Evaluación del cumplimiento de reglamento de establecimientos de hospedaje del Decreto Supremo N°001 2015 MINCETUR en hoteles con categoría 2 y 3 estrellas de la ciudad de Sullana en el año 2019

La presente investigación tiene como finalidad evaluar el cumplimiento de reglamento de establecimientos de hospedaje del Decreto Supremo N°001 2015 MINCETUR en Hoteles con categoría 2 y 3 estrellas de la Ciudad de Sullana en el año 2019, por tal motivo, calificar los siguientes elementos nombrados en el reglamento: aspecto funcional, infraestructura, equipamiento, servicio y personal. La investigación es de tipo descriptiva, la población está compuesta por la totalidad de hoteles con categoría dos y tres estrellas que se encuentran en la Ciudad de Sullana, siendo un total de 4 establecimientos de hospedaje y la muestra obtenida es de tres hoteles de dos estrellas y uno de tres estrellas los registrados en DIRCETUR. Para realizar la investigación se aplicaron 5 fichas de observación y una entrevista a cada propietario o administrador, teniendo como resultado que los hoteles de 2 y 3 estrellas tienen un cumplimiento parcial, en lo que concierne a los 5 elementos antes ya mencionados, en consecuencia a los resultados obtenidos de la investigación se propone un manual de pautas legislativas, logrando así que los propietarios de los E.H. tengan un mayor conocimiento del reglamento y así obtengan un cumplimiento total, y de esta forma se dé importancia a la normativa ya mencionada anteriormente, obteniendo de ello estándares de calidad

Capacidade absortiva no contexto da indústria hoteleira: uma análise de práticas de absorção de conhecimentos

Study objective: To identify the existing practices to capture and absorb external knowledge in hotel projects.Methodology/approach: The study was developed with a qualitative, exploratory approach, through an analysis of multiple cases of five hotels, located in the State of São Paulo. Data collection was carried out with semi-structured interviews and data triangulation with websites and hotel logbooks. Data analysis was based on content analysis and performed with the help of Atlas.ti.Originality/Relevance: Innovations resulting from absorptive capacity are fundamental for the competitiveness and success of hotel companies, and are originated by intense interaction between employees and customers involved simultaneously in the process of elaboration and application of innovations.Main results: The hotels object of this study have similar external knowledge acquisition practices, such as participation in fairs and events in the sector, analysis of reviews and suggestions from guests. The predominant acquisition practice and understood as the most important by respondents are the improvements generated through the analysis of reviews and suggestions from guests indicated in guest comments (guest suggestions) and in digital media, social networks and OTA's (Reservations Agency Online).Theoretical/methodological contributions: The study is in line with the definition of Zahra and George (2002) for ACAP and contributes to the epistemological evolution of the field of study of absorptive capacity and knowledge sharing, especially in the tourism and hospitality sectors, filling an important There is a gap in the literature that shows a scarcity of studies that investigated the four dimensions referring to the practices of potential (PACAP) and realized (RACAP) absorptive capacities, as presented by Zahra and George (2002).Social/Management Contributions: As a managerial contribution, the study provides a guide for managers on the main practices identified and on how to develop these processes effectively and consequently promote innovations in the services provided. Objetivo del estudio: Identificar las prácticas existentes para captar y absorber conocimiento externo en proyectos hoteleros.Metodología/enfoque: El estudio se desarrolló con un enfoque cualitativo, exploratorio, mediante el análisis de múltiplos casos de cinco hoteles, situados en el Estado de São Paulo. La recolección de datos se llevó a cabo con entrevistas semiestructuradas y triangulación de datos con sitios web y diarios de los hoteles. El análisis de datos se basó en el análisis de contenido y se realizó con la ayuda de Atlas.ti.Originalidad/Relevancia: Las innovaciones resultantes de la capacidad de absorción son fundamentales para la competitividad y el éxito de las empresas hoteleras, y se originan por una intensa interacción entre empleados y clientes involucrados simultáneamente en el proceso de elaboración y aplicación de las innovaciones.Principales resultados: Los hoteles objeto de este estudio cuentan con prácticas similares de adquisición de conocimiento externo, tales como participación en ferias y eventos del sector, análisis de reseñas y sugerencias de los huéspedes. La práctica de adquisición predominante y entendida como la más importante por los entrevistados son las mejoras generadas a través del análisis de opiniones y sugerencias de los huéspedes, indicadas en los comentarios de los huéspedes y en los medios digitales, redes sociales y OTA's (Agencia de Reservas en línea).Aportes teóricos/metodológicos: El estudio fue desarrollado de acuerdo con la definición de Zahra y George (2002) para ACAP y contribuye a la evolución epistemológica del campo de estudio de la capacidad de absorción y el intercambio de conocimientos, especialmente en los sectores del turismo y hotelería, llenando un vacío importante en la literatura que muestra una escasez de estudios que investigaron las cuatro dimensiones referentes a las prácticas de capacidades de absorción potencial (PACAP) y realizada (RACAP), tal como lo presentan Zahra y George (2002).Contribuciones sociales/gerenciales: Como contribución gerencial, el estudio proporciona un guía para los gerentes sobre las principales prácticas identificadas y sobre cómo desarrollar estos procesos de manera efectiva y consecuentemente promover innovaciones en los servicios prestados. Objetivo do estudo: Identificar quais são as práticas existentes para captar e absorver conhecimentos externos em empreendimentos hoteleiros. Metodologia/abordagem: O estudo foi desenvolvido com abordagem qualitativa, de caráter exploratório, por meio da análise de casos múltiplos de cinco hotéis, situados no Estado de São Paulo. A coleta de dados foi realizada com entrevistas semiestruturadas e a triangulação dos dados com sites e diários de bordo dos hotéis. A análise dos dados foi a partir da análise de conteúdo executada com o auxílio do Atlas.ti.Originalidade/Relevância: As inovações resultantes da capacidade absortiva (ACAP), são fundamentais para a competitividade e sucesso de empresas de hotelaria, e são originadas por intensa interação entre funcionários e clientes envolvidos simultaneamente no processo de elaboração e aplicação das inovações. Principais resultados: Os hotéis objetos deste estudo, possuem práticas de aquisição de conhecimentos externos similares, como participação em feiras e eventos do setor, análise das avaliações e sugestões dos hóspedes. A prática de aquisição predominante e compreendida como mais importante pelos respondentes são as melhorias geradas por meio da análise das avaliações e sugestões dos hóspedes indicadas nos guest coments (sugestões dos hóspedes) e nos meios digitais, redes sociais e OTA´s (Agência de Reservas on-line).Contribuições teóricas/metodológicas: O estudo está alinhado com a definição de Zahra e George (2002) para ACAP e contribui para a evolução epistemológica do campo de estudo da ACAP e compartilhamento de conhecimento, sobretudo, nos setores de turismo e hotelaria, preenchendo uma importante lacuna na literatura que apresenta escassez de estudos que investigaram as quatro dimensões referentes às práticas de ACAP Potencial (PACAP) e Realizada (RACAP), conforme apresentado por Zahra e George (2002).Contribuições sociais/para a gestão: Como contribuição gerencial o estudo fornece um guia para os gestores das principais práticas identificadas e em como desenvolver estes processos de forma eficaz e consequentemente, promover inovações nos serviços prestados tendo em vista que os processos relacionados a ACAP são de extrema importância para a competitividade e para o desenvolvimento de inovações na indústria hoteleira.

Tejiendo diálogos. Reflexiones contemporáneas sobre la expresión y el sentido

El presente libro se divide en tres grandes bloques temáticos que contienen a los conceptos guía del título: Complejidad, expresión y sentido y, se organizan de acuerdo con lo que podría considerarse manifestaciones contextuales de las relaciones complejas y manifestaciones de sentido, que emergen como organizadoras a partir de diferentes formas en las que se manifiesta el diseño, las artes y la comunicación, El primer bloque obedece al principio dialógico de la no exclusión en donde que reza: “A no puede ser A y no A” y se titula: Complejidad y expresiones de la cultura contemporánea componiéndose por cinco textos que tocan dimensiones problemáticas en contextos contemporáneos como la intervención urbana y el feminismo como diálogo a través de la imagen y la educación; los discursos de odio como emergencia y la aparición de nuevas necesidades de formación universitaria ante ámbitos de competencia complejos. La primera sección titulada Condiciones emergentes de organización y sentido se presentan los textos en los que la expresión y el sentido aparecen como formas específicas a través de los cuáles es posible no solo asegurar las fronteras de operaciones sociales sino proyectarlas hacia nuevas condiciones de organización y sentido como sería el mundo de la virtualidad. En la segunda sección compuesta por cinco ensayos que de algún modo coinciden en la importancia de los puntos de conexión e interacciones en los fenómenos complejos como inductores de orden-desorden-complejidad, ponen de manifiesto su papel como productores de relaciones que permiten dar cuenta de la incertidumbre, comprender y exponer acontecimientos a nivel educativo, social y artístico. Finalmente en la tercera sección, el bloque que cierra el contenido del libro, se compone por cinco textos que dentro de su argumentación podrían verse alineados con el postulado de Nicolescu del Tercero incluido en donde A no puede ser A y a la vez existe no A, aludiendo a dimensiones problemáticas en contextos contemporáneos como: la intervención urbana y el feminismo como diálogo a través de la imagen y la educación; los discursos de odio como emergencia y la aparición de nuevas necesidades de formación universitaria ante ámbitos de competencia complejos.Olivia Fragoso Susunaga, María Teresa Olalde Ramos y Gustavo Garduño Oropeza, coordinadores

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

XAF1 as a modifier of p53 function and cancer susceptibility

Cancer risk is highly variable in carriers of the common TP53-R337H founder allele, possibly due to the influence of modifier genes. Whole-genome sequencing identified a variant in the tumor suppressor XAF1 (E134*/Glu134Ter/rs146752602) in a subset of R337H carriers. Haplotype-defining variants were verified in 203 patients with cancer, 582 relatives, and 42,438 newborns. The compound mutant haplotype was enriched in patients with cancer, conferring risk for sarcoma (P = 0.003) and subsequent malignancies (P = 0.006). Functional analyses demonstrated that wild-type XAF1 enhances transactivation of wild-type and hypomorphic TP53 variants, whereas XAF1-E134* is markedly attenuated in this activity. We propose that cosegregation of XAF1-E134* and TP53-R337H mutations leads to a more aggressive cancer phenotype than TP53-R337H alone, with implications for genetic counseling and clinical management of hypomorphic TP53 mutant carriers.Fil: Pinto, Emilia M.. St. Jude Children's Research Hospital; Estados UnidosFil: Figueiredo, Bonald C.. Instituto de Pesquisa Pelé Pequeno Principe; BrasilFil: Chen, Wenan. St. Jude Children's Research Hospital; Estados UnidosFil: Galvao, Henrique C.R.. Hospital de Câncer de Barretos; BrasilFil: Formiga, Maria Nirvana. A.c.camargo Cancer Center; BrasilFil: Fragoso, Maria Candida B.V.. Universidade de Sao Paulo; BrasilFil: Ashton Prolla, Patricia. Universidade Federal do Rio Grande do Sul; BrasilFil: Ribeiro, Enilze M.S.F.. Universidade Federal do Paraná; BrasilFil: Felix, Gabriela. Universidade Federal da Bahia; BrasilFil: Costa, Tatiana E.B.. Hospital Infantil Joana de Gusmao; BrasilFil: Savage, Sharon A.. National Cancer Institute; Estados UnidosFil: Yeager, Meredith. National Cancer Institute; Estados UnidosFil: Palmero, Edenir I.. Hospital de Câncer de Barretos; BrasilFil: Volc, Sahlua. Hospital de Câncer de Barretos; BrasilFil: Salvador, Hector. Hospital Sant Joan de Deu Barcelona; EspañaFil: Fuster Soler, Jose Luis. Hospital Clínico Universitario Virgen de la Arrixaca; EspañaFil: Lavarino, Cinzia. Hospital Sant Joan de Deu Barcelona; EspañaFil: Chantada, Guillermo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. St. Jude Children's Research Hospital; Estados UnidosFil: Vaur, Dominique. Comprehensive Cancer Center François Baclesse; FranciaFil: Odone Filho, Vicente. Universidade de Sao Paulo; BrasilFil: Brugières, Laurence. Institut de Cancerologie Gustave Roussy; FranciaFil: Else, Tobias. University of Michigan; Estados UnidosFil: Stoffel, Elena M.. University of Michigan; Estados UnidosFil: Maxwell, Kara N.. University of Pennsylvania; Estados UnidosFil: Achatz, Maria Isabel. Hospital Sirio-libanês; BrasilFil: Kowalski, Luis. A.c.camargo Cancer Center; BrasilFil: De Andrade, Kelvin C.. National Cancer Institute; Estados UnidosFil: Pappo, Alberto. St. Jude Children's Research Hospital; Estados UnidosFil: Letouze, Eric. Centre de Recherche Des Cordeliers; FranciaFil: Latronico, Ana Claudia. Universidade de Sao Paulo; BrasilFil: Mendonca, Berenice B.. Universidade de Sao Paulo; BrasilFil: Almeida, Madson Q.. Universidade de Sao Paulo; BrasilFil: Brondani, Vania B.. Universidade de Sao Paulo; BrasilFil: Bittar, Camila M.. Universidade Federal do Rio Grande do Sul; BrasilFil: Soares, Emerson W.S.. Hospital Do Câncer de Cascavel; BrasilFil: Mathias, Carolina. Universidade Federal do Paraná; BrasilFil: Ramos, Cintia R.N.. Hospital de Câncer de Barretos; BrasilFil: Machado, Moara. National Cancer Institute; Estados UnidosFil: Zhou, Weiyin. National Cancer Institute; Estados UnidosFil: Jones, Kristine. National Cancer Institute; Estados UnidosFil: Vogt, Aurelie. National Cancer Institute; Estados UnidosFil: Klincha, Payal P.. National Cancer Institute; Estados UnidosFil: Santiago, Karina M.. A.c.camargo Cancer Center; BrasilFil: Komechen, Heloisa. Instituto de Pesquisa Pelé Pequeno Principe; BrasilFil: Paraizo, Mariana M.. Instituto de Pesquisa Pelé Pequeno Principe; BrasilFil: Parise, Ivy Z.S.. Instituto de Pesquisa Pelé Pequeno Principe; BrasilFil: Hamilton, Kayla V.. St. Jude Children's Research Hospital; Estados UnidosFil: Wang, Jinling. St. Jude Children's Research Hospital; Estados UnidosFil: Rampersaud, Evadnie. St. Jude Children's Research Hospital; Estados UnidosFil: Clay, Michael R.. St. Jude Children's Research Hospital; Estados UnidosFil: Murphy, Andrew J.. St. Jude Children's Research Hospital; Estados UnidosFil: Lalli, Enzo. Institut de Pharmacologie Moléculaire et Cellulaire; FranciaFil: Nichols, Kim E.. St. Jude Children's Research Hospital; Estados UnidosFil: Ribeiro, Raul C.. St. Jude Children's Research Hospital; Estados UnidosFil: Rodriguez-Galindo, Carlos. St. Jude Children's Research Hospital; Estados UnidosFil: Korbonits, Marta. Queen Mary University of London; Reino UnidoFil: Zhang, Jinghui. St. Jude Children's Research Hospital; Estados UnidosFil: Thomas, Mark G.. Colegio Universitario de Londres; Reino UnidoFil: Connelly, Jon P.. St. Jude Children's Research Hospital; Estados UnidosFil: Pruett-Miller, Shondra. St. Jude Children's Research Hospital; Estados UnidosFil: Diekmann, Yoan. Colegio Universitario de Londres; Reino UnidoFil: Neale, Geoffrey. St. Jude Children's Research Hospital; Estados UnidosFil: Wu, Gang. St. Jude Children's Research Hospital; Estados UnidosFil: Zambetti, Gerard P.. St. Jude Children's Research Hospital; Estados Unido

Práticas artísticas no ensino básico e secundário

A matéria-prima de que trata esta revista é base de trabalho para um ensino artístico alargado, estendendo-se fora dos limites da aula, transgredindo os limites formais dos curricula, implicando património e riqueza cultural, sensibilizando para o imaterial, criando públicos apreciadores e também agentes criadores. É toda uma comunidade que se interliga através dos valores imateriais que sempre foram os da arte. A tarefa do educador é muito alargada: exige-se que esteja à altura deste desígnio humanista, que é também um desafio ao destino da humanidade: pela educação artística constroem-se futuros, e sem arte há intolerância, materialismo, indiferença, alienação, morte. Os tempos que se vivem são exigentes. As questões da pós modernidade estão muito acesas, desde as que nos obrigam ao desassossego, como a sustentabilidade e a poluição, como as que nos implicam politicamente, como a justiça, os direitos civis, a desigualdade. Tudo isto é matéria com a qual se amassa um barro que pode ser mais ou menos criativo: trata-se de extrair a matéria-prima com que se pode fazer os blocos que constroem o futuro. Aos profissionais da educação e do ensino, esta consciência, ao mesmo tempo desamparada – os cortes da economia neoliberal transformaram a arte em indústria, e a sua educação em criação de consumidores – e ao mesmo tempo vigilante e interventiva. Os artigos que responderam a esta chamada, respondem, cada um a seu modo, a este desassossego, a este desconforto, a este mal-estar contemporâneo. Dispuseram-se segundo uma sequência que se articula com base em temas afins que se podem descrever sucintamente: Todos os que participaram neste número mostraram a sua matéria-prima, a sua reação à falta que a arte nos faz. A chamada soa, e ressoa, e é necessário que seja por todos ouvida, em todos os países. É simples: as artes estão em perigo. Perigo porque há menos horas, menos professores, menos opções, menos conhecimento. As reduções no horário, a eliminação de disciplinas tão importantes como a história da arte, fazem de cada professor um agente da resistência, um ser mais implicado na sobrevivência da chama da criação. Matéria-prima: matéria para resgatar a verdade humana, a arte, a expressão mais valiosa da sua vaidade. Resgatar o homem que Michel Foucault (1988: 412) vê ameaçado, como um rosto na areia, desenhado à beira-mar.info:eu-repo/semantics/publishedVersio

Meat, eggs, dairy products, and risk of breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Background: A Western diet is associated with breast cancer risk. Objective: We investigated the relation of meat, egg, and dairy product consumption with breast cancer risk by using data from the European Prospective Investigation into Cancer and Nutrition (EPIC). Design: Between 1992 and 2003, information on diet was collected from 319,826 women. Disease hazard ratios were estimated with multivariate Cox proportional hazard models. Results: Breast cancer cases (n = 7119) were observed during 8.8 y (median) of follow-up. No consistent association was found between breast cancer risk and the consumption of any of the food groups under study, when analyzed by both categorical and continuous exposure variable models. High processed meat consumption was associated with a modest increase in breast cancer risk in the categorical model (hazard ratio: 1.10; 95% CI: 1.00, 1.20; highest compared with lowest quintile: P for trend = 0.07). Subgroup analyses suggested an association with butter consumption, limited to premenopausal women (hazard ratio: 1.28; 95% CI: 1.06, 1.53; highest compared with lowest quintile: P for trend = 0.21). Between-country heterogeneity was found for red meat (Q statistic = 18.03; P = 0.05) and was significantly explained (P = 0.023) by the proportion of meat cooked at high temperature. Conclusions: We have not consistently identified intakes of meat, eggs, or dairy products as risk factors for breast cancer. Future studies should investigate the possible role of high-temperature cooking in the relation of red meat intake with breast cancer risk. Am J Clin Nutr 2009;90:602-12

REQUITE: A prospective multicentre cohort study of patients undergoing radiotherapy for breast, lung or prostate cancer

Purpose: REQUITE aimed to establish a resource for multi-national validation of models and biomarkers that predict risk of late toxicity following radiotherapy. The purpose of this article is to provide summary descriptive data. Methods: An international, prospective cohort study recruited cancer patients in 26 hospitals in eight countries between April 2014 and March 2017. Target recruitment was 5300 patients. Eligible patients had breast, prostate or lung cancer and planned potentially curable radiotherapy. Radiotherapy was prescribed according to local regimens, but centres used standardised data collection forms. Pre-treatment blood samples were collected. Patients were followed for a minimum of 12 (lung) or 24 (breast/prostate) months and summary descriptive statistics were generated. Results: The study recruited 2069 breast (99% of target), 1808 prostate (86%) and 561 lung (51%) cancer patients. The centralised, accessible database includes: physician-(47,025 forms) and patient-(54,901) reported outcomes; 11,563 breast photos; 17,107 DICOMs and 12,684 DVHs. Imputed genotype data are available for 4223 patients with European ancestry (1948 breast, 1728 prostate, 547 lung). Radiation-induced lymphocyte apoptosis (RILA) assay data are available for 1319 patients. DNA (n = 4409) and PAXgene tubes (n = 3039) are stored in the centralised biobank. Example prevalences of 2-year (1-year for lung) grade >= 2 CTCAE toxicities are 13% atrophy (breast), 3% rectal bleeding (prostate) and 27% dyspnoea (lung). Conclusion: The comprehensive centralised database and linked biobank is a valuable resource for the radiotherapy community for validating predictive models and biomarkers. Patient summary: Up to half of cancer patients undergo radiation therapy and irradiation of surrounding healthy tissue is unavoidable. Damage to healthy tissue can affect short-and long-term quality-of-life. Not all patients are equally sensitive to radiation "damage" but it is not possible at the moment to identify those who are. REQUITE was established with the aim of trying to understand more about how we could predict radiation sensitivity. The purpose of this paper is to provide an overview and summary of the data and material available. In the REQUITE study 4400 breast, prostate and lung cancer patients filled out questionnaires and donated blood. A large amount of data was collected in the same way. With all these data and samples a database and biobank were created that showed it is possible to collect this kind of information in a standardised way across countries. In the future, our database and linked biobank will be a resource for research and validation of clinical predictors and models of radiation sensitivity. REQUITE will also enable a better understanding of how many people suffer with radiotherapy toxicity

Cabbage and fermented vegetables : From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19

Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT(1)R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT(1)R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity.Peer reviewe

Nrf2-interacting nutrients and COVID-19 : time for research to develop adaptation strategies

There are large between- and within-country variations in COVID-19 death rates. Some very low death rate settings such as Eastern Asia, Central Europe, the Balkans and Africa have a common feature of eating large quantities of fermented foods whose intake is associated with the activation of the Nrf2 (Nuclear factor (erythroid-derived 2)-like 2) anti-oxidant transcription factor. There are many Nrf2-interacting nutrients (berberine, curcumin, epigallocatechin gallate, genistein, quercetin, resveratrol, sulforaphane) that all act similarly to reduce insulin resistance, endothelial damage, lung injury and cytokine storm. They also act on the same mechanisms (mTOR: Mammalian target of rapamycin, PPAR gamma:Peroxisome proliferator-activated receptor, NF kappa B: Nuclear factor kappa B, ERK: Extracellular signal-regulated kinases and eIF2 alpha:Elongation initiation factor 2 alpha). They may as a result be important in mitigating the severity of COVID-19, acting through the endoplasmic reticulum stress or ACE-Angiotensin-II-AT(1)R axis (AT(1)R) pathway. Many Nrf2-interacting nutrients are also interacting with TRPA1 and/or TRPV1. Interestingly, geographical areas with very low COVID-19 mortality are those with the lowest prevalence of obesity (Sub-Saharan Africa and Asia). It is tempting to propose that Nrf2-interacting foods and nutrients can re-balance insulin resistance and have a significant effect on COVID-19 severity. It is therefore possible that the intake of these foods may restore an optimal natural balance for the Nrf2 pathway and may be of interest in the mitigation of COVID-19 severity