Aprendizaje Servicio e Innovación Social desde la Universidad

El Aprendizaje Servicio es una estrategia docente necesaria para el desarrollo de iniciativas de emprendimiento e innovación social, que partan desde la Universidad, y que se puedan incorporar en las diferentes áreas de conocimiento de la UC

Amongst tests and masks: Perception about the restart of digestive endoscopy during COVID-19

COVID-19 ha generado una pausa en la endoscopia electiva, retrasando el diagnóstico de múltiples patologías. Existen varias propuestas para reiniciar las actividades que incluyen el tamizaje por COVID-19 y un reinicio escalonado.Introducción: COVID-19 ha generado una pausa en la endoscopia electiva, retrasando el diagnóstico de múltiples patologías. Existen varias propuestas para reiniciar las actividades que incluyen el tamizaje por COVID-19 y un reinicio escalonado. Objetivo: Conocer la percepción general de los endoscopistas respecto al reinicio de procedimientos electivos, y la influencia que genera la disponibilidad de equipo de protección personal (EPP) y tamizaje. Metodología: Se encuestan endoscopistas expertos con preguntas enfocadas a la endoscopia durante la pandemia, así como de disponibilidad de EPP y del uso de pruebas de tamizaje de SARS-CoV-2. La encuesta fue distribuida vía e-mail, mensajería instantánea y por contacto directo a distintas sociedades de endoscopia, obteniendo respuesta completa de 168 médicos. Resultados: 88% de los encuestados no practican tamizaje por COVID-19 sin embargo un 70% considera apropiada esta práctica. El 80% afirma contar con EPP adecuado. El 94% de los médicos afirma que deben reiniciarse los procedimientos lo antes posible. Conclusiones: Los endoscopistas latinoamericanos con mayor disponibilidad de EPP, así como la implementación de tamizaje de SARS-CoV-2, presentaron mayor disposición a reiniciar las endoscopias electivas.Introduction: COVID-19 has paused elective procedures and delayed the diagnosis of multiple pathologies. Different proposals have been recommended for restarting elective procedures, including screening tests and a gradual restart. ­ Objective: To know the perception of Latin American endoscopists regarding the restart of elective procedures, and how the availability of personal protection equipment (PPE) and prior testing may influence this perception. Methods: A web-based survey was developed by endoscopy experts, based in the development of endoscopy, availability of PPE and screening tests, which was distributed via e-mail, social media and direct contact by one author to several societies. Full response was obtained from 168 endoscopists during May 2020. Results: 88% of surveyed endoscopists don’t screen for COVID-19 prior to endoscopy, however, 70% consider this appropriate. 80% affirm having PPE. 94% believe that endoscopic practice must be restarted as soon as possible. Conclusions: Latin American endoscopists with greater amount of PPE and prior testing for SARS-CoV-2 were more willing to restart elective procedures than those in limited scenarios.UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias de la Salud::Instituto de Investigaciones en Salud (INISA)UCR::Vicerrectoría de Docencia::Salud::Facultad de Medicina::Escuela de NutriciónUCR::Vicerrectoría de Docencia::Salud::Facultad de Medicina::Escuela de Medicin

Realidades interculturales, miradas hacia el género y la educación

Este texto contribuye al análisis científico de varias áreas del conocimiento como la filosofía social, la patología, la educación para el cuidado del medio ambiente y la sustentabilidad que inciden en diversas unidades de aprendizaje de la Licenciatura en Educación para la Salud y de la Maestría en Sociología de la SaludLa presente obra, es la reunión de varias investigaciones que se han dado cita para construir un libro que representa el horizonte de autores y lectores en la pasión del dialogo. Se trata de experiencias de los observadores e interpretes de la realidad de los observadores e interpretes de la realidad social quienes se aventuraron a reunir las voces de los informantes que resguardan los secretos de sus comunidades acerca de su cultura, organización simbólica, y de sus practicas y rituales engarzados en la vida cotidiana

REALIDADES INTERCULTURALES

EL LIBRO FOMENTA LA LÍNEA DE INVESTIGACIÓN DEL CUERPO ACADÉMICO DE GÉNERO, SUSTENTABILIDAD, EDUCACIÓN Y SALUDSE RETOMAN EXPERIENCIAS DE LOS INTERPRETES DE LA REALIDAD SOCIAL QUIENES GUARDAN LOS SECRETOS DE SUS COMUNIDADES ACERCA DE LA CULTURA, ORGANIZACIÓN SIMBÓLICA DE LA VIDA COTIDIANANINGUNO ES PERSONA

Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial

Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049

Uncovering the Cultivable Microbial Diversity of Costa Rican Beetles and Its Ability to Break Down Plant Cell Wall Components

Coleopterans are the most diverse insect order described to date. These organisms have acquired an array of survival mechanisms through their evolution, including highly efficient digestive systems. Therefore, the coleopteran intestinal microbiota constitutes an important source of novel plant cell wall-degrading enzymes with potential biotechnological applications. We isolated and described the cultivable fungi, actinomycetes and aerobic eubacteria associated with the gut of larvae and adults from six different beetle families colonizing decomposing logs in protected Costa Rican ecosystems. We obtained 611 isolates and performed phylogenetic analyses using the ITS region (fungi) and 16S rDNA (bacteria). The majority of fungal isolates belonged to the order Hypocreales (26% of 169 total), while the majority of actinomycetes belonged to the genus Streptomyces (86% of 241 total). Finally, we isolated 201 bacteria spanning 19 different families belonging into four phyla: Firmicutes, α, β and γ-proteobacteria. Subsequently, we focused on microbes isolated from Passalid beetles to test their ability to degrade plant cell wall polymers. Highest scores in these assays were achieved by a fungal isolate (Anthostomella sp.), two Streptomyces and one Bacillus bacterial isolates. Our study demonstrates that Costa Rican beetles harbor several types of cultivable microbes, some of which may be involved in symbiotic relationships that enable the insect to digest complex polymers such as lignocellulose.UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Básicas::Centro de Investigación en Estructuras Microscópicas (CIEMIC)UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Básicas::Centro de Investigaciones en Productos Naturales (CIPRONA)UCR::Vicerrectoría de Docencia::Salud::Facultad de Medicina::Escuela de Medicin

Uncovering the Cultivable Microbial Diversity of Costa Rican Beetles and Its Ability to Break Down Plant Cell Wall Components

<div><p>Coleopterans are the most diverse insect order described to date. These organisms have acquired an array of survival mechanisms through their evolution, including highly efficient digestive systems. Therefore, the coleopteran intestinal microbiota constitutes an important source of novel plant cell wall-degrading enzymes with potential biotechnological applications. We isolated and described the cultivable fungi, actinomycetes and aerobic eubacteria associated with the gut of larvae and adults from six different beetle families colonizing decomposing logs in protected Costa Rican ecosystems. We obtained 611 isolates and performed phylogenetic analyses using the ITS region (fungi) and 16S rDNA (bacteria). The majority of fungal isolates belonged to the order Hypocreales (26% of 169 total), while the majority of actinomycetes belonged to the genus <i>Streptomyces</i> (86% of 241 total). Finally, we isolated 201 bacteria spanning 19 different families belonging into four phyla: Firmicutes, α, β and γ-proteobacteria. Subsequently, we focused on microbes isolated from Passalid beetles to test their ability to degrade plant cell wall polymers. Highest scores in these assays were achieved by a fungal isolate (<i>Anthostomella</i> sp.), two <i>Streptomyces</i> and one <i>Bacillus</i> bacterial isolates. Our study demonstrates that Costa Rican beetles harbor several types of cultivable microbes, some of which may be involved in symbiotic relationships that enable the insect to digest complex polymers such as lignocellulose.</p></div

Distribution of enzymatic activities of microbial isolates.

a<p>Lignin peroxidase activity in MEA-RBBR.</p>b<p>Cellulase activity in CMC agar.</p>c<p>Laccase activity on ABTS test.</p>d<p>Glucanase activity.</p>e<p>Xylanase activity.</p>f<p>Cellobiase activity.</p><p>*Taxonomic identification was not possible with the molecular markers available.</p><p>Distribution of enzymatic activities of microbial isolates.</p

Pattern of enzymatic degradation of plant cell wall components for the fungal and bacterial isolates obtained from Passalid beetles.

<p>Heat map of the enzymatic activity of fungi, eubacteria and actinomycetes by sample type (blue represents the lower activity whereas red represents higher activity on the assay). Numbers correspond to sample number. RBBR: Lignin peroxidase activity in MEA-RBBR. CMC: Cellulase activity in CMC agar. LAC: Laccase activity on ABTS test. G: Glucanase activity. X: Xylanase activity. C: Cellobiase activity.</p

Bayesian phylogenetic tree of the ITS region sequences of fungi isolated from the gut of Costa Rican beetles.

<p>Numbers above branches represent their Bayesian-calculated posterior probabilities (two million generations, chain temperature  = 0.2, standard deviation <0.02). Numbers between brackets represent the number of isolates that shared the same sequence. Compress branches are colored in green. Red diamonds indicates positive cellulolytic activity.</p