Abstract Globalization and changing lifestyles are generating new forms of tourism, including visits to short break destinations. The objective of this study is to propose a definition of short break destinations and to present the dimensions of the attractiveness of tourist destinations. The methodology consisted of reviewing the literature of 64 academic publications. The result shows the determinants that should be considered in the definition of short break destination and the following dimension are proposed: 1) naturals resources, 2) cultural and historical resources, 3) social factors, 4) tourist services and 5) infrastructure.

Resumen La globalización y los cambios en los estilos de vida están generando nuevas formas de turismo, entre las que se encuentran las visitas a destinos de corta estadía. El objetivo de este estudio es proponer una definición de los destinos de corta estadía y presenter las dimensiones del atractivo de los destinos turísticos. La metodología consistió en la revision de literatura de 64 publicaciones académicas. Los resultados muestran los determinantes que se deben considerar en la definición del destino de corta estadía y se proponen las siguientes dimensiones: 1) recursos naturales, 2) recursos culturales e históricos, 3) factores sociales, 4) servicios turísticos y 5) infraestructura.

Resumo A conexão com a natureza pode favorecer o bem-estar e a adoção de práticas alimentares sustentáveis. Profissionais de saúde seriam agentes fundamentais nesta interface, promovendo a saúde ambiental. Estudo transversal com 146 profissionais da atenção primária avaliou a associação entre conexão com a natureza e os motivos para escolhas alimentares consideradas importantes à saúde humana e ambiental. Aplicou-se Escala de Conexão com a Natureza (ECN), contendo 14 itens que medem o quanto a pessoa se sente integrada ao meio ambiente, variando de 14 a 70 pontos; e o Questionário sobre Motivos para as Escolhas Alimentares (FCQ), com 36 itens distribuídos em nove fatores, dentre os quais elegeu-se para este estudo: “Saúde”, “Conteúdo Natural” e “Preocupação Ética”. A pontuação média na ECN foi de 53,8, (± 9). “Apelo Sensorial” e “Preço” foram os fatores mais pontuados; “Preocupação Ética” ocupou a última posição. Houve associação positiva significativa da ECN com a pontuação nos fatores “Saúde” (p = 0,031), “Conteúdo Natural” (p = 0,001) e “Preocupação Ética” (p < 0,001). Os resultados desta pesquisa inédita permitiram concluir que aumentar conexão com a natureza pode favorecer escolhas alimentares mais saudáveis e sustentáveis.

Abstract Connectedness to nature can boost well-being and lead to healthier and more sustainable food choices. Health professionals have the potential to be key agents in promoting environmental health. A cross-sectional study was conducted with 146 primary healthcare professionals to determine the association betweennature connectedness and food choicemotives considered important for human and environmental health. We used the 14-item Connectedness to Nature Scale (CNS) and the Food Choice Questionnaire (FCQ), consisting of 36 items distributed between nine factors, including “health”, “natural content”, and “ethical concern”. The average CNS score was 53.8 (± 9). The highest scoring factors of the FCQ were sensory appeal and price.Ethical concern was ranked last. There was a significant positive association between degree of nature connectedness and scoring for the factors health (p = 0.031), natural content (p = 0.001), and ethical concern (p <0.001). The results of this unprecedented studyshow that increased connectedness to nature may lead to healthier and more sustainable food choices.

Resumo A conexão com a natureza pode favorecer o bem-estar e a adoção de práticas alimentares sustentáveis. Profissionais de saúde seriam agentes fundamentais nesta interface, promovendo a saúde ambiental. Estudo transversal com 146 profissionais da atenção primária avaliou a associação entre conexão com a natureza e os motivos para escolhas alimentares consideradas importantes à saúde humana e ambiental. Aplicou-se Escala de Conexão com a Natureza (ECN), contendo 14 itens que medem o quanto a pessoa se sente integrada ao meio ambiente, variando de 14 a 70 pontos; e o Questionário sobre Motivos para as Escolhas Alimentares (FCQ), com 36 itens distribuídos em nove fatores, dentre os quais elegeu-se para este estudo: “Saúde”, “Conteúdo Natural” e “Preocupação Ética”. A pontuação média na ECN foi de 53,8, (± 9). “Apelo Sensorial” e “Preço” foram os fatores mais pontuados; “Preocupação Ética” ocupou a última posição. Houve associação positiva significativa da ECN com a pontuação nos fatores “Saúde” (p = 0,031), “Conteúdo Natural” (p = 0,001) e “Preocupação Ética” (p < 0,001). Os resultados desta pesquisa inédita permitiram concluir que aumentar conexão com a natureza pode favorecer escolhas alimentares mais saudáveis e sustentáveis.

Abstract Connectedness to nature can boost well-being and lead to healthier and more sustainable food choices. Health professionals have the potential to be key agents in promoting environmental health. A cross-sectional study was conducted with 146 primary healthcare professionals to determine the association betweennature connectedness and food choicemotives considered important for human and environmental health. We used the 14-item Connectedness to Nature Scale (CNS) and the Food Choice Questionnaire (FCQ), consisting of 36 items distributed between nine factors, including “health”, “natural content”, and “ethical concern”. The average CNS score was 53.8 (± 9). The highest scoring factors of the FCQ were sensory appeal and price.Ethical concern was ranked last. There was a significant positive association between degree of nature connectedness and scoring for the factors health (p = 0.031), natural content (p = 0.001), and ethical concern (p <0.001). The results of this unprecedented studyshow that increased connectedness to nature may lead to healthier and more sustainable food choices.

ABSTRACT Tuberculous otomastoiditis is an extremely rare form of extrapulmonary disease that can be easily misdiagnosed. We hereby report the case of a previously healthy 35-yearold female with bilateral tuberculous otomastoiditis associated with vertigo, bilateral mixed hearing loss, and bilateral facial nerve palsy as the initial clinical presentation. Repeated Mycobacterium tuberculosis (MTB) culture and molecular testing of otorrhea aspirates were initially negative. High-resolution temporal bone computed tomography and magnetic resonance imaging showed partial opacification of the mastoid air cells without signs of bone erosion. A mastoidotomy was performed with mastoid tissue showing chronic osteomyelitis, positivity in acid-fast staining and MTB PCR. The patient was treated with a 12 month antituberculous treatment, with complete recovery of otalgia and vertigo, and improvement in hearing levels and facial nerve palsy. In summary, clinical and imaging findings for tuberculous otomastoiditis are non-specific, hence a high degree of suspicion is required in order to diagnose and promptly treat the underlying infection.

RESUMEN La otomastoiditis tuberculosa es una presentación extremadamente rara de la forma extrapulmonar de la enfermedad y puede ser difícil llegar a su diagnóstico. Presentamos el caso de una paciente de 35 años con otomastoiditis tuberculosa bilateral acompañado de vértigo, hipoacusia mixta bilateral y paresia del nervio facial bilateral, como debut de una tuberculosis. Cultivos de Mycobacterium tuberculosis (MTB) y prueba de reacción en cadena de la polimerasa (PCR) de otorrea fueron inicialmente negativos. La tomografía computarizada de oídos y resonancia magnética mostraron cambios inflamatorios otomastoídeos bilaterales sin evidencia de erosión ósea ni extensión a partes blandas. Se realizó una mastoidotomía, las muestras del tejido obtenido evidenciaron osteomielitis crónica, bacterias ácido-alcohol resistentes y PCR positiva para MTB. La paciente recibió tratamiento con drogas antituberculosas durante 12 meses logrando una recuperación completa de la otalgia y vértigo, y mejoría parcial de audición y paresia facial. En resumen, los hallazgos clínicos e imagenológicos de la otomastoiditis tuberculosa son inespecíficos por lo cual se requiere de un alto índice de sospecha clínica para lograr el diagnóstico adecuado e iniciar el tratamiento de la infección subyacente.

Resumo O objetivo do presente estudo foi identificar os componentes químicos majoritários do óleo essencial de Cuminum cyminum L. (comino) e dos óleos fixos de Bertholletia excelsa (castanha do Brasil) e de Helianthus annuus (semente de girassol). Assim como testar os três óleos e três diferentes acaricidas comerciais sintéticos contra fêmeas ingurgitadas de Rhipicephalus (Boophilus) microplus, para explorar sua eficácia acaricida. Seis concentrações dos óleos (200, 100, 50, 25, 12,5 and 6,25 mg/mL) e os princípios ativos foram avaliados por meio do Teste de Imersão de Adultas (AIT). Os dois componentes químicos majoritários de C. cyminum L. foram o cuminaldeído e o y-terpineno. Nos óleos de B. excelsa e H. annuus os componentes majoritários foram o ácido n linoleico e oleico, respectivamente. C. cyminum L. mostrou alta atividade acaricida (100%) sobre as fêmeas ingurgitadas e suas caraterísticas reprodutivas, a partir da concentração 100 mg/mL., tornando-se uma fonte alternativa para controlar o carrapato do gado. No entanto sao necessários estudos adicionais, a serem conduzidos in vivo. B. excelsa e H. annuus tiveram baixa atividade acaricida (39,39% e 58,75% na concentração de 200 mg/mL respectivamente), não obstante apresentaram maior efeito que a amidina e o piretroide (35,12% e 1,50% respetivamente). Pode-se concluir que o óleo de C. cyminum pode ser uma alternativa fitoterápica para o controle do carrapato do gado.

Abstract The objective of this study was to identify the main chemical components of the essential oil of Cuminum cyminum L. (cumin) and of the fixed oils of Bertholletia excelsa (Brazil nut) and of Helianthus annuus (sunflower seed). As well as testing the three oils and three different commercial synthetic acaricides against engorged females of Rhipicephalus (Boophilus) microplus in order to explore their acaricidal efficacy. Six different concentrations of the oils (200, 100, 50, 25, 12.5 and 6.25 mg/mL) and the active principles were evaluated with the Adult Immersion Test (AIT). The two main chemicals components of C. cyminum L. were the cuminaldehyde and the γ-terpinene. In both B. excelsa and H. annuus were the linoleic and oleic acid. C. cyminum L. showed high acaricidal activity (100%) over the engorged females and on their reproductive characteristat from the concentration of 100 mg/mL. B. excelsa and H. annuus had low acaricidal activity (39.39% and 58.75% in the concentration of 200 mg/mL respectively). The amidine and the pyrethroid (35.12% and 1.50% respectively). It can be concluded that the oil of C. cyminum L. may be a phytoterapic alternative for the cattle's tick control.

El objetivo del artículo es mostrar que un entorno económico poco favorable no siempre desincentiva las innovaciones. Desde la perspectiva del realismo crítico, la metodología del presente artículo consistió en realizar entrevistas a profundidad con informantes clave y se aplicaron cuestionarios a una muestra aleatoria de empresarios, a la vez que se analizaron los casos atípicos. Entre los principales resultados se encontró que la ausencia de inversión en investigación-desarrollo-innovación (I+D+I) en México condujo a que la industria de auto partes de capital mexicano perdiera competitividad, al mismo tiempo que algunas empresas de menor dimensión aumentaron su competitividad en el nivel internacional. La principal conclusión es que la innovación en la forma de hacer negocios es fundamental para que la empresa bajo entornos económicos desfavorables aumente su competitividad internacional.

The aim of this article is to demonstrate that the slightly favorable economic environment is, often, the incentive for major innovations. From the critical realism perspective, in-depth interviews were carried on key informants, and questionnaires were applied to a random sample of businessmen. The atypical cases were also analyzed. Among the principal results, it was shown that the lack of investment for research+development+innovation (R+D+I) in Mexico has led to the auto parts industry of Mexico losing competitiveness. Some smaller companies that innovated increased their competitiveness at international level. The conclusion is that innovation in conducting a business is fundamental, in order for the company that it is in an unfavorable economic environment to increase its international competitiveness.

O objectivo do artigo é mostrar que um ambiente económico pouco favorável nem sempre desincentiva as inovações. Da perspectiva do realismo crítico, a metodologia do presente artigo consistiu em realizar entrevistas profundas com informadores chave e questionários a uma amostra aleatória de empresários, também se analisaram os casos atípicos. Entre os principais resultados percebeu-se que a ausência de investimento para o investigação-desenvolvimento-inovação (I+D+I) no México levou a que a indústria de auto-peças de capital mexicano perdesse competitividade; ao mesmo tempo que algumas empresas de menor dimensão aumentaram a sua competitividade a nível internacional. A principal conclusão é que a inovação na forma de fazer negócios é fundamental para que a empresa em ambientes económicos desfavoráveis aumente a sua competitividade internacional.

Introducing the post-coital birth control method in the family-planning services of Latin American countries has not been an easy task. Catholic and other conservative groups with great influence in the political arena have time and again stopped it from being adopted as an alternative method and have even succeeded in having it removed from official directives after formal acceptance by health authorities. The main objections are triggered by the erroneous supposition that "emergency contraception" pills are abortifacients. However, a large dose of cultural discrimination against women seems also to be involved. It has been extremely difficult to register dedicated products and make them available in drugstores and even more difficult to distribute them without charge at public health centers. They are hard to find, expensive, and unavailable to adolescents at risk for unwanted pregnancies and to most low-income women, especially in rural areas. Dissemination of appropriate information has been scarce and slow and there are still great numbers of people that do not understand how or why the method works. Brazil has been the only exception, as its open society has readily accepted this method of contraception. The Latin American Consortium on Emergency Contraception founded in the year 2000 and its regional conference two years later had an important impact on the situation, as they encouraged the coordination of efforts by governmental and nongovernmental entities with those of women's groups to fight for sexual and reproductive rights. A number of studies have shown that the more people learn about emergency contraception, the more they find it acceptable and necessary, and radio spots and other media techniques have begun to educate the public about this matter. In spite of the many difficulties encountered, in the last few years several countries have made strides to include this method in their public health guidelines. However, because of the powerful forces against it, accessibility and distribution of the emergency pills are not always implemented as planned and there are still many areas that require work. Details are given on the situation in Argentina, Bolivia, Chile, Colombia, Ecuador, Honduras, Mexico, Paraguay, and Peru.