Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century.

In this article, Médicos Sin Fronteras (MSF) Spain faces the challenge of selecting, piecing together, and conveying in the clearest possible way, the main lessons learnt over the course of the last seven years in the world of medical care for Chagas disease. More than two thousand children under the age of 14 have been treated; the majority of whom come from rural Latin American areas with difficult access. It is based on these lessons learnt, through mistakes and successes, that MSF advocates that medical care for patients with Chagas disease be a reality, in a manner which is inclusive (not exclusive), integrated (with medical, psychological, social, and educational components), and in which the patient is actively followed. This must be a multi-disease approach with permanent quality controls in place based on primary health care (PHC). Rapid diagnostic tests and new medications should be available, as well as therapeutic plans and patient management (including side effects) with standardised flows for medical care for patients within PHC in relation to secondary and tertiary level, inclusive of epidemiological surveillance systems

PRODUCCIÓN Y COMERCIALIZACIÓN DE Dahlia variabilis Cav., EN MACETA EN LAS ALTAS MONTAÑAS DE VERACRUZ, MÉXICO

Cultivation of the dahlia flower (Dahlia variabilis) in the high mountains of Veracruz, México, represents a high economic potential for the families in the region, because they can benefit from the climate conditions of the region, through cultivation systems in pots when commercializing this beautiful and traditional Mexican flower. The opportunities for local producers to add production value are determined from empirical knowledge and acquired through experimentation, to implement and maintain the dahlia flower crop in pots. In this article the stages of cultivation are described, from germination to commercialization, including key variables to be monitored, such as photoperiod, integral managementof pests, environmental management and moisture of the substrate in the pots.El cultivo de la flor de dalia (Dahlia variabilis) en las altas montañas de Veracruz, México, representa un alto potencial económico para las familias de la región, porque pueden beneficiarse de las condiciones climáticas de la región, mediante sistemas de cultivo en maceta al comercializar esta bella y tradicional flor mexicana. Las oportunidades de los productores locales para agregar valor de producción, se determina a partir de los conocimientos empíricos y adquiridos con la experimentación, para implementar y mantener el cultivo de flor de dalia en maceta. En este artículo se describen las etapas del cultivo, desde la germinación hasta la comercialización, incluyendo variables claves a monitorear, tales como el fotoperiodo, manejo integrado de plagas, manejo ambiental y humedad del sustrato en las macetas