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Abstract Introduction: Leptodactylus latinasus and Physalaemus cuqui are sympatric anuran species with similar environmental requirements and contrasting reproductive modes. Climatic configuration determines distribution patterns and promotes sympatry of environmental niches, but specificity/selectivity determines the success of reproductive modes. Species distribution models (SDM) are a valuable tool to predict spatio-temporal distributions based on the extrapolation of environmental predictors. Objectives: To determine the spatio-temporal distribution of environmental niches and assess whether the protected areas of the World Database of Protected Areas (WDPA) allow the conservation of these species in the current scenario and future. Methods: We applied different algorithms to predict the distribution and spatio-temporal overlap of environmental niches of L. latinasus and P. cuqui within South America in the last glacial maximum (LGM), middle-Holocene, current and future scenarios. We assess the conservation status of both species with the WDPA conservation units. Results: All applied algorithms showed high performance for both species (TSS = 0.87, AUC = 0.95). The L. latinasus predictions showed wide environmental niches from LGM to the current scenario (49 % stable niches, 37 % gained niches, and 13 % lost niches), suggesting historical fidelity to stable climatic-environmental regions. In the current-future transition, L. latinasus would increase the number of stable (70 %) and lost (20 %) niches, suggesting fidelity to lowland regions and a possible trend toward microendemism. P. cuqui loses environmental niches from the LGM to the current scenario (25 %) and in the current-future transition (63 %), increasing the environmental sympathy between both species; 31 % spatial overlap in the current scenario and 70 % in the future. Conclusion: Extreme drought events and rainfall variations, derived from climate change, suggest the loss of environmental niches for these species that are not currently threatened but are not adequately protected by conservation units. The loss of environmental niches increases spatial sympatry which represents a new challenge for anurans and the conservation of their populations.
Resumen Introducción: Leptodactylus latinasus y Physalaemus cuqui son especies de anuros simpátricos con requerimientos ambientales similares y modos reproductivos contrastantes. La configuración climática determina los patrones de distribución y promueve la simpatría de los nichos ambientales, pero la especificidad/selectividad determina el éxito de los modos reproductivos. Los modelos de distribución de especies (MDE) son una herramienta valiosa para predecir distribuciones espacio-temporales basadas en la extrapolación de predictores ambientales. Objetivos: Determinar la distribución espacio-temporal de los nichos ambientales y evaluar si las áreas protegidas de la base de Datos Mundial de Áreas Protegidas (DMAP) permiten la conservación de estas especies en el escenario actual y futuro. Métodos: Aplicamos diferentes algoritmos para predecir la distribución y superposición espacio-temporal de nichos ambientales de L. latinasus y P. cuqui dentro de América del Sur en el último máximo glacial (UGM), Holoceno medio, actual y futuro. Evaluamos el estado de conservación de ambas especies con las unidades de conservación de la DMAP. Resultados: Todos los algoritmos aplicados mostraron un alto rendimiento para ambas especies (TSS = 0.87, AUC = 0.95). Las predicciones de L. latinasus mostraron amplios nichos ambientales desde LGM hasta el escenario actual (49 % de nichos estables, 37 % de nichos ganados y 13 % de nichos perdidos), sugiriendo fidelidad histórica por regiones climático-ambientales estables. En la transición actual-futura L. latinasus incrementaría la cantidad de nichos estables (70 %) y perdidos (20 %), sugiriendo fidelidad por regiones de tierras bajas y la posible tendencia hacia el microendemismo. P. cuqui pierde nichos ambientales desde el LGM al escenario actual (25 %) y en la transición actual-futura (63 %), incrementando la simpatría ambiental entre ambas especies; 31 % de superposición espacial en el escenario actual y 70 % en el futuro. Conclusión: Los eventos de sequía extrema y las variaciones de precipitaciones, derivados del cambio climático, sugieren la pérdida de nichos ambientales para estas especies, actualmente no se encuentran amenazadas, pero no están adecuadamente protegidas por las unidades de conservación. La pérdida de nichos ambientales aumenta la simpatría espacial que representa un nuevo desafío para estos anuros y la conservación de sus poblaciones.
Sujet(s)
Animaux , Anura/classification , Analyse spatio-temporelle , Amérique du Sud , Changement climatiqueRÉSUMÉ
RESUMEN Objetivo: Las audiencias locales que se sitúan fuera de las capitales y de las grandes urbes deben conformarse con la información y contenidos televisivos nacionales, perdiendo la conexión con sus territorios debido al marcado centralismo de los medios capitalinos. Este artículo caracteriza las tensiones de las audiencias locales del norte de Chile en relación con su televisión local, también denominada de proximidad. Materiales y métodos: La metodología es cualitativa, realizándose grupos focales con las audiencias de seis comunas de la región de Coquimbo que tuviesen televisoras locales operativas y que declarasen ver periódicamente medios locales. Resultados: Entre los hallazgos se destaca el interés y el requerimiento de la ciudadanía por las noticias locales en un claro sentido de proximidad y cercanía con su territorio, detectando además otras demandas sociales, políticas, culturales y educativas de las audiencias que podrían ser canalizadas por las televisoras locales. Se evidencia un distanciamiento y crítica hacia contenidos sensacionalistas de la televisión nacional, siendo el centralismo informativo una de las razones para la poca empatía hacia estos medios de comunicación. A juicio de los participantes, las tensiones entre lo local y lo capitalino no solo se aprecian a nivel país, sino también entre capitales regionales, provincias y comunas, siguiendo la división político-administrativa de Chile. Conclusiones: Se concluye que existe una marcada preferencia por el contenido de proximidad, lo que se explica en parte por el alejamiento y crítica que se declara hacia los medios de cobertura nacional. Se plantean como tensiones la falta de espacios de comunicación y promoción del diálogo social que les permita a las audiencias ser escuchadas por sus actores políticos locales y regionales, desaprovechando el interés de la televidencia local por contenidos de proximidad que les permitan crecer, desarrollarse y lograr una mayor participación ciudadana en el ecosistema medial chileno.
ABSTRACT Objective: Media centralism and the lack of attention to the preferences and demands of local audiences is an obvious reality that must be faced by those who live outside large cities and capitals, understanding that there are audiences that demand local content, but that must settle for aprogrammingproduced from and for the capital, even more so when it comes to the Chilean television system. This article characterizes the tensions of local audiences in northern Chile in relation to their local television, also called proximity. Materials and methods: The study carried out a qualitative methodology, since it seeks to understand human behavior in a given territory and historical moment. The data collection was carried out using the technique of focus groups in order to explain and deepen the situations of people as local audiences and their feelings and thoughts on various problems. The focus groups discussed their local television and their link with national television considering the informational centralism and political centralism within the Coquimbo Region. The sample corresponds to the audience of cities belonging to urban and rural communes of the Coquimbo Region, in Chile, where there are local television media and that have declared their intention to migrate to digital television. The cities that are part of the study are: Andacollo, La Serena, Los Vilos, Illapel and Salamanca. For recruitment, the snowball method was used, with a total of 52 participants. All the participants were over 18 years of age with a residence of more than 10years in the city. There was gender balance. Six focus groups were held in neighborhood offices in each city. The sessions were recorded and later transcribed, being systematized using the Atlas.tisoftware, version 9. Resulted: The results are described through three categories of analysis, regarding the opinions of the audiences: 1) Local information 2) National television: positive and negative aspects and 3) Information centralism and media demands. 1 ) Local information as a center of interest: Audiences place local news among their preferences. In each focus group, the informative genre of these media was highly valued and required. It represents a fundamental demand when evaluating local television positively. 2) Link with national television coverage: Along with the preference for local news, there is also an unfavorable opinion towards national news and towards the journalistic routines of the capital television stations whose coverage privileges the events that occurred in the Metropolitan Region in the information guidelines, often falling into sensationalism, especially when it comes to police court facts. 3) Information centralism and media demands: in the opinion of the participants, the tensions between the local and the capital are not only appreciated at the country level, but also between regional capitals, provinces and communes, following the political-administrative division of Chile. Conclusions: Regarding the characteristics of local television consumption, a first conclusion was the confirmation of the interest and consumption of local audiences in content that addresses issues related to their environment, an issue that is in line with previous studies on communication and local television. Similar to national television consumption, local news represented the preferred content. If there is a fire or a traffic accident in the city, audiences want to see it on their local television and, hopefully, live or as instantly as possible. This is informative content that does not compete in any case with national television, as it deals with local news events. Unless something out of the ordinary happens, whose connotation is national and in this case -the fewest times- the city, province or region makes news and appears nationally. A very important link was detected between local audiences with their own territories. The link was verified through two factors: a) the expectations of seeing local content not only on themes about their cities, but also from geographically broader places, such as communes, provinces or the Coquimbo Region itself; b) a large part of the social demands that underlie the opinions of the audiences surroundfeelings of belonging, desire for decentralization and local development. The need for representation of local audiences is verified, that is, seeing their territories on the screen, feeling reflected on national TV through their cultural, territorial, geographical, touristic, or other particularities is the cause that is associated Local (non-capital) audiences arepart of a marginalized sector from a political and economic point of view. In this sense, there is a glimpse of a disconnection between the political/public world that promotes actions that should benefit the community, but that fail to reach potential users in a good way. In the same line of discussion, social demands for access to public information that benefits them and brings them closer to local political actors are detected. Know and understand the territorial public policies that result in a better quality of life. These social/political demands are intermingled with the media needs that could be channeled into more spaces to debate, talk and express their opinions to participate in the local public debate.
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Resumen Introducción : La nefropatía membranosa (NM) es la causa más frecuente de síndrome nefrótico primario en adultos (20-30%). En la microscopia óptica se obser va engrosamiento de membrana basal glomerular con aparición de espigas. Estos hallazgos histológicos no son evidentes en formas tempranas, en cuyo caso el patrón de depósito granular de IgG y/o C3 en la membrana basal por inmunofluorescencia (IF) permite diferenciarla de enfermedad por cambios mínimos (ECM). El sistema del complemento juega un papel central en la fisiopatología de la NM. C4d es producto de degradación y un marcador de la activación del complemento. La marcación con C4d en muestras de biopsias re nales, por técnica de inmunohistoquímica (IH) puede colaborar en el diagnóstico diferencial entre ambas glomerulopatías. Nuestro objetivo fue explorar el poder de discriminación del C4d para diferenciar NM de ECM en material de biopsias renales. Métodos : Se recuperaron muestras en parafina de biopsias renales con diagnóstico de NM y ECM realizados entre 1/1/2008 y 1/4/2019. Se realizaron tinciones de IH por técnica de inmunoperoxidasa con C4d usando un anticuerpo policlonal antihumano de conejo. Resultados : En todos los casos con NM (n = 27, 15 hombres) con mediana de edad de 63 (rango: 18-86) años se detectaron depósitos de C4d. En los 21 casos con ECM (12 hombres) con mediana de edad de 51 (rango: 18-87) años la marcación de C4d fue negativa. Conclusión : Los resultados indican que la marcación de la biopsia renal con C4d es una herramienta útil para el diagnóstico diferencial entre NM y ECM.
Abstract Introduction : Membranous nephropathy (MN) is the most common cause of primary nephrotic syndrome in adults (20-30%). Light microscopy shows thickening of glomerular basement membrane with appearance of spikes. These histological findings are not evident in early forms, in which case the granular deposition pattern of IgG and/or C3 in the basement membrane by immunofluorescence (IF) constitutes the diagnostic tool that allows to differentiate it from minimal change disease (MCD). Complement system plays a key role in the pathophysiology of MN. C4d is a degradation prod uct and a marker of the complement system activation. C4d labelling by immunohistochemical (HI) technique can help in the differential diagnosis between both glomerulopathies NM and MCD when the material for IF is insufficient and light microscopy is normal. Our objective was to explore the discrimination power of C4d to differentiate between MN and MCD in renal biopsy material. Methods : Paraffin-embedded samples were recovered from renal biopsies with a diagnosis of MN and MCD performed between 1/1/2008 and 4/1/2019. IH staining was performed by immunoperoxidase technique using a rabbit anti-human C4d polyclonal antibody. Results : In all cases with MN (n = 27, 15 males) with a median age of 63 (range: 18-87) years, C4d deposits were detected. In 21 cases with MCD (12 males) with a median age of 51 (range: 18-87) years, the C4d marking was negative in every samples. Conclusion : The results indicate that the marking of the renal biopsy with C4d is a useful tool for the dif ferential diagnosis between NM and MCD.
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A resource-limited country like India calls for a deeper focus on preventive health than it is now. So far, behaviour change communication (BCC) has been more or less limited to campaigns and awareness activities. Treating physicians applying BCC interventions in their clinics is particularly rare. This article aims to describe the role of BCC at the primary healthcare level in preventing diseases. The article also attempts to highlight the importance of BCC in helping cure and rehabilitate patients. Evidence-based interventions can be derived from BCC models that help physicians handle their patients better. Health education an already defined domain of health promotion will be the key to achieving the said goal. It promises to be one of the cheap and effective tools in achieving the vision of universal healthcare. It provides room for flexibility and customised care for each patient. After a thorough understanding of various models and theories of BCC, a physician should be able to apply them on a regular basis in their day-to-day interaction with patients in the most scientific manner possible.
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Resumo O artigo objetiva analisar a percepção de participantes sobre o efeito de intervenções desenvolvidas no âmbito de um projeto que integra o Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (PROADI-SUS). Adotou-se o desenho metodológico de avaliação normativa, na perspectiva da abordagem de pesquisa qualitativa. Na pesquisa, foram envolvidos 21 profissionais de saúde de cinco projetos de intervenção, representando as cinco regiões brasileiras. As mudanças percebidas e tangibilizadas foram constatadas como resultado das intervenções. Dentre as conclusões, destaca-se que houve convergência entre percepções e intencionalidades do projeto avaliado.
Abstract The article aims to analyze the participants' perception of the effect of interventions developed within a project nested in the Support Program for Institutional Development of the Unified Health System (PROADI-SUS). We adopted normative assessment from the perspective of a qualitative research approach. Twenty-one health professionals from five intervention projects representing the five Brazilian regions were involved in the research. The changes perceived and made tangible were identified as a result of the interventions. Among the conclusions, we underscore a convergence between perceptions and intentions of the evaluated project.
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Resumen Introducción: la gestión eficiente del cambio y el bienestar de los empleados se han convertido en factores determinantes para el éxito organizacional. Este estudio se centró en analizar el papel mediador del clima organizacional en la relación entre la disposición al cambio y el bienestar eudaimónico de los colaboradores. Método: se contó con una muestra de 510 participantes de tres países (Colombia: n = 158, 31 %; España: n = 201, 39.4 %; Ecuador: n = 151, 29.6 %), con una edad media de 36.47 años (DE = 12.61), quienes respondieron el Test de Clima Organizacional (Focus-93), un Test de Disposición al Cambio Organizacional (CEDCO ) y un Índice de Bienestar Eudaimónico (EWB). Resultados: los análisis multivariados y de regresión con ecuaciones estructurales indicaron una capacidad predictiva limitada del cambio organizacional en el bienestar, y la influencia positiva de aquel en el clima organizacional, además de una relación moderada entre el bienestar y el clima organizacional. No obstante, la relación entre el cambio organizacional y el clima subraya la importancia de la gestión efectiva del cambio para incidir en el bienestar de los empleados. Conclusiones: estos hallazgos enfatizan la necesidad de diseñar estrategias que fomenten el bienestar de los empleados a través de la gestión del cambio y la promoción del clima organizacional positivo en entornos organizacionales específicos.
Abstract Introduction: Efficient change management and employee well-being have become determining factors for organizational success. This study focused on analyzing the mediating role of organizational climate in the relationship between willingness to change and eudaimonic well-being of employees. Method: There was a sample of 510 participants from three countries (Colombia: n = 158, 31%; Spain: n = 201, 39.4%; Ecuador: n = 151, 29.6%), with an average age of 36.47 years (SD = 12.61), who responded to the Organizational Climate Test (Focus-93), a Test of Readiness for Organizational Change (Cedco ) and an Index of Eudaimonic Well-being (EWB). Results: The multivariate and regression analyzes with structural equations indicated a limited predictive capacity of organizational change in well-being and the positive influence on the organizational climate, in addition to a moderate evaluation between well-being and organizational climate. However, the evaluation between organizational change and climate highlights the importance of effective change management to influence employee well-being. Conclusions: These findings emphasize the need to design strategies that foster employee well-being through change management and the promotion of a positive organizational climate in specific organizational settings.
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Resumen Introducción/objetivo: La educación ambiental y la educación para el cambio climático son dos iniciativas fundamentales para Latinoamérica; sin embargo, pocos trabajos han descrito a profundidad la investigación disponible en la región sobre estas. Método: Se implementó una revisión de alcance tipo Prisma de trabajos empíricos (análisis cuantitativo, cualitativo y mixto), en español, inglés o portugués, en Scielo, Redalyc y Scopus. Resultados: un total de 66 artículos conformaron la base final. En general, la educación ambiental y la educación para el cambio climático han sido abordadas interdisciplinariamente, aunque con un predominio del campo educación. Los dominios incluyen el conocimiento ambiental, actitudes proambientales, prácticas de siembra y cuidado animal. Hay reportes en todos los niveles de formación, con una mayoría en educación superior. Los efectos de las intervenciones son positivos; sin embargo, solo en una investigación se reporta el registro de seguimientos y en pocas hay registro de comportamientos. Conclusiones: las implicaciones para el diseño de actividades educativas de educación ambiental y educación para el cambio climático consisten en que estas aborden problemáticas ambientales locales, integren diferentes disciplinas, incluyan actividades de interacción con la naturaleza y duren más de un semestre lectivo.
Abstract Introduction/objective: Environmental education and climate change education are two fundamental initiatives for Latin America, however, few works have described in depth the research available in the region on them. Method: A Prisma-type scoping review of empirical papers (quantitative, qualitative and mixed analysis), in Spanish, English or Portuguese, was implemented in Scielo, Redalyc and Scopus. Results: a total of 66 articles made up the final database. In general, environmental education and climate change education have been approached interdisciplinarily, although with a predominance of the field of education. The domains include environmental knowledge, pro-environmental attitudes, planting practices and animal care. There are reports at all levels of education, with a majority in higher education. The effects of the interventions are positive; however, only one research reports a record of follow-ups and in few there is a record of behaviors. Conclusions: the implications for the design of environmental education and climate change education activities are that they should address local environmental problems, integrate different disciplines, include interaction activities with nature and last more than one school semester.
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RESUMEN Con el objetivo de comprender las diversas formas de mantener y transmitir los conocimientos tradicionales sobre el manejo de los recursos naturales silvestres y domesticados para prevenir y tratar la enfermedad de los miembros de la comunidad tikuna del Resguardo de San Sebastián de los Lagos, en Leticia (Amazonas), esta investigación utiliza elementos del método etnográfico y la Investigación- Acción- Participativa (IAP). Este proyecto se desarrolló en tres fases: diagnóstica, acción participativa y sistematización de la información. En el contexto del trabajo de campo con la comunidad se realizaron visitas en julio de 2022 al huerto, la chagra y el bosque con las mujeres de la comunidad, recolectando hojas de un herbario que funcionó como pretexto para el diálogo sobre las propiedades medicinales de las plantas. Los resultados muestran que las personas que lograron mantenerse dentro de la comunidad, realizando cuidado a partir de la medicina tradicional con hojas, sahumerios y cuidado, lograron recuperarse del Covid-19.
ABSTRACT With the objective of understanding the different ways of maintaining and transmitting traditional knowledge on the management of wild and domesticated natural resources to prevent and treat the illness of the members of the Tikuna community of the San Sebastián de los Lagos Resguardo, in Leticia (Amazonas), this research uses elements of the ethnographic method and Participatory Action Research (PAR). This project was developed in three phases: diagnostic, participatory action and systematization of information. In the context of the field work with the community, visits were made in July 2022 to the orchard, the chagra and the forest with the women of the community, collecting leaves from a herbarium that served as a pretext for dialogue on the medicinal properties of plants. The results show that the people who managed to stay within the community, performing care based on traditional medicine with leaves, incense, and care, were able to recover from Covid-19.
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Introducción: el dengue, transmitido por el mosquito Aedes aegypti, es un problema de salud pública global creciente, especialmente en Cochabamba, donde factores climáticos y urbanización favorecen su proliferación. Entre 2020 y 2023, los casos aumentaron alarmantemente, subrayando la necesidad de vigilancia y prevención. Este estudio analizará las tendencias de 2019 a 2024, relacionando incidencia y lluvias. Metodología: este estudio cuantitativo, longitudinal y retrospectivo analizó las tendencias de casos sospechosos de dengue en Cochabamba de 2019 a 2024. Utilizó datos del formulario 302 del SNIS Bolivia, abarcando períodos epidemiológicos y de lluvia. Se realizó análisis descriptivo con SPSS y comparación con estudios previos para validar resultados y formular políticas de salud. Resultados: los datos semanales de dengue en Cochabamba, divididos en períodos inter-epidémicos y de lluvias, muestran un aumento significativo de casos en 2023-2024 (13,940 casos) comparado con años anteriores. Los picos más altos se observan durante el final del período de lluvias, especialmente en la semana 21 de 2023-2024, destacando la estacionalidad de la enfermedad. Discusión: el análisis de los casos sospechosos de dengue en Cochabamba (2019-2024) muestra un drástico aumento en 2023-2024, con 13,940 casos. Este incremento puede estar influenciado por el cambio climático, crecimiento urbano y variaciones en vigilancia epidemiológica. Los picos se concentran durante la temporada de lluvias, subrayando la necesidad de fortalecer medidas de control y prevención.
Introduction: dengue, transmitted by the Aedes aegypti mosquito, is a growing global public health problem, particularly in Cochabamba, where climatic factors and urbanization favor its proliferation. Between 2020 and 2023, cases increased alarmingly, underscoring the need for surveillance and prevention. This study will analyze trends from 2019 to 2024, correlating incidence with rainfall. Methodology: this quantitative, longitudinal, and retrospective study analyzed trends in suspected dengue cases in Cochabamba from 2019 to 2024. It used data from Form 302 of the SNIS Bolivia, covering epidemiological and rainy periods. Descriptive analysis was performed with SPSS and compared with previous studies to validate results and formulate health policies. Results: weekly dengue data in Cochabamba, divided into inter-epidemic and rainy periods, show a significant increase in cases in 20232024 (13,940 cases) compared to previous years. The highest peaks are observed during the end of the rainy period, especially in week 21 of 2023-2024, highlighting the seasonality of the disease. Discussion: the analysis of suspected dengue cases in Cochabamba (2019-2024) shows a drastic increase in 20232024, with 13,940 cases. This increase may be influenced by climate change, urban growth, and variations in epidemiological surveillance. The peaks are concentrated in the rainy season, emphasizing the need to strengthen control and prevention measures.
Introdução: a dengue, transmitida pelo mosquito Aedes aegypti, é um crescente problema de saúde pública global, especialmente em Cochabamba, onde fatores climáticos e urbanização favorecem sua proliferação. Entre 2020 e 2023, os casos aumentaram alarmantemente, sublinhando a necessidade de vigilância e prevenção. Este estudo analisará as tendências de 2019 a 2024, correlacionando incidência e chuvas. Metodologia: este estudo quantitativo, longitudinal e retrospectivo analisou as tendências de casos suspeitos de dengue em Cochabamba de 2019 a 2024. Utilizou dados do formulário 302 do SNIS Bolívia, abrangendo períodos epidemiológicos e de chuva. Foi realizada análise descritiva com SPSS e comparação com estudos anteriores para validar os resultados e formular políticas de saúde. Resultados: os dados semanais de dengue em Cochabamba, divididos em períodos inter-epidêmicos e de chuvas, mostram um aumento significativo de casos em 2023-2024 (13.940 casos) em comparação com anos anteriores. Os picos mais altos são observados durante o final do período de chuvas, especialmente na semana 21 de 2023-2024, destacando a sazonalidade da doença. Discussão: A análise dos casos suspeitos de dengue em Cochabamba (2019-2024) mostra um aumento drástico em 2023-2024, com 13.940 casos. Este aumento pode estar influenciado pelas mudanças climáticas, crescimento urbano e variações na vigilância epidemiológica. Os picos se concentram durante a temporada de chuvas, sublinhando a necessidade de fortalecer as medidas de controle e prevenção
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Resumen (analítico) El cambio climático y el aumento de las olas de calor tienen un impacto negativo en el bienestar subjetivo de niños y jóvenes. Este estudio examinó la experiencia de bienestar en jóvenes chilenos frente a las olas de calor. Utilizando entrevistas y grupos focales, se seleccionaron diez participantes con diferentes trayectorias educativas y niveles de contacto con la naturaleza. Los resultados mostraron que predominaban percepciones negativas del clima y emociones displacenteras como preocupación y desmotivación. Sin embargo, se encontró que aquellos con mayor contacto con la naturaleza experimentaban un mayor bienestar subjetivo. Se concluye que las olas de calor asociadas al cambio climático afectan negativamente la salud mental, pero también se destaca el papel que desempeñan los jóvenes en las acciones de mitigación y adaptación ante el cambio climático.
Abstract (analytical) Climate change and the increasing occurrence of heatwaves have a negative impact on the subjective well-being of children and young people. This study examined the well-being of young Chileans during heatwaves. Using interviews and focus groups, ten participants with a range of educational backgrounds and different levels of contact with nature were selected. The results showed that negative perceptions of the climate and unpleasant emotions such as worry and feeling demotivated were prevalent among young people during heatwaves. However, it was identified that young people who have increased contact with nature experienced higher subjective well-being during these climate conditions. The authors conclude that heatwaves associated with climate change negatively affect young people's mental health. However, the role that young people play in climate mitigation and adaptation actions was also emphasized by participants in the study.
Resumo (analítico) A mudança climática e o aumento das ondas de calor têm um impacto negativo no bem-estar subjetivo de crianças e jovens. Este estudo examinou a experiência de bem-estar de jovens chilenos diante das ondas de calor. Utilizando entrevistas e grupos focais, foram selecionados dez participantes com diferentes trajetórias educacionais e níveis de contato com a natureza. Os resultados mostraram que predominavam percepções negativas do clima e emoções desagradáveis como preocupação e desmotivação. No entanto, descobriu-se que aqueles com maior contato com a natureza experimentavam um maior bem-estar subjetivo. Conclui-se que as ondas de calor associadas à mudança climática afetam negativamente a saúde mental, mas também destaca-se o papel desempenhado pelos jovens nas ações de mitigação e adaptação às mudanças climáticas.
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Resumen En el presente estudio se cuantifican las reservas de carbono existentes en siete fragmentos del paisaje agropecuario: (1) el bosque primario altamente talado, (2) bosques secundarios de 5, (3) 10 y (4) 15 años procedentes de pasturas, (5) agroforestería de cacao, (6) pastizal de Brachiaria decumbens en producción y (7) pastizal de Brachiaria decumbens degradado; estos fragmentos son característicos de los fundos agropecuarios del departamento de Ucayali, Perú. El carbono almacenado (la suma total de la parte aérea y del suelo) en el Bosque Primario fue de 267.26 t/ha; en Bosque Secundario de 15 años 232.30 t/ha; en Bosque Secundario de 10 años, 162.1 t/ha; en Bosque Secundario de 5 años, 124.42 t/ha; en agroforestería con cacao, 108.82 t/ha; en pastizal de B. decumbens, 72.57 t/ha; y en pastizal de B. decumbens degradada, 60.47 t/ha. Se observaron diferencias significativas (p ≤ 0.0001) entre los valores de carbono almacenado de los siete fragmentos, (R2 = 0.51, y CV = 53.66%). La prueba de contrastes ortogonales mostró que el carbono almacenado en el fragmento de bosque primario superó significativamente al promedio de carbono de los demás fragmentos; mientras que, el carbono almacenado en los bosques secundarios superó significativamente al carbono almacenado en el fragmento de agroforestería de cacao. No se encontraron diferencias del carbono almacenado en ambas pasturas, tampoco entre los bosques secundarios de 10 y 15 años. El incremento del número de familias y especies en relación directa a la edad del bosque secundario seria evidencia de la recuperación de la diversidad botánica.
Abstract In the present study, carbon stocks were quantified in seven agroforestry landscape fragments: (1) heavily logged primary forest, (2) secondary forests of 5, (3) 10, and (4) 15 years originating from pastures, (5) cacao agroforestry, (6) productive Brachiaria decumbens grassland, and (7) degraded Brachiaria decumbens grassland. These fragments are characteristic of agricultural estates in the Ucayali department, Peru. The carbon stored (the total sum of aboveground and soil) in the primary forest was 267.26 t/ha; in 15-year secondary forest, 232.30 t/ha; in 10-year secondary forest, 162.1 t/ha; in 5-year secondary forest, 124.42 t/ha; in cacao agroforestry, 108.82 t/ha; in productive B. decumbens grassland, 72.57 t/ha; and in degraded B. decumbens grassland, 60.47 t/ha. Significant differences (p ≤ 0.0001) were observed between the carbon stock values of the seven fragments (R2 = 0.51, and CV = 53.66%). Orthogonal contrast tests showed that the carbon stored in the primary forest fragment significantly exceeded the average carbon of the other fragments, while the carbon stored in the secondary forests significantly exceeded that stored in the cacao agroforestry fragment. No differences were found in the carbon stored in both grasslands, nor between the 10- and 15-year secondary forests. The increase in the number of families and species directly related to the age of the secondary forest provides evidence of the recovery of botanical diversity.
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La investigación del proceso de cambio en psicoterapia es el estudio de los procesos por los cuales ocurre el cambio en psicoterapia. Siendo la depresión una problemática con altas prevalencias y diversas complicaciones, es una tarea ineludible de los clínicos poder entender cómo ocurre el proceso de cambio en pacientes con este diagnóstico. Por ello, este estudio tiene como objetivo realizar una revisión sistemática de la literatura, para explorar y analizar la investigación empírica del proceso de cambio en psicoterapia individual en la adultez en pacientes con depresión, en los últimos diez años. La revisión se realizó en las bases de datos Web of Science, APA PsycNet, PubMed y EBSCO, siguiendo los lineamientos que señala la metodología PRISMA. Luego del proceso de tamizaje y revisión, se seleccionaron y analizaron 39 artículos. Se aprecia una clara tendencia a la utilización de metodologías mixtas de investigación, es decir, cualitativas y cuantitativas, con diseños longitudinales en casi la totalidad de estudios y una amplia gama de instrumentos para la recolección de datos. Los resultados sugieren que el proceso de cambio suele seguir un desarrollo no lineal, originando comúnmente cambios positivos profundos en áreas diversas y con trayectorias que tienden a patrones comunes.
Change process research in psychotherapy is the study of the processes by which change occurs in psychotherapy. Since depression is a problem with high prevalence and various complications, it is an unavoidable task for clinicians to be able to understand how the process of change occurs in patients with this diagnosis. Therefore, this study aims to carry out a systematic review of the literature, to explore and analyze the empirical investigation of the process of change in individual psychotherapy in adulthood in patients with depression, in the last ten years. The review was carried out in the Web of Science, APA PsycNet, PubMed and EBSCO databases, following the guidelines indicated by the PRISMA methodology. After the screening and review process, 39 articles were selected and analyzed. There is a clear tendency to use mixed research methodologies, that is, qualitative and quantitative, with longitudinal designs in almost all the studies and a wide range of instruments for data collection. The results suggest that the change process tends to follow a non-linear development, commonly causing deep positive changes in diverse areas and with trajectories that tend to common patterns.
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O Relatório Lancet Countdown tem feito importantes contribuições ao denunciar os principais agravos à saúde ambiental, graças à ação antropogênica, cada vez mais intensa. O desflorestamento, os incêndios florestais, cada vez mais incontroláveis, a seca, o consumo de combustíveis fósseis, o uso de energia não renovável, propiciam o aparecimento de alterações climáticas caracterizadas por ondas de calor, tempestades cada vez mais intensas, inundações e o consequente comprometimento da saúde dos humanos. A versão Lancet Countdown South America apresenta de forma clara e chocante as alterações no continente e faz chamamento para que essas alterações sejam bloqueadas, pois ainda há tempo.
The Lancet Countdown Report has made significant contributions by exposing the main impacts on environmental health caused primarily by increasingly intense anthropogenic action. Deforestation, increasingly uncontrollable forest fires, drought, fossil fuels, and nonrenewable energy contribute to the onset of climate change. This change is characterized by heat waves, increasingly intense storms, and floods that, consequently, compromise human health. The South America report of The Lancet Countdown highlights the alarming changes occurring in the continent and urges action to stop these changes while there is still time.
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Humains , Histoire du 21ème siècle , Amérique du SudRÉSUMÉ
Background: The healthcare system in Lebanon faced unprecedented challenges following the COVID-19 pandemic and the devastating beirut blast on August 4th, 2020. The aftermath highlighted the system's vulnerability, corruption, and incapacity to provide essential services, leading to an urgent need for leadership transformation within primary healthcare centers (PHCs).Methods: This qualitative cross-sectional study assessed the quantum leadership skills of nurses in 30 PHCs within a 5-kilometer radius of the blast site. Data were collected six months post-blast using a self-administered questionnaire based on a binary outcome scale of agreement and disagreement, analyzed with IBM SPSS-19 software to evaluate the potential for leadership improvement.Results: The findings indicate a significant correlation between quantum leadership skills and the operational effectiveness of PHCs, particularly those managed by the Ministry of Public Health, which exhibited superior quantum leadership skills compared to others.Conclusions: The study underscores the necessity for a new leadership paradigm rooted in quantum theory to navigate the healthcare system through crises effectively. A quantum leader, characterized by heightened organizational consciousness and energy, is pivotal for ensuring a seamless transition towards recovery and resilience, ultimately fostering a breakthrough in the face of systemic breakdowns.
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Introducción: La alimentación se construye a partir de experiencias y significados adquiridos en el curso de la vida. Las personas mayores tienen un acervo importante que informa de valores y prácticas culturales aplicadas a la alimentación. El objetivo del estudio fue interpretar los significados que entregan personas mayores a la construcción de su alimentación en trayectorias del curso de vida. Métodos: La investigación utilizó un enfoque cualitativo de alcance exploratorio, utilizando el método de teoría fundamentada de Strauss y Corbin. Para la recolección de datos se aplicó una entrevista semiestructurada entre julio de 2021 y junio de 2022. El tipo de muestreo fue teórico y el análisis de los datos cualitativos respondió al proceso de codificación abierta, axial y selectiva. Resultados: Participaron 54 personas mayores (72% mujeres) con edad promedio de 68,6 años (6,9 años). Las personas mayores construyeron su alimentación con un alto significado a las comidas caseras, con influencia de género femenino durante la niñez y adolescencia. En la adultez, se reconstruye la alimentación al ingresar al mundo laboral. En la actualidad, cimentan la alimentación con un enfoque de cuidados para su salud. Reconocen transiciones y puntos de inflexión en la alimentación provocados por terremotos, pandemia por COVID-19, situación política en el país, embarazos o el diagnóstico de alguna enfermedad crónica. Discusión: Las personas mayores reconocen diversas vivencias en trayectorias vitales que han marcado sus patrones alimentarios. Estas experiencias de vida pueden ser la base de estrategias o acciones en la práctica clínica que aporten a su bienestar.
Introduction: Food is intricately woven into the fabric of our experiences and the meanings accumulated throughout life. Older people possess a rich cultural heritage that shapes the values and practices surrounding food.The aim of the study was to interpret the meanings attributed to older people to the construction of their feeding in life course trajectories. Methods: The research employed a qualitative exploratory approach, utilizing the Grounded Theory method developed by Strauss and Corbin. Data collection took place through semi-structured interviews conducted between July 2021 and June 2022. The sampling method employed was theoretical, and the analysis of qualitative data followed the open, axial, and selective coding process. Results: A total of 54 older individuals (72% women), with an average age of 68.6 years (6,9 years), participated in the study. These individuals constructed their relationship with food, assigning significant value to homemade meals, influenced by gender roles during childhood and adolescence. In adulthood, the relationship with food transformed with entry into the workforce. Currently, their feeding are guided by a health-centric approach. They recognize transitions and turning pointsin food provoked by earthquakes, pandemic by COVID-19, political situation in the country, pregnancies or the diagnosis of a chronic disease. Discussion: Older people recognize a multitude of life experiences that have left imprints on their eating patterns. These life experiences can be the basis for strategies or actions in clinical practice that contribute to their well-being.
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Muchas enfermedades neurológicas son condiciones crónicas complejas influenciadas en muchos niveles por cambios en el medio ambiente. El cambio climático (CC) se refiere a la gama más amplia de cambios locales, regionales y globales en los patrones climáticos promedio, impulsados principalmente, en los últimos 100 años, por actividades antropogénicas. Diversas variables climáticas se asocian con una mayor frecuencia de convulsiones en personas con epilepsia. Es probable que los riesgos se vean modificados por muchos factores, que van desde la variación genética individual y la función del canal dependiente de la temperatura, hasta la calidad de la vivienda y las cadenas de suministro globales. Los diferentes tipos de epilepsia parecen tener una distinta susceptibilidad a las influencias estacionales. El aumento de la temperatura corporal, ya sea en el contexto de la fiebre o no, tiene un papel crítico en el umbral convulsivo. Es probable que los vínculos entre el cambio climático y la epilepsia sean multifactoriales, complejos y, a menudo, indirectos, lo que dificulta las predicciones. Actualmente necesitamos más datos sobre los posibles riesgos en enfermedades; entre ellas la epilepsia. Se presentan 2 casos clínicos que refieren cambios en la frecuencia de sus crisis en relación a las altas temperaturas registradas.
Many neurological diseases are complex chronic conditions influenced on many levels by changes in the environment. Climate change refers to the widest range of local, regional, and global changes in average weather patterns, driven primarily, over the past 100 years, by anthropogenic activities. Various climatic variables are associated with an increased frequency of seizures in people with epilepsy. Risks are likely to be modified by many factors, ranging from individual genetic variation and temperature-dependent channel function, to housing quality and global supply chains. Different types of epilepsy appear to have different susceptibility to seasonal influences. Increased body temperature, whether in the context of fever or not, plays a critical role in the seizure threshold. The links between climate change and epilepsy are likely to be multifactorial, complex, and often indirect, making predictions difficult. We currently need more data on the possible risks of disease; among them epilepsy. We present 2 clinical cases that refer to changes in the frequency of their seizures in relation to the high temperatures recorded.
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Humains , Enfant , Changement climatique , Épilepsie/traitement médicamenteux , Dépresseurs du système nerveux central/usage thérapeutique , Acide valproïque/usage thérapeutique , Lévétiracétam/usage thérapeutique , Mélatonine/usage thérapeutique , Anticonvulsivants/usage thérapeutiqueRÉSUMÉ
Background: In the Indian context, where a substantial portion of the population is of working age and 2.1% grapple with disabilities, as per the 2011 census, the emergence of diverse disability profiles within this demographic becomes a paramount concern. This issue holds profound consequences, directly impacting the nation's productivity and overall economic landscape. The focus of this study is a comprehensive examination of the repercussions of disability, honing in on the alteration and loss of occupational experiences among individuals in the working-age stratum. Methods: The primary objective is the computation of a "disability deprivation index" for both India as a whole and its states, a multinomial logistic regression model is employed, seeking to elucidate the extent of the impact precipitated by the onset of disability in the working-age population. Multiple classification analysis is integral to determining adjusted percentages (probabilities) of changes of work, loss of work, and no loss or change of work, derived from multinomial logit regression, fostering a nuanced understanding of the issue. Results: The study reveals that 2.2% of individuals previously gainfully employed experience disability, with a significant majority losing their livelihoods due to disabling conditions. The disability deprivation index provides insights into relative deprivation levels across states, highlighting Kerala as the least deprived and Bihar as the most deprived. Conclusions: Despite commendable efforts by government and non-governmental organizations to address the needs of disabled population, the study underscores the stark reality that these provisions reach only a fraction of the disabled population, intensifying the severity of the situation concerning disability in India.