Fortalecimiento del manejo y conservación de corales en Áreas Naturales Protegidas del Pacífico mexicano mediante una red colaborativa

Most of the coral communities of the Mexican Pacific Ocean are located in Natural Protected Areas (NPAs); nevertheless, they are in risk for climatic and anthropogenic threats. In order to promote the conservation of coral reefs in the Mexican Pacific Ocean, one has formed the Coral Conservation Network of the Mexican Pacific. The efforts of collaboration have focused on four principal axes a) strengthening of the management in NPAs, b) training and diffusion of good tourism practices, c) evaluation of the state of conservation of the coral reefs, and d) environmental sensitization. There has been achieved the publication and diffusion of the State of Conservation of the Corals of the Mexican Pacific, in which there are estimated the indicators of coral coverage, abundance and biomass of fish, abundance of invertebrates, and the calculation of the Integrated Index of Reef Health. These indicators reflect the management implemented in the ANPs, participants of these analyses; the utility of standardized protocols that allow comparisons in the time and between NPAs, as well as the need to carry out the monitoring, adapted to the region, and coherent with the capacities of the actors on each ANP. On the other hand, sensitization has been carried out on the importance and the threats towards the corals to persons of different sectors across campaigns of environmental sensitization that reached 5,000 students, as well as the distribution of 12,000 guides of the identification of species and good tourism practices in NPAs. These efforts have been important, nevertheless the creation and permanence of the Coral Conservation Network of the Mexican Pacific Ocean has been perhaps the most impactful achievement on management and conservation in the Region.La mayoría de las comunidades coralinas del Pacífico mexicano están ubicadas en Áreas Naturales Protegidas (ANPs); sin embargo, están en riesgo por amenazas climáticas y antropogénicas. Con el fin de promover la conservación de arrecifes de coral en el Pacífico mexicano, se ha formado la Red de Conservación de los Corales del Pacífico mexicano. Los esfuerzos de colaboración se han enfocado en cuatro ejes principales a) fortalecimiento del manejo de ANPs, b) capacitación y difusión de buenas prácticas turísticas, c) evaluación del estado de conservación de los sistemas arrecifales, y d) sensibilización ambiental. Se ha logrado la publicación y difusión del Estado de Conservación de los Corales del Pacífico mexicano, en el cual se estiman los indicadores de cobertura de coral, abundancia y biomasa de peces, abundancia de invertebrados y el cálculo del Índice Integrado de Salud Arrecifal. Estos indicadores reflejan las medidas de manejo en las ANPs que participaron, la utilidad de protocolos estandarizados que permiten realizar comparaciones en el tiempo y entre ANPs, así como la necesidad de llevar a cabo los monitoreos de forma adaptada a la región y congruente con las capacidades de los actores en cada ANP. Por otro lado, también se ha llevado a cabo la sensibilización sobre la importancia y las amenazas hacia los corales a personas de diferentes sectores, a través de campañas de sensibilización ambiental que han alcanzado 5,000 estudiantes, así como de la distribución de 12,000 guías de identificación de especies y buenas prácticas turísticas en ANPs. Estos esfuerzos han sido importantes, sin embargo la creación y permanencia de la Red de Conservación de los Corales del Pacífico mexicano ha sido quizás el mayor logro de manejo y conservación en la Región

Incidencia de los proyectos de Vinculación con la Sociedad de la Universidad Politécnica Salesiana. Vol 2

Con este mismo título, en diciembre de 2021, apareció el primer volumen de este trabajo. La intención fue sistematizar algunos proyectos de vinculación que habían logrado impactos sociales en términos cualitativos y de innovación educativa. En esa oportunidad se presentó una obra con diez capítulos de reflexión, sistematización, análisis y descripción de la trascendental importancia que implica, para la UPS, la vinculación con la sociedad. Ahora, al cumplir la UPS 28 años de vida institucional, presentamos este segundo volumen, que recoge en 14 capítulos el trabajo de 3 docentes, administrativos, estudiantes e investigadores invitados de distintos campos científicos. Es la continuación de la sistematización de los proyectos de vinculación emblemáticos que se han desarrollado en las sedes de Cuenca, Quito y Guayaquil de la universidad. EN cada uno de ellos se podrá encontrar el esfuerzo que la UPS ha desarrollado en estos 28 años, desde su fundación, para conseguir transformaciones sociales. Fiel a su misión y visión institucional, ha desplegado un arduo trabajo en el capo científico, tecnológico y cultural, dándose a conocer como una institución de excelencia académica, producción científica, responsabilidad social y capacidad de incidir en el desarrollo de la sociedad ecuatorian

Una década en movimiento. Luchas populares en América Latina en el amanecer del siglo XXI

La primera década del siglo XXI en nuestra América Latina ha estado marcada por la emergencia y la trascendencia de las luchas sociales y los movimientos populares. Se trata, sin lugar a dudas, de una década en movimiento para los sectores populares. Por un lado, por la generalización de la protesta social, la emergencia y reactivación de movimientos sociales que expresan y nutren la crisis del neoliberalismo y amplían el horizonte democrático en la región. Por el otro, porque, a diferencia de la década anterior, la emergencia de gobiernos reformistas en varios países plantea para las organizaciones sociales nuevos desafíos y nuevos horizontes de acción. Las vinculaciones entre lo social y lo político, entre la autonomía y la integración al gobierno, entre la lucha institucional y extrainstitucional, son objetos de intensos debates que atraviesan al conjunto de las organizaciones populares y se prolongan en las ciencias sociales. Así mismo, asociado a estos cambios en las orientaciones políticas de algunos gobiernos, emergen procesos de movilización social con características regresivas, tintes derechistas y anhelos restauradores. Este libro compila un conjunto de avances de investigación y ensayos que grafican la riqueza de esta década en movimiento en América Latina.Introducción Massimo Modonesi y Julián Rebón (9) Una década en disputa. Apuntes sobre las luchas sociales en la Argentina Gustavo Antón, Jorge Cresto, Julián Rebón y Rodrigo Salgado (19) La Nueva Guerra de Arauco: la Coordinadora Arauco-Malleco y los nuevos movimientos de resistencia mapuche en el Chile de la Concertación (1997-2009) Fernando Pairicán Padilla y Rolando Álvarez Vallejos (45) Fragmentación, reflujo y desconcierto. Movimientos sociales y cambio político en el Ecuador (2000-2010) Franklin Ramírez Gallegos (69) Movimientos populares y luchas sociales en Uruguay Carlos Moreira (107) Una década de movimientos sociales en Bolivia Patricia Chávez León, Dunia Mokrani Chávez y Pilar Uriona Crespo (125) Brasil: o movimento sindical e popular na década de dois mil Andréia Galvão, Armando Boito y Paula Marcelino (153) Lucha hegemónica, democracia y autoritarismo en el Socialismo del siglo XXI Marco Antonio Ponce (183) Paraguay: nuevo escenario para viejos conflictos Quintín Riquelme (203) México 2000-2009: una década de resistencia popular Massimo Modonesi, Lucio Oliver, Fernando Munguía Galeana y Mariana López de la Vega (225) Guatemala: una década de transición Simona Yagenova y Rodrigo J. Véliz (255) Las disputas por los sentidos de lo político en Costa Rica: hacia un balance de las luchas populares de la presente década Sindy Mora Solano (275) El Salvador en su lucha por reconstruir la organicidad política popular (1999-2009) Robinson Salazar Pérez y Rudis Yilmar Flores Hernández (297) Síntesis curriculares de los compiladores (317

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society