Análisis de la relación entre gobernanza, conflictos socioecológicos y conservación de la biodiversidad en la alta montaña

Durante el 2020, el trabajo de la línea de gobernanza se ha centrado en la identificación, espacialización y análisis de procesos de gobernanza en alta montaña relacionados con la conservación de la biodiversidad y con los conflictos socioambientales en estos territorios. Se identificaron 531 procesos y 1091 prácticas entorno a recursos de uso común que se centran principalmente en la constitución de áreas protegidas y estrategias complementarias de conservación, el cuidado de la naturaleza, la producción agroecológica, la transformación de alimentos y el comercio justo de productos de alta montaña. También se realizó un análisis detallado de relaciones de tres procesos de gobernanza relacionados con la ganadería en el páramo de Sumapaz, la constitución de una Reserva Natural de la Sociedad Civil Teusacá y la comercialización del agraz.BogotáCiencias Sociales y Saberes de la Biodiversida

Global Impact of COVID-19 on Stroke Care and IV Thrombolysis

Objective To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods. We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results. There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] −11.7 to −11.3, p \u3c 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI −13.8 to −12.7, p \u3c 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI −13.7 to −10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2–9.8, p \u3c 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions. The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months