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Abstract The struggle to defend their rights and territoriality has been central to the Colombian peasant movement, and the historical experience of the Comité de Integración del Macizo Colombiano (CIMA) in southern Colombia is remarkable. The current article, based on qualitative, descriptive and empirical research, aims to describe, discuss and critically analyze the proposal of peasant territoriality and Food Sovereignty in the North of Nariño and South of Cauca - Colombia, based on the initiative of the Peasant Agri-Food Territory (TECAM), which represents an alternative for the social construction of the territory, as well as a political, economic, cultural and ecological understanding of the peasant movement in the Macizo Colombiano, in a context of socio-territorial conflict exacerbated by the imposition of the neoliberal extractive model with consequences on the territory and the peasant way of life. CIMA (CIMA remarkable article qualitative research describe AgriFood Agri TECAM, TECAM , (TECAM) political economic socioterritorial socio territorial life (TECAM

Resumen La lucha por la defensa de sus derechos y territorialidad ha sido central en el movimiento campesino colombiano. Dentro de estas luchas se destaca la experiencia histórica del Comité de Integración del Macizo Colombiano (CIMA) en el sur de Colombia. El presente artículo se fundamenta en una investigación cualitativa, descriptiva y empírica. Tiene como objetivo describir, discutir y analizar críticamente la propuesta de territorialidad campesina y Soberanía Alimentaria en el Norte de Nariño y Sur de Cauca - Colombia, a partir de la iniciativa de Territorio Campesino Agroalimentario (TECAM), que representa una alternativa de construcción social del territorio y de resignificación política, económica, cultural y ecológica del movimiento campesino en el Macizo Colombiano, en un contexto de conflictividad socio territorial agudizado por la imposición del modelo neoliberal extractivista con consecuencias sobre el territorio y el modo de vida campesino. colombiano CIMA (CIMA Colombia cualitativa empírica describir TECAM, TECAM , (TECAM) política económica (TECAM

https://doi.org/10.1590/1806-9479.2023.277263

Lactate and base excess (BE) as markers of hypoperfusion and mortality in traumatic hemorrhagic shock in patients undergoing Damage Control: a historical cohort BE (BE Control
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REESE, FERNANDA BAEUMLE

; HUBERT, FLAVIA CASTANHO

; COSENTINO, MARIANA BRUINJE

; OLIVEIRA, MIRELLA CRISTINE DE

; RÉA NETO, ÁLVARO

; BERNARDELLI, RAFAELLA STRADIOTTO

; MATIAS, JORGE EDUARDO

Revista do Colégio Brasileiro de Cirurgiões

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2024, Volume 51 elocation e20243699

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Introdução: o choque hemorrágico é a principal causa reversível de morte no trauma no Brasil e no mundo. Objetivo: comparar o valor de BE ao do lactato na admissão da UTI e vinte e quatro horas após o internamento na identificação de hipoperfusão tecidual e predição de mortalidade Método: coorte histórica de pacientes traumatizados, maiores de dezoito anos, submetidos à estratégia de controle de danos na admissão hospitalar, seguido de internamento em UTI. Foram coletados e analisados ISS, mecanismo e tipo de trauma, necessidade de terapia de substituição renal e transfusão maciça; BE, lactato, pH e bicarbonato coletados na admissão da UTI e vinte e quatro horas após, e a mortalidade. Os pacientes foram divididos em grupos conforme valores de BE (≥-6 e <-6mmol/L) já descritos na literatura como preditores de gravidade, e após redivididos de acordo com os valores de melhor acurácia encontrados nesta amostra, além de realização de regressão logística binária multivariada. Os dados foram comparados através de diversos testes estatísticos devido a diversidade e conforme a indicação para cada variável. Resultados: houve alterações perfusionais impactantes já na admissão da UTI. BE manteve-se com valor estatisticamente significativo para predição de mortalidade tanto quando utilizado os valores já conhecidos da literatura como quando aplicados os valores neste estudo identificados. Conclusão: valores de BE e de lactato foram capazes de predizer hipoperfusão tecidual e mortalidade nos dois momentos estudados, quando comparados, o BE tem boa performance como preditor de mortalidade, com rápido resultado e ampla disponibilidade. Introdução mundo Objetivo Método traumatizados anos hospitalar ISS maciça ≥6 6 ≥ (≥- <6mmol/L 6mmolL mmolL < 6mmol/L 6mmol L mmol <-6mmol/L gravidade amostra multivariada variável Resultados mantevese manteve se identificados Conclusão estudados disponibilidade (≥ (

ABSTRACT Introduction: hemorrhagic shock is a significant cause of trauma-related deaths in Brazil and worldwide. This study aims to compare BE and lactate values at ICU admission and twenty-four hours after in identifying tissue hypoperfusion and mortality. Methods: examines a historical cohort of trauma patients over eitheen years old submittet to damage control resuscitation approch upon hospital admission and were then admitted to the ICU. We collected and analyzed ISS, mechanism and type of trauma, need for renal replacement therapy, massive transfusion. BE, lactate, pH, bicarbonate at ICU admission and twenty-four hours later, and mortality data. The patients were grouped based on their BE values (≥-6 and <-6mmol/L), which were previously identified in the literature as predictors of severity. They were subsequently redivided using the most accurate values found in this sample. In addition to performing multivariate binary logistic regression. The data were compared using several statistical tests due to diversity and according to the indication for each variable. Results: there were significant changes in perfusion upon admission to the Intensive Care Unit. BE is a statistically significant value for predicting mortality, as determined by using values from previous literature and from this study. Conclusion: the results demonstrate the importance of monitoring BE levels in the prediction of ICU mortality. BE proves to be a valuable bedside marker with quick results and wide availability. Introduction traumarelated related worldwide twentyfour twenty four Methods ISS therapy transfusion pH later ≥6 6 ≥ (≥- <6mmol/L, 6mmolL mmolL < 6mmol/L , 6mmol L mmol <-6mmol/L) severity sample regression variable Results Unit Conclusion availability (≥ <6mmol/L <-6mmol/L (

https://doi.org/10.1590/0100-6991e-20243699-en

Minimally Invasive Tibiotalocalcaneal Arthrodesis with Blocked Retrograde Intramedullary Nail - Report of Three Cases
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Moreira, Fernando Delmonte

; Jambeiro, Jorge Eduardo de Schoucair

; Cordeiro Neto, Antero Tavares

; Oliveira, José Augusto

; Leão, Felipe Fernandes

; Guedes, Alex

Revista Brasileira de Ortopedia

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2024, Volume 59 N. 1 Pages 143 - 147

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Ankle osteoarthritis (AOA) is associated with pain and variable functional limitation, demanding clinical treatment and possible surgical indication when conservative measures are ineffective – arthrodesis has been the procedure of choice, because it reduces pain, restores joint alignment and makes the segment stable, preserving gait. The present study reports 3 cases (3 ankles) of male patients between 49 and 63 years old, with secondary AOA, preoperative American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS AHS) of 27 to 39 points, treated by minimally invasive tibiotalocalcaneal arthrodesis using blocked retrograde intramedullary nail. Hospital stay was of 1 day, and the patients were authorized for immediate loading with removable ambulation orthotics, as tolerated. The physical therapy treatment, introduced since hospitalization, was maintained, prioritizing gait training, strength gain, and proprioception. Clinical and radiographic follow-up was performed at weeks 1, 2, 6, 12 and 24. After evidence of consolidation (between the 6th and 10th weeks), the orthotics were removed. One patient complained of pain in the immediate postoperative period and, at the end of the 1st year, only one patient presented pain during rehabilitation, which was completely resolved with analgesics. Currently, the patients do not present complaints, returning to activities without restrictions – one of them, to the practice of soccer and rappelling. The postoperative AOFAS AHS was from 68 to 86 points. AOA (AOA limitation choice stable ( ankles 4 6 old AnkleHindfoot Hindfoot 2 points nail day tolerated hospitalization maintained training gain proprioception followup follow up 24 th weeks, , weeks) removed st year rehabilitation analgesics Currently complaints them rappelling 8

Resumo A osteoartrite do tornozelo (OAT) está associada a quadro álgico e limitação funcional variável, demandando tratamento clínico e eventual indicação cirúrgica quando as medidas conservadoras são inefetivas – a artrodese tem sido o procedimento de escolha, por reduzir a dor, restaurar o alinhamento articular e tornar o segmento estável, preservando a marcha. O presente estudo relata 3 casos (3 tornozelos) de pacientes do sexo masculino, com entre 49 e 63 anos de idade, portadores de OAT secundária, American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS AHS, na sigla em inglês) pré-operatória de 27 a 39 pontos, tratados mediante artrodese tibiotalocalcaneana minimamente invasiva utilizando haste intramedular retrógrada bloqueada. A permanência hospitalar foi de 1 dia, e os pacientes foram autorizados para carga imediata com órteses removíveis para deambulação, conforme tolerado. O tratamento fisioterápico, introduzido desde o internamento, foi mantido, priorizando-se treino de marcha, ganho de força e propriocepção. Foi realizado acompanhamento clínico e radiográfico nas semanas 1, 2, 6, 12 e 24. Após evidências de consolidação (entre a 6ª e a 10ª semanas), as órteses foram retiradas. Um paciente queixou-se de dor no pós-operatório imediato e, ao final do 1° ano, apenas 1 paciente apresentou dor durante a reabilitação, resolvida completamente com analgésicos. Atualmente, os pacientes não apresentam queixas, retornando às atividades sem restrições – um deles, à prática de futebol e rapel. A AOFAS AHS pós-operatória foi de 68 a 86 pontos. (OAT variável escolha estável marcha ( tornozelos masculino 4 6 idade secundária AnkleHindfoot Hindfoot inglês préoperatória pré operatória 2 pontos bloqueada dia deambulação tolerado fisioterápico internamento mantido priorizandose priorizando se propriocepção 24 ª semanas, , semanas) retiradas queixouse queixou pósoperatório pós operatório ano reabilitação analgésicos Atualmente queixas deles rapel pósoperatória 8

https://doi.org/10.1055/s-0041-1731356

Analysis of the pedigree of the Mangalarga breed: Population structure and genetic diversity breed
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Maciel, Michael dos Santos

; Lucena, Jorge Eduardo Cavalcante

; Pinto, Ana Paula Gomes

; Nascimento, Caline Angélica de Menezes Sá

; Arandas, Janaina Kelli Gomes

; Rocha, Laura Leandro da

; Santiago, Juliano Martins

Revista Brasileira de Zootecnia

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2024, Volume 53 elocation e20230122

Abstract: En | Text: En | PDF: En

ABSTRACT This study used a pedigree analysis to monitor trends in the genetic structure of the Mangalarga breed and identify factors that could impact its genetic variability. For this, genealogical information was used from the Associação Brasileira dos Criadores de Cavalo da Raça Mangalarga, considering as total population (TP) the animals born between 1919 and 2018 (n = 206,426) and as reference population (RP) those born between 2009 and 2018 (n = 20,539), which is the most recent generation according to the average generation interval calculated for the breed of 9.37 years. We evaluated the number of male and female births per year, foals produced by Mangalarga breeding animals, using the ENDOG 4.8, generation interval, proportion of known ancestors per parental generation, number of equivalent generations known per animal, inbreeding coefficient, increase in inbreeding, average relatedness (AR), effective population size, effective number of founders, effective number of ancestors, and founder genome equivalent. The number of equivalent generations known per animal increased over time, reaching an average of 2.75 in TP and 4.88 in RP. The calculated F was 2.26% for TP and 5.57% for RP, while AR was 2.41% for TP and 4.10% for RP. The effective population size was 40.85 for TP and 38.89 for RP. The 206,426 registered Mangalarga horses (TP) were derived from the genetic contribution of 9,011 founders and 8,908 ancestors, whereas those registered in or after 2009 (RP) originated from 2,662 founders and 2,193 ancestors. The effective number of founders represented 1.11 and 1.35% of the total number of founders in TP and RP, respectively. For RP, 11 animals accounted for 29.21% of the genetic pool of the breed. The analysis of population parameters estimated in the present study indicates that the Mangalarga horse population was formed through uneven contributions from founders and ancestors; therefore, genetic management of the breed is required to restrict average inbreeding from increasing over generations. variability this (TP 191 201 n 206426 206 426 RP (RP 200 20,539, 20539 20,539 , 20 539 20,539) 937 9 37 9.3 years year 48 4 8 4.8 coefficient AR, (AR) time 275 2 75 2.7 488 88 226 26 2.26 557 5 57 5.57 241 41 2.41 410 10 4.10 4085 40 85 40.8 3889 38 89 38.8 206,42 9011 011 9,01 8908 908 8,90 2662 662 2,66 2193 193 2,19 111 1 1.1 135 35 1.35 respectively 2921 29 21 29.21 therefore 19 20642 42 2053 20,53 53 93 3 9. 4. (AR 27 7 2. 22 2.2 55 5.5 24 2.4 4.1 408 40. 388 38. 206,4 901 01 9,0 890 90 8,9 266 66 2,6 219 2,1 1. 13 1.3 292 29.2 2064 205 20,5 5. 206, 0 9, 8, 6 2, 29. 20,

https://doi.org/10.37496/rbz5320230122

Accuracy of duplex ultrasonography versus angiotomography for the diagnosis of extracranial internal carotid stenosis
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DAOLIO, RAUL MUFFATO

; ZANIN, LUIZ FERNANDO SANTETTI

; FLUMIGNAN, CAROLINA DUTRA QUEIROZ

; CASSOLA, NICOLLE

; GUEDES NETO, HENRIQUE JORGE

; SANTOS, JOSÉ EDUARDO MOURÃO

; AMORIM, JORGE EDUARDO

; NAKANO, LUÍS CARLOS UTA

; FLUMIGNAN, RONALD LUIZ GOMES

Revista do Colégio Brasileiro de Cirurgiões

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2024, Volume 51 elocation e20243632

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Introduction: Internal carotid artery (ICA) stenosis causes about 15% of ischemic strokes. Duplex ultrasonography (DUS) is the first line of investigation of ICA stenosis, but its accuracy varies in the literature and it is usual to complement the study with another more accurate exam when faced with significant stenosis. There is a lack of studies that compare DUS with angiotomography (CTA) in the present literature. Methods: we performed an accuracy study, which compared DUS to CTA of patients in a tertiary hospital with a maximum interval of three months between tests. Patients were selected retrospectively, and two independent and certified vascular surgeons evaluated each image in a masked manner. When there was discordance, a third evaluator was summoned. We evaluated the diagnostic accuracy of ICA stenosis of 50-94% and 70-94%. Results: we included 45 patients and 84 arteries after inclusion and exclusion criteria applied. For the 50-94% stenosis range, DUS accuracy was 69%, sensitivity 89%, and specificity 63%. For the 70-94% stenosis range, DUS accuracy was 84%, sensitivity 61%, and specificity 93%. There was discordance between CTA evaluators with a change from clinical to surgical management in at least 37.5% of the conflicting reports. Conclusion: DUS had an accuracy of 69% for stenoses of 50-94% and 84% for stenoses of 70-94% of the ICA. The CTA analysis depended directly on the evaluator with a change in clinical conduct in more than 37% of cases. Introduction (ICA 15 strokes (DUS (CTA Methods tests retrospectively manner summoned 5094% 5094 50 94% 94 50-94 7094%. 7094 70 94%. Results 4 8 applied range 69 89 89% 63 63% 7094% 70-94 61 61% 93 93% 375 37 5 37.5 reports Conclusion cases 1 509 9 50-9 709 7 6 70-9 3 37. 50- 70-

RESUMO Introdução: a estenose da artéria carótida interna (ACI) causa cerca de 15% dos acidentes vasculares cerebrais isquêmicos. A ultrassonografia duplex (USD) é a primeira linha de investigação da estenose de ACI, mas sua acurácia varia na literatura e é comum complementar o estudo com outro exame de maior acurácia diante de estenose significativa. Há uma escassez de estudos que comparem a USD com a angiotomografia computadorizada (ATC) na literatura atual. Métodos: realizamos um estudo de acurácia, que comparou a USD à ATC de pacientes de um hospital terciário com um intervalo máximo de três meses entre os exames. Os pacientes foram selecionados retrospectivamente e dois cirurgiões vasculares independentes e certificados avaliaram cada imagem de maneira mascarada. Quando houve discordância, um terceiro avaliador foi convocado. Avaliou-se a precisão diagnóstica da estenose da ACI de 50-94% e 70-94%. Resultados: foram incluídos 45 pacientes e 84 artérias após a aplicação dos critérios de inclusão e exclusão. Para a faixa de estenose de 50-94%, a acurácia da USD foi 69%, sensibilidade 89% e especificidade 63%. Para a faixa de estenose de 70-94%, a acurácia da USD foi 84%, sensibilidade 61% e especificidade 93%. Ocorreu discordância entre avaliadores da ATC com mudança de conduta clínica para cirúrgica em pelo menos 37,5% dos laudos conflitantes. Conclusão: a USD teve uma acurácia de 69% para estenoses de 50-94% e de 84% para estenoses de 70-94% da ACI. A análise das ATC dependeu diretamente do avaliador com mudança de conduta clínica em mais de 37% dos casos. Introdução (ACI 15 isquêmicos (USD significativa (ATC atual Métodos exames mascarada convocado Avaliouse Avaliou se 5094% 5094 50 94% 94 50-94 7094%. 7094 70 94%. Resultados 4 8 exclusão 5094%, 94%, 69 89 63 63% 7094%, 61 93 93% 375 37 5 37,5 conflitantes Conclusão 7094% 70-94 casos 1 509 9 50-9 709 7 6 3 37, 70-9 50- 70-

https://doi.org/10.1590/0100-6991e-20243632-en

Lifestyle modifications and risk factors control in the prevention and treatment of atrial fibrillation. Endorsed by the Mexican Society of Cardiology (SMC) and National Association of Mexican Cardiologists (ANCAM)
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Rodríguez-Reyes, Humberto

; Asensio-Lafuente, Enrique

; Cossío-Aranda, Jorge Eduardo

; Borrayo-Sanchez, Gabriela

; Alcocer-Gamba, Marco

; Berni-Betancourt, Ana

; Picos-Bovio, Eva María

; Gallegos-De Luna, Carlos F

; Laguna-Muñoz, César I

; Corona-Martínez, Víctor A

; Muñoz-Gutiérrez, Luz M

; Rodríguez-Muñoz, Karla M

Cardiovascular and metabolic science

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dec 2023, Volume 34 N. 4 Pages 186 - 206

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: Atrial fibrillation (AF) is the most prevalent arrhythmia and is related to significant morbidity, mortality and costs. In spite of relevant advances in the prevention of embolic events and rhythm control, little has been done to reduce its prevalence, progression and impact since it increases with aging as well as with common risk factors such as alcohol intake, tobacco use and stress as well as with arterial hypertension, diabetes mellitus, heart failure, sleep apnea, kidney failure, chronic pulmonary obstructive disease, ischemic heart disease and stroke, among other important comorbidities. Fortunately, new evidence suggests that lifestyle modifications and adequate risk factors and comorbidities control could be effective in primary and secondary AF prevention, especially in its paroxysmal forms. This is why a multidisciplinary approach integrating lifestyle modifications, risk factors and comorbidities control is necessary for conjunction with rhythm or rate control and anticoagulation. Unfortunately, that holistic approach strategy is not considered, is scarcely studied or is subtilized in general clinical practice. The present statement’s objectives are to: a) Review the relationship between habits, risk factors and illnesses with AF, b) Review the individual and common physiopathology mechanisms of each one of those conditions that may lead to AF, c) Review the effect of control of habits, risk factors and co-morbidities on the control and impact of AF, d) Supply guidelines and recommendations to start multidisciplinary and integrative AF treatment.

Resumen: La fibrilación auricular (FA) es la arritmia más frecuente y se asocia con importante morbilidad, mortalidad y costos. A pesar de los grandes avances en la prevención de eventos embólicos y en el control del ritmo, poco se ha realizado para reducir su prevalencia, progresión e impacto, debido a que incrementa con la edad y con la presencia de múltiples factores de riesgo muy comunes en la población, como obesidad, sedentarismo, alcoholismo, tabaquismo y estrés, así como hipertensión arterial sistémica, diabetes mellitus, insuficiencia cardiaca, apnea del sueño, enfermedad renal crónica, enfermedad pulmonar obstructiva crónica, cardiopatía isquémica y enfermedad vascular cerebral, entre otras comorbilidades importantes. Nuevas evidencias demuestran que las modificaciones en el estilo de vida y el control adecuado de factores de riesgo y comorbilidades pueden ser efectivos en la prevención primaria y secundaria de la FA, especialmente en sus formas paroxísticas; para ello es necesario un manejo multidisciplinario que integre las modificaciones en el estilo de vida, el manejo de factores de riesgo y control de comorbilidades en el tratamiento de la FA en conjunto con el control de ritmo o frecuencia y la anticoagulación. Desafortunadamente, en la práctica clínica, estas estrategias frecuentemente no son tomadas en cuenta, son subutilizadas y poco estudiadas. Los objetivos del presente posicionamiento son: a) revisar la relación entre factores de riesgo y comorbilidades con FA, b) revisar los mecanismos fisiopatológicos de cada una de estas condiciones, c) revisar el impacto del control de factores de riesgo y comorbilidades en el control e impacto de la FA y d) proporcionar guías y recomendaciones para la puesta en práctica de programas de tratamiento multidisciplinario e integral en pacientes con FA.

https://doi.org/10.35366/113869

Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023 202 20 2
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Almeida, André Luiz Cerqueira

; Melo, Marcelo Dantas Tavares de

; Bihan, David Costa de Souza Le

; Vieira, Marcelo Luiz Campos

; Pena, José Luiz Barros

; Del Castillo, José Maria

; Abensur, Henry

; Hortegal, Renato de Aguiar

; Otto, Maria Estefania Bosco

; Piveta, Rafael Bonafim

; Dantas, Maria Rosa

; Assef, Jorge Eduardo

; Beck, Adenalva Lima de Souza

; Santo, Thais Harada Campos Espirito

; Silva, Tonnison de Oliveira

; Salemi, Vera Maria Cury

; Rocon, Camila

; Lima, Márcio Silva Miguel

; Barberato, Silvio Henrique

; Rodrigues, Ana Clara

; Rabschkowisky, Arnaldo

; Frota, Daniela do Carmo Rassi

; Gripp, Eliza de Almeida

; Barretto, Rodrigo Bellio de Mattos

; Silva, Sandra Marques e

; Cauduro, Sanderson Antonio

; Pinheiro, Aurélio Carvalho

; Araujo, Salustiano Pereira de

; Tressino, Cintia Galhardo

; Silva, Carlos Eduardo Suaide

; Monaco, Claudia Gianini

; Paiva, Marcelo Goulart

; Fisher, Cláudio Henrique

; Alves, Marco Stephan Lofrano

; Grau, Cláudia R. Pinheiro de Castro

; Santos, Maria Veronica Camara dos

; Guimarães, Isabel Cristina Britto

; Morhy, Samira Saady

; Leal, Gabriela Nunes

; Soares, Andressa Mussi

; Cruz, Cecilia Beatriz Bittencourt Viana

; Guimarães Filho, Fabio Villaça

; Assunção, Bruna Morhy Borges Leal

; Fernandes, Rafael Modesto

; Saraiva, Roberto Magalhães

; Tsutsui, Jeane Mike

; Soares, Fábio Luis de Jesus

; Falcão, Sandra Nívea dos Reis Saraiva

; Hotta, Viviane Tiemi

; Armstrong, Anderson da Costa

; Hygidio, Daniel de Andrade

; Miglioranza, Marcelo Haertel

; Camarozano, Ana Cristina

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Siqueira, Maria Eduarda Menezes de

; Torreão, Jorge Andion

; Rochitte, Carlos Eduardo

; Felix, Alex

Arquivos Brasileiros de Cardiologia

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dec 2023, Volume 120 N. 12 elocation e20230646

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

https://doi.org/10.36660/abc.20230646

A reflection on the results of the ENSANUT 2022 on high blood pressure in Mexican adults
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Alcocer, Luis

; Rosas-Peralta, Martín

; Guerra-López, Arturo

; Alcocer, Alejandro

; Palomo, Silvia

; Cossio, Jorge Eduardo

; Enciso, José Manuel

; Salgado-Loza, Juan Luis

; Meaney, Eduardo

Cardiovascular and metabolic science

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sep 2023, Volume 34 N. 3 Pages 85 - 93

Abstract: En | Text: En | PDF: En

https://doi.org/10.35366/112757

La realidad penitenciaria en el Ecuador, sobrevivencia, descarte social de seres humanos o rehabilitación integral
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Verdugo Lazo, Jorge Eduardo

Foro: Revista de Derecho

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jul 2023, N. 39 Pages 87 - 105

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN El sistema penitenciario ecuatoriano atraviesa una grave crisis, sin que se vislumbre una solución definitiva tanto en lo estructural como en materia de derechos humanos de las personas privadas de libertad. El ejercicio del poder punitivo del Estado se ha centrado en el uso de la prisión como mecanismo privilegiado, desconociendo prácticas alternativas que pudieran asegurar de mejor manera los derechos humanos y racionalizar la ejecución de la pena, por lo que se considera pertinente la aplicación de un enfoque multidisciplinario que haga frente a un problema multicausal, como es la crisis referida, que debe ser entendida como un reflejo de la conflictividad social y la pugna entre el Estado y los grupos delictivos. Los aspectos fundamentales relacionados con esas ideas se analizan en el presente artículo, con base en una revisión documental y estadística de la situación actual que permite avizorar un futuro más complejo de no adoptarse medidas apropiadas que garanticen la funcionalidad del sistema y los derechos de los privados de libertad.

ABSTRACT The Ecuadorian prison system has been in crisis, with no definitive solution currently in sight, both structurally and in terms of people's human rights deprived of liberty. The State punitive power exercise has focused on the use of prison as a privileged mechanism, ignoring alternative practices that could better ensure human rights and rationalize the execution of the sentence, for which the application of a multidisciplinary approach that addresses a multicausal problem such as the crisis in the prison system that can be understood as a reflection of social conflict and the struggle between the State and criminal groups. The fundamental aspects related to these ideas are analyzed in this article, based on a documentary and statistical review of the current situation that allows us to foresee a more complex future if appropriate measures are not adopted to guarantee the system's functionality and the citizens' rights deprived of liberty.

https://doi.org/10.32719/26312484.2023.39.

10.

Justicia ambiental y justicia climática: principios progresistas configurados desde la participación judicial en Colombia
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Vasquez Santamaria, Jorge Eduardo

; Restrepo Múnera, Carolina

Revista de derecho ambiental (Santiago)

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jun 2023, N. 19 Pages 97 - 127

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: The jurisprudence of the Colombian Judiciary gathers reasons for decisions that show the configuration of environmental justice and climate justice as emerging guiding principles in national environmental law. Due to their consolidation, the question arose as to what scope and consequences these principles acquire as a result of the exercise of judicial participation, a problem from which the objective of analyzing the scope and consequences that emanate from them as a result of judicial participation was derived. To this end, a methodology based on the qualitative model was proposed, supported by the socio-legal approach, with the application of the hermeneutic method and the study of judicialized cases of socio-environmental conflicts, which gave rise to an introductory theoretical construction of the category of socio-environmental conflict, the basis for the elaboration of a frame of reference on participation, environmental justice and climate justice, which resulted in the apprehension of socio-environmental conflicts that have reached the courts in which climate justice has been configured hand in hand with environmental justice, and have led to the recognition of the rights of nature and the principle of transpersonalization of law.

Resumen: En la jurisprudencia del Poder Judicial colombiano se reúnen razones de decisión que dan cuenta de la configuración de la justicia ambiental y de la justicia climática como principios rectores emergentes en el derecho ambiental nacional. Por su consolidación, se planteó la pregunta respecto de qué alcances y consecuencias adquieren esos principios a raíz del ejercicio de la participación judicial, problema del cual se desprendió el objetivo de analizar los alcances y consecuencias que emanan de ellos a raíz de la participación judicial. Para ello, se propuso una metodología basada en el modelo cualitativo, respaldada en el enfoque sociojurídico, con aplicación del método hermenéutico y del estudio de casos judicializados por conflictos socioambientales, lo que dio lugar a una construcción teórica introductoria de la categoría conflicto socioambiental, base para elaborar un marco de referencia sobre la participación, la justicia ambiental y la justicia climática, con el que se obtuvo como resultado la aprehensión de conflictos socioambientales que han llegado a los estrados judiciales en los que se ha configurado la justicia climática de la mano de la justicia ambiental, y han dado lugar al reconocimiento de los derechos de la naturaleza y al principio de transpersonalización del derecho.

https://doi.org/10.5354/0719-4633.2023. 70119

11.

El Área del Lenguaje Articulado, Perspectiva Histórica y Denominación Epónima Equívoca: Entre Dax y Broca
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Duque-Parra, Jorge Eduardo

; Marulanda-Galvis, Juan David

; Chavez, Jeferson Gabriel

International Journal of Morphology

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jun 2023, Volume 41 N. 3 Pages 910 - 914

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

SUMMARY: The eponymous Broca's area is a human cerebral cortical region that controls the expression of oral language, and which is not always located in the inferior frontal gyrus of the frontal lobe in the left hemisphere. In a study of 25 articles published in 2022, and 25 teaching books on neuroanatomy, neurophysiology, neuroscience or associated areas, it was found that the term Broca's area was established and quantified. In books there was a 96 % eponymous inclusion of this cerebral cortical area and in journal articles there was 100 % of the same eponym. Furthermore, no other eponyms were found in any of the books and articles. Although over time, eponyms have been used in medical sciences to identify anatomical structures, as in the designation of the area in the brain that controls oral language, this term does not provide any descriptive or functional information. The result is contradictory to current morphological thought and also leads to confusion, erroneously suggesting that the initial discovery was made by Broca, when in fact Marc Dax was the first to discover this area some 30 years earlier.

RESUMEN: El término epónimo área de Broca corresponde a una región cortical cerebral humana dedicada a la expresión del lenguaje oral y que no siempre se ubica en el giro frontal inferior del lobo frontal en el hemisferio izquierdo. Al estudiar 25 artículos del año 2022 y 25 libros de enseñanza de la neuroanatomía, neurofisiología, neurociencia o áreas asociadas del presente siglo, se estableció y cuantificó la existencia del término área de Broca encontrándose que en los libros había un 96 % de inclusión epónima sobre esta área cortical cerebral y en artículos de revista existía un 100 % del mismo epónimo, además, en ninguno de los libros y artículos se encontró un epónimo diferente. Aunque a lo largo del tiempo, en las ciencias médicas se han usado epónimos para designar estructuras anatómicas como en el caso para tratar de designar el área del cerebro que genera el lenguaje oral, este término no proporciona ninguna información descriptiva ni funcional, lo que equivale a un desatino en la lógica del pensamiento morfológico actual, además que lleva a confusión, pues hace pensar que su descubrimiento inicial fue dado por Broca, equivocando el conocimiento histórico que vincula a Marc Dax como el primero en descubrir esta zona.

12.

Manejo endoscópico de fístulas del seno piriforme. Reporte de dos casos
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Sánchez-Paredes, Vicente

; Madriñán-Rivas, Jorge Eduardo

; Gutiérrez-Lucatero, Silvia

; Simonín-Ruiz, Oscar David

; Pacheco-Y Orozco, Farid Adán

Revista de sanidad militar

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jun 2023, Volume 77 N. 2 elocation e02

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Caso 1: Femenino de cuatro años de edad con absceso cervical izquierdo recurrente por fístula del seno piriforme izquierdo tratada finalmente con electrocoagulación endoscópica sin recidivas en más de siete meses. Caso 2: Masculino de seis años de edad con absceso cervical izquierdo recurrente por fístula del seno piriforme izquierdo tratado con electrocoagulación endoscópica sin recidivas en más de 6 meses. Discusión: Las fistulas del seno piriforme son poco comunes, resueltas en forma quirúrgica con amplias disecciones cervicales y en ocasiones con hemitiroidectomías. No suelen sospecharse sino hasta la recurrencia del cuadro. Aunque no todos los abscesos cervicales son por fístulas del seno piriforme, recomendamos descartarla en casos de recidiva sobre todo en el lado izquierdo del cuello; acompañando el drenaje con exploración endoscópica. De confirmarse el diagnóstico se ofrece tratamiento por electrocoagulación en la misma intervención con mejores resultados al evitar los riesgos que implica la resección extensa del tratamiento convencional. En nuestros casos usamos endoscopía flexible y electrocoagulación con resultados superiores en relación con el tratamiento quirúrgico convencional. Limitaciones: Solo se trata de dos casos, pero corresponden a una entidad poco frecuente. Valor: Se muestra como alternativa el tratamiento endoscópico con electrocoagulación con mejores resultados en relación con el manejo tradicional para los casos de fístula del seno piriforme en niños.

Abstract Case 1: A 4-year-old female with a recurrent left cervical abscess due to a left piriform sinus fistula finally treated with endoscopic electrocoagulation without recurrences for more than 7 months. Case 2: 6-year-old male with recurrent left cervical abscess due to left piriform sinus fistula treated with endoscopic electrocoagulation without recurrences for more than 6 months. Discussion: Piriform sinus fistulas are rare and are surgically corrected with extensive cervical dissections and occasionally hemithyroidectomies. They are not usually noticed as such until the recurrence. Although not all cervical abscesses are due to piriform sinus fistulas, we recommend ruling out in cases of recurrence, especially on the left side of the neck, accompanying by drainage with endoscopic exploration. If the suspicion is confirmed, electrocoagulation treatment is offered in the same intervention with better results by avoiding the risks involved in an extensive resection with conventional treatment. In our cases we use flexible endoscopy and electrocoagulation with better results compared to conventional surgical treatment. Limitations: These are only two cases, but they are rare. Value: Endoscopic treatment with electrocoagulation is shown as an alternative with better results in relation to traditional management for cases of piriform sinus fistula in children.

https://doi.org/10.56443/rsm.v77i2.365

13.

Neuro estímulo eléctrico periférico no invasivo como opción terapéutica en temblor esencial
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Rojas, María Salomé Veintimilla

; Aucay, Jorge Eduardo Ochoa

Vive Revista de Salud

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apr 2023, Volume 6 N. 16 Pages 183 - 194

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

RESUMEN El temblor esencial es el trastorno de movimiento más común en la actualidad, su prevalencia aumenta conforme lo hace la edad y se caracteriza principalmente por ser un temblor de acción de miembros superiores que puede llegar a afectar miembros inferiores, tronco y cabeza. Afecta directamente la calidad de vida de las personas al limitar las actividades del diario vivir llevando al desarrollo de trastornos como ansiedad y depresión. Objetivo. Describir los efectos adversos y la eficacia de los neuro estímulos periféricos no invasivos como opción terapéutica para el temblor esencial. Metodología. Se empleó la metodología de una revisión sistemática, basadas en las directrices PRISMA 2021 mediante la búsqueda de información en las siguientes bases de datos, PubMed, Scopus y Web of science. Además, se realizó una búsqueda especifica de todos los estudios centrados en la temática cuyo algoritmo de búsqueda se presenta a continuación, "terapia no invasiva" AND "temblor esencial" AND "neuroestimulación" AND "estimulación eléctrica transcutánea" en idioma español e inglés, entre los años 2017- 2022. Conclusión. La neuroestimulación eléctrica periférica no invasiva se presenta como una opción terapéutica prometedora en el tratamiento del temblor esencial. Los estudios han demostrado una mejora significativa en los síntomas del temblor en pacientes tratados con neuroestimulación eléctrica periférica no invasiva, lo que sugiere que este enfoque puede ser beneficioso para pacientes que no responden a otros tratamientos convencionales o que experimentan efectos secundarios adversos. Además, la neuroestimulación eléctrica periférica no invasiva es una técnica segura y bien tolerada por los pacientes.

RESUMO O tremor essencial é o distúrbio de movimento mais comum atualmente, sua prevalência aumenta com a idade e é caracterizado principalmente como um tremor de ação do membro superior que pode afetar os membros inferiores, o tronco e a cabeça. Ele afeta diretamente a qualidade de vida das pessoas ao limitar as atividades da vida diária, levando ao desenvolvimento de distúrbios como ansiedade e depressão. Objetivo. Descrever os efeitos adversos e a eficácia dos neuroestímulos periféricos não invasivos como opção terapêutica para o tremor essencial. Metodologia. Utilizamos a metodologia de uma revisão sistemática, com base nas diretrizes PRISMA 2021, buscando informações nos seguintes bancos de dados: PubMed, Scopus e Web of science. Além disso, foi realizada uma busca específica de todos os estudos focados no assunto cujo algoritmo de busca é apresentado a seguir, "terapia não invasiva" AND "tremor essencial" AND "neuroestimulação" AND "estimulação elétrica transcutânea" em espanhol e inglês, entre 2017 e 2022. Conclusão. A neuroestimulação elétrica periférica não invasiva é apresentada como uma opção terapêutica promissora no tratamento do tremor essencial. Estudos demonstraram melhora significativa nos sintomas do tremor em pacientes tratados com neuroestimulação elétrica periférica não invasiva, sugerindo que essa abordagem pode ser benéfica para pacientes que não respondem a outros tratamentos convencionais ou que apresentam efeitos colaterais adversos. Além disso, a estimulação elétrica nervosa periférica não invasiva é uma técnica segura e bem tolerada pelos pacientes.

ABSTRACT Essential tremor is the most common movement disorder today, its prevalence increases with age and is characterized mainly as an action tremor of the upper limbs that can affect the lower limbs, trunk and head. It directly affects the quality of life of people by limiting the activities of daily living leading to the development of disorders such as anxiety and depression. Objective. To describe the adverse effects and efficacy of noninvasive peripheral neuro-stimuli as a therapeutic option for essential tremor. Methodology. The methodology of a systematic review was used, based on the PRISMA 2021 guidelines, by searching for information in the following databases: PubMed, Scopus and Web of science. In addition, a specific search was performed for all studies focused on the topic whose search algorithm is presented below, "noninvasive therapy" AND "essential tremor" AND "neurostimulation" AND "transcutaneous electrical stimulation" in Spanish and English language, between the years 2017- 2022. Conclusion. Noninvasive peripheral electrical neurostimulation is presented as a promising therapeutic option in the treatment of essential tremor. Studies have demonstrated significant improvement in tremor symptoms in patients treated with noninvasive peripheral electrical neurostimulation, suggesting that this approach may be beneficial for patients who do not respond to other conventional treatments or who experience adverse side effects. In addition, noninvasive peripheral electrical neurostimulation is a safe technique that is well tolerated by patients.

https://doi.org/10.33996/revistavive.v6i16.217

14.

Determinantes del uso de plaguicidas entre los productores del sector agrícola de Bolivia: una aplicación de modelos de respuesta binaria
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Bolaños Gamarra, Jorge Eduardo

Revista Latinoamericana de Desarrollo Económico

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2023, N. 39 Pages 109 - 147

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen El estudio evalúa los factores que influyen en la probabilidad de que los productores agropecuarios hagan uso de químicos plaguicidas según la Encuesta Agropecuaria 2015 (Bolivia). Se aplican técnicas estadísticas de clasificación binaria: modelo Logit y modelo Probit, a una muestra de 1607 individuos, los cuales fueron seleccionados por muestreo deliberado (casos completos). Los resultados evidencian que, a un nivel estadístico, existe una relación estadísticamente significativa entre la probabilidad de usar plaguicidas y factores como ser: el tipo de cultivo, mes de cosecha, las decisiones sobre la asignación de tareas, la información sobre eventos climatológicos y el conocimiento del seguro agrario Pachamama. Por lo tanto, se concluye que el uso de plaguicidas está asociado con algunos de los factores considerados en la Encuesta Agropecuaria 2015.

Abstract The study evaluates the factors that influence the probability that farmers use pesticide chemicals according to the 2015 Agricultural Survey (Bolivia). Statistical techniques of binary classification: Logit model and Probit model, are applied to a sample of 1607 individuals, which were selected by purposive sampling (complete cases). The results show that, at a statistical level, there is a statistically significant relationship between the probability of using pesticides and factors such as type of crop, the month of harvest, decisions on task assignment, information on climatological events and knowledge of Pachamama agricultural insurance. Therefore, it is concluded that the use of pesticides is associated with some of the factors considered in the 2015 Agricultural Survey. Clasificación/Classification JEL: Q12, Q15, Q24.

https://doi.org/10.35319/lajed.202239281

15.

Vascular complications in 305 severely ill patients with COVID-19: a cohort study 30 COVID19 COVID 19 COVID-19 3 COVID1 1 COVID-1 COVID-
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Correia, Rebeca Mangabeira

; Santos, Brena Costa

; Carvalho, Ana Alyra Garcia

; Areias, Libnah Leal

; Kuramoto, Danielle Akemi Bergara

; Pereda, Mariana Raffo

; Aidar, Ana Laura e Silva

; Clezar, Caroline Nicacio Bessa

; Reicher, Marcello Erich

; Amorim, Jorge Eduardo de

; Flumignan, Ronald Luiz Gomes

; Nakano, Luis Carlos Uta

Sao Paulo Medical Journal

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2023, Volume 141 N. 5 elocation e2022171

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Although an association has been made between coronavirus disease 2019 (COVID-19) and microvascular disease, data on vascular complications (other than venous thromboembolism) are sparse. OBJECTIVE: To investigate the vascular complications in severely ill patients hospitalized with COVID-19 and their association with all-cause mortality. DESIGN AND SETTING: This cohort study was conducted at the Universidade Federal de São Paulo, Brazil. METHODS: All 305 consecutive patients diagnosed with COVID-19 and hospitalized in the intensive care unit (ICU) of a tertiary university hospital from April 2 to July 17, 2021, were included and followed up for 30 days. RESULTS: Of these, 193 (63.3%) were male, and the mean age was 59.9 years (standard deviation = 14.34). The mortality rate was 56.3% (172 patients), and 72 (23.6%) patients developed at least one vascular complication during the follow-up period. Vascular complications were more prevalent in the non-survivors (28.5%) than in the survivors (17.3%) group and included disseminated intravascular coagulation (DIC, 10.8%), deep vein thrombosis (8.2%), acrocyanosis (7.5%), and necrosis of the extremities (2%). DIC (adjusted odds ratio (aOR) 2.30, 95% confidence interval (CI) 1.01–5.24, P = 0.046) and acrocyanosis (aOR 5.21, 95% CI 1.48–18.27, P = 0.009) were significantly more prevalent in the non-survivors than in the survivors group. CONCLUSION: Vascular complications in critically ill COVID-19 patients are common (23.6%) and can be closely related to the mortality rate (56.3%) until 30 days after ICU admission. Macrovascular complications have direct implications for mortality, which is the main outcome of the management of COVID-19. REGISTRATION: RBR-4qjzh7 (https://ensaiosclinicos.gov.br/rg/RBR-4qjzh7). BACKGROUND 201 COVID19 COVID 19 (COVID-19 other thromboembolism sparse OBJECTIVE COVID-1 allcause all cause SETTING Paulo Brazil METHODS (ICU 17 2021 3 RESULTS these 63.3% 633 63 (63.3% male 599 59 9 59. standard 14.34. 1434 14.34 . 14 34 14.34) 563 56 56.3 172 (17 patients, , patients) 7 23.6% 236 23 6 (23.6% followup follow period nonsurvivors non 28.5% 285 28 5 (28.5% 17.3% 173 (17.3% DIC, (DIC 10.8%, 108 10.8% 10 8 10.8%) 8.2%, 82 8.2% (8.2%) 7.5%, 75 7.5% (7.5%) 2%. 2% (2%) adjusted aOR 230 2.30 95 (CI 101524 1 01 24 1.01–5.24 0.046 0046 0 046 521 21 5.21 1481827 48 18 27 1.48–18.27 0.009 0009 009 CONCLUSION (56.3% admission COVID19. 19. REGISTRATION RBR4qjzh7 RBRqjzh RBR 4qjzh7 qjzh RBR-4qjzh https//ensaiosclinicos.gov.br/rg/RBR4qjzh7. httpsensaiosclinicosgovbrrgRBR4qjzh7 httpsensaiosclinicosgovbrrgRBRqjzh https //ensaiosclinicos.gov.br/rg/RBR ensaiosclinicos gov br rg (https://ensaiosclinicos.gov.br/rg/RBR-4qjzh7) 20 COVID1 (COVID-1 COVID- 202 63.3 (63.3 143 14.3 56. (1 23.6 (23.6 28.5 (28.5 17.3 (17.3 10.8 8.2 (8.2% 7.5 (7.5% (2% 2.3 10152 1.01–5.2 0.04 004 04 52 5.2 148182 4 1.48–18.2 0.00 000 00 (56.3 RBR4qjzh 4qjzh https//ensaiosclinicos.gov.br/rg/RBR4qjzh7 httpsensaiosclinicosgovbrrgRBR httpsensaiosclinicosgovbrrgRBR4qjzh ensaiosclinicosgovbrrgRBR (https://ensaiosclinicos.gov.br/rg/RBR-4qjzh7 (COVID- 63. (63. 14. ( 23. (23. 28. (28. 17. (17. 10. 8. (8.2 7. (7.5 (2 2. 1015 1.01–5. 0.0 5. 14818 1.48–18. (56. https//ensaiosclinicos.gov.br/rg/RBR4qjzh (https://ensaiosclinicos.gov.br/rg/RBR-4qjzh (COVID (63 (23 (28 (8. (7. 101 1.01–5 0. 1481 1.48–18 (56 (6 (8 (7 1.01– 148 1.48–1 (5 1.01 1.48– 1.0 1.48 1. 1.4

https://doi.org/10.1590/1516-3180.2022.0171.r2.17102022

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