Manifestación de la culpabilidad en la homeostasis sociocultural

Culpability, in being a dogmatic category and a principle of criminal law legitimation, enables it to be humanised and consequently applied in the human societies. This paper provides an overview of the evolution of culpability as a dogmatic category, from its early manifestations in the xix century until the end of the xx century. Furthermore, the aforementioned category is examined facing some extralegal considerations about the human behavior that have been worked out in the first years of the ongoing century, such as the recent approach about the individuals’ freedom capacity that Neuroscience has brought to discussion. Thus, the concept of socio-cultural homeostasis is displayed in order to understand culpability as an essential but complex aspect of criminal law that justifies its aim of preserving the social order.La culpabilidad, al constituir una categoría dogmática y un principio de legitimación del Derecho penal, permite que este sea humanizado y consecuentemente aplicado a las dinámicas sociales. El presente documento proporciona una mirada a la evolución de la culpabilidad como categoría dogmática desde sus tempranas manifestaciones en el siglo xix hasta finales del siglo xx. Adicionalmente, la categoría antes referida se examina de cara a algunas consideraciones extralegales sobre el comportamiento humano, que han sido desarrolladas durante los primeros años del siglo en curso, tal como el reciente planteamiento acerca de la capacidad de libertad de los individuos que la Neurociencia ha traído a discusión. De esta forma, el concepto de homeostasis sociocultural es abordado en el presente ensayo con el fin de favorecer el entendimiento de la culpabilidad como un aspecto esencial, aunque complejo, del Derecho penal que justifica su objetivo de preservar el orden social

Repensando el turismo sustentable

El libro aborda la problemática del turismo sustentable que, por un lado, al compartir contornos nebulosos con la sustentabilidad, funciona como un nuevo circuito de acumulación fundamentado en un discurso retórico de desarrollo local; por el otro, se nos presenta como una alternativa potencial para la formulación de vías comunitarias de desarrollo local, que permitirían la prosperidad o al menos la sobrevivencia de culturas y territorios partucularizados.Universidad Autónoma del Estado de Méxic

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Una perspectiva multidisciplinaria

Derivado de la necesidad de fomentar la investigación multidisciplinaria, la Facultad de Economía de la Universidad Autónoma del Estado de México llevó a cabo los días 8 y 9 de septiembre de 2016, el VIII Coloquio de Investigación intitulado “Desarrollo económico, regional y sustentable”. En este magno evento se presentaron 36 ponencias agrupadas en cinco mesas de trabajo: sectores productivos, crecimiento económico y mercado de trabajo; tecnología, innovación y organizaciones; desigualdad regional, pobreza y migración; economía financiera e internacional; y medio ambiente y sociedad. Del material expuesto en el VIII Coloquio, se eligieron 16 investigaciones, mismas que integran este libro. Los estudios presentados en cada uno de los subsiguientes capítulos fueron seleccionados de acuerdo a un proceso de rigurosidad científica, siendo sometidos a dictamen por pares ciegos a partir de la integración de un Comité Académico de expertos. Lo anterior con la finalidad de proporcionar al lector un material de investigación de calidad y solidez científica respecto a temas de trascendencia vinculados con los sectores productivos, la innovación, las organizaciones, la responsabilidad social, la desigualdad, la educación y el medioambiente.Consecuencia de la apertura de los mercados y los preceptos competitivos dictados por la globalización, se manifiesta la necesidad de vincular los diversos saberes provenientes de las ciencias naturales y sociales, con el fin de complementar el conocimiento y generar nuevas formas de visualizar el entorno. A raíz de ello, la investigación multidisciplinaria asume un papel cada vez más importante en los círculos académicos, empresariales y gubernamentales. En este marco, entra en desuso la visualización del individuo como un sujeto atomístico desvinculado del medio ambiente que le rodea. El objetivo de este libro es otorgar una visión multidisciplinaria al estudio de temas económicos incorporando visiones teóricas y empíricas procedentes de las ciencias sociales y naturales. La obra está compuesta por 16 capítulos agrupados en cuatro secciones. La primera parte, conglomera cinco capítulos en torno a los tópicos sectores productivos y crecimiento económico.Facultad de Economía. Universidad Autónoma del Estado de Méxic

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Manifestación de la culpabilidad en la homeostasis sociocultural

La culpabilidad, al constituir una categoría dogmática y un principio de legitimación del Derecho penal, permite que este sea humanizado y consecuentemente aplicado a las dinámicas sociales. El presente documento proporciona una mirada a la evolución de la culpabilidad como categoría dogmática desde sus tempranas manifestaciones en el siglo xix hasta finales del siglo xx. Adicionalmente, la categoría antes referida se examina de cara a algunas consideraciones extralegales sobre el comportamiento humano, que han sido desarrolladas durante los primeros años del siglo en curso, tal como el reciente planteamiento acerca de la capacidad de libertad de los individuos que la Neurociencia ha traído a discusión. De esta forma, el concepto de homeostasis sociocultural es abordado en el presente ensayo con el fin de favorecer el entendimiento de la culpabilidad como un aspecto esencial, aunque complejo, del Derecho penal que justifica su objetivo de preservar el orden social

Manifestation of guilt in socio-cultural homeostasis

La culpabilidad, al constituir una categoría dogmática y un principio de legitimación del Derecho penal, permite que este sea humanizado y consecuentemente aplicado a las dinámicas sociales. El presente documento proporciona una mirada a la evolución de la culpabilidad como categoría dogmática desde sus tempranas manifestaciones en el siglo xix hasta finales del siglo xx. Adicionalmente, la categoría antes referida se examina de cara a algunas consideraciones extralegales sobre el comportamiento humano, que han sido desarrolladas durante los primeros años del siglo en curso, tal como el reciente planteamiento acerca de la capacidad de libertad de los individuos que la Neurociencia ha traído a discusión. De esta forma, el concepto de homeostasis sociocultural es abordado en el presente ensayo con el fin de favorecer el entendimiento de la culpabilidad como un aspecto esencial, aunque complejo, del Derecho penal que justifica su objetivo de preservar el orden social.Culpability, in being a dogmatic category and a principle of criminal law legitimation, enables it to be humanised and consequently applied in the human societies. This paper provides an overview of the evolution of culpability as a dogmatic category, from its early manifestations in the xix century until the end of the xx century. Furthermore, the aforementioned category is examined facing some extralegal considerations about the human behavior that have been worked out in the first years of the ongoing century, such as the recent approach about the individuals’ freedom capacity that Neuroscience has brought to discussion. Thus, the concept of socio-cultural homeostasis is displayed in order to understand culpability as an essential but complex aspect of criminal law that justifies its aim of preserving the social order