Operational guidelines for assessing the impact of agricultural research on livelihoods. Good practices from CIMMYT

Research and Development/Tech Change/Emerging Technologies,

Targeting Research for Enhanced Impact on Poverty in Marginal Areas: The Representative Case of the Dry Areas of Syria

Agricultural research in marginal dry areas can contribute to reducing poverty through the development of technological, institutional and policy options for poor farmers by addressing diversified opportunities and development pathways. This paper analyzes the diversity of rural livelihood strategies in the Khanasser Valley in northwest Syria, an area representative of marginal drylands. We experimentally define an operational classification of household typologies based on their different livelihood strategies, capabilities, and opportunities by applying a Sustainable Livelihoods framework. Livelihoods diversity has implications on where and how research must be targeted to have impact on poverty. Households less endowed in land and natural resources and with livelihoods only marginally based on farming have to rely on off-farm income or exit agriculture. Poorest households with livelihoods based on migration and scarce land assets can benefit little or only indirectly from agricultural research. Yet the poor laborers with enough assets can benefit more and directly from pro-poor agricultural research. We discuss the pathways that these different groups can undertake to escape poverty, with emphasis on those that use agricultural technologies developed within an Integrated Natural Resources Management approach by a benchmark project of ICARDA in the Khanasser area. Some of the technologies, assessed ex-ante based on extensive experimental data, can contribute to improving livelihoods and preserving the natural resource base. If, however, these are to become part of effective development pathways and impact on poverty, they must meet various policy and institutional conditions, that we discuss vis-a-vis the different typologies of users.Impact, Livelihoods, Marginal Areas, Poverty, Syria, D1, I3, O3, Q12, Q16, Food Security and Poverty,

Manual for conducting socioeconomic surveys through Pocket Portable Device Assistants (PDAs) and personal computers

Socioeconomic environment, Surveys, Computers, Computer software, Data collection, PDAs, Personal computers, Research Methods/ Statistical Methods, U40, E10,

Impacts of CIMMYT's International Training Linked to Long-Term Trials in Conservation Agriculture: 1996-2006

Education, Training courses, International cooperation, Research institutions, Natural resources, Resource conservation, Environmental Economics and Policy,

External review and impact assessment of the African Highlands Initiative (AHI) : program evaluation report

Annexes not includedThe African Highlands Initiative (AHI), established in 1995, is an ecoregional program of the Consultative Group on International Agricultural Research (CGIAR). This external review and impact assessment (ERIA) analyzes program progress and assesses AHI’s performance in the region. Designed to develop and test Integrated Natural Resource Management (INRM) methodologies, the AHI employed effective participatory approaches to work with farmers through action research. The programme provided a general capacity to address from the bottom-up, the main entry points required by farmers

External review and impact assessment of the African Highlands Initative (AHI) : brief of the program evaluation report

Integrated Natural Resource Management (INRM) assumes a participatory approach in development-oriented research. Since agro-ecosystems are driven by interactions of ecological, economic, and social variables, INRM research has to work back and forth across all these dimensions. The African Highlands Initiative (AHI) uses an approach in developing and managing its research/development programs that allows stakeholders more active roles in identifying and prioritizing research themes. The report provides a brief overview of multiple research activities. Investing in local scientists and organizations is a way to ensure the sustainability of AHI processes

Clinical and haemodynamic correlates of heart rate turbulence as a non-invasive index of baroreflex sensitivity in chronic heart failure

HRT (heart rate turbulence), describing the heart rate changes following a premature ventricular contraction, has been regarded as an indirect index of baroreflex function. However, limited data are available on its relationship with invasive assessment by phenylephrine injection (Phe-slope). In the present study, we therefore compared these methodologies in a series of patients with HF (heart failure) in which both measures together with clinical and haemodynamic data were available. HRT parameters [TO (turbulence onset) and TS (turbulence slope)] were measured from 24-h Holter recordings obtained within 1 week of baroreflex sensitivity assessment and right heart haemodynamic evaluation (Swan-Ganz catheter). HRT was computable in 135 out of 157 (86%) patients who had both a phenylephrine test and haemodynamic evaluation. TO and TS significantly correlated with Phe-slope (r=−0.39, P<0.0001 and r=0.66, P<0.0001 respectively). Age, baseline heart rate, LVEF (left ventricular ejection fraction), PCP (pulmonary capillary pressure), CI (cardiac index) and sodium were significant and independent predictors of Phe-slope, accounting for 51% of its variability. Similarly, age, baseline heart rate and PCP, and NYHA (New York Heart Association) classes III–IV were independent predictors for TS and explained 48% of its variability, whereas only CI and LVEF were found to be significantly related to TO and explained a very limited proportion (20%) of the variability. In conclusion, these results suggest that HRT may be regarded as a surrogate measure of baroreflex sensitivity in clinical and prognostic evaluation in patients with HF

Prognostic Implications of Baroreflex Sensitivity in Heart Failure Patients in the Beta-Blocking Era

ObjectivesThis study investigated the clinical correlates and prognostic value of depressed baroreceptor-heart rate reflex sensitivity (BRS) among patients with heart failure (HF), with and without beta-blockade.BackgroundAbnormalities in autonomic reflexes play an important role in the development and progression of HF. Few studies have assessed the effects of beta-blockers on BRS in HF.MethodsThe study population consisted of 103 stable HF patients, age (median [interquartile range]) 54 years (48 to 57 years), with New York Heart Association (NYHA) functional class ≥III in 22, and with a left ventricular ejection fraction (LVEF) of 30% (24% to 36%), treated with beta-blockers; and 144 untreated patients, age 55 years (48 to 60 years), with NYHA functional class ≥III in 47%, and an LVEF of 26% (21% to 30%). They underwent BRS testing (phenylephrine technique).ResultsIn both treated and untreated patients, a lower BRS was associated with a higher (≥III) NYHA functional class (p = 0.0002 and p < 0.0001, respectively); a more severe (≥2) mitral regurgitation (p = 0.007 and p = 0.0002), respectively; a lower LVEF (p = 0.0004 and p = 0.001, respectively), baseline RR interval (p = 0.0004 and p = 0.0002, respectively), and SDNN (p < 0.0001, p = 0.002, respectively); and a higher blood urea nitrogen (p = 0.004, p < 0.0001, respectively). Clinical variables explained only 43% of BRS variability among treated and 36% among untreated patients. During a median follow-up of 29 months, 17 of 103 patients and 55 of 144 patients, respectively, experienced a cardiac event. A depressed BRS (<3.0 ms/mm Hg) was significantly associated with the outcome, independently of known risk predictors and beta-blocker treatment (adjusted hazard ratio: 3.0 [95% confidence interval: 1.5 to 5.9], p = 0.001).ConclusionsBaroreceptor-heart rate reflex sensitivity does not simply mirror the pathophysiological substrate of HF. A depressed BRS conveys independent prognostic information that is not affected by the modification of autonomic dysfunction brought about by beta-blockade

Aspectos tefrológicos de la erupción del volcán Quizapú de 1932 en la región de la laguna Llancanelo, Payenia (Mendoza, Argentina)

El Volcán Quizapú es parte del Complejo Volcánico Cerro Azul-Descabezado Grande, ubicado en la Provincia de Talca, Chile (36,67°S - 70,77°O, altura máxima: 3788 m s.n.m.). La erupción del 10 de abril de 1932 fue uno de los mayores eventos volcánicos del siglo XX. Tuvo un carácter pliniano y arrojó un volumen de tefras entre 5 y 30 km3 (según diferentes autores), que por efecto de los vientos dominantes del oeste cubrieron gran parte de la región central de Argentina, llegando a la costa atlántica y afectando a otros países del este de Sudamérica. Los efectos climáticos y el impacto en las regiones más proximales del sur de Mendoza, particularmente en el Departamento de Malargüe, fueron muy significativos. El estudio de los eyectos constituye un campo de exploración de gran valor no solamente para conocer las características, alcances y efectos de esa erupción sino también para evaluar aspectos relacionados con la tefrología. En esta contribución se analiza un depósito de tefras en los alrededores de la Laguna Llancanelo, en las cercanías de Malargüe, una de las áreas más afectadas por la erupción. Las determinaciones sedimentológicas, mineralógicas y texturales (petrografía, microscopía electrónica y determinaciones químicas semicuantitativas con EDS) permitieron caracterizar la composición granulométrica, petrográfica y química semicuantitativa de las tefras. Estas características son afines a las de los materiales piroclásticos eyectados por la erupción del volcán Quizapú de 1932 estudiados por otros autores, por lo que se asignan a dicho evento volcánico. Las tefras depositadas en la zona de estudio son de tamaño arena muy fina a mediana con significativa cantidad de fracciones menores a 10 µm. Las trizas son pumíceas, fibrosas, con diferentes conformaciones morfológicas y abundante vesicularidad que favorece el entrampamiento de partículas menores en las vesículas de las mayores. La composición química revela un alto contenido de sílice que alcanza hasta cerca del 70% de los componentes, con alrededor de un 15% de Al y cantidades subordinadas de K, Na, Ca, Zn, Mg, Cu, Fe y Ti. Es notorio el alto contenido de K, asociado a un aumento relativo por desilicación de la tefra con el transcurso del tiempo. También son importantes los contenidos de Fe y Cu, en este último caso posiblemente asociado a transformaciones post-depositacionales por meteorización. La composición de las trizas señala una erupción de tipo pliniano magmática andesítico-dacítica con contenido hidromagmático, intensa fragmentación y aglutinación durante el enfriamiento. Las evidencias de campo demostraron que la erupción afectó severamente la región sepultando y quemando suelos, carbonizando vegetación y cegando sectores marginales de la laguna. Estudios de esta naturaleza aportan a una clasificación sistemática y comparativa de la peligrosidad volcánica, considerando que las tefras resultantes de la erupción del Quizapú contienen hasta un 10% de partículas PM 10 (tamaño <10 µm) que corresponden a los tamaños “respirables” y en consecuencia altamente nocivos para la salud. Desde el enfoque socioeconómico, estos estudios sirven de base para su aplicación a otros eventos eruptivos muy recientes ocurridos en Argentina (volcanes Hudson, Copahue, Chaitén, Llaima, Peteroa y Puyehue-Cordón Caulle), y permiten elaborar metodologías específicas para analizar la peligrosidad de futuros eventos volcánicos

Cardiac rehabilitation activities during the COVID-19 pandemic in Italy. Position Paper of the AICPR (Italian Association of Clinical Cardiology, Prevention and Rehabilitation)

The COVID-19 outbreak is having a significant impact on both cardiac rehabilitation (CR) inpatient and outpatient healthcare organization. The variety of clinical and care scenarios we are observing in Italy depends on the region, the organization of local services and the hospital involved. Some hospital wards have been closed to make room to dedicated beds or to quarantine the exposed health personnel. In other cases, CR units have been converted or transformed into COVID-19 units. The present document aims at defining the state of the art of CR during COVID-19 pandemic, through the description of the clinical and management scenarios frequently observed during this period and the exploration of the future frontiers in the management of cardiac rehabilitation programs after the COVID-19 outbreak