71 research outputs found
How to constitute an archive of oral memory and identity within the framework of a.P.T.O.: a few methodological proposals
In this paper I will focus on a few problems relating to the cataloguing of anthropological materials concerning the specificity of demo-ethnological and anthropological disciplines like context, confidentiality, the role of the ethnographer and the integrity of the field-work. In order to do this I will discuss the concepts of material and immaterial goods (TUCCI 1999) of objectivity and subjectivity in relation to memory and identity and verify whether the notion of cultural goods are appliable to memory and identity documentative materials (narratives etc.). Other questions I will try to face are: Whether we can consider memory and identity as objects of cultural property; The limits of this perspective; Other problems in documenting and archiving oral culture materials in relation to the identity and memory of the people
Developing a panarchy model of landscape conservation and management of alpine-mountain grassland in Northern Italy.
This paper explores methods of applying resilience theory to a case study of natural resource management and the cultural landscape of upland and alpine pasture in northern Italy. We identify that the close interaction between alpine pastures and its managers offers a strong fit with the concept of a social-ecological system that maintains the cultural landscape. We first considered a descriptive approach looking historically at socio-economic development in the study area. We explored whether this can be related to resilience phenomena such as regime shifts, thresholds and/or regime stability through adaptive processes. However, we found it difficult at this overarching level to conceptually combine natural and social capital of alpine pastures and their managers in any quantitative way. We also interpreted our data through considering economic, social and ecological information as acting within separate but interacting domains. This led us to construct conceptual models of adaptive cycles to describe the alpine mountain grassland ecosystem of our study site and to conclude that a panarchy model can offer a powerful metaphor for its ecological dynamics. This has practical implications both for the management of Natura 2000 interest and the maintenance of the cultural landscape in which this Alpine interest occurs. We suggest that Resilience theory through its dynamic approach of interacting scales of adaptive cycles offers useful insights into the resource management (of valued cultural and natural attributes) but that care is needed in distinguishing between descriptive metaphor and predictive model or "real" system.natural resource management, natural and social capital
Dietary factors associated with metabolic syndrome in Brazilian adults
<p>Abstract</p> <p>Background</p> <p>Metabolic Syndrome (MS) is defined as the association of numerous factors that increase cardiovascular risk and diet is one of the main factors related to increase the MS in the population. This study aimed to evaluate the association of diet on the presence of MS in an adult population sample.</p> <p>Methodology</p> <p>305 adults were clinically screened to participate in a lifestyle modification program. Anthropometric assessments included waist circumference (WC), body fat and calculated BMI (kg/m<sup>2</sup>) and muscle-mass index (MMI kg/m<sup>2</sup>). Dietary intake was estimated by 24 h dietary recall. Fasting blood was used for biochemical analysis. MS was diagnosed using NCEP-ATPIII (2001) criteria with adaptation for glucose (≥ 100 mg/dL). Logistic regression (Odds ratio) was performed in order to determine the odds ratio for developing MS according to dietary intake.</p> <p>Results</p> <p>An adequate intake of fruits, OR = 0.52 (CI:0.28-0.98), and an intake of more than 8 different items in the diet (variety), OR = 0.31 (CI:0.12-0.79) showed to be a protective factor against a diagnosis of MS. Saturated fat intake greater than 10% of total caloric value represented a risk for MS diagnosis, OR = 2.0 (1.04-3.84).</p> <p>Conclusion</p> <p>Regarding the dietary aspect, a risk factor for MS was higher intake of saturated fat, and protective factors were high diet variety and adequate fruit intake.</p
Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial
Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt
Planning and Managing Mountain Areas: Social Capital in Mountain Areas
No abstract available
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