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Summary: Realising the benefits of systematic secondary fracture prevention requires supporting local sites to get started and becoming effective. We here describe the development, implementation and impact of a regional fracture liaison service (FLS) mentorship programme in Latin America that led to 64 FLS getting started and coverage of 17,205 patients. Introduction: Despite treatments and service models to deliver effective secondary fracture prevention, most patients are left untreated after a fragility fracture. To improve the capability to get FLS started and more effective, we describe the development, implementation and evaluation of an international programme to develop national communities of FLS mentors as part of the Capture the Fracture Partnership in Latin America. Methods: The IOF regional team and the University of Oxford developed the curriculum and associated resources for training mentors in setting up FLS, service improvement and mentorship. Mentors were selected during a preparatory meeting, trained using live online sessions followed by regular mentor-led post-training meetings. The programme was evaluated using a pre-training needs assessment and post-training evaluation based on Moore's outcomes. Results: The mentorship programme was initiated in Mexico, Brazil, Colombia and Argentina. The mentors were multidisciplinary, including orthopaedic surgery, rehabilitation, rheumatology, endocrinology, geriatrics, gynaecology and internal medicine. There was 100% participation in training sessions and reported satisfaction with the training. Since the initiation of the training programme, 22 FLS have been set up in Mexico, 30 in Brazil, 3 in Colombia and 9 in Argentina, in comparison with two in Chile and none in any other LATAM countries that were not involved in the mentorship programme. This equates to approximately 17,025 additional patients identified from 2019 to 2021 after initiation of mentorship. The mentors have engaged with 58 FLS for service development. Post-training activities include two published national best practice guidelines and other country-specific resources for FLS in the local language. Conclusion: Despite the COVID pandemic, the mentorship pillar of the Capture the Fracture Partnership has developed a community of FLS mentors with measurable improvement in national FLS provision. The programme is a potentially scalable platform to develop communities of mentors in other countries. [ABSTRACT FROM AUTHOR]

Having demonstrated its importance for economic and human developments, technological change is considered one of the biggest supports worldwide. Today, with the population increase, the inclusion of technology is considered the most appropriate way to reduce the impact of this challenge. Considering 171 indigenous coffee producers from Paraje Montero and Tierra Colorada from Guerrero, Mexico, the present study proposes technological routes for the indigenous coffee production chain and the inclusion of emerging technologies such as sensors, actuators, and processing devices basing on the requirements of the chain. During face-to-face sessions, questionaries, field visits, and literature review for knowledge management, the results expose the need of effective actions against diseases and the reduction of climate change, lack of infrastructure, old plantations, and lack of commercialization channels; for these and considering the requirement of greenhouse technology by indigenous coffee producers and following the labor value driver of the digital compass, the necessity of several kinds of sensors, technologies, and methodologies has been identified with high possibilities to be implemented by similar producers analyzed in this manuscript to help in solving the problems identified in this work. The combination of remote sensing, signal processing, and spectroscopy could be employed to explore mineralogical features of soil and help problems with fertilization; sensor modules to collect temperature, humidity, and light intensity data are a priority for greenhouse monitoring; electrochemical sensors and optical technologies could be of great help to detect the presence of diseases in coffee plants; and the installation of a greenhouse solar dryer is necessary to reduce the time of the sun drying process and protect the coffee cherry. These emerging technologies will help to improve the production of coffee. The study contributes to identify a technology roadmap proposing technological implements according to indigenous coffee production chain requirements and serves as support for future studies in indigenous regions. [ABSTRACT FROM AUTHOR]

Objective: To determine the effect of Tai Chi on oxidative stress in a population of elderly Mexican subjects. Design: It was carried out a quasi-experimental study with a sample of 55 healthy subjects randomly divided into two age-matched groups: (i) a control group with 23 subjects and (ii) an experimental group with 32 subjects. The experimental group received daily training in Tai Chi for 50 min. Measurements: It was measured before and after 6-month of exercise period: thiobarbituric acid reactive substances (TBARS), total antioxidant status (TAS), superoxide dismutase (SOD), and glutathione peroxidase (GPx). Results: It was found that the experimental group exhibited a statistically significant decrease in glucose levels, total cholesterol, low-density lipoprotein cholesterol (LDLC), and systolic blood pressure, as well as an increase in SOD and GPx activity and TAS compared with the control group (p < 0.05). Conclusions: Our findings suggest that the daily practice of Tai Chi is useful for reducing OxS in healthy older adults. [ABSTRACT FROM AUTHOR]