Abstract Post-heart transplant patient care is a challenging task for multidisciplinary teams. Thus, patient rehabilitation is of paramount importance. Phase I of cardiac rehabilitation helps prevent the pulmonary and functional sequelae found in patients whilst in ICU and during hospitalisation. Functional progression based on the global muscle strength, mobility, and exercise tolerance seem to be a good alternative for this population. The role of physiotherapy in critical care is crucial for the proper treatment of these patients.

Abstract Community forestry enterprises (CFEs) require regional business planning skills to establish and maintain business associations at large-scale. The aim of this study was to identify the perception of four CFEs on the limitations and opportunities for scaling up in CFEs in Central Mexico. We selected four contrasting CFEs of development and social organization level to assess barriers and opportunities for scaling up, applying interviews to different stakeholders. The analysis of obstacles and opportunities suggests that scaling strategies should foster technical and administrative training, develop infrastructure and strengthen internal governance that promote economic diversification and increased income from forest management.

Resumen Las empresas forestales comunitarias (EFC) requieren habilidades de planificación comercial regional para establecer y mantener asociaciones comerciales a mayor escala. El objetivo de este estudio es identificar la percepción de cuatro EFC contrastantes sobre las limitaciones y oportunidades de escalamiento en el centro de México, con base en el nivel de desarrollo de aprovechamiento silvícola y organización social, aplicando entrevistas a diferentes actores. El análisis cualitativo de obstáculos y oportunidades sugiere que las estrategias de escalamiento deben fomentar capacitación técnica y administrativa, desarrollar infraestructura y gobernanza interna sólida, que favorezca la diversificación económica, y mayores ingresos derivados del manejo forestal.

Abstract Objective Population-level monitoring of body composition requires accurate, biologically-relevant, yet feasible methods for estimating percent body fat (%BF). The aim of this study was to develop and cross-validate an equation for %BF from Body Mass Index (BMI), age, and sex among children with intellectual disability (ID). This study further aimed to examine the performance of an existing BMI-based equation (Deurenberg equation) for %BF in children with ID. Method Participants were 107 children (63 boys; aged 6-15 years) with ID randomly allocated to development (n= 81) and cross-validation (n= 26) samples. Dual-Energy X-Ray Absorptiometry provided the criterion %BF. Results The model including BMI, age, and sex (0 = male; 1 = female) had a significant goodness-of-fit in determining %BF (p< 0.001; R2= 0.69; SEE =5.68%). The equation was: %BF = - 15.416 + (1.394 × BMI) + (4.538 × age) - (0.262 × age2) + (5.489 × sex). The equation was cross-validated in the separate sample based on (i) strong correlation (r = 0.82; p< 0.001) and non-significant differences between actual and predicted %BF (28.6 ± 9.6% and 30.1 ± 7.1%, respectively); (ii) mean absolute error (MAE) = 4.4%; and (iii) reasonable %BF estimations in Bland-Altman plot (mean: 1.48%; 95% CI: 12.5, -9.6). The Deurenberg equation had a large %BF underestimation (mean: -7.1%; 95% CI: 5.3, -19.5), significant difference between actual and estimated %BF (28.6 ± 9.7% and 21.5 ± 7.0%, respectively; p< 0.001), and MAE = 8.1%. Conclusions The developed equation with BMI, sex, and age provides valid %BF estimates for facilitating population-level body fat screening among children with ID.

ABSTRACT Background: Background: Eucalypt harvest residues are critical to nutrient balances and forest soil productivity mainly in areas with consecutive forest rotations. However, nutrient release and their relations over decomposition are still poorly understood in tropical sites. We aimed to understand how nutrients are released from leaves, branches, and bark (as harvest residues), and how nutrient concentrations could be limiting the decomposition of each fraction. We measured mass loss and nutrient release of Eucalyptus urophylla x Eucalyptus grandis harvest residues for 365 days in Southeast Brazil. Results: Results: Leaves fraction showed a faster decomposition rate than branches and bark, but nutrient accumulation was observed for all harvest residues, especially bark and branches at later stages of the decomposition. Decomposition of all harvest residues seemed to be P-limited with a stronger limitation occurring for leaf litter decomposers. The decomposition of more lignified residues such as bark and branches was less influenced by climatic variables than leaf decomposition. Conclusion: Conclusion: Eucalypt harvest residues had a great contribution to soil fertility, and retaining them in the soil systems will enhance soil fertility in the short (leaves) and long-term (branches and bark) and can partially supply the nutrients for the next rotation.

Resumen La presente investigación tiene por objetivo observar el impacto que produce el uso de un software educativo con estrategias didácticas dentro del campo de la aptitud académica concerniente al razonamiento numérico, verbal y abstracto en la educación, considerando la teoría cognitiva del diseño instruccional de Robert Gagné, que propicia el desarrollo de habilidades y destrezas en el aprendizaje. Se trabajó con 175 estudiantes que cursan el último año de educación media de cuatro unidades educativas de la ciudad de Riobamba. Las evaluaciones se llevaron a cabo al iniciar y al finalizar la investigación con pruebas similares a las aplicadas para el ingreso a las universidades. Como resultado de la investigación se observó que 155 estudiantes incrementaron su puntuación luego de la preparación con el software, lo cual representó un crecimiento del 94,12 % en el puntaje obtenido, lo que permite concluir que las tecnologías informáticas son herramientas de apoyo para el desarrollo de aptitudes académicas.

Abstract The objective of this research was to observe the impact that the use of an educational software with educational strategies within the field of academic aptitude in regards to the numerical, verbal and abstract reasoning in education. Robert Gagné`s Instructional Design Theory, which fosters the development of learning skills and abilities was used. A total of 175 students enrolled in the senior year at four schools in Riobamba city were evaluated at the beginning and the end of the research with similar tests as the admission tests applied for college entrance. As a result of the investigation, it was observed that 155 students increased their scores after preparing themselves with the software. This represented an increase of 94.12% in the scores obtained allowing to conclude that computer technologies are tools to support the development of academic aptitudes.

This research argues that in those areas where an overlap of processes and courts can be found, our administrative justice scheme corresponds to what the American author Robert Cover identified as a system of complex concurrency. It can be best understood as a vehicle for communication among social groups with opposing interests and world views in conflict. This means that, despite what an analysis from a dogmatic perspective might suggest, there are no technical or "correct" solutions for the coordination of concurrency in the field of administrative litigation in our country. By contrast, areas of concurrency will change without restriction, depending on what are the most prominent political and social conflicts at a particular time, either through the demand for access to certain jurisdictional remedies or requiring the creation of new fora.

Esta investigación sostiene que en aquellos ámbitos contencioso-administrativos en los que se puede observar una superposición de procesos y órganos jurisdiccionales, nuestro esquema de justicia administrativa corresponde a lo que el autor estadounidense Robert Cover identifica como un sistema de concurrencia compleja de jurisdicciones, y puede ser mejor entendido como un vehículo para la comunicación entre grupos sociales con intereses antagónicos y visiones del mundo en conflicto. Esto se traduce en que, pese a lo que un análisis desde una perspectiva dogmática podría sugerir, no existen respuestas "correctas" para la coordinación de la concurrencia en el ámbito del contencioso-administrativo en nuestro país. Por el contrario, las áreas de concurrencia cambiarán sin restricción en función de los conflictos políticos y sociales más destacados en un momento particular, ya sea mediante la demanda de acceso a determinadas vías jurisdiccionales de impugnación por parte de ciertos grupos o exigiendo la creación de nuevas vías.

Objective Determine the effectiveness of the Integrated Growth and Development Strategy (ECDI, Spanish acronym) of World Vision Peru on anemia, malnutrition, psychomotor development, and child care and protection in children aged <3 years living in three rural communities of Ayacucho Region, Peru. Methods A quasi-experiment was carried out in three rural districts of Ayacucho Region, Peru. Anemia was measured using capillary blood and the HemoCue® analyzer, with hemoglobin values adjusted for altitude. Malnutrition was measured with anthropometric indicators for height and weight, using the World Health Organization’s Anthro software. Psychomotor development was measured with the Abbreviated Test of the Ministry of Health of Peru. Child care and protection was measured using a form specifically designed for this purpose. Three measurements were carried out: baseline in May 2013, midpoint in November 2013, and final in May 2014. In total, 283 children had two or more measurements including the final measurement, and 205 had all three measurements. Results Multivariate analysis for repeated measures showed that ECDI had an estimated 33.1% effectiveness in reducing anemia (95% CI: 1.0%-54.7%), adjusted for age, sex, consumption of iron-rich foods, consumption of iron-absorption-enhancing foods, consumption of iron-absorption-inhibiting foods, having received iron supplementation in the last six months, and having participated in the Cuna Más Program. Conclusions ECDI was effective in improving nutrition in children aged <36 months through anemia reduction and increased consumption of iron-absorption enhancers. Interventions that include educational and community monitoring components could be of great assistance to combating anemia in children aged <36 months in rural communities.

RESUMEN Objetivo Determinar la efectividad de la Estrategia para el Crecimiento y Desarrollo Integral (ECDI) de World Vision Perú sobre la anemia, desnutrición, desarrollo psicomotor y cuidado y protección infantil en niños menores de tres años de edad que residían en tres comunidades rurales de la Región Ayacucho del Perú. Métodos Se realizó un estudio cuasiexperimental en tres distritos rurales de la región Ayacucho, Perú. La medición de anemia se realizó con sangre capilar y el analizador HemoCue®, con ajuste de los valores de hemoglobina según a la altitud. La desnutrición se midió a través de los indicadores antropométricos de talla y peso; para ello se utilizó la herramienta Anthro de la Organización Mundial de la Salud. El desarrollo psicomotor se midió mediante el Test Abreviado del Ministerio de Salud del Perú. El cuidado y protección de los niños se midió a través de una ficha especialmente elaborada para este fin. Se realizaron tres mediciones, la línea basal en mayo del 2013, la medición intermedia en noviembre del mismo año y la final en mayo del 2014. En total, 283 niños tuvieron dos o más mediciones incluida la medición final y 205 tuvieron las tres mediciones. Resultados El análisis multivariado para medidas repetidas mostró una efectividad estimada de la ECDI para reducir la anemia de 33,1% (intervalo de confianza del 95%: 1,0%-54,7%) ajustada para la edad, sexo, consumo de alimentos ricos en hierro, consumo de alimentos potenciadores de la absorción de hierro, consumo de alimento inhibidores de la absorción de hierro, haber recibido suplementación de hierro en los últimos seis meses y haber participado del Programa Cuna Más. Conclusiones La ECDI fue efectiva para mejorar la nutrición de los menores de 36 meses de edad a través de la reducción de la anemia y el incremento del consumo de potenciadores de la absorción de hierro. Las intervenciones que incluyen componentes educativos y de seguimiento comunitarios podrían ser de gran ayuda para combatir la anemia en los niños menores de 36 meses de edad en comunidades rurales.

RESUMO Objetivo Determinar a efetividade da Estratégia de Crescimento e Desenvolvimento Integral (ECDI) da World Vision Peru para anemia, desnutrição, desenvolvimento psicomotor e atenção e proteção infantis em crianças menores de 3 anos de idade em três comunidades rurais. Métodos Foi realizado estudo quase-experimental em três distritos rurais da região de Ayacucho, no Peru. A avaliação da anemia foi realizada em sangue capilar com o uso do analisador HemoCue®, com correção dos valores de hemoglobina segundo a altitude. A desnutrição foi avaliada segundo indicadores antropométricos de tamanho e peso, com o uso da ferramenta Anthro elaborada pela Organização Mundial da Saúde (OMS). O desenvolvimento psicomotor foi avaliado com o Teste Abreviado do Ministério da Saúde do Peru. A atenção e a proteção infantis foram avaliadas com o uso de uma ficha elaborada para esta finalidade. Foram realizadas três avaliações, com a linha de base em maio de 2013, a avaliação intermediária sendo realizada em novembro deste mesmo ano e a avaliação final, em maio de 2014. Ao todo, 283 crianças passaram por duas ou mais avaliações, incluindo a avaliação final, e 205 passaram por três avaliações. Resultados Na análise multivariada de medidas repetidas, a efetividade estimada da ECDI de reduzir a anemia foi de 33,1% (intervalo de confiança de 95%: 1,0%-54,7%), corrigida para idade, sexo, consumo de alimentos ricos em ferro, consumo de alimentos potenciadores da absorção de ferro, consumo de alimentos inibidores da absorção de ferro, suplementação de ferro nos últimos seis meses e participação no Programa Cuna Más (programa nacional de desenvolvimento infantil). Conclusões A ECDI demonstrou efetividade para melhorar a nutrição das crianças menores de 36 meses com a redução da anemia e o aumento do consumo de potenciadores da absorção de ferro. Intervenções com componentes educacionais e acompanhamento comunitário podem contribuir consideravelmente para combater a anemia em crianças menores de 36 meses em comunidades rurais.

Con el objetivo de evaluar y seleccionar cultivares de soya (Glycine max. (L) Merr) con fines de forraje, se llevó a cabo un experimento de un diseño en bloques completamente al azar con 6 repeticiones. Los materiales experimentales usados fueron 9 cultivares procedentes del banco de germoplasma de La Fundación DANAC y el cultivar CIGRAS-06 provenientes del Centro de Investigaciones de Granos y Semillas de la UCR. Las variables bajo estudio fueron las relacionadas con la arquitectura de la planta, producción de biomasa total en el estado reproductivo R6, rendimiento de grano y algunas variables bromatológicas. Los análisis estadísticos mostraron diferencias significativas para las variables objeto de estudio. Los cultivares con mayores rendimientos de biomasa fueron CIGRAS -06, FP93-1935, FP93-1924 y FP90-6102 con 17245, 13075, 13066 y 12587 kg.ha-1 de materia seca (MS). Los de mayores contenidos de proteína cruda (PC) en las vainas fueron FP90-10205, FP93-1930 y FP92 -1904, con 24,2, 23,7 y 21,0%, respectivamente; y a nivel de las hojas los cultivares FP93-1935, FP92-4906 y FP90-7102 con 25,5, 24,9 y 23,0%, respectivamente. Para la producción de grano mostraron alto potencial los cultivares CIGRAS-06, FP93-1924, FP90-6102 y FP90-6103, al superar los 3500 kg.ha-1.

Evaluation of forage potential of ten soybean cultivars (Glycine max (L) Merr) in Venezuela. In order to evaluate and select cultivars of soybean (Glycine max (L) Merr) for forage purposes, an experiment was conducted using a randomized complete block design with 6 replications. The experimental materials used were 9 cultivars from the germplasm bank DANAC Foundation and cultivar CIGRAS-06 from the Research Center of Grain and Seeds of the University of Costa Rica. The variables studied were those related to plant architecture, total biomass production in the reproductive R6, grain yield and some bromatological variables. Statistical analyzes showed significant differences for the variables under study. The cultivars with the highest biomass yields were CIGRAS -06, FP93-1935, FP93 -1924 and FP90-6102, with 17245, 13075, 13066 and 12587 kg.ha-1 of dry matter (DM). The higher content of crude protein (CP) in the pods were FP90-10205, FP93-1930 and FP92-1904, with 24.2, 23.7 and 21.0%, respectively. And at leaf-level, cultivars FP93 -1935, FP92 -4906 and FP90 -7102 with 25.5, 24.9 and 23.0%, respectively. For grain production, cultivars showing high potential were CIGRAS-06, FP93-1924, FP90-6102 and FP90-6103, exceeding 3500 kg.ha-1.

O objetivo deste trabalho foi determinar a eficiência de recuperação, no sistema solo-planta, do nitrogênio derivado da adubação verde aplicada à cultura de repolho (Brassica oleracea). O experimento foi dividido em duas etapas: a primeira consistiu da produção de palhada de feijão-de-porco (Canavalia ensiformis), mucuna-cinza (Mucuna cinereum), e sorgo (Sorghum bicolor), em substrato enriquecido com 15N. A segunda etapa consistiu da aplicação das palhadas marcadas com 15N, em cobertura nos canteiros com repolho. Os tratamentos consistiram de: palha fresca de feijão-de-porco; palha fresca de mucuna-cinza; palha fresca de sorgo; mistura das palhas de mucuna, feijão-de-porco e sorgo a 1:1:1; e controle sem adubação verde. A recuperação de N no sistema solo-planta foi influenciada pelo tipo de palhada utilizado, e a eficiência de recuperação do N derivado da palhada de leguminosa variou de 9 a 16%. O tratamento com palha de feijão-de-porco é o que apresenta maior eficiência de recuperação e, portanto, a melhor sincronia da oferta de nitrogênio pela decomposição da palhada com a demanda pela cultura do repolho.

The objective of this work was to determine, in the soil-plant system, the recovery efficiency of N derived from green manure applied on cabbage (Brassica oleracea) crop. The experiment was divided into two stages: the first one consisted of the straw production of jack bean (Canavalia ensiformis), velvet bean (Mucuna cinereum), and sorghum (Sorghum bicolor), in substrate enriched with 15N. The second stage consisted of the application of 15N-labeled green manure on the cabbage beds. Treatments consisted of: fresh residues of jack bean; fresh residues of velvet bean; fresh residues of sorghum; mixture of residues of jack bean, velvet bean, and sorghum at 1:1:1; and control without green manure addition. The N recovery in the soil-plant system was influenced by the green manure species used, and the recovery efficiency of the N derived from the green manure legumes varied from 9 to 16%. The jack bean treatment shows a greater recovery efficiency of nitrogen and, therefore, the best synchrony of N supply, by straw decomposition, with the cabbage crop demand.

AIM: The most accepted treatment for infection by Helicobacter pylori is the proton pump inhibitor based therapy with two antibiotics. However, there is no consensus regarding the duration. The purpose here was to compare eradication percentages in the omeprazole + amoxicillin + clarithromycin regimen administered during 7 days versus 10 days and confront the results with a previous 14-day* experience in Peru. METHOD: Patients from the Central Military Hospital and Peruvian-Japanese Hospital evidencing chronic upper gastrointestinal tract symptoms were recruited. We excluded patients with peptic ulcer. Biopsies were taken for diagnosis, for urease and PCR tests, culture and coloring with silver. Omeprazole + clarithromycin + amoxicillin was used during 7 days versus 10 days. Control endoscopy was performed one month after treatment had been completed and molecular biology techniques were used to differentiate recurrences from new infections. Susceptibility to clarithromycin was assessed. RESULTS: 36 patients were included in each group. Eradication was the same in both groups: 86.1% (31/36). In several patients in whom the bacteria persisted, the same initial nucleus was found. In a previous study* using this same regimen during 14 days, a 93% eradication was obtained. 91.18% of our samples were susceptible to clarithromycin. CONCLUSIONS: In Peru, the omeprazole + clarithromycin + amoxicillin combination gives results higher than 80% in the eradication of infection by Helicobacter pylori. The 7 and 10 days regimens eradicated the bacteria in 86% of our patients.

OBJETIVO: La terapia de un inhibidor de la bomba de protones más dos antibióticos es el tratamiento más aceptado para la infección por el Helicobacter pylori. Sin embargo, no hay consenso sobre su duración. El objetivo fue comparar los porcentajes de erradicación del esquema de omeprazol+claritromicina+amoxicilina administrados durante 7 vs 10 días. METODOLOGÍA: Seleccionamos pacientes del Hospital Militar Central y Policlínico Peruano-Japonés con síntomas del tracto gastrointestinal superior y Helicobacter pylori. Excluimos aquéllos con úlcera péptica. Para el diagnóstico se tomaron biopsias para la prueba de la ureasa, PCR, cultivo y coloración con plata. Empleamos omeprazol+claritromicina+ amoxicilina, durante 7 días versus 10 días. Realizamos endoscopía control al mes de terminado el tratamiento, y utilizamos técnicas de biología molecular para diferenciar las recurrencias de las reinfecciones. Evaluamos la susceptibilidad a claritromicina. RESULTADOS: Incluimos 36 pacientes en cada grupo. En ambos la erradicación fue igual: 86.1% (31/36). En varios pacientes en que persistió la bacteria se identificó la misma cepa que la inicial. El 91.18% de nuestras muestras fueron sensibles a claritromicina. CONCLUSIONES: En el Perú la combinación de omeprazol+claritromicina+amoxicilina para erradicar la infección por el Helicobacter pylori da resultados superiores al 80%. El esquema de 7 y 10 días erradicó a la bacteria en el 86% de nuestros pacientes.