Transforming food systems: a gendered perspective on local agricultural innovation in Cuba

Compared to many countries, Cuba has made significant progress in advancing women's rights and gender equity; however, disparities remain. In the country's rural communities and agricultural sector, women continue to face barriers to equal participation and recognition for the value of their work. This case study shares the story of gender equity efforts that have been conducted within the framework of a broader development project—the Project to Strengthen a System of Innovation in Local Agricultural Development (PIAL, for its initials in Spanish). PIAL began in 2001 as a participatory plant-breeding initiative aimed at increasing the genetic diversity of key crops such as maize and beans. Over the course of two decades, the project's goals expanded to include an emphasis on increasing women's participation. In the beginning, those efforts focused on including women in the participatory plant-breeding activities, which enabled them to prioritize traits they cared about such as grain texture, cooking speed, and taste in the selection process. Over time, the participatory nature of the PIAL methodology empowered women to identify and pursue capacity-building in other areas of local agricultural innovation. While PPB remained central to PIAL, women also chose to pursue opportunities in seed bank management, leadership training, and small-scale farm-based entrepreneurship. The results of the PIAL work on gender have included not just more inclusive plant breeding, but also important economic improvements for rural women as they have been able to diversify their livelihoods, and social change as they have gained confidence and recognition as leaders in their households, communities, and beyond

Diferentes modos de vida, diferentes dietas. Caries e isótopos estables en dos poblaciones burgalesas medievales

Se comparan dos poblaciones burgalesas medievales con cementerios excavados en roca: Palacios de la Sierra (siglos IX-XIII), núcleo con economía basada principalmente en ganadería y explotación maderera en un entorno frío y montañoso, y Santa María de Tejuela (siglos VIII-XI), con economía fundamentalmente agrícola en una planicie y clima más cálido. La hipótesis del estudio es que deberían existir diferencias en su dieta. Se han analizado los isótopos estables de C y N de 101 individuos y la patología máxilo-dentaria de 79. Palacios de la Sierra, muestra una dieta con un elevado consumo de proteínas animales, superior al de Santa María de Tejuela, y menor patología dental en general. Las diferencias son estadísticamente significativas entre ambos sexos en Palacios, donde destaca un elevado consumo de proteínas animales y una menor tasa de patología dental entre las mujeres. Los resultados obtenidos están en consonancia con la hipótesis del estudio. ABSTRACT: This study compares two medieval villages in the province of Burgos (Northern Spain). The first one, Palacios de la Sierra, is a settlement with an economy based mainly on animal husbandry and logging, dating between the 9th and the 13th centuries CE. It is located in a mountainous area characterized by a cold climate. The second site, Santa María de Tejuela, dated between the 8th and the early 11th centuries CE, is located in a flat area, with a temperate climate and its economy is based mainly on agriculture and livestock breeding. The working hypothesis of the study is that there must have been differences in the diet of the two populations given their different way of life and environment. Stable isotopes of carbon and nitrogen as well as maxillo-dental pathology have been analyzed in a total of 101 adult individuals, in which sex and age have been estimated. In total, the sample of Palacios de la Sierra consists of 16 males and 13 females and that of Santa María de Tejuela consists of 44 males and 28 females. Palacios de la Sierra shows a diet based on C3 plants with high consumption of animal proteins, whereas in the diet of Santa María de Tejuela C4 plants were introduced and the protein values are considerably lower. As for dental pathology, differences have been found between the two sites, with the population of Palacios de la Sierra exhibiting lower rates. Regarding the possible differences by sex, these are marked in Palacios, where females have a diet with a higher protein intake than males, and a lower rate of dental pathology. In Santa María de Tejuela, on the other hand, there are no significant differences by sex in the isotopic values, and males have better dental health. The results obtained in Palacios, especially among females, are consistent with those of a diet based on a significant consumption of animal proteins, possibly dairy products, and even similar to those of medieval elites of Castile. As for the results of Santa María de Tejuela, they are similar to those of other medieval rural settlements in the region and clearly different from those of Palacios de la Sierra

Diferentes modos de vida, diferentes dietas. Caries e isótopos estables en dos poblaciones burgalesas medievales

Se comparan dos poblaciones burgalesas medievales con cementerios excavados en roca: Palacios de la Sierra (siglos IX-XIII), núcleo con economía basada principalmente en ganadería y explotación maderera en un entorno frío y montañoso, y Santa María de Tejuela (siglos VIII-XI), con economía fundamentalmente agrícola en una planicie y clima más cálido. La hipótesis del estudio es que deberían existir diferencias en su dieta. Se han analizado los isótopos estables de C y N de 101 individuos y la patología máxilo-dentaria de 79. Palacios de la Sierra, muestra una dieta con un elevado consumo de proteínas animales, superior al de Santa María de Tejuela, y menor patología dental en general. Las diferencias son estadísticamente significativas entre ambos sexos en Palacios, donde destaca un elevado consumo de proteínas animales y una menor tasa de patología dental entre las mujeres. Los resultados obtenidos están en consonancia con la hipótesis del estudioEste trabajo se ha llevado a cabo dentro del Proyecto “Salud y alimentación en poblaciones rurales de la España Medieval” (HAR2016-75788-P) financiado por el Gobierno de España

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Circulating microRNAs in sera correlate with soluble biomarkers of immune activation but do not predict mortality in ART treated individuals with HIV-1 infection: A case control study

Introduction: The use of anti-retroviral therapy (ART) has dramatically reduced HIV-1 associated morbidity and mortality. However, HIV-1 infected individuals have increased rates of morbidity and mortality compared to the non-HIV-1 infected population and this appears to be related to end-organ diseases collectively referred to as Serious Non-AIDS Events (SNAEs). Circulating miRNAs are reported as promising biomarkers for a number of human disease conditions including those that constitute SNAEs. Our study sought to investigate the potential of selected miRNAs in predicting mortality in HIV-1 infected ART treated individuals. Materials and Methods: A set of miRNAs was chosen based on published associations with human disease conditions that constitute SNAEs. This case: control study compared 126 cases (individuals who died whilst on therapy), and 247 matched controls (individuals who remained alive). Cases and controls were ART treated participants of two pivotal HIV-1 trials. The relative abundance of each miRNA in serum was measured, by RTqPCR. Associations with mortality (all-cause, cardiovascular and malignancy) were assessed by logistic regression analysis. Correlations between miRNAs and CD4+ T cell count, hs-CRP, IL-6 and D-dimer were also assessed. Results: None of the selected miRNAs was associated with all-cause, cardiovascular or malignancy mortality. The levels of three miRNAs (miRs -21, -122 and -200a) correlated with IL-6 while miR-21 also correlated with D-dimer. Additionally, the abundance of miRs -31, -150 and -223, correlated with baseline CD4+ T cell count while the same three miRNAs plus miR- 145 correlated with nadir CD4+ T cell count. Discussion: No associations with mortality were found with any circulating miRNA studied. These results cast doubt onto the effectiveness of circulating miRNA as early predictors of mortality or the major underlying diseases that contribute to mortality in participants treated for HIV-1 infection

Development and Validation of a Risk Score for Chronic Kidney Disease in HIV Infection Using Prospective Cohort Data from the D:A:D Study

Ristola M. on työryhmien DAD Study Grp ; Royal Free Hosp Clin Cohort ; INSIGHT Study Grp ; SMART Study Grp ; ESPRIT Study Grp jäsen.Background Chronic kidney disease (CKD) is a major health issue for HIV-positive individuals, associated with increased morbidity and mortality. Development and implementation of a risk score model for CKD would allow comparison of the risks and benefits of adding potentially nephrotoxic antiretrovirals to a treatment regimen and would identify those at greatest risk of CKD. The aims of this study were to develop a simple, externally validated, and widely applicable long-term risk score model for CKD in HIV-positive individuals that can guide decision making in clinical practice. Methods and Findings A total of 17,954 HIV-positive individuals from the Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) study with >= 3 estimated glomerular filtration rate (eGFR) values after 1 January 2004 were included. Baseline was defined as the first eGFR > 60 ml/min/1.73 m2 after 1 January 2004; individuals with exposure to tenofovir, atazanavir, atazanavir/ritonavir, lopinavir/ritonavir, other boosted protease inhibitors before baseline were excluded. CKD was defined as confirmed (>3 mo apart) eGFR In the D:A:D study, 641 individuals developed CKD during 103,185 person-years of follow-up (PYFU; incidence 6.2/1,000 PYFU, 95% CI 5.7-6.7; median follow-up 6.1 y, range 0.3-9.1 y). Older age, intravenous drug use, hepatitis C coinfection, lower baseline eGFR, female gender, lower CD4 count nadir, hypertension, diabetes, and cardiovascular disease (CVD) predicted CKD. The adjusted incidence rate ratios of these nine categorical variables were scaled and summed to create the risk score. The median risk score at baseline was -2 (interquartile range -4 to 2). There was a 1: 393 chance of developing CKD in the next 5 y in the low risk group (risk score = 5, 505 events), respectively. Number needed to harm (NNTH) at 5 y when starting unboosted atazanavir or lopinavir/ritonavir among those with a low risk score was 1,702 (95% CI 1,166-3,367); NNTH was 202 (95% CI 159-278) and 21 (95% CI 19-23), respectively, for those with a medium and high risk score. NNTH was 739 (95% CI 506-1462), 88 (95% CI 69-121), and 9 (95% CI 8-10) for those with a low, medium, and high risk score, respectively, starting tenofovir, atazanavir/ritonavir, or another boosted protease inhibitor. The Royal Free Hospital Clinic Cohort included 2,548 individuals, of whom 94 individuals developed CKD (3.7%) during 18,376 PYFU (median follow-up 7.4 y, range 0.3-12.7 y). Of 2,013 individuals included from the SMART/ESPRIT control arms, 32 individuals developed CKD (1.6%) during 8,452 PYFU (median follow-up 4.1 y, range 0.6-8.1 y). External validation showed that the risk score predicted well in these cohorts. Limitations of this study included limited data on race and no information on proteinuria. Conclusions Both traditional and HIV-related risk factors were predictive of CKD. These factors were used to develop a risk score for CKD in HIV infection, externally validated, that has direct clinical relevance for patients and clinicians to weigh the benefits of certain antiretrovirals against the risk of CKD and to identify those at greatest risk of CKD.Peer reviewe

Criterios campesinos para la selección de maíz (Zea mays L.) en Villaflores y Villa Corzo, Chiapas, México

The maize production in Chiapas implies the decision to grow local or hybrid maize. The latter present higher yields characteristics, but demand more inputs, particularly those related to soil degradation, water pollution, genetic diversity and knowledge losses over local maize varieties. The objective of this research was to identify the criteria used by small maize farmers in the election of seed for sowing in the Villaflores and Villa Corzo municipalities (Chiapas). The data were gathered through semi-structured interviews with farmers’ participating in the ASERCA program and analyzed by percentages and frequencies. The hybrid maize is the most preferred variety by the small farmers in both municipalities, although some still prefer local maize (native) or bet on the cultivation of both due to use and customs reasons. The selectionof hybrid maizeseeds in both municipalities is based mainly on better yield characteristics, although in Villa Corzo, the selection of local varieties is due to their better resistance against pests and diseases. Additional criteria used to select the local seeds were: better lodging resistance, better moisture resistance, lower plant height, less seed rot and better drought tolerance. In local maize varieties, seed yield was considered an important factor in both municipalities, but a greater resistance against pests and diseases was only considered in Villa Corzo. The highest sale price was not an important consideration in neither of the two municipalities. Other criteria used to select the local seeds were better drought tolerance, seed lower cost, greater ear size, personal interest in conserving the local resource, better flavor and the possibility for the rotation of local varieties. The six wished characteristics of local maize varieties to be improved were: a lower plant height, a better yield, a better resistance to humidity and lodging, a greater grain weight, and a bigger size  of  ears  and  grains.La producción de maíz en Chiapas implica la decisión de cultivar maíces locales o híbridos. Estos últimos, tienen rendimientos más altos, pero requieren mayor cantidad de insumos, asociados con la degradación de suelos, contaminación del agua, pérdida de diversidad genética y del conocimiento sobre las variedades locales. El objetivo de esta investigación fue identificar los criterios que usan los pequeños productores, en la selección del material genético, para la siembra de maíz en los municipios de Villaflores y Villa Corzo, Chiapas. Se realizaron entrevistas semi-estructuradas a productores participantes del programa ASERCA. El maíz híbrido presentó mayor preferencia en ambos municipios, aunque algunos productores prefirieron los maíces locales o cultivaron ambos, por razones de usos y costumbres. La selección de maíces híbridos en los dos municipios se hizo principalmente con base en el rendimiento, seguido de la mayor resistencia a plagas y enfermedades. Otros criterios empleados para elegir semillas híbridas fueron: mayor resistencia al acame, mayor resistencia a la humedad, menor altura a la planta, menor pudrición de semillas y mayor tolerancia a la sequía. En maíces locales, el rendimiento fue un parámetro de importancia en ambos municipios, pero la mayor resistencia a plagas y enfermedades fue solo considerada en Villa Corzo. Y el mejor precio de venta del grano no se consideró en ninguno de los dos municipios. Otros criterios empleados para seleccionar las semillas locales fueron: mayor tolerancia a la sequía, menor costo de la semilla, mayor tamaño de la mazorca, interés por conservar dicho material, mejor sabor y permitir la rotación de variedades locales. Las seis características deseables a mejorar en el maíz local fueron: una menor altura de planta, un mayor rendimiento, una mayor resistencia a la humedad y al acame, un mayor peso del grano, un mayor tamaño  de  mazorca  y  de granos

The ABO blood group locus and a chromosome 3 gene cluster associate with SARS-CoV-2 respiratory failure in an Italian-Spanish genome-wide association analysis

[Background] Respiratory failure is a key feature of severe Covid-19 and a critical driver of mortality, but for reasons poorly defined affects less than 10% of SARS-CoV-2 infected patients.[Methods] We included 1,980 patients with Covid-19 respiratory failure at seven centers in the Italian and Spanish epicenters of the SARS-CoV-2 pandemic in Europe (Milan, Monza, Madrid, San Sebastian and Barcelona) for a genome-wide association analysis. After quality control and exclusion of population outliers, 835 patients and 1,255 population-derived controls from Italy, and 775 patients and 950 controls from Spain were included in the final analysis. In total we analyzed 8,582,968 single-nucleotide polymorphisms (SNPs) and conducted a metaanalysis of both case-control panels.[Results] We detected cross-replicating associations with rs11385942 at chromosome 3p21.31 and rs657152 at 9q34, which were genome-wide significant (P<5×10-8) in the meta-analysis of both study panels, odds ratio [OR], 1.77; 95% confidence interval [CI], 1.48 to 2.11; P=1.14×10-10 and OR 1.32 (95% CI, 1.20 to 1.47; P=4.95×10-8), respectively. Among six genes at 3p21.31, SLC6A20 encodes a known interaction partner with angiotensin converting enzyme 2 (ACE2). The association signal at 9q34 was located at the ABO blood group locus and a blood-group-specific analysis showed higher risk for A-positive individuals (OR=1.45, 95% CI, 1.20 to 1.75, P=1.48×10-4) and a protective effect for blood group O (OR=0.65, 95% CI, 0.53 to 0.79, P=1.06×10-5).[Conclusions] We herein report the first robust genetic susceptibility loci for the development of respiratory failure in Covid-19. Identified variants may help guide targeted exploration of severe Covid19 pathophysiology.The IKMB's core facilities received infrastructure support by the Deutsche Forschungsgemeinschaft (DFG) Cluster of Excellence "Precision Medicine in Chronic Inflammation" (PMI, EXC2167). The project also received support through a philanthropic donation by Stein Erik Hagen and Canica AS. L.V. was funded by the Fondazione IRCCS Ca’ Granda «COVID-19 Biobank» research grant. This work was also supported by the Ministero dell’Istruzione, dell’Università e della Ricerca – MIUR project "Dipartimenti di Eccellenza 2018 – 2022" (n° D15D18000410001) to the Department of Medical Sciences, University of Torino. The IKMB authors received financial support from the UKSH Foundation "Gutes Tun!" (special thanks to Alexander Eck, Jenspeter Horst and Jens Scholz) and the German Federal Ministry of Education and Research (BMBF; grant ID 01KI20197). HLA-Typing was performed and supported by the Stefan-MorschStiftung. M.A.H was supported by the Spanish Ministry of Science and Innovation ‘JdC fellowship IJC2018-035131-I.N

Avances de la Investigación en Ingeniería

El texto está conformado por 31 capítulos, agrupados en 5 grandes áreas temáticas. En la primera parte se encuentran los trabajos relacionados con el tema de los Recursos Hidráulicos; en la segunda parte se tratan temas relacionados con la Planificación y Gestión del Territorio; la tercera parte está relacionada con el Manejo Integral de los Recursos Agua, Aire y Suelo; la cuarta parte incluye la Investigación Aplicada a la Ingeniería de Sistemas, y la última parte comprende la Investigación Aplicada a la Ingeniería Civil