Elasticidad de la demanda de estacionamiento ante variaciones sistemáticas del ingreso en Montería, Colombia

This article analyzes on-street and private parking lots demand elasticityin the central business district of Monteria, Colombia, when fee andincome variations are considered.Estimated choice models were based on a stated preference survey.Elasticities were analyzed using a multinomial logit model, whichexplanatory variables were travel time, access time, fee and income.It was found that demand and income elasticities were -0,10 and -0,32for on-street and private parking lot, respectively. Those elasticitiesexperienced a 33,5 % change when users’ income variations are considered.This shows that a restrictive parking management policy wouldaffect lower income groups.El presente artículo analiza la elasticidad de la demanda de estacionamientosobre la vía pública y en parqueadero privado en la zona céntricade la ciudad de Montería, Colombia, considerando variaciones en latarifa y en el nivel de ingreso de los usuarios.Los modelos fueron estimados con base en datos de preferencias declaradas.Las elasticidades fueron analizadas con un modelo de tipo logitmultinomial, cuyas variables explicativas fueron el tiempo de viaje, eltiempo de acceso, el costo y el ingreso.Se encontró que las elasticidades entre la demanda y la tarifa fueronde -0,10 y -0,32 para parqueo sobre la vía pública y en parqueaderoprivado, respectivamente. Se evidenció además una diferencia del33,5 % en el valor de dichas elasticidades cuando son consideradasvariaciones de ingreso de los individuos. Esto muestra que una políticarestrictiva de gestión de precios de parqueo afectaría más a grupos conmenores ingresos

Should we use closed or open infusion containers for prevention of bloodstream infections?

<p>Abstract</p> <p>Background</p> <p>Hospitalized patients in critical care settings are at risk for bloodstream infections (BSI). Most BSIs originate from a central line (CL), and they increase length of stay, cost, and mortality. Open infusion containers may increase the risk of contamination and administration-related (CLAB) because they allow the entry of air into the system, thereby also providing an opportunity for microbial entry. Closed infusion containers were designed to overcome this flaw. However, open infusion containers are still widely used throughout the world.</p> <p>The objective of the study was to determine the effect of switching from open (glass, burettes, and semi-rigid) infusion containers to closed, fully collapsible, plastic infusion containers (Viaflex^®) on the rate and time to onset of central line-associated bloodstream infections CLABs.</p> <p>Methods</p> <p>An open label, prospective cohort, active healthcare-associated infection surveillance, sequential study was conducted in four ICUs in Mexico. Centers for Disease Control National Nosocomial Infections Surveillance Systems definitions were used to define device-associated infections.</p> <p>Results</p> <p>A total of 1,096 adult patients who had a central line in place for >24 hours were enrolled. The CLAB rate was significantly higher during the open versus the closed container period (16.1 versus 3.2 CLAB/1000 central line days; RR = 0.20, 95% CI = 0.11-0.36, P < 0.0001). The probability of developing CLAB remained relatively constant in the closed container period (1.4% Days 2-4 to 0.5% Days 8-10), but increased in the open container period (4.9% Days 2-4 to 5.4% Days 8-10). The chance of acquiring a CLAB was significantly decreased (81%) in the closed container period (Cox proportional hazard ratio 0.19, P < 0.0001). Mortality was statistically significantly lower during the closed versus the open container period (23.4% versus 16.1%; RR = 0.69, 95% CI = 0.54-0.88, P < 0.01).</p> <p>Conclusions</p> <p>Closed infusion containers significantly reduced CLAB rate, the probability of acquiring CLAB, and mortality.</p

Consumo de agua subterránea en Guanajuato, México

El problema de sobreexplotación de acuíferos en México se agudiza debido a la baja eficiencia en el uso del recurso y a la contaminación de las fuentes de abastecimiento. La situación del estado de Guanajuato es grave y requiere alternativas de solución que pueden darse mediante recomendaciones de política que contribuyan a hacer más eficiente y racional el uso del vital líquido. En este trabajo se determinaron los factores que afectan el consumo de agua en los sectores urbano, pecuario, agrícola de riego e industrial del estado, para lo cual se estimó un modelo de ecuaciones simultáneas compuesto de cuatro ecuaciones de demanda y cuatro identidades para el período 1980-2004. El análisis de los resultados muestra que la cantidad consumida de agua responde de manera inelástica a cambios en el precio, con elasticidades de -0.0150 para el sector urbano, -0.0038 para el pecuario, -0.052 para la agricultura de riego (se utilizó la cuota de mantenimiento de la infraestructura del Distrito de Riego más el efecto del costo de la energía eléctrica para uso agrícola, ya que el agua es gratuita) y -0.126 para el sector industrial. Estas elasticidades indican que el consumo de agua en los sectores urbano y pecuario es más insensible a cambios en el precio, que en el industrial y agrícola de riego. Por tanto, las políticas de administración del consumo deberán considerar aumentos en estos sectores, pues se puede reducir en 1 % la cantidad consumida de la industria y la agricultura de riego aumentando el precio del agua en 7.93 y 19.2 %

Effects of Saccharomyces cerevisiae at direct addition or pre-incubation on in vitro gas production kinetics and degradability of four fibrous feeds

The aim of this study was to determine effects of increasing doses of the yeast (Saccharomyces cerevisiae) in two methods of applications (direct or 72 h of pre-incubation) on in vitro GP, degradability and some ruminal fermentation parameters of the fibrous feedstuffs of corn stover, oat straw, sugarcane bagasse, and sorghum straw.The objective of this study was to evaluate the effects of Saccharomyces cerevisiae on in vitro gas production (GP) kinetics and degradability of corn stover, oat straw, sugarcane bagasse and sorghum straw. Feedstuffs were incubated with different doses of yeast [0, 4, 8 and 12 mg/g dry matter (DM)] at direct addition or 72 h pre-incubation. Rumen GP was recorded at 2, 4, 6, 8, 10, 12, 14, 24, 30, 48, 54 and 72 h of incubation. After 72 h, rumen pH and methane were determined and contents were filtrated for DM, neutral (NDF) and acid detergent fibre (ADF) degradability. Fibrous species×method of application×yeast interactions occurred (P<0.001) for all measured ruminal GP parameters and degradability. The direct addition or 72 h pre-incubation of S. cerevisiae with corn stover improved (P<0.05) GP and methane and decreased (P<0.05) the lag time (L) and NDF degradability (NDFD). The direct addition of S. cerevisiae to oat straw increased (P<0.05) rate of GP (c) and decreased (P<0.05) asymptotic GP (b). However, 72 h pre-incubation increased (P<0.05) c with linearly decreased b, DM degradability (DMD) and NDFD. Applying S

Burden of rare variants in synaptic genes in patients with severe tinnitus: An exome based extreme phenotype study

Background: tinnitus is a heterogeneous condition associated with audiological and/or mental disorders. Chronic, severe tinnitus is reported in 1% of the population and it shows a relevant heritability, according to twins, adoptees and familial aggregation studies. The genetic contribution to severe tinnitus is unknown since large genomic studies include individuals with self-reported tinnitus and large heterogeneity in the phenotype. The aim of this study was to identify genes for severe tinnitus in patients with extreme phenotype. Methods: for this extreme phenotype study, we used three different cohorts with European ancestry (Spanish with Meniere disease (MD), Swedes tinnitus and European generalized epilepsy). In addition, four independent control datasets were also used for comparisons. Whole-exome sequencing was performed for the MD and epilepsy cohorts and whole-genome sequencing was carried out in Swedes with tinnitus. Findings: we found an enrichment of rare missense variants in 24 synaptic genes in a Spanish cohort, the most significant being PRUNE2, AKAP9, SORBS1, ITGAX, ANK2, KIF20B and TSC2 (p < 2E 04), when they were compared with reference datasets. This burden was replicated for ANK2 gene in a Swedish cohort with 97 tinnitus individuals, and in a subset of 34 Swedish patients with severe tinnitus for ANK2, AKAP9 and TSC2 genes (p < 2E 02). However, these associations were not significant in a third cohort of 701 generalized epilepsy individuals without tinnitus. Gene ontology (GO) and gene-set enrichment analyses revealed several pathways and biological processes involved in severe tinnitus, including membrane trafficking and cytoskeletal protein binding in neurons. Interpretation: a burden of rare variants in ANK2, AKAP9 and TSC2 is associated with severe tinnitus. ANK2, encodes a cytoskeleton scaffolding protein that coordinates the assembly of several proteins, drives axonal branching and influences connectivity in neurons

Progress towards Elimination of HIV Mother-to-Child Transmission in the Dominican Republic from 1999 to 2011

In 1999, prevention of mother-to-child transmission (pMTCT) using antiretrovirals was introduced in the Dominican Republic (DR). Highly active antiretroviral therapy (HAART) was introduced for immunosuppressed persons in 2004 and for pMTCT in 2008. To assess progress towards MTCT elimination, data from requisitions for HIV nucleic acid amplification tests for diagnosis of HIV infection in perinatally exposed infants born in the DR from 1999 to 2011 were analyzed. The MTCT rate was 142/1,274 (11.1%) in 1999?2008 and 12/302 (4.0%) in 2009?2011 (P \u3c .001), with a rate of 154/1,576 (9.8%) for both periods combined. This decline was associated with significant increases in the proportions of women who received prenatal HAART (from 12.3% to 67.9%) and infants who received exclusive formula feeding (from 76.3% to 86.1%) and declines in proportions of women who received no prenatal antiretrovirals (from 31.9% to 12.2%) or received only single-dose nevirapine (from 39.5% to 19.5%). In 2007, over 95% of DR pregnant women received prenatal care, HIV testing, and professionally attended delivery. However, only 58% of women in underserved sugarcane plantation communities (2007) and 76% in HIV sentinel surveillance hospitals (2003?2005) received their HIV test results. HIV-MTCT elimination is feasible but persistent lack of access to critical pMTCT measures must be addressed

Desarrollo de una herramienta para la evaluación de los examen tipo test y sus aplicaciones en la mejora de la calidad y en los criterios de evaluación de estos exámenes

Depto. de Radiología, Rehabilitación y FisioterapiaFac. de MedicinaFALSEsubmitte

Contribución de la producción animal en pequeña escala al desarrollo rural

La producción y el consumo de productos de origen animal han experimentado un rápido crecimiento en todo el mundo, y se prevé que continuarán aumentando. Se considera que la mayor parte del incremento en la producción provendrá de sistemas de producción en pequeña escala, que representan el medio de vida de hasta un 70% de la población rural pobre del mundo.1 La producción animal en pequeña escala se reconoce en todo el mundo como un elemento que contribuye al alivio de la pobreza en el medio rural, mediante generación de ingresos, oportunidades de ocupación y dinamismo del uso de los recursos disponibles. Por lo tanto, es de suma importancia conocer las dinámicas de estos sistemas de producción animal y su contribución al desarrollo rural en México. Investigadores y extensionistas deben priorizar las demandas de la producción animal en las comunidades rurales, ya que la producción animal en pequeña escala ha contribuido a mejorar la calidad de vida y a disminuir la vulnerabilidad de las familias productoras. En el México prehispánico la población sólo criaba xoloitzcuintle y guajolotes como animales domésticos, y complementaba en proteínas su dieta con la caza y la pesca. Sin embargo, con la llegada de los españoles en 1521 llegaron también los primeros bovinos a la Nueva España, que se reprodujeron con suma rapidez. La carne de bovino llegó a constituir una parte sustancial de la dieta alimenticia de toda la población.2 A pesar de que al inicio la producción animal era casi nula, ésta empezó a desarrollarse rápidamente y en la actualidad representa un pilar importante para el desarrollo rural en las familias campesinas de nuestro país, pues es vista como una fuente de ingreso

Meta-analysis of genome-wide association studies of asthma in ethnically diverse North American populations.

Asthma is a common disease with a complex risk architecture including both genetic and environmental factors. We performed a meta-analysis of North American genome-wide association studies of asthma in 5,416 individuals with asthma (cases) including individuals of European American, African American or African Caribbean, and Latino ancestry, with replication in an additional 12,649 individuals from the same ethnic groups. We identified five susceptibility loci. Four were at previously reported loci on 17q21, near IL1RL1, TSLP and IL33, but we report for the first time, to our knowledge, that these loci are associated with asthma risk in three ethnic groups. In addition, we identified a new asthma susceptibility locus at PYHIN1, with the association being specific to individuals of African descent (P = 3.9 × 10(-9)). These results suggest that some asthma susceptibility loci are robust to differences in ancestry when sufficiently large samples sizes are investigated, and that ancestry-specific associations also contribute to the complex genetic architecture of asthma

Barriers of mental health treatment utilization among first-year college students: First cross-national results from the WHO World Mental Health International College Student Initiative.

BACKGROUND: Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university students, the majority of students with these problems remain untreated. It is unclear what the barriers are to these students seeking treatment. AIMS: The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year college students. METHOD: As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, college-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. RESULTS: Only 24.6% of students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. CONCLUSIONS: The majority of first-year college students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to student who report hesitation about seeking treatment.status: publishe