Panorama del consumo de las producciones vegetales intensivas de alimentos saludables, "Proalim Km 0", en tiempos de pandemia por Covid-19

El consumo de frutas y hortalizas (FyH) resulta imprescindible para una alimentación sana y equilibrada, y fortalecer el sistema inmunológico, frente al SARS-CoV-2. Con el objetivo de brindar un panorama sobre los cambios producidos en los hábitos de consumo de las producciones vegetales intensivas de alimentos saludables, en la población de la Provincia de Buenos Aires (PBA), ante el contexto de pandemia, se efectuaron dos encuestas, respecto de su producción, agroindustria, comercialización y consumo. Las mismas se realizaron en el marco del proyecto CIAC-940186 (INTA?AUDEAS?CONADEV) utilizando la plataforma Google-form (en el período 9-12/2020),(n:449), correspondiendo 91% a PBA, (área-CeRBAS: 80% y CRBAN: 11%). Los resultados indican predisposición a: la huerta familiar (80%), producción de frutales(64%); elaboración de conservas (70%) y preferencia por los productos de estación(93,5%). Al 93% le parece importante conocer el origen de los productos consumidos y72% compraría productos agroecológicos. El 47% cambió su percepción sobre la procedencia de FyH consumidas. Si bien compran en verdulerías, 1/3 destacó preferirlas de quintas locales. Respecto de nuevos canales, 7% compra mediante redes sociales y/o páginas web. En harinas de hortalizas (categoría que el 40%desconocía), se destacaron: garbanzo (49%), lenteja (28%) y arveja (20%). En porciones de FyHp/día: 10% consume cinco porciones/día, mientras 88,4% lo percibe como adecuado. Dicha disociación y el desconocimiento de recomendaciones oficiales detectado, en contraste con otros resultados de las encuestas, indican el enorme desafío de concientización, por parte de las instituciones, sobre cuál debe ser el consumo adecuado y sus múltiples beneficios.Fil: Bellaccomo, C.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Berriolo, M. J.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Caracotche, M. V.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Castagnino, Ana Maria. Crescaa, Facultad de Agronomía, Azul, Uncpba, Argentina; ArgentinaFil: Cendón, M. L.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Diaz, Karina Elizabeth. Crescaa, Facultad de Agronomía, Azul, Uncpba, Argentina; ArgentinaFil: Fasciglione. G.. Universidad Nacional de Mar del Plata. Facultad de Ciencias Agrarias; ArgentinaFil: González Ferrín, M. S.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Mairosser, A.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Martinoia, G. I.. Crescaa, Facultad de Agronomía, Azul, Uncpba, Argentina; ArgentinaFil: Rogers, William John. Crescaa, Facultad de Agronomía, Azul, Uncpba, Argentina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnolológico Mar del Plata. Instituto de Investigaciones en Biodiversidad y Biotecnología. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: Rosini, M.B.. Crescaa, Facultad de Agronomía, Azul, Uncpba, Argentina; ArgentinaFil: Villagra C.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Yommi, A.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; ArgentinaFil: Zazzetta, M. L.. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur.; Argentina41º Congreso Argentino de HorticulturaLa PLataArgentinaASAH

Adherence to antibiotic treatment guidelines and outcomes in the hospitalized elderly with different types of pneumonia

Background: Few studies evaluated the clinical outcomes of Community Acquired Pneumonia (CAP), Hospital-Acquired Pneumonia (HAP) and Health Care-Associated Pneumonia (HCAP) in relation to the adherence of antibiotic treatment to the guidelines of the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS) in hospitalized elderly people (65 years or older). Methods: Data were obtained from REPOSI, a prospective registry held in 87 Italian internal medicine and geriatric wards. Patients with a diagnosis of pneumonia (ICD-9 480-487) or prescribed with an antibiotic for pneumonia as indication were selected. The empirical antibiotic regimen was defined to be adherent to guidelines if concordant with the treatment regimens recommended by IDSA/ATS for CAP, HAP, and HCAP. Outcomes were assessed by logistic regression models. Results: A diagnosis of pneumonia was made in 317 patients. Only 38.8% of them received an empirical antibiotic regimen that was adherent to guidelines. However, no significant association was found between adherence to guidelines and outcomes. Having HAP, older age, and higher CIRS severity index were the main factors associated with in-hospital mortality. Conclusions: The adherence to antibiotic treatment guidelines was poor, particularly for HAP and HCAP, suggesting the need for more adherence to the optimal management of antibiotics in the elderly with pneumonia

Higher levels of tumor necrosis factor β are associated with frailty in socially vulnerable community-dwelling older adults

Abstract Background The complex physiology underpinning the frailty syndrome is responsible for the absence of robust biomarkers that can be used for screening, diagnostic and/or prognostic purposes and has made clinical implementation difficult. Considering socially vulnerable populations, who have poor health status and increased morbidity and mortality, this scenario is even more complex. However, to the best of our knowledge, there are no studies available to investigate frailty biomarkers in socially vulnerable populations. Thus, the aim of this cross-sectional study was to identify potential blood-based biomarkers of frailty in a socially vulnerable population. Methods A sample consisting of 347 community-dwelling older people living in a context of high social vulnerability was divided into non-frail (robust), pre-frail and frail groups, according to modified Fried frailty phenotype criteria. Blood samples were collected and analyzed for basic metabolic parameters and for inflammatory cytokines. Results Levels of Interleukin-1α (IL-1α) and Tumor Necrosis Factor α (TNF-α) were significantly higher in pre-frail subjects, compared to non-frail ones. Tumor Necrosis Factor β (TNF-β) levels presented higher values in the frail compared to non-frail individuals. Interleukin-6 (IL-6) levels in pre-frail and frail subjects were significantly higher compared to the levels of non-frail subjects. Using an ordinal regression analysis, we observed that socially vulnerable older people at higher risk of developing frailty were subjects above 80 years old (OR: 2.5; 95% CI: 1.1–5.6) and who presented higher levels of TNF-β (≥0.81 pg/mL, OR: 2.53; 95% CI: 1.3–4.9). Conclusion As vulnerable populations continue to age, it is imperative to have a greater understanding of the frailty condition, identifying novel potential blood-based biomarkers. The results presented here could help to implement preventive healthcare strategies by evaluating frailty and at the same time measuring a set of inflammatory biomarkers, paying special attention to TNF-β plasmatic levels

Trends in Argentine consumption of local vegetables and fruits “Km 0”

La promoción de una alimentación adecuada que incluya una dieta rica en hortalizas y frutas (H y F), inocuas, de calidad y de origen conocido, es un aspecto fundamental para la salud de la población y representa un desafío para las instituciones. En tal sentido, y con el objetivo de estudiar el grado de conocimiento e importancia otorgada por los consumidores a las hortalizas y frutas locales y regionales (“Km 0”) y las Buenas Prácticas Agrícolas (BPA), se realizó la encuesta on line (formulario de Google) Realidad del consumo argentino de hortalizas “Km 0”, en el ámbito nacional argentino, en el marco de: proyecto interinstitucional “Producciones Vegetales Intensivas de Alimentos Saludables” (INTA-AUDEAS-CONADEV), como así también: programa de investigación y transferencia tecnológica “Cadena espárragos y otras hortalizas bajo un enfoque sistémico” FAA-UNCPBA, programa de Extensión “Hortalizas PRO Salud” (FAA y FCS-UNCPBA) y el Proyecto “Sistemas Agroalimentarios: Redes de valorización y diferenciación de alimentos en la construcción de territorios sustentables” (FCA-UNMdP). Los resultados evidencian, por un lado, el interés de la población argentina en conocer el origen de las H y F consumidas, y por otro, el desconocimiento en la categoría de productos actualmente denominados “Km 0”. En consecuencia, surge la necesidad de intensificar la difusión de BPA y de los beneficios del consumo de H y F.Fil: Castagnino, Ana Maria. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: Díaz, K. E.. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: Rogers, William John. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnolológico Mar del Plata. Instituto de Investigaciones en Biodiversidad y Biotecnología. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: Rosini, María Belén. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: González Ferrín, M. S.. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires Sur. Estación Experimental Agropecuaria Barrow; ArgentinaFil: Berriolo, M. J.. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires Sur. Estación Experimental Agropecuaria Barrow; ArgentinaFil: Zazzetta, Malvina Lis. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires Sur. Estación Experimental Agropecuaria Hilario Ascasubi; ArgentinaFil: Cendón, María Laura. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires Sur. Estación Experimental Agropecuaria Balcarce; ArgentinaFil: Fasciglione, Gabriela. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires Sur. Estación Experimental Agropecuaria Balcarce; ArgentinaFil: Yommi, Alejandra Karina. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires Sur. Estación Experimental Agropecuaria Balcarce; ArgentinaFil: Díaz, H.. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: García Franco, A.. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: Marina, J.. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; ArgentinaFil: Rubel, Irene Albertina. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía. Laboratorio de Biología Funcional y Biotecnología; Argentin

USING INTERNATIONAL COLLABORATIONS TO SHAPE RESEARCH AND INNOVATION INTO CARE HOMES IN BRAZIL: A WHITE PAPER

© 2020 The Author(s).The Brazilian care home sector is underdeveloped, and the limited available evidence suggests that care quality falls below international standards. Development of the Brazilian care home sector could be associated with better outcomes for those receiving care, and more efficient use of resources across health and social care. Research has an important role to play. This article summarises research priorities for Brazilian long-term care homes developed as part of an international workshop held in Brazil and the UK, and attended by 71 clinicians and researchers from 6 Brazilian Universities, supported by an international faculty of 8 Brazilian, 8 British, 2 Dutch and 1 Austrian academics. The research priorities identified were: understanding and supporting multidisciplinary working in care homes, with emphasis on describing availability of multidisciplinary teams and how they operate; dignity and sensitivity to cultural needs, with emphasis on collating accounts from Brazilian stakeholders about dignity in care and how it can be delivered; enriching the care home environment with art, music and gardens, with a focus on developing arts in the care home space in a way that is sensitive to Brazilian cultural identity; and benchmarking quality of care, with emphasis on exploring how international quality benchmarking tools can be adapted for use in Brazilian care homes, taking account of new initiatives to include person-centred outcomes as part of benchmarking. Instrumental to research in these priority areas will be establishing care home research capacity in Brazil.Peer reviewe

Sex-Differences in the Pattern of Comorbidities, Functional Independence, and Mortality in Elderly Inpatients: Evidence from the RePoSI Register.

BACKGROUND: The RePoSi study has provided data on comorbidities, polypharmacy, and sex dimorphism in hospitalised elderly patients. METHODS: We retrospectively analysed data collected from the 2010, 2012, 2014, and 2016 data sets of the RePoSi register. The aim of this study was to explore the sex-differences and to validate the multivariate model in the entire dataset with an expanded follow-up at 1 year. RESULTS: Among 4714 patients, 51% were women and 49% were men. The disease distribution showed that diabetes, coronary artery disease, chronic obstructive pulmonary disease, chronic kidney disease, and malignancy were more frequent in men but that hypertension, anaemia, osteoarthritis, depression, and diverticulitis disease were more common in women. Severity and comorbidity indexes according to the Cumulative Illness Rating Scale (CIRS-s and CIRS-c) were higher in men, while cognitive impairment, mood disorders, and disability in daily life measured by the Barthel Index (BI) were worse in women. In the multivariate analysis, BI, CIRS, and malignancy significantly increased the risk of death in men at the 1-year follow-up, while age was independently associated with mortality in women. CONCLUSIONS: Our study highlighted the relevance and the validity of our previous predictive model in the identification of sex dimorphism in hospitalised elderly patients underscoring the need of sex-personalised health-care