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

Current Loss-Of-Function Mutations in The Thyrotropin Receptor Gene: When to Investigate, Clinical Effects, and Treatment.

Background: TSHR LOF mutations lead to a wide spectrum of phenotypes, ranging from severe congenital hypothyroidism to mild euthyroid hyperthyrotropinemia. The degree of TSH resistance depends on the severity of the impairment of the receptor function caused by the mutation and on the number of mutated alleles. Objective: In this review, data regarding genotype-phenotype correlation and criteria for clinical work-up will be presented and discussed. Results: Complete TSH resistance due to biallelic LOF TSHR mutations must be suspected in all patients with severe non-syndromic CH and severe thyroid hypoplasia diagnosed at birth by neonatal screening. Partial forms of TSH resistance show a more heterogeneous hormonal and clinical pattern. In these cases, TSH serum levels are above the upper limit of normal range for age but show a very variable pattern, fT4 concentrations are within the normal range and thyroid size can be normal or hypoplastic at US scan. An early substitution treatment with L-thyroxine (L-T4) should be mandatory in all patients with severe CH due to complete uncompensated TSH resistance diagnosed at birth by neonatal screening. The usefulness of substitution treatment appears to be much more controversial in patients with subclinical hypothyroidism due to partial TSH resistance in whom the increased TSH concentration should be able to compensate the mild functional impairment of the mutant receptor. Conclusions: Together with standard criteria, we recommend also an accurate clinical work-up to select patients who are candidates for a LOF TSHR mutation testin

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

Tendencias del consumo argentino de hortalizas y frutas locales “Km 0” = Trends in Argentine consumption of local vegetables and fruits

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.The promotion of an adequate diet that includes a diet rich in vegetables and fruits (H and F), safe, of quality and of known origin, is a fundamental aspect for the health of the population and represents a challenge for institutions. In this sense, and with the aim of studying the degree of knowledge and importance given by consumers to local and regional vegetables and fruits ("Km 0") and Good Agricultural Practices (GAP), an on line survey was carried out ( Google form) Reality of the Argentine consumption of vegetables "Km 0", in the Argentine national scope, within the framework of the inter-institutional project "Intensive Vegetable Production of Healthy Foods" (INTA-AUDEAS-CONADEV), as well as the research and technology transfer program "Chain asparagus and other vegetables under a systemic approach" FAA-UNCPBA, Extension program "Vegetables PRO Health " (FAA and FCS-UNCPBA) and the Project "Agri-food Systems: Networks for valorization and differentiation of food in the construction of sustainable territories" (FCA-UNMdP). The results show, on the one hand, the interest of the Argentine population in knowing the origin of the H and F consumed, and on the other, the lack of knowledge in the category of products currently called "Km 0". Consequently, the need arises to intensify the dissemination of GPA and the benefits of H and F consumption.EEA BarrowFil: Castagnino, Ana M. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; Argentina.Fil: Díaz, K. E. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; Argentina.Fil: Rogers, W. J. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; Argentina.Fil: González Ferrín, María Soledad. Instituto Nacional de Tecnología Agropecuaria (INTA). Chacra Experimental Integrada Barrow; Argentina.Fil: Berriolo, María Jimena. Instituto Nacional de Tecnología Agropecuaria (INTA). Chacra Experimental Integrada Barrow; Argentina.Fil: Zazzetta, Malvina Lis. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Hilario Ascasubi; Argentina.Fil: Cendón, María Laura. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Balcarce; Argentina.Fil: Cendón, María Laura. Universidad Nacional de Mar del Plata. Facultad de Ciencias Agrarias; Argentina.Fil: Fasciglione. Gabriela. Universidad Nacional de Mar del Plata. Facultad de Ciencias Agrarias; Argentina.Fil: Fasciglione. Gabriela. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Balcarce; Argentina.Fil: Yommi, Alejandra Karina. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Balcarce; ArgentinaFil: Yommi, Alejandra Karina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Agrarias; Argentina.Fil: Rosini, M. B. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; ArgentinaFil: Díaz, Héctor. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; ArgentinaFil: García Franco, A. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; ArgentinaFil: Marina, J. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; ArgentinaFil: Rubel, Irene. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Agronomía; Argentina.Fil: Rubel, Irene. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Ingeniería; Argentina

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

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

Using international collaborations to shape research and innovation into care homes in Brazil: a white paper

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

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