ABSTRACT BACKGROUND: With the increase in the older adult population, it is essential to identify the living and health conditions that can impact the quality of life of these individuals. OBJECTIVES: To identify the domains and factors associated with the quality of life of older adults under the Family Health Strategy program. DESIGN AND SETTING: This was a cross-sectional analytical study was conducted in the municipality of Palmas, Tocantins, Brazil. METHODS: We assessed 449 older adults enrolled in the Family Health Strategy program. Data were collected between April and July, 2018. World Health Organization Quality of Life Assessment (WHOQOL-OLD) was used to assess the quality of life (QoL) and multiple linear regression was used to estimate the factors associated with QoL. RESULTS: The QoL domain with the highest score was death and dying (mean = 70.4), and the lowest score was for sensory functions (mean = 61.0 points). The factors associated with QoL were single marital status (β = -4.55; P = 0.014), level of independence for daily living activities (β = 4.92; P < 0.001), self-assessment of regular health (β = 5.35; P < 0.001), and poor health (β = -8.67; P < 0.001). CONCLUSION: The death and dying domain of QoL presented the highest score. Marital status, impairment in daily activities, and health self-assessment were associated with QoL.

The publication Cardiovascular Statistics – Brazil aims to provide an annual compilation of data and research on the epidemiology of CVDs in Brazil.&nbsp; The report integrates official statistics from the Brazilian Ministry of Health and other governmental entities alongside data from the GBD project, coordinated by the IHME at the University of Washington. Additionally, it incorporates data derived from various sources and scientific studies, including cohorts and registries, that relate to CVDs and their associated risk factors. This publication is intended for a wide range of individuals, including researchers, clinicians, patients, healthcare policymakers, media professionals, the general public, and other interested parties seeking extensive national data about heart disease and stroke.&nbsp; Volunteer researchers from various Brazilian universities and research institutions carry out the project. The group is led by a five-member steering committee (ALPR, CAP, DCM, GMMO, and LCCB). The Brazilian Society of Cardiology fully supports this initiative, and the project receives collaborative support from the GBD Brazil Network and an International Committee (GAR, PP, and TAG) from both the IHME/University of Washington (GAR) and the World Heart Federation (PP and TAG).&nbsp;

A publicação Estatística Cardiovascular – Brasil tem por objetivo fornecer uma compilação anual dos dados e das pesquisas sobre a epidemiologia das DCV no Brasil.&nbsp; Este documento integra as estatísticas oficiais do Ministério da Saúde do Brasil e outras entidades governamentais ao lado de dados do projeto GBD, coordenado pelo IHME da Universidade de Washington. Além disso, incorpora dados derivados de várias fontes e estudos científicos, inclusive coortes e registros, relacionados às DCV e fatores de risco associados. Esta publicação destina-se a um público variado, incluindo pesquisadores, clínicos, pacientes, formuladores de políticas de saúde, profissionais da mídia, o público em geral e todos aqueles que buscam dados nacionais abrangentes sobre DCV e acidente vascular cerebral. Pesquisadores voluntários de várias universidades e instituições de pesquisa brasileiros realizaram este projeto. O grupo é liderado por um comitê diretivo com cinco membros (ALPR, CAP, DCM, GMMO e LCCB). A Sociedade Brasileira de Cardiologia apoia integralmente esta iniciativa e o projeto recebe colaboração da Rede GBD Brasil1 e do GBD International Committee (GAR, PP e TAG) do IHME/Universidade de Washington (GAR) e da World Heart Federation (PP e TAG).&nbsp;

Abstract. An experiment was conducted to evaluate the effect of various levels of protein and dietary lipids on white snook (Centropomus viridis) performance. A 4 × 2 factorial design was used with 4 protein levels (40%, 46%, 52%, and 58%) and 2 lipid levels (10% and 13%), with 3 replicates per treatment. Fish with an initial weight of 14.80 ± 0.80 g were fed to apparent satiety 3 times a day for 6 weeks. Juvenile growth showed no significant differences among treatments. Feed efficiency was only affected by the protein level in the diet, and the best feed efficiency ratio was obtained with the 52% protein diets; the protein efficiency ratio was significantly lower with the 58% protein diets. The hepatosomatic index decreased with increasing protein content, and the peritoneal fat index increased with dietary lipid level. The condition factor was not affected by the dietary protein or lipid level. Hematocrit and total plasma protein were significantly higher at 40% protein; blood glucose and triglycerides were affected by both nutrients. It is concluded that juvenile C. viridis can be fed diets containing 40% protein and 10% lipids and a protein/energy ratio of 20.69 mg·kJ-1, under the experimental conditions of this study.

Resumen. Se llevó a cabo un experimento para evaluar el efecto de varios niveles de proteína y lípidos dietéticos en el rendimiento de juveniles de robalo blanco (Centropomus viridis). Se realizó un diseño factorial 4 × 2 con 4 niveles de proteína (40%, 46%, 52% y 58%) y 2 niveles de lípidos (10% y 13%), con 3 replicados por tratamiento. Los peces con un peso inicial de 14.80 ± 0.80 g se alimentaron a saciedad aparente 3 veces al día durante 6 semanas. El crecimiento de los juveniles no presentó diferencias significativas entre los tratamientos. La eficiencia alimenticia solo fue afectada por el nivel de proteína en la dieta, y la mejor tasa de eficiencia alimenticia se obtuvo con las dietas con 52% de proteína; el índice de eficiencia proteica fue significativamente menor con las dietas con 58% de proteína. El índice hepatosomático disminuyó al aumentar el contenido de proteína, y el índice de grasa peritoneal aumentó con el nivel de lípidos en la dieta. El factor de condición no fue afectado por el nivel de proteína o lípidos dietéticos. El hematocrito y la proteína total del plasma fueron significativamente mayores con las dietas con 40% de proteína; la glucosa y los triglicéridos en la sangre fueron afectados por ambos nutrientes. Se concluye que los juveniles de C. viridis pueden ser alimentados con dietas que contengan 40% de proteína y 10% de lípidos y una relación proteína/energía de 20.69 mg·kJ-1, bajo las condiciones experimentales de este estudio.

Resumen Introducción. Los insectos comestibles se presentan como una fuente alternativa de proteína generada con prácticas de producción sostenibles con el medio ambiente y de alto valor nutricional. La producción de alimentos con insectos ha aumentado en los últimos años a nivel mundial y se estima que continuará en crecimiento. Costa Rica cuenta con un pequeño número de productores de insectos comestibles, lo que ha conllevado un creciente interés de la academia y entidades estatales por fomentar el sector. Objetivo. Presentar el mercado actual, las oportunidades, los retos y las perspectivas de la producción, procesamiento y comercialización de insectos comestibles a nivel internacional y en Costa Rica. Desarrollo. Se describe el mercado actual de los insectos comestibles a nivel mundial, los principales retos y oportunidades de su producción, procesamiento y comercialización, así como el desarrollo del sector en Costa Rica. Conclusión. A nivel mundial, los principales retos relacionados con la producción de alimentos con insectos son la baja aceptación del consumidor, la falta de tecnologías de producción de insectos y un deficiente marco regulatorio. En Costa Rica, debido a los esfuerzos conjuntos de la academia, el sector público y privado, existe un marco regulatorio base que permite la producción de tres especies de insectos para consumo humano. Los costarricenses tienen la disposición de incluir los insectos en su dieta, pero aún es necesario desarrollar mejores métodos de producción para facilitar el crecimiento del sector.

Abstract Introduction. Edible insects emerge as an alternative source of protein generated with environmentally sustainable production practices and high nutritional value. The production of insect-based food products has increased globally in recent years and it is expected to continue growing. Costa Rica has a small number of edible insect producers, which has led to growing interest from academia and government entities in promoting the sector. Objective. To present the current market, opportunities, challenges, and perspectives of edible insect production, processing, and marketing internationally and in Costa Rica. Development. The current global market for edible insects is described, the main challenges, and opportunities in their production, processing, and marketing, as well as the sector's development in Costa Rica. Conclusion. Globally, key challenges in edible insect production include low consumer acceptance, lack of insect production technologies, and inadequate regulatory framework. In Costa Rica, collaborative efforts from academia, the public, and private sectors have established a basic regulatory framework allowing the production of three insect species for human consumption. Costa Ricans are willing to include insects in their diet, but there is still a need to develop better production methods to facilitate the sector growth.

Resumen: A partir de la Teoría de los Sentimientos de Castilla del Pino, se intenta situar el papel de la afectividad en el modelo de sujeto. Se analiza su relación con la cultura y el lenguaje, discutiendo su ubicación comparada con algunas teorías de la afectividad planteadas posteriormente desde las neurociencias.

Abstract: Based on his Theory of Feelings, an attempt is made to situate the role of affect in Castilla del Pino´s subject model. Its relationship with culture and language is discussed, as well as its place in relation to some affective theories proposed subsequently from neurosciences.

Resumen La sociedad requiere ciudadanos reflexivos y críticos que sepan resolver de forma efectiva los problemas actuales que plantean aspectos científico-tecnológicos. Para ello, es necesario que desde la educación se forme al alumnado en las competencias necesarias para que sepan actuar de forma responsable ante estos problemas. Así, la argumentación basada en pruebas es esencial, ya que permitirá tomar decisiones fundamentadas, constituyendo los debates una herramienta adecuada para fomentarla en el aula. Este trabajo plantea un debate sobre el problema socio-científico de la prohibición de plásticos de un solo uso en la formación inicial del profesorado de ciencias de secundaria en España. Los participantes actúan como oyentes del debate entre dos compañeros, una a favor y otra en contra de la prohibición, y deben tomar una decisión argumentada ante el problema antes y después del debate. Los resultados muestran cambios importantes en la decisión adoptada, predominando antes del debate posturas a favor y ambas posiciones después, sustentadas en distintos tipos de pruebas, inicialmente ambientales, sociales y relativas a propiedades de materiales y, finalmente, sociales en muchos casos.

Abstract The society requires reflective and critical citizens who know how to effectively solve current problems posed by scientific-technological aspects. To this end, it is necessary that students to be trained in the necessary skills so that they know how to act responsibly in the face of these problems. Thus, evidence-based argumentation is essential as it will allow informed decisions to be made, and debates are an appropriate tool to promote it in the classroom. This paper raises a debate on the socio-scientific problem of the ban on single-use plastics in the initial training of secondary science teachers in Spain. The participants act as listeners to the debate between two classmates, one for and one against the ban, and must make an informed decision on the problem before and after the debate. The findings show important changes in the decision adopted, with a predominance of positions in favor before the debate and both positions after, supported by different types of evidence, initially environmental, social and related to material properties, and finally social in many cases.

RESUMEN Introducción y objetivos: La Asociación de Cardiología Intervencionista de la Sociedad Española de Cardiología (ACI-SEC) y el Grupo de Trabajo de Hemodinámica de la Sociedad Española de Cardiología Pediátrica y Cardiopatías Congénitas (GTH-SECPCC) presentan su informe anual de actividad hemodinámica en cardiopatías congénitas correspondiente al año 2021. Métodos: Se invitó a participar a los centros españoles con laboratorio de hemodinámica y actividad intervencionista en cardiopatías congénitas. La recogida de datos fue telemática y su análisis lo efectuó una empresa externa junto con miembros de la ACI-SEC y el GTH-SECPCC. Resultados: Participaron 16 centros (15 públicos y 1 privado) que acumulan 34 salas de hemodinámica con actividad en cardiopatías congénitas, 7 (20,5%) de ellas con dedicación exclusiva a pacientes pediátricos. Se registraron 1.094 estudios diagnósticos (5,1% más que en 2020) y 1.553 cateterismos intervencionistas (6,4% más que en 2020). Las técnicas más frecuentes fueron el cierre de comunicación interauricular (336 casos), la angioplastia de ramas pulmonares (231 casos) y el cierre de ductus (228 casos). Respecto al año anterior se incrementaron significativamente las técnicas de implantación de válvulas percutáneas (29,3%), cierre de ductus (20,6%) y angioplastia aórtica (12,8%). La tasa de éxito en los procedimientos intervencionistas fue del 95%, con una tasa de complicaciones mayores del 2,7% y una mortalidad intrahospitalaria del 0,2%. Conclusiones: Este trabajo es la segunda publicación del Registro Español de Intervencionismo en Cardiopatías Congénitas. Se ha constatado un aumento significativo de los procedimientos diagnósticos y terapéuticos, destacando el incremento en la implantación de válvulas percutáneas, el cierre de ductus y la angioplastia aórtica. La mayoría de las técnicas intervencionistas siguen demostrando excelentes datos de seguridad y eficacia.

ABSTRACT Introduction and objectives: This is the 2021 annual activity report from the Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC), and the Interventional Working Group of the Spanish Society of Pediatric Cardiology (GTH-SECPCC). Methods: All Spanish centers with cath lab capabilities and interventional activity in congenital heart diseases were invited to participate. Data were collected online, analyzed by an external company, and ACI-SEC and GTH-SECPCC members. Results: A total of 16 centers participated 15 public and 1 private including 34 cath labs with experience in congenital heart diseases, 7 of them (20.5%) exclusively dedicated to pediatric patients. A total of 1094 diagnostic studies (4.5% more than 2020) and 1553 interventional catheterizations (5.8% more than 2020) were registered. The most common procedures were atrial septal defect closure (336 cases), pulmonary branch artery angioplasty (231 cases), and percutaneous closure of the patent ductus arteriosus (228 cases). Interventional procedures were considered successful in 95% of the cases with rates of major procedural complication and in-hospital mortality of 2.7% and 0.2%, respectively. Conclusions: This is the second Spanish Cardiac Catheterization in Congenital Heart Diseases Registry report. A significant increase of diagnostic and interventional procedures was reported with a special increase of percutaneous valve implantation, ductus arteriosus closure, and aortic angioplasty. Most interventional techniques continue to demonstrate excellent safety and efficacy outcomes.

Resumen El tumor desmoplásico de células pequeñas y redon das es una neoplasia poco frecuente y muy agresiva que forma parte de la familia de los “tumores de célu las pequeñas, redondas y azules”. Presenta una mayor incidencia en el sexo masculino en la segunda década de la vida. Se debe a la translocación t(11;22) (p13;q12). Se puede localizar tanto en el abdomen como en el re troperitoneo caracterizándose por presentar síntomas inespecíficos. El tratamiento es muy variado y no se ha detectado todavía aquel que garantice la cura total del paciente. El objetivo del presente estudio es exponer un caso clínico de tumor desmoplásico como enfermedad abdo minal infrecuente y su expresión imagenológica.

Abstract Desmoplastic small round cell tumor is a rare and very aggressive neoplasm that belongs to the family of “small round blue cell tumors”. It has a higher incidence in males in the second decade of life. It is due to trans location t(11;22) (p13;q12). It can be located both in the abdomen and in the retroperitoneum and is character ized by nonspecific symptoms. The treatment is very varied and the one that guarantees the total cure of the patient has not yet been detected. The objective of this study is to expose a clinical case of desmoplastic tumor as an rare abdominal disease and its imaging expression.

Resumen En este artículo se presentan los resultados de una primera aproximación al análisis del efecto moderador del contexto social, cultural y geográfico en indicadores subjetivos del envejecimiento saludable en personas mayores de 46 años residentes en territorios con características diferenciadas en Costa Rica. Se trabajó con una muestra de 305 personas residentes en tres áreas geográficas: una urbana, una semiurbana y una tercera principalmente rural. La diferenciación de las tres zonas se basó en criterios de densidad poblacional, infraestructura y acceso a bienes y servicios. Los indicadores subjetivos del envejecimiento saludable analizados fueron: participación social, apoyo social, salud percibida, espiritualidad, autoeficacia, comportamientos de autocuidado, bienestar subjetivo (satisfacción con la vida y bienestar psicológico) y estado de ánimo; todas las variables fueron condicionadas por zona de residencia, edad y sexo. Para analizar los indicadores subjetivos se estimó un análisis de covarianza (ANCOVA) o un análisis multivariado de covarianza (MANCOVA), dependiendo del número de variables dependientes analizadas. En general, se identificaron indicadores subjetivos de envejecimiento saludable altos en las personas participantes del estudio, quienes reportaron altos niveles de participación social, satisfacción con la vida y estados de salud y ánimo positivos. Se encontraron diferencias por edad entre los grupos. Sin embargo, no se evidenciaron diferencias estadísticamente significativas en los indicadores subjetivos analizados según la zona de residencia o el sexo. En síntesis, este estudio encontró que los indicadores subjetivos de envejecimiento saludable analizados eran muy similares en residentes de tres zonas geográficas con características distintas. Estos hallazgos iniciales se discuten desde una perspectiva cultural y geográfica y en relación con los modelos de envejecimiento saludable.

Abstract This review exposes the results of a first approximation to the analysis of the moderator effect of the geographical, social, and cultural context on subjective indicators of healthy aging in the Costa Rican context. Costa Rica is a middle-income democratic country that is in an advanced demographic changing process; this phenomenon makes it one of the aged countries in the Latin American region. Therefore, studying healthy aging becomes relevant in the context of population demographic change in the present and future aging societies. The study compared several subjective indicators of healthy aging among people older than 46 who resided in three different geographical areas in the country. Participants were 305 healthy people from three locations: one urban (Heredia Central City), one semi-urban (Santa Ana Central City), and one mainly rural (Nicoya). Participants completed standardized assessment scales to evaluate social participation, social support, perceived health, spirituality, self-efficacy, self-care behaviors, and subjective well-being (life satisfaction and psychological well-being). All variables were conditioned by geographical zone (urban, semi-urban, and mainly rural), age, and gender. Either Analysis of Covariance (ANCOVA) or Multivariate Analysis of Covariance (MANCOVA) were estimated depending on the number of dependent variables analyzed to test the effect of the zone of residence, gender, and age, over the subjective indicator of healthy aging studied. In general, participants evidenced high scores on subjective indicators such as self-care, social support, spirituality, life satisfaction, and psychological well-being, which have been associated with health and well-being during the aging process. Participants reported high levels of social participation and perceived that they received adequate support for their daily life needs. Likewise, participants evidenced a general state of well-being, a positive state of health, high levels of self-efficacy, and positive moods. Differences were found among the groups by comparing age. However, no significant differences were found in the variables studied related to geographical areas of residence and sex, suggesting invariant comparison evidence by zone of residence and sex. Nevertheless, the results indicate that the subjective indicators of healthy aging studied are key to promoting healthy aging at the national level. It is considered necessary to improve opportunities for social participation aimed at older adults, to strengthen community and family social networks, to promote socio-economic support such as financial and instrumental support for activities of daily living, and finally emotional support such as listening, empathy and advice. Although the differences among geographical areas of residence of the people studied were not statistically significant in this study, the evidence suggested a trend of high well-being indicators mainly in the rural areas studied, and particularly more in males than in females. As this study only reached preliminary data, further research must obtain conclusive evidence, as previous research had suggested older people living in rural areas with high longevity indicators in Costa Rica might enjoy unusual environmental characteristics and personal protective factors that could be absent in most of the urban areas in the country. On the other hand, it will be necessary to include the historical and socio-cultural determinants focusing on context-specific review analyses in the mainstream research on healthy aging, even more in aged countries like Costa Rica. The findings are discussed within the inter-cultural emphasis and healthy aging models in order to contribute to a better understanding of how the context (physical-constructed and social/cultural) influences the differences, although subtle, in the study´s variables and participants, and how the process of aging might be different according to the multiple contextual conditions in which people live and adapt their capacities and abilities for coping with daily life demands.

Abstract Pozner, R.; F. Cápula, G. Couso & G. Blanco. 2023. The historical building of Instituto de Botánica Darwinion in San Isidro: the silent message of Dr. Cristóbal M. Hicken’s legacy. Darwiniana, nueva serie 11(1): 180-245. The Instituto de Botánica Darwinion (CONICET and ANCEFyN) was founded by the end of 1910 in the San Martín district by Cristóbal María Hicken as his private botanical research laboratory. Its name honors Charles Darwin for his brilliant theory of biological evolution. In 1924, Cristóbal M. Hicken made public his desire to bequeath the Instituto de Botánica Darwinion to the National State, a fact that only materialized in 1934. But in the early ‘30s, he decided to move the Instituto de Botánica Darwinion to a new building located in the San Isidro district, built especially to contain the institute and also his retirement home. After 87 years of existence and five building extensions, the historic building of the Instituto de Botánica Darwinion of San Isidro maintains its integrity and attracts the attention of both the public and architecture and design professionals. Based on the study of building characteristics and the thought of Cristóbal M. Hicken, the main objective of this work is to evaluate whether the external and internal structure of the historic Darwinion building in San Isidro, together with the ornamentation and distribution of original functions of each room, respond only to an aesthetic and functional design or if, in addition, they have a symbolic meaning, a vision of the world, a silent message for those who want (and know how) to understand. With this central purpose as a guide, we carried out a multidisciplinary investigation to reconstruct Cristóbal M. Hicken’s vision in the design of the Instituto de Botánica Darwinion of San Isidro. We started from the analysis of the original building in the San Martín district in search of any possible design background, to then focus the attention entirely on the building in San Isidro. Plans, public documents, correspondence, historical photographs, academic and dissemination articles of the time, pre-Hispanic South American ethnographic information, Argentine historical information between 1860 and 1930, and interviews with relatives and historians were studied. In short, the Instituto de Botánica Darwinion in San Isidro was created as a museum and a laboratory plus a home. The design of the museum agrees with the concept of “temple of Botany” manifested by Cristóbal M. Hicken himself, and whose first sign is observed in the etymology of the name of the institute. Its ornamentation is eclectic, since it combines symbols of Andean pre-Hispanic cultures with symbols of Western civilization, and it is structured according to each room (portal, front rooms, herbarium, library) and orientation (towards the street or towards the inner garden). This ornamentation works like a discourse in symbolic key with multiple messages for the visitor: it reflects an original, foundational, and ancient Argentine identity, which in turn communicates that the Darwinion is a place where a silent and fertile unveiling of the knowledge, of the secrets of evolution, takes place protected from evils and misfortunes by Nature itself. The design plan of the institute, the portal, the access terrace, and the internal garden convey desirable masonic values through the symbolic language, typical and traditional of Freemasonry. Likewise, we show evidence of Dr. Cristóbal M. Hicken’s great interest in Andean pre-Hispanic cultures, of his refined knowledge of Greco-Roman mythology, his belonging to Argentine Freemasonry and consequent ability to symbolic language, and his knowledge of construction, cosmology, and analytic geometry. For these reasons, and considering his participation in the supervision of the building work declared by the newspapers of his time, the probable direct intervention of Cristóbal M. Hicken is proposed both in the design of the building of the Instituto de Botánica Darwinion of San Isidro, as well as in the design of its ornamentation. In addition, evidence is provided of the possible intervention of Arturo Prins and Fernando de Estrada in the project of the building.

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