Compañeros de viaje: el chile y los mexicanos

Chile chipotle rayado. Miguel Ángel Sicilia Manzo Banco de imágenes Conabio No es un secreto que muchos mexicanos viajan al extranjero acompañados de una dotación de chiles, ya sean secos, enlatados, en escabeche, en polvo o cualquier otra presentación; para muchos connacionales puede ser más trágico olvidar los chiles que el cepillo de dientes, y seguramente tienen razón, porque este se puede conseguir con facilidad en cualquier farmacia, incluso en un supermercado, pero un ..

La salud bucodental en la escuela infantil

Trata la higiene dental, dentro de la Educación para la Salud, para desarrollar la adquisición y consolidación de hábitos saludables y una mejora del bienestar personal. Pretende valorar la higiene personal como medio para sentirse bien, promover la adquisición de hábitos higiénico-dietéticos saludables (cepillado de dientes, enjuagues con flúor y disminución del consumo de azúcares), identificar aquellos productos que contienen azúcares y contribuir a disminuir la caries. Las actividades, en un primer momento están encaminadas a familiarizarse con los objetos realacionados con la higiene dental a través del dibujo, imagen y las propias realizaciones plásticas; a partir del tercer trimestre las actividades se centran en el lavado. La evaluación se hace a partir de fichas individuales y de grupo, folletos y vídeos para observar el grado de adecuación de objetivos, contenidos y metodología.Madrid (Comunidad Autónoma). Consejería de Educación y CulturaMadridMadrid (Comunidad Autónoma). Subdirección General de Formación del Profesorado. CRIF Las Acacias; General Ricardos 179 - 28025 Madrid; Tel. + 34915250893ES

Clinical and therapeutic features of myasthenia gravis in adults based on age at onset

[Objective] To describe the characteristics of patients with very-late-onset myasthenia gravis (MG).[Methods] This observational cross-sectional multicenter study was based on information in the neurologist-driven Spanish Registry of Neuromuscular Diseases (NMD-ES). All patients were >18 years of age at onset of MG and onset occurred between 2000 and 2016 in all cases. Patients were classified into 3 age subgroups: early-onset MG (age at onset <50 years), late-onset MG (onset ≥50 and <65 years), and very-late-onset MG (onset ≥65 years). Demographic, immunologic, clinical, and therapeutic data were reviewed.[Results] A total of 939 patients from 15 hospitals were included: 288 (30.7%) had early-onset MG, 227 (24.2%) late-onset MG, and 424 (45.2%) very-late-onset MG. The mean follow-up was 9.1 years (SD 4.3). Patients with late onset and very late onset were more frequently men (p < 0.0001). Compared to the early-onset and late-onset groups, in the very-late-onset group, the presence of anti–acetylcholine receptor (anti-AChR) antibodies (p < 0.0001) was higher and fewer patients had thymoma (p < 0.0001). Late-onset MG and very-late-onset MG groups more frequently had ocular MG, both at onset (<0.0001) and at maximal worsening (p = 0.001). Although the very-late-onset group presented more life-threatening events (Myasthenia Gravis Foundation of America IVB and V) at onset (p = 0.002), they required fewer drugs (p < 0.0001) and were less frequently drug-refractory (p < 0.0001).[Conclusions] Patients with MG are primarily ≥65 years of age with anti-AChR antibodies and no thymoma. Although patients with very-late-onset MG may present life-threatening events at onset, they achieve a good outcome with fewer immunosuppressants when diagnosed and treated properly

Los chiles que le dan sabor al mundo

El chile es el condimento de la vida en diversas culturas del mundo. México es centro de origen y diversificación de la especie domesticada Capsicum annuum L, por lo que el chile se convirtió en elemento identitario y patrimonio biocultural de la nación. A pesar de la importancia de esta planta, desde la academia, se tienen pocos estudios integradores que analicen las complejas relaciones entre los chiles y los diferentes factores bióticos, abióticos y socioculturales que hacen posible su permanencia en el tiempo y el espacio. Este libro está conformado por 21 contribuciones de diversas mentes creativas como cocineras tradicionales, chefs, así como investigadoras e investigadores de las ciencias naturales y sociales que describen y analizan al chile mexicano con diferentes aproximaciones metodológicas y narrativas. Las evidencias presentadas desde diferentes disciplinas resaltan el uso continuo del chile como un condimento, alimento y elemento identitario en esta región del mundo. Queremos que el público lector disfrute de nuestro picante y -esperemos- sabroso compendio

Demographic, clinical, and functional determinants of antithrombotic treatment in patients with nonvalvular atrial fibrillation

Altres ajuts: Alliance Bristol-Myers Squibb/Pfizer.Background: This study assessed the sociodemographic, functional, and clinical determinants of antithrombotic treatment in patients with nonvalvular atrial fibrillation (NVAF) attended in the internal medicine setting. Methods: A multicenter, cross-sectional study was conducted in NVAF patients who attended internal medicine departments for either a routine visit (outpatients) or hospitalization (inpatients). Results: A total of 961 patients were evaluated. Their antithrombotic management included: no treatment (4.7%), vitamin K antagonists (VKAs) (59.6%), direct oral anticoagulants (DOACs) (21.6%), antiplatelets (6.6%), and antiplatelets plus anticoagulants (7.5%). Permanent NVAF and congestive heart failure were associated with preferential use of oral anticoagulation over antiplatelets, while intermediate-to high-mortality risk according to the PROFUND index was associated with a higher likelihood of using antiplatelet therapy instead of oral anticoagulation. Longer disease duration and institutionalization were identified as determinants of VKA use over DOACs. Female gender, higher education, and having suffered a stroke determined a preferential use of DOACs. Conclusions: This real-world study showed that most elderly NVAF patients received oral anticoagulation, mainly VKAs, while DOACs remained underused. Antiplatelets were still offered to a proportion of patients. Longer duration of NVAF and institutionalization were identified as determinants of VKA use over DOACs. A poor prognosis according to the PROFUND index was identified as a factor preventing the use of oral anticoagulation