La arquitectura escolar como herramienta pedagógica en la educación contemporánea : Escuela de educación técnica UNLP

El presente trabajo tiene por objetivo aplicar de manera integrada los diferentes conocimientos adquiridos en el transcurso de la carrera, aportados por la multiplicidad de materias, en el desarrollo de un proyecto de arquitectura escolar con el fin de identificar los nuevos espacios necesarios para afrontar propuestas pedagógicas innovadoras. A su vez, indagar y reflexionar sobre la relación entre arquitectura y ciudad; a partir de la relación entre el equipamiento educativo y la comunidad. Este trabajo indaga sobre ¿Cuál es el rol de la arquitectura en el proceso de transformación de la educación?Facultad de Arquitectura y Urbanism

Health Impact Assessment Practice and Potential for Integration within Environmental Impact and Strategic Environmental Assessments in Italy

Avoiding or minimizing potential environmental impact is the driving idea behind protecting a population\u27s health via Environmental Impact Assessments (EIAs) and Strategic Environmental Assessments (SEAs). However, both are often carried out without any systematic approach. This paper describes the findings of a review of HIA, EIA and SEA experiences carried out by the authors, who act as institutional competent subjects at the national and regional levels in Italy. The analysis of how health is tackled in EIA and SEA procedures could support the definition of a protocol for the integration of HIA with EIA and SEA. Although EIA and SEA approaches include the aim of protecting health, significant technical and methodological gaps are present when assessing health systematically, and their basic principles regarding assessment are unsatisfactory for promoting and addressing healthcare concepts stated by the WHO. HIA is still poorly integrated into the decision-making process, screening and monitoring phases are only occasionally implemented, and operational details are not well-defined. The collaborative approach of institutions involved in environment and health is a core element in a systematic advancement toward supporting effective decisions and effective protection of the environment and health. At the Italian national level, the definition of guidelines and tools for HIA, also in relation with EIA and SEA, is of great interest

Lineamientos de ordenamiento urbano y territorial para la Cuenca del Arroyo del Gato en el Gran La Plata - Argentina

El Gran La Plata -Argentina- ha sido receptor de numerosos conflictos en torno a las inundaciones de naturaleza multicausal, pero que responden principalmente a los efectos del cambio climático, que ha originado precipitaciones y/o sudestadas excepcionales con consecuencias catastróficas a nivel regional. La ampliación del área de impermeabilización de la superficie absorbente, debido a la extensión de la ocupación urbana, el cultivo intensivo bajo cubierta y la decapitación de suelos han contribuido a la vulnerabilidad social y física ante los fenómenos y los niveles de criticidad, atentando contra la resiliencia de la población residente.Trabajo publicado en Acta Bioquímica Clínica Latinoamericana; no. 52, supl. 2, parte II, diciembre de 2018.Universidad Nacional de La Plat

Asistencia técnica y capacitación en hábitat precario : Asentamientos informales. Villa Elvira. La Plata

El proyecto de extensión prevé en uno de sus 4 ejes el diseño, programación y realización de talleres participativos de capacitación en construcción, teóricos-prácticos. De los mismos se espera dejar instalada la capacidad de la identificación, de la búsqueda de la mejor resolución al problema y de resolverlo con acciones coordinadas integrales, hacia mejores condiciones habitacionales y de calidad de vida. Este tipo de asistencia técnica y organizacional sumada al saber popular de la población de escasos recursos de la periferia de La Plata, genera un potencial que revaloriza los saberes -técnicos y populares-, construyendo colectivamente capacidades que apuntan a resolver problemas constructivos reales en un hábitat precario, donde emergen la transformación, el mejoramiento, el aprendizaje, la integración, el respeto, la comunicación, el servicio, entre otros. Tanto San Carlos como la zona periférica de Villa Elvira, son barrios con escasos recursos y una innumerable cantidad de necesidades básicas insatisfechas. Familias asentadas en terrenos informales, inundables, no aptos para el desarrollo saludable de la vida. Es por esto y más, que el equipo identifica como prioritario desarrollar talleres que apunten a mejorar y/o aportar a las mejoras del hábitat popular.Área temática 2: Tecnología - Eje ExtensiónFacultad de Arquitectura y Urbanism

Asistencia técnica y capacitación en hábitat precario : Asentamientos informales. Villa Elvira. La Plata

El proyecto de extensión prevé en uno de sus 4 ejes el diseño, programación y realización de talleres participativos de capacitación en construcción, teóricos-prácticos. De los mismos se espera dejar instalada la capacidad de la identificación, de la búsqueda de la mejor resolución al problema y de resolverlo con acciones coordinadas integrales, hacia mejores condiciones habitacionales y de calidad de vida. Este tipo de asistencia técnica y organizacional sumada al saber popular de la población de escasos recursos de la periferia de La Plata, genera un potencial que revaloriza los saberes -técnicos y populares-, construyendo colectivamente capacidades que apuntan a resolver problemas constructivos reales en un hábitat precario, donde emergen la transformación, el mejoramiento, el aprendizaje, la integración, el respeto, la comunicación, el servicio, entre otros. Tanto San Carlos como la zona periférica de Villa Elvira, son barrios con escasos recursos y una innumerable cantidad de necesidades básicas insatisfechas. Familias asentadas en terrenos informales, inundables, no aptos para el desarrollo saludable de la vida. Es por esto y más, que el equipo identifica como prioritario desarrollar talleres que apunten a mejorar y/o aportar a las mejoras del hábitat popular.Área temática 2: Tecnología - Eje ExtensiónFacultad de Arquitectura y Urbanism

Las inundaciones en La Plata, Berisso y Ensenada. Análisis de riesgos y estrategias de intervención

El trabajo presenta parte de dos proyectos de investigación en desarrollo que indagan y caracterizan los riesgos por inundación en el caso de estudio y las estrategias para su mitigación o adaptación. Se parte de entender que los conflictos hídricos en torno a las inundaciones urbanas son de naturaleza multicausal, pero preponderantemente responden a los efectos del cambio climático. Este hecho alerta sobre la necesidad de modificar la racionalidad del manejo de esta situación. En La Plata, Berisso y Ensenada (Gran La Plata, en adelante GLP-1.162 km2), han sido múltiples los eventos en los últimos cien años. Pero en la última década se han agudizado, hasta llegar a la situación del 2 y 3 de abril del 2013 con una precipitación extraordinaria de 400 milímetros, (lloviendo 313 mm en 6 horas), cuando lo ordinario para el mes de abril es 111 mm, lo que dejó un resultado catastrófico con 89 muertes.Trabajo publicado en Acta Bioquímica Clínica Latinoamericana; no. 52, supl. 2, parte II, diciembre de 2018.Universidad Nacional de La Plat

The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study

Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy. Methods: Consecutive women undergoing mastectomy ± IBR for breast cancer July–December, 2016 were included. Patient demographics, operative, oncological and complication data were collected. Time from last definitive cancer surgery to first adjuvant treatment for patients undergoing mastectomy ± IBR were compared and risk factors associated with delays explored. Results: A total of 2540 patients were recruited from 76 centres; 1008 (39.7%) underwent IBR (implant-only [n = 675, 26.6%]; pedicled flaps [n = 105,4.1%] and free-flaps [n = 228, 8.9%]). Complications requiring re-admission or re-operation were significantly more common in patients undergoing IBR than those receiving mastectomy. Adjuvant chemotherapy or radiotherapy was required by 1235 (48.6%) patients. No clinically significant differences were seen in time to adjuvant therapy between patient groups but major complications irrespective of surgery received were significantly associated with treatment delays. Conclusions: IBR does not result in clinically significant delays to adjuvant therapy, but post-operative complications are associated with treatment delays. Strategies to minimise complications, including careful patient selection, are required to improve outcomes for patients

A Genome-Wide Association Study of Diabetic Kidney Disease in Subjects With Type 2 Diabetes

dentification of sequence variants robustly associated with predisposition to diabetic kidney disease (DKD) has the potential to provide insights into the pathophysiological mechanisms responsible. We conducted a genome-wide association study (GWAS) of DKD in type 2 diabetes (T2D) using eight complementary dichotomous and quantitative DKD phenotypes: the principal dichotomous analysis involved 5,717 T2D subjects, 3,345 with DKD. Promising association signals were evaluated in up to 26,827 subjects with T2D (12,710 with DKD). A combined T1D+T2D GWAS was performed using complementary data available for subjects with T1D, which, with replication samples, involved up to 40,340 subjects with diabetes (18,582 with DKD). Analysis of specific DKD phenotypes identified a novel signal near GABRR1 (rs9942471, P = 4.5 x 10(-8)) associated with microalbuminuria in European T2D case subjects. However, no replication of this signal was observed in Asian subjects with T2D or in the equivalent T1D analysis. There was only limited support, in this substantially enlarged analysis, for association at previously reported DKD signals, except for those at UMOD and PRKAG2, both associated with estimated glomerular filtration rate. We conclude that, despite challenges in addressing phenotypic heterogeneity, access to increased sample sizes will continue to provide more robust inference regarding risk variant discovery for DKD.Peer reviewe

Guidelines for Helath Impact Assessment (HIA) in Italy: pathway to achieve a national standard

Context Italy today has a number of shortcomings either in regulatory and legislative recommendations about HIA. In addition, the health component is often disregarded or treated poorly in Environmental Impact Assessment (EIA) and Strategic Environmental Assessment (SEA) studies. The current situation prompted some regional and national institutions to collaborate for the submission of a project proposal to the Ministry of Health. The project is addressed to define HIA guidelines and disseminate them, together with specially developed HIA tools, all over the nation and among professionals and public officers. The overall aim is the inclusion of the public health assessment in Environmental Impact Studies (EIS). Methods At first, workshop sessions will provide basic knowledge and skills to manage with the Rapid-HIA tools developed by another Italian HIA project (titled "VISPA"). Then, real cases will be run in workgroups and distance-learning will improve training over 3-year. After, the first Italian online platform for professionals and experts on HIA will be provided and will include a computer-based Rapid-HIA tool, the mapping of HIAs georeferred and utilities for experts. At last HIA Guidelines will be issued. A deliberative process will validate a general Guideline and a more specific one, addressed to create a public health component into EIS. Results Public health professionals as well as applicants for EIS and stakeholders will be trained. The homogeneity of HIA tools for public health evaluation will be achieved as well as the mapping of HIAs at a wide scale. A platform, strongly web 2.0 oriented, will strengthen the networks of experts and the capacity building process. Discussion The Guidelines will be the first Italian super-regional, shared, tool that will introduce HIA in evaluations and proposals. In addition, the standardization and qualification of public health professionals\u27 evaluations as well as of impact studies by proponents will be satisfie

Guidelines for Health Impact Assessment (HIA)in Italy :pathway to achieve a national standard

Context Italy today has a number of shortcomings either in regulatory and legislative recommendations about HIA. In addition, the health component is often disregarded or treated poorly in Environmental Impact Assessment (EIA) and Strategic Environmental Assessment (SEA) studies. The current situation prompted some regional and national institutions to collaborate for the submission of a project proposal to the Ministry of Health. The project is addressed to define HIA guidelines and disseminate them, together with specially developed HIA tools, all over the nation and among professionals and public officers. The overall aim is the inclusion of the public health assessment in Environmental Impact Studies (EIS). Methods At first, workshop sessions will provide basic knowledge and skills to manage with the Rapid-HIA tools developed by another Italian HIA project (titled "VISPA"). Then, real cases will be run in workgroups and distance-learning will improve training over 3-year. After, the first Italian online platform for professionals and experts on HIA will be provided and will include a computer-based Rapid-HIA tool, the mapping of HIAs georeferred and utilities for experts. At last HIA Guidelines will be issued. A deliberative process will validate a general Guideline and a more specific one, addressed to create a public health component into EIS. Results Public health professionals as well as applicants for EIS and stakeholders will be trained. The homogeneity of HIA tools for public health evaluation will be achieved as well as the mapping of HIAs at a wide scale. A platform, strongly web 2.0 oriented, will strengthen the networks of experts and the capacity building process. Discussion The Guidelines will be the first Italian super-regional, shared, tool that will introduce HIA in evaluations and proposals. In addition, the standardization and qualification of public health professionals\u27 evaluations as well as of impact studies by proponents will be satisfied