resilience: Recent advances and challenges

The Sendai Framework for Disaster Risk Reduction 2015-2030 (SFDRR) highlights the importance of scientific research, supporting the ‘availability and application of science and technology to decision making’ in disaster risk reduction (DRR). Science and technology can play a crucial role in the world’s ability to reduce casualties, physical damage, and interruption to critical infrastructure due to natural hazards and their complex interactions. The SFDRR encourages better access to technological innovations combined with increased DRR investments in developing cost-effective approaches and tackling global challenges. To this aim, it is essential to link multi- and interdisciplinary research and technological innovations with policy and engineering/DRR practice. To share knowledge and promote discussion on recent advances, challenges, and future directions on ‘Innovations in Earthquake Risk Reduction for Resilience’, a group of experts from academia and industry met in London, UK, in July 2019. The workshop focused on both cutting-edge ‘soft’ (e.g., novel modelling methods/frameworks, early warning systems, disaster financing and parametric insurance) and ‘hard’ (e.g., novel structural systems/devices for new structures and retrofitting of existing structures, sensors) risk-reduction strategies for the enhancement of structural and infrastructural earthquake safety and resilience. The workshop highlighted emerging trends and lessons from recent earthquake events and pinpointed critical issues for future research and policy interventions. This paper summarises some of the key aspects identified and discussed during the workshop to inform other researchers worldwide and extend the conversation to a broader audience, with the ultimate aim of driving change in how seismic risk is quantified and mitigated

The Effects of City Streets on an Urban Disease Vector.

With increasing urbanization vector-borne diseases are quickly developing in cities, and urban control strategies are needed. If streets are shown to be barriers to disease vectors, city blocks could be used as a convenient and relevant spatial unit of study and control. Unfortunately, existing spatial analysis tools do not allow for assessment of the impact of an urban grid on the presence of disease agents. Here, we first propose a method to test for the significance of the impact of streets on vector infestation based on a decomposition of Moran’s spatial autocorrelation index; and second, develop a Gaussian Field Latent Class model to finely describe the effect of streets while controlling for cofactors and imperfect detection of vectors. We apply these methods to cross-sectional data of infestation by the Chagas disease vector Triatoma infestans in the city of Arequipa, Peru. Our Moran’s decomposition test reveals that the distribution of T. infestans in this urban environment is significantly constrained by streets (p,0.05). With the Gaussian Field Latent Class model we confirm that streets provide a barrier against infestation and further show that greater than 90% of the spatial component of the probability of vector presence is explained by the correlation among houses within city blocks. The city block is thus likely to be an appropriate spatial unit to describe and control T. infestans in an urban context. Characteristics of the urban grid can influence the spatial dynamics of vector borne disease and should be considered when designing public health policies

Comparación ultrasonográfica transvaginal y transrectal de la dinámica folicular en ondas sucesivas de llamas (Lama glama)

The ovarian follicular dynamics monitored by transrectal (TR) and transvaginal (TV) routes in successive waves was studied in 10 llamas older than 4 years, multiparous, without calves at foot, body condition of 3.0, during a period of 90 days in the reproductive season. The Sonostar SS8® ultrasound equipment was used with a linear transducer for transrectal examination and endocavitary microconvex transducer for transvaginal examination, both with a frequency of 6.5 MHz. The inter-wave interval was 20 ± 4.4 and 22.5 ± 5.3 via TR and VT, respectively; the number of follicles per cohort was 5.21 ± 0.92 and 6.38 ± 1.26 for TR and TV, respectively (p=0.0011); the maximum diameter of follicles was 12.49 ± 3.57 mm for TR and 13.56 ± 3.91 mm for TV; the growth rate was 0.70 ± 0.35 and 0.67 ± 0.32 mm/day for TR and TV, respectively. The regression equation for the ratio of the maximum follicular diameter and duration of follicular wave via TR was y=0.89766x+6.5554 (R²=0.423) and for the TV route y=0.8466x+10.184 (R²=0.479). The duration of the follicular phases was similar between both techniques except for the dominance phase (10.2±3.19 days for TR and 8.67±2.46 for TV, p=0.0418). The relationship between the follicular diameter and the number of follicles detected showed a low negative correlation (R²=-0.0827 for TV and R²=-0.0876 for TR). In conclusion, the transvaginal endocavitary transducer makes it possible to determine with greater precision the characteristics of llama follicular dynamics in their recruitment, dominance and regression phases with overlapping of follicular waves as an important characteristic.La dinámica folicular ovárica monitoreada por vía transrectal (TR) y transvaginal (TV) en ondas sucesivas en llamas fue estudiada en 10 llamas con más de 4 años, multíparas, sin cría, estado corporal de 3.0, durante un periodo de 90 días en la época reproductiva. Se utilizó el ecógrafo Sonostar SS8® con un transductor lineal para el examen transrectal y transductor microconvexo endocavitario para el examen transvaginal, ambos con frecuencia de 6.5 MHz. El intervalo inter-onda fue de 20±4.4 y 22.5±5.3 por vía TR y TV, respectivamente; el número de folículos por cohorte fue 5.21±0.92 y 6.38±1.26 para TR y TV, respectivamente (p=0.0011); el diámetro máximo de folículos fue 12.49±3.57 mm para TR y 13.56±3.91 mm para TV; la tasa de crecimiento fue de 0.70±0.35 y 0.67±0.32 mm/día para TR y TV, respectivamente. La ecuación de regresión para relación del diámetro máximo folicular y duración de onda folicular vía TR fue de y=0.89766x+6.5554 (R²=0.423) y para la vía TV de y=0.8466x+10.184 (R²=0.479). La duración de las fases foliculares fue similar entre ambas técnicas con excepción de la fase de dominancia (10.2±3.19 días para TR y 8.67±2.46 para TV, p=0.0418). La relación entre el diámetro folicular y número de folículos detectados presentó una correlación negativa baja (R²=-0.0827 para TV y R²=-0.0876 para TR). En conclusión, el transductor endocavitario transvaginal permite determinar con mayor precisión las características de dinámica folicular en llamas en sus fases de reclutamiento, dominancia y regresión con sobreposición de ondas foliculares como característica importante.The ovarian follicular dynamics monitored by transrectal (TR) and transvaginal (TV) routes in successive waves was studied in 10 llamas older than 4 years, multiparous, without calves at foot, body condition of 3.0, during a period of 90 days in the reproductive season. The Sonostar SS8® ultrasound equipment was used with a linear transducer for transrectal examination and endocavitary microconvex transducer for transvaginal examination, both with a frequency of 6.5 MHz. The inter-wave interval was 20 ± 4.4 and 22.5 ± 5.3 via TR and VT, respectively; the number of follicles per cohort was 5.21 ± 0.92 and 6.38 ± 1.26 for TR and TV, respectively (p=0.0011); the maximum diameter of follicles was 12.49 ± 3.57 mm for TR and 13.56 ± 3.91 mm for TV; the growth rate was 0.70 ± 0.35 and 0.67 ± 0.32 mm/day for TR and TV, respectively. The regression equation for the ratio of the maximum follicular diameter and duration of follicular wave via TR was y=0.89766x+6.5554 (R²=0.423) and for the TV route y=0.8466x+10.184 (R²=0.479). The duration of the follicular phases was similar between both techniques except for the dominance phase (10.2±3.19 days for TR and 8.67±2.46 for TV, p=0.0418). The relationship between the follicular diameter and the number of follicles detected showed a low negative correlation (R²=-0.0827 for TV and R²=-0.0876 for TR). In conclusion, the transvaginal endocavitary transducer makes it possible to determine with greater precision the characteristics of llama follicular dynamics in their recruitment, dominance and regression phases with overlapping of follicular waves as an important characteristic

Towards sustainable partnerships in global health: the case of the CRONICAS Centre of Excellence in Chronic Diseases in Peru.

Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for fostering meaningful and sustainable partnerships for international collaborative research. The CRONICAS Centre of Excellence in Chronic Diseases was established in 2009 with the following Mission: "We support the development of young researchers and collaboration with national and international institutions. Our motivation is to improve population's health through high quality research." The Centre's identity is embedded in its core values - generosity, innovation, integrity, and quality- and its trajectory is a result of various interactions between multiple individuals, collaborators, teams, and institutions, which together with the challenges confronted, enables us to make an objective assessment of the partnership we would like to pursue, nurture and support. We do not intend to provide a single example of a successful partnership, but in contrast, to highlight what can be translated into opportunities to be faced by research groups based in low- and middle-income countries, and how these encounters can provide a strong platform for fruitful and sustainable partnerships. In defiant contexts, partnerships require to be nurtured and sustained. Acknowledging that all partnerships are not and should not be the same, we also need to learn from the evolution of such relationships, its key successes, hurdles and failures to contribute to the promotion of a culture of global solidarity where mutual goals, mutual gains, as well as mutual responsibilities are the norm. In so doing, we will all contribute to instil a new culture where expectations, roles and interactions among individuals and their teams are horizontal, the true nature of partnerships