Feasibility of reducing frailty components in older adults with Alzheimer's dementia:a randomized controlled home-based exercise trial (AD-HOMEX)

Objectives: There is a need for interventions to reduce frailty in older people with Alzheimer's dementia (AD). The purpose of this study was to investigate the effect of a home-based multimodal exercise program for older adults with AD (AD-HOMEX) on frailty. Design: A parallel single-blind randomized controlled trial comparing a home-based exercise program and usual care. Setting and participants: A home-based program in Brazil. Forty individuals aged 65 years or older with mild to moderate AD. Methods: The intervention group (IG) participated in a 16-week protocol involving three 60-minute sessions per week of progressive individualized physical exercises supervised by a physical therapist. The participants in the control group (CG) maintained their usual care. Frailty was assessed using the FRAIL questionnaire, the Edmonton Frail Scale (EFS) and a subjective assessment by the evaluator (SAE) at baseline and follow-up. Per-protocol analysis was performed. Results: Thirty-five participants completed the program (IG = 16; CG = 19). Frailty improved in the IG based on the EFS (P = .004) and FRAIL (P Conclusions and implications: AD-HOMEX seems to reduce frailty and improve frailty transition patterns. Our findings provide a further theoretical basis for designing home-based physical interventions as routine practice for older frail adults with AD

Situación de los establecimientos ganaderos en Santa Cruz para el año 2021

El centro de la provincia tiene, desde hace años, graves problemas de desertificación, con pérdida de cobertura vegetal, suelo y capacidad productiva (Del Valle et al., 1997). Los departamentos Magallanes, Río Chico y Corpen Aike han sufrido con mayor intensidad un notable y paulatino descenso de la carga ovina debido a graves problemas de erosión (Andrade, 2002, 2005). Además, la Meseta Central y el Departamento Deseado en particular, han sufrido las consecuencias de la erupción del volcán Hudson (agosto 1991), la cual ha sido muchas veces relativizada cuando se la analiza al momento de explicar la crisis del sector ganadero en dicha zona (Vázquez, 2012). Una de las consecuencias más notorias del deterioro de estas áreas es el abandono de stablecimientos, notable durante los años ´90 y que no se ha detenido posteriormente. La mayor parte de los establecimientos desocupados se encuentran en la Meseta Central, zona que se caracteriza por terrenos de baja productividad primaria, menor superficie y menores inversiones (Barbería, 1994). En la década del 90 se estimó que 300 establecimientos ganaderos de los 1261 existentes en ese periodo fueron abandonados y alrededor de setecientos no cubrían los costos operativos (Andrade et al., 2010; Barbería, 1994). Estos establecimientos se constituyen en un problema en tanto su potencialidad productiva permanece ociosa. Además, generan una presión de predadores sobre los establecimientos con stock y dificultades a los productores vecinos, que deben hacerse cargo de la totalidad del mantenimiento de los alambrados perimetrales, entre otras actividades que, además, involucran inversiones muchas veces importantes. El abandono de la infraestructura dificulta también la posible incorporación de estas tierras a establecimientos en producción que puedan considerar la opción de expandirse territorialmente por compra o alquiler (Andrade, 2012; Andrade et al., 2010). Por otro lado, según los últimos análisis económicos (Bonil et al., 2017; Roa et al., 2021; Schorr et al., 2015), es claro que los dueños no viven exclusivamente del campo, ya que las rentabilidades son negativas, por lo que el productor debe contar con otras alternativas de ingresos. Ante esta situación, se propuso realizar el presente trabajo en forma articulada entre Instituciones y Organizaciones vinculadas al sector (FIAS, CAP, SENASA, UNPA, INTA, IPG, RENATRE) para determinar la superficie y cantidad de establecimientos desocupados y sin producción agropecuaria, con el objetivo de generar información estratégica que contribuya a dimensionar y abordar las diversas aristas que esta problemática presenta en Santa Cruz. La información relevada permitirá caracterizar de manera clara la situación respecto del despoblamiento del área analizada y servirá de base de análisis para elaborar propuestas de abordaje de esta problemática en relación con el Plan de Desarrollo Estratégico del Sector Agropecuario Provincial (en el marco de la Ley provincial 3692/2020). Además, será de utilidad para planes de ocupación territorial, para la generación de propuestas a nivel de políticas públicas y para realizar recomendaciones a productores, como así también para implementar estrategias de control de especies predadoras en pos del desarrollo de una ganadería extensiva sustentable.EEA Santa CruzFil: San Martino, Liliana. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz. Agencia de Extensión Los Antiguos; Argentina.Fil: Paredes, Paula Natalia. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Ferrante, Daniela. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Ferrante, Daniela. Universidad Nacional de la Patagonia Austral. Unidad Académica Río Gallegos; Argentina.Fil: Peri, Pablo Luis. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Peri, Pablo Luis. Universidad Nacional de la Patagonia Austral; Argentina.Fil: Peri, Pablo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina.Fil: Oliva, Gabriel Esteban. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Oliva, Gabriel Esteban. Universidad Nacional de la Patagonia Austral. Unidad Académica Río Gallegos; Argentina.Fil: Gargaglione Verónica Beatriz. Instituto Nacional de Tecnología Agropecuaria (INTA), Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Roa, Martín Angel. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz. Agencia de Extensión Los Antiguos; Argentina.Fil: Schorr, Alan Geoffrey. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Moscovich, Fabio Abel. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Santa Cruz; Argentina.Fil: Andrade, Larry. Universidad Nacional de la Patagonia Austral. Unidad Académica San Julián; Argentina.Fil: Grima, Daniel. Universidad Nacional de la Patagonia Austral. Unidad Académica Río Gallegos; Argentina.Fil: Vazquez, Miriam. Universidad Nacional de la Patagonia Austral. Unidad Académica Río Gallegos; Argentina.Fil: De Urquiza, Javier. Consejo Agrario Provincial de Santa Cruz; Argentina.Fil: Rodríguez, Patricia. Consejo Agrario Provincial de Santa Cruz; Argentina.Fil: O’Byrne, Miguel. Instituto de Promoción de la Ganadería de Santa Cruz (IPG); Argentina.Fil: Williams, Marcos. Registro Nacional de Trabajadores Rurales y Empleadores (RENATRE) Delegación Santa Cruz; Argentina.Fil: Williams, Marcos. Universidad Nacional de la Patagonia Austral. Instituto de Trabajo, Economía y Territorio; Argentina.Fil: Apesteguía, Sebastián. Federación de Instituciones Agropecuarias de Santa Cruz; Argentina.Fil: Etchepare, Magdalena. Servicio Nacional de Sanidad y Calidad Agroalimentaria (SENASA). Santa Cruz; Argentina

Prevalence and Factors Associated with Leishmania infantum Infection of Dogs from an Urban Area of Brazil as Identified by Molecular Methods

Visceral leishmaniasis (VL) is a disease caused by the parasite Leishmania infantum, and dogs are the most important domestic reservoirs of the agent. During recent decades, VL has expanded to large Brazilian urban centers. In the present work, we have demonstrated by using molecular techniques that the rate of canine infection as detected by serology has been considerably underestimated. Two groups of seronegative dogs (infected and non-infected according to molecular methods) were further evaluated from data obtained through interviews with owners of the animals. The factors associated with Leishmania infection in dogs were a family income of less than two minimum salaries, the knowledge of the owner regarding the vector, the dog spending most of its time in the backyard and the dog never having had a previous serological examination. Awareness regarding the factors associated with canine infection will improve health services and the understanding of the disease's expansion in urban areas

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Proyecto, investigación e innovación en urbanismo, arquitectura y diseño industrial

Actas de congresoLas VII Jornadas de Investigación “Encuentro y Reflexión” y I Jornadas de Investigación de becarios y doctorandos. Proyecto, investigación e innovación en Urbanismo, Arquitectura y Diseño Industrial se centraron en cuatro ejes: el proyecto; la dimensión tecnológica y la gestión; la dimensión social y cultural y la enseñanza en Arquitectura, Urbanismo y Diseño Industrial, sustentados en las líneas prioritarias de investigación definidas epistemológicamente en el Consejo Asesor de Ciencia y Tecnología de esta Universidad Nacional de Córdoba. Con el objetivo de afianzar continuidad, formación y transferencia de métodos, metodología y recursos se incorporó becarios y doctorandos de los Institutos de investigación. La Comisión Honoraria la integraron las tres Secretarias de Investigación de la Facultad, arquitectas Marta Polo, quien fundó y María del Carmen Franchello y Nora Gutiérrez Crespo quienes continuaron la tradición de la buena práctica del debate en la cotidianeidad de la propia Facultad. Los textos que conforman las VII Jornadas son los avances y resultados de las investigaciones realizadas en el bienio 2016-2018.Fil: Novello, María Alejandra. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Repiso, Luciana. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Mir, Guillermo. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Brizuela, Natalia. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Herrera, Fernanda. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Períes, Lucas. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Romo, Claudia. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Gordillo, Natalia. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; ArgentinaFil: Andrade, Elena Beatriz. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño; Argentin

Treatment with a growth factor-protein mixture inhibits formation of mineralizaed nodules in osteogenic cell cultures grown on titanium

Apesar da ampla aplicação clínica de plasma rico em plaquetas (PRP), a sua eficácia no reparo de defeitos ósseos e na osseointegração de implantes metálicos continua sendo questionada. Em vista disso, objetivo do presente estudo foi avaliar os efeitos de um coquetel contendo os principais fatores de crescimento (GFs) e proteínas de PRP no desenvolvimento do fenótipo osteogênico in vitro sobre titânio (Ti). O coquetel referido continha PDGF-BB, TGF-β1, TGF- β2, albumina, fibronectina e trombospondina. Células da linhagem osteoblástica foram obtidas por digestão enzimática de osso alveolar humano e cultivadas sob condições osteogênicas convencionais até a subconfluência, sendo, em seguida, subcultivadas sobre superfície de Ti. As subculturas foram expostas durante os 7 primeiros dias a meio osteogênico, suplementado com GFs e proteínas, e apenas ao meio osteogênico nos 7 dias subseqüentes. Os grupos controles foram expostos apenas ao meio osteogênico. Nos experimentos dose-resposta foram utilizadas culturas primárias de calvária de ratos, as quais foram expostas ao coquetel de GFs e proteínas e às suas diluições de 1:10 e 1:100. Culturas derivadas de osso alveolar humano expostas ao coquetel de GFs e proteínas apresentaram: aumento significativo do número de células a partir do dia 4 e da proliferação celular em 1 e 4 dias; redução significativa nos níveis de atividade de fosfatase alcalina (ALP) em 4, 7 e 10 dias e ausência de marcação com vermelho de Alizarina em 14 dias. Apesar de as diluições 1:10 e 1:100 restaurarem a atividade proliferativa das culturas aos níveis controles, formações de matriz calcificada foram observadas apenas na diluição 1:100. Os resultados do presente trabalho mostram que o coquetel de GFs e proteínas inibe o desenvolvimento do fenótipo osteogênico de culturas de células osteoblásticas humanas e de ratos crescidas sobre Ti.Background: Despite wide clinical application, the efficacy of platelet-rich plasma (PRP) for repairing bone defects and enhancing osseointegration of metal implants is still subject of debate. The objective of the present study was to evaluate the effects of a well-defined mixture of growth factors (GFs) and proteins (GFs+proteins) on the development of the osteogenic phenotype on titanium (Ti) in vitro. The composition of the mixture was based on the major components found in PRP preparations. Methods: The PRP-like mixture contained PDGF-BB, TGF-β1, TGF-β2, albumin, fibronectin, and thrombospondin. Osteoblastic cells were obtained by enzymatic digestion of human alveolar bone and cultured under standard osteogenic condition until subconfluence. They were then subcultured on Ti discs up to 14 days. Treated cultures were exposed during the first 7 days to osteogenic medium supplemented with GFs+proteins and to osteogenic medium alone thereafter. Control cultures were exposed to only osteogenic medium throughout the culture interval. Dose-response experiments were carried out using rat primary calvarial cells exposed to GFs+proteins and 1:10 or 1:100 dilutions of the mixture. Results: Treated human-derived cell cultures exhibited a significantly higher number of cells from day 4 on and of cycling cells at days 1 and 4, significantly reduced levels for alkaline phosphatase (ALP) activity, and no Alizarin red stained areas at day 14. Although the 1:10 and 1:100 dilutions restored the proliferative activity of rat calvaria-derived osteogenic cells to control levels, mineralized bone-like nodule formation was only observed with the 1:100 dilution. Conclusions: The present results demonstrated that a PRP-like protein mixture inhibits development of the osteogenic phenotype in both human and rat osteoblastic cell cultures grown on Ti

Effects of a mixture of growth factors and proteins on the development of the osteogenic phenotype in human alveolar bone cell cultures

Strategies to promote bone repair have included exposure of cells to growth factor (GF) preparations from blood that generally include proteins as part of a complex mixture. This study aimed to evaluate the effects of such a mixture on different parameters of the development of the osteogenic phenotype in vitro. Osteoblastic cells were obtained by enzymatic digestion of human alveolar bone and cultured under standard osteogenic conditions until subconfluence. They were subcultured on Thermanox coverslips up to 14 days. Treated cultures were exposed during the first 7 days to osteogenic medium supplemented with a GFs + proteins mixture containing the major components found in platelet extracts [plate I et-derived growth factor-BB, transforming growth factor (TGF)-beta 1, TGF-beta 2, albumin, fibronectin, and thrombospondin] and to osteogenic medium alone thereafter. Control cultures were exposed only to the osteogenic medium. Treated cultures exhibited a significantly higher number of adherent cells from day 4 onward and of cycling cells at days 1 and 4, weak alkaline phosphatase (ALP) labeling, and significantly decreased levels of ALP activity and mRNA expression. At day 14, no Alizarin red-stained nodular areas were detected in cultures treated with GFs + proteins. Results were confirmed in the rat calvaria-derived osteogenic cell culture model. The addition of bone morphogenetic protein 7 or growth and differentiation factor 5 to treated cultures upregulated Runx2 and ALP mRNA expression, but surprisingly, ALP activity was not restored. These results showed that a mixture of GFs + proteins affects the development of the osteogenic phenotype both in human and rat cultures, leading to an increase in the number of cells, but expressed a less differentiated state