Un yacimiento de cazadores-recolectores marinos en la terraza litoral de Bajo Patache, sur de Iquique

El presente artículo presenta los nuevos e importantes descubrimientos en la terraza litoral al pie del oasis de niebla, a partir de Noviembre de 2003, que junto a estudios anteriores conforman un cuadro general bastante completo de los patrones de asentamiento, modus vivendi, costumbres y actividades económicas de los antiguos pobladores costeros del norte de Chile, que reafirman la enorme importancia que adquirió el ecosistema de oasis de niebla costero en el género de vida, tipos de asentamiento y desplazamientos de los cazadores-recolectores marinos del litoral norte.Cet article présente les nouvelles et importantes découvertes dans la terrasse littorale se trouvant au pied de l’oasis de brume, à partir de Novembre 2003, lesquelles, associées à des études antérieures, conforment un cadre général très complet de patrons d’établissement, modus vivendi, d’habitudes et d’activités économiques des anciens habitants de la côte dans le nord du Chili, ce qui renforce l’importance de l’écosystème de l’oasis de brume côtier quant à la connaissance du mode de vie, de types d’établissement et de déplacements des chasseurs-cueilleurs marins du littoral du nord.This paper presents important new findings on the terrace at the foot of coastal mist oases, from November 2003, which together with previous studies form a fairly complete picture of settlement patterns, modus vivendi, customs and economic activities of the ancient inhabitants of northern coastal Chile, to reaffirm the great importance that acquired the ecosystem of coastal mist oases in the way of life, types of settlement and displacement of hunter-gatherers of the north coast marine

Un yacimiento de cazadores-recolectores marinos en la terraza litoral de Bajo Patache, sur de Iquique

El presente artículo presenta los nuevos e importantes descubrimientos en la terraza litoral al pie del oasis de niebla, a partir de Noviembre de 2003, que junto a estudios anteriores conforman un cuadro general bastante completo de los patrones de asentamiento, modus vivendi, costumbres y actividades económicas de los antiguos pobladores costeros del norte de Chile, que reafirman la enorme importancia que adquirió el ecosistema de oasis de niebla costero en el género de vida, tipos de asentamiento y desplazamientos de los cazadores-recolectores marinos del litoral norte.Cet article présente les nouvelles et importantes découvertes dans la terrasse littorale se trouvant au pied de l’oasis de brume, à partir de Novembre 2003, lesquelles, associées à des études antérieures, conforment un cadre général très complet de patrons d’établissement, modus vivendi, d’habitudes et d’activités économiques des anciens habitants de la côte dans le nord du Chili, ce qui renforce l’importance de l’écosystème de l’oasis de brume côtier quant à la connaissance du mode de vie, de types d’établissement et de déplacements des chasseurs-cueilleurs marins du littoral du nord.This paper presents important new findings on the terrace at the foot of coastal mist oases, from November 2003, which together with previous studies form a fairly complete picture of settlement patterns, modus vivendi, customs and economic activities of the ancient inhabitants of northern coastal Chile, to reaffirm the great importance that acquired the ecosystem of coastal mist oases in the way of life, types of settlement and displacement of hunter-gatherers of the north coast marine

Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment

Background High blood pressure, blood glucose, serum cholesterol, and BMI are risk factors for cardiovascular diseases and some of these factors also increase the risk of chronic kidney disease and diabetes. We estimated mortality from cardiovascular diseases, chronic kidney disease, and diabetes that was attributable to these four cardiometabolic risk factors for all countries and regions from 1980 to 2010. Methods We used data for exposure to risk factors by country, age group, and sex from pooled analyses of populationbased health surveys. We obtained relative risks for the eff ects of risk factors on cause-specifi c mortality from metaanalyses of large prospective studies. We calculated the population attributable fractions for- each risk factor alone, and for the combination of all risk factors, accounting for multicausality and for mediation of the eff ects of BMI by the other three risks. We calculated attributable deaths by multiplying the cause-specifi c population attributable fractions by the number of disease-specifi c deaths. We obtained cause-specifi c mortality from the Global Burden of Diseases, Injuries, and Risk Factors 2010 Study. We propagated the uncertainties of all the inputs to the fi nal estimates. Findings In 2010, high blood pressure was the leading risk factor for deaths due to cardiovascular diseases, chronic kidney disease, and diabetes in every region, causing more than 40% of worldwide deaths from these diseases; high BMI and glucose were each responsible for about 15% of deaths, and high cholesterol for more than 10%. After accounting for multicausality, 63% (10\ub78 million deaths, 95% CI 10\ub71\u201311\ub75) of deaths from these diseases in 2010 were attributable to the combined eff ect of these four metabolic risk factors, compared with 67% (7\ub71 million deaths, 6\ub76\u20137\ub76) in 1980. The mortality burden of high BMI and glucose nearly doubled from 1980 to 2010. At the country level, age-standardised death rates from these diseases attributable to the combined eff ects of these four risk factors surpassed 925 deaths per 100 000 for men in Belarus, Kazakhstan, and Mongolia, but were less than 130 deaths per 100 000 for women and less than 200 for men in some high-income countries including Australia, Canada, France, Japan, the Netherlands, Singapore, South Korea, and Spain. Interpretation The salient features of the cardiometabolic disease and risk factor epidemic at the beginning of the 21st century are high blood pressure and an increasing eff ect of obesity and diabetes. The mortality burden of cardiometabolic risk factors has shifted from high-income to low-income and middle-income countries. Lowering cardiometabolic risks through dietary, behavioural, and pharmacological interventions should be a part of the globalresponse to non-communicable diseases

Mortality of emergency abdominal surgery in high-, middle- and low-income countries

Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression. Results: Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1⋅6 per cent at 24 h (high 1⋅1 per cent, middle 1⋅9 per cent, low 3⋅4 per cent; P < 0⋅001), increasing to 5⋅4 per cent by 30 days (high 4⋅5 per cent, middle 6⋅0 per cent, low 8⋅6 per cent; P < 0⋅001). Of the 578 patients who died, 404 (69⋅9 per cent) did so between 24 h and 30 days following surgery (high 74⋅2 per cent, middle 68⋅8 per cent, low 60⋅5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2⋅78, 95 per cent c.i. 1⋅84 to 4⋅20) and low-income (OR 2⋅97, 1⋅84 to 4⋅81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days. Conclusion: Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov)

Oryza: El nuevo aceite de los Nicaraguenses

Seminario Desarrollo de Emprendedores. 2011. Carrera Administración de Empresas. Docente Lic. Rivera, Marlon.Empresa dedicada a la fabricación de aceite a base de salvado de arroz, el cual rinde tres veces más que los aceites convencionales y su sabor proporciona un color y textura ideal a los alimentos fritos. El producto es puesto a la venta en diferentes presentaciones, con variedad de tamaño de envase y precio. La empresa pretende satisfacer las necesidades de las amas de casa de Nicaragua por medio de la calidad nutricional que contiene este producto; por tal razón, el producto va dirigido a la población de clase media baja. A largo plazo, la empresa espera expandir su campo de consumidores a nivel internacional, por lo que planean exportarlo fuera del país