Search

En el presente artículo, se han buscado las pistas de la aplicación del Teatro del Oprimido en Oaxaca, esperando que sea un peldaño en el proceso de transformación social. Esta investigación se realizó al cursar la Maestría en Teatro y Artes Escénicas durante los años 2021 al 2022 y, tiene un alcance exploratorio y metodología mixta, donde se documentaron los eventos y procesos suscitados del 2009 al 2021.

Los animales son las principales víctimas de la historia, esto fue mencionado por primera vez en el texto descrito por Peter Singer La liberación animal. Enfocarse en una ética para el bienestar animal implica situar la mirada en la capacidad de sentir qué experimentan los animales. El bienestar animal es la capacidad de los animales de sentir dolor, sufrimiento, es decir, experimentan emociones.La experimentación animal no es un tema reciente, es un problema que ha existido desde hace muchos años. Un pilar fundamental es el comité de ética institucional, su función es evaluar cada paso antes, y durante la experimentación, verificando el programa, procedimiento, justificación, bienestar, ofrecer un digno y adecuado alojamiento que sea confortable. Cualquier experimentación con animales debe tener una justificación científica, evitar el dolor, sufrimiento, así como tener personal capacitado para salvaguardar su bienestar

Los objetivos fueron analizar la estructura y variabilidad genética del bisonte americano con marcadores genéticos de tipo SNP. Se muestrearon 174 bisontes y se analizaron 42,366 SNP distribuidos en los 29 cromosomas. Se estimó la heterocigosis esperada (He) y observada (Ho), contenido de información polimórfica (CIP), índice de fijación (FIS), índice de Shannon (IS), desequilibrio de ligamiento y relación de parentesco (Rij; %), así como el tamaño efectivo de población (Ne). Se realizó un análisis de estructura genética para inferir cuántas líneas o genomas (k) definen la población. Se identificó y seleccionó un panel con 2,135 SNP polimórficos, con un promedio de 74 SNP por cromosoma. En el proceso de exclusión, 84.5 % fueron monomórficos, 8.5 % con porcentaje de usables menor a 90 %, 6.3 % con frecuencia del alelo menor inferior a 0.01 y 0.70 % por desequilibrio Hardy-Weinberg (P

RESUMEN | La camaronicultura es una actividad en constante crecimiento, lo que ha llevado al deterioro de los ecosistemas por la deposición de efluentes que impactan al medio ambiente, generando no solo daños a los ecosistemas sino también a la misma calidad del agua que ingresa al cultivo. Esta investigación busca evaluar la eficiencia de consorcios microbianos autóctonos (in vitro) en la biorremediación del efluente de una finca camaronera ubicada en el sector Cabello Manabí, Ecuador. Para ello, se analizaron los parámetros: fosfatos, amonio, nitritos, nitratos, sólidos en suspensión, oxígeno disuelto, temperatura, pH, DBO5 y coliformes totales. Se utilizó un diseño completamente aleatorio con un factor y 4 niveles y se realizaron 4 tratamientos: consorcio bacteriano (T1) incluyendo la levadura Saccharomyces cerevisiae, consorcio de microalgas (T2), consorcio de hongos (T3) conformado por Trichoderma harzianum, S. cerevisiae, Lactobacillus acidophilus, Bacillus subtilis, Lactobacillus plantarum, y como (T4) un consorcio combinado de los tres tratamientos anteriores. Se observó una diferencia estadísticamente significativa en T2 con respecto a los demás tratamientos, pues debido a sus actividades metabólicas se logró la biorremediación de elementos como fosfatos, compuestos nitrogenados y coliformes totales, mientras que en los demás parámetros no se logró una mejora significativa. El proceso llevado a cabo por las microalgas permitió ajustar los parámetros analizados a criterios de calidad del agua para ser reutilizados en actividades agrícolas y ganaderas e incluso vertidos en cuerpos de agua dulce, concluyendo que la aplicación de microalgas autóctonas de la zona es útil para la biorremediación de los efluentes camaroneros de la localidad. ABSTRACT | Shrimp farming is a constantly growing activity, which has led to the deterioration of ecosystems due to the deposition of effluents that impact the environment, which generates not only damage to ecosystems but also to the same quality of the water that enters the cultivation area. That is why this research seeks to evaluate the efficiency of autochthonous microbial consortia (in vitro) in the bioremediation of the effluent of a shrimp farm located in the Cabello Manabí sector - Ecuador. For this, the following parameters were analyzed: phosphates, ammonium, nitrites, nitrates, suspended solids, dissolved oxygen, temperature, pH, BOD5 and total coliforms. A Completely Randomized Design with one factor and 4 levels was used, using 4 treatments: bacterial consortium (T1) including the yeast Saccharomyces cerevisiae., microalgae consortium (T2)., fungal consortium (T3) made up of Trichoderma harzianum, S. cerevisiae, Lactobacillus acidophilus, Bacillus subtilis, Lactobacillus plantarum., and as (T4) a combined consortium of the three previous treatments. A statistically significant difference was observed in T2 with respect to the other treatments, since thanks to its metabolic activities, the bioremediation of elements such as phosphates, nitrogen compounds and total coliforms was observed, while in the other parameters a significant improvement was not achieved. The process carried out by the microalgae made it possible to adjust the parameters analyzed to water quality criteria to be reused in agricultural and livestock activities and even discharged into freshwater bodies, concluding that the application of microalgae native to the area was useful for the bioremediation of shrimp effluents from the locality.

Introduction: Primary autism is a heterogeneous neurobehavioral disorder of uncertain etiology in which both genes and the environment contribute to the pathogenesis of the disorder. Objective: To identify family inherited, prenatal and perinatal risk factors in Cuban children with primary autism. Material and Methods: An observational case-control study (1:1) was carried out in children with primary autism, treated at "Juan Manuel Márquez" Pediatric Hospital, Havana, in the period from October of 2014 to September of 2019. The sample was made up of 126 cases and 126 controls. Data on neuropsychiatric diseases, prenatal and perinatal history of three generations were collected. Multivariate logistic regression was performed to identify risk factors related to primary autism. Results: The odds of presenting primary autism were approximately seven and four times higher in children of mothers and fathers of advanced ages, respectively. A history of language disorders and epilepsy in first-degree relatives conferred 27- and 24-fold higher odds of presenting with autism, respectively. The odds of presenting autism were approximately ten times greater in children born to pregnant women with anemia, eight times in children born to pregnant women who had bleeding during pregnancy, and 18 times in those born to mothers with a history of pregestational diabetes mellitus. Conclusions: The history of inherited neuropsychiatric diseases and prenatal and perinatal environmental factors related to hypoxemic events are risk factors for primary autism in the sample of Cuban children studied.

Objective: Current treatment for borderline personality disorder (BPD) involves psychological and pharmacological interventions. However, neuromodulation techniques such as repetitive transcranial magnetic stimulation (rTMS) may positively affect BPD symptomatology. The objective of this study was to evaluate the clinical and neuropsychological effects of rTMS on the dorsomedial prefrontal cortex (DMPFC) in BPD patients. Methods: Fourteen patients with BPD were randomized into two groups (active vs. sham) for 15 sessions of rTMS on the DMPFC. Clinical effects were measured using the Borderline Symptoms List (BSL), Clinical Global Impression Scale for BPD (CGI-BPD), Borderline Evaluation of Severity over Time (BEST), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Barratt’s Impulsiveness Scale (BIS). Neuropsychological effects were determined by a Stop-Signal Task (SST), the Wisconsin Card-Sorting Test (WCST), and the Iowa Gambling Test (IGT). Results: Within-group comparison showed significant differences (p < 0.05) in CGI-BPD (total score and six of nine psychopathologic domains), BEST, HDRS, HARS, and IGT scores for active modality. Conclusion: The 5 Hz-DMPFC rTMS technique was well tolerated and lessened the severity of BPD symptomatology, especially abandonment, affective issues, interpersonal relationships, suicidal behavior, anger, and paranoid ideation. Cognitive improvement was seen in decision-making. Additional studies are needed to fully evaluate the effects of rTMS on BPD symptomatology. Clinical Trial Registration: NCT03832777.

Esta investigación descriptiva tiene el propósito de mostrar el análisis de diversas técnicas, métodos y metodologías utilizadas en el diseño de nuevos productos con el objeto de plantear los argumentos que debe contener un modelo de planeación para la innovación de productos. Se realizó la localización de documentos clave, fijación de datos, análisis de contenido, clasificación y síntesis de la información, obteniendo como resultado una clasificación de las técnicas, métodos o metodologías de acuerdo a diversas áreas de análisis. Esta clasificación también indica el propósito que tienen al aplicarlas. El resultado del estudio es la discusión e implicaciones de las técnicas, métodos y metodologías identificadas en la literatura, enfatizado que en la construcción de un modelo de planeación de la innovación del diseño de productos debe hacerse explicita la relación de los diferentes planos de la planeación, como son: el normativo, estratégico, táctico, operacional y la planeación de recursos.

Objective. The aim of this study was to estimate the incidence of delirium and its risk factors among critically ill cancer patients in an intensive care unit (ICU). Materials and Methods. This is a prospective cohort study. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was measured daily at morning to diagnose delirium by a physician. Delirium was diagnosed when the daily was positive during a patient’s ICU stay. All patients were followed until they were discharged from the ICU. Using logistic regression, we estimated potential risk factors for developing delirium. The primary outcome was the development of ICU delirium. Results. There were 109 patients included in the study. Patients had a mean age of 48.6 ± 18.07 years, and the main reason for admission to the ICU was septic shock (40.4%). The incidence of delirium was 22.9%. The mortality among all subjects was 15.6%; the mortality rate in patients who developed delirium was 12%. The only variable that had an association with the development of delirium in the ICU was the days of use of mechanical ventilation (OR: 1.06; CI 95%: 0.99–1.13;p=0.07). Conclusion. Delirium is a frequent condition in critically ill cancer patients admitted to the ICU. The duration in days of mechanical ventilation is potential risk factors for developing delirium during an ICU stay. Delirium was not associated with a higher rate of mortality in this group of patients.

Jatropha spp., es un importante recurso fitogenético usado como alimento, medicina y biocombustible. En este estudio verificamos la identidad taxonómica de las especies de Jatropha para la Reserva de la Biosfera Tehuacán-Cuicatlán, y las unidades ambientales (UA) que ocupan. Evaluamos el estado de conservación de sus hábitats y la vulnerabilidad de las poblaciones de Jatropha. Los sitios de muestreo seleccionados en la Reserva fueron 15. El trabajo taxonómico estuvo basado en especímenes, descripciones originales y material tipo de herbarios y aquellos en línea. Las UA fueron clasificadas mediante variables biofísicas y el software gvSIG. Los atributos ecológicos fueron determinados con análisis cuantitativo por el método de cuadrado centrado en un punto; el disturbio fue estimado a través de indicadores de sitio, y el estado de conservación de las poblaciones de Jatropha con el Método para la Evaluación de Riesgo de Extinción de Plantas en México (MER). Jatropha frecuentemente dominó la fisonomía de las comunidades vegetales. La distribución actual de las especies de Jatropha en la Reserva estuvo principalmente determinada por las variables altitud, temperatura y precipitación. Las especies confirmadas fueron: Jatropha ciliata Sessé ex Cerv., Jatropha neopauciflora Pax, Jatropha oaxacana J. Jiménez Ram. & R. Torres, Jatropha rufescens Brandegee, y Jatropha rzedowskii J. Jiménez Ram., las cuales estuvieron distribuidas en cuatro de las seis UA definidas. J. neopauciflora y J. rzedowskii son las especies más ampliamente distribuidas; estas últimas especies concurrieron en cuatro, J. oaxacana en dos, mientras que J. rufescens y J. ciliata en una UA, siendo ésta la especie más restringida. La riqueza de géneros en las comunidades asociadas varió entre 16 y 42. Los máximos y mínimos Índices de Valores de Importancia fueron observados en San Nicolás Tepoxtitlan para J. neopauciflora (53.75%) y J. rzedowskii (1.50%). El índice de disturbio varió entre 0.22 y 0.82, con promedio de 0.51, mientras que la variable ganado tuvo mayor contribución. Considerando las categorías de riesgo del MER, concluimos que J. oaxacana requiere protección especial, mientras que J. ciliata y J. rufescens fueron especies en riesgo de extinción. El estado de conservación de los hábitats ocupados por poblaciones de Jatropha spp. es moderado, tomando en cuenta la tasa de disturbio. Los principales factores que afectan a los hábitats de Jatropha son el ganado y las actividades humanas; la composición florística de las comunidades vegetales tuvo baja riqueza. Estos resultados apoyan la necesidad de establecer estrategias de conservación para evitar la pérdida de importantes poblaciones silvestres de Jatropha.

Se realizó un estudio de intervención terapéutica en 20 pacientes con psoriasis vulgar, pertenecientes a la Parroquia San Fernando, en Montes, Estado Sucre (Venezuela), de mayo a diciembre del 2013, quienes fueron seleccionados aleatoriamente y asignados en 2 grupos de idéntica cantidad de integrantes: el de control, que utilizó medicación convencional con triamcinolona, y el de estudio, que recibió tratamiento tópico con crema de Aloe vera (sábila) de base inerte; a fin de determinar la efectividad de esta última. Para establecer la comparación entre ambos grupos, se emplearon técnicas no paramétricas debido al número reducido de pacientes, y siempre se consideró un nivel de significación de 0,05. Se obtuvo que la modalidad terapéutica con crema de sábila fuera tan efectiva como la aplicación de la triamcinolona, pero a diferencia de esta última, no presentó reacciones adversas. Así, pudo concluirse que la terapia con Aloe vera es efectiva para tratar pacientes con psoriasis vulgar

Creutzfeldt-Jakob disease (CJD) is the most frequent human Prion-related disorder (PrD). The detection of 14-3-3 protein in the cerebrospinal fluid (CSF) is used as a molecular diagnostic criterion for patients clinically compatible with CJD. However, there is a pressing need for the identification of new reliable disease biomarkers. The pathological mechanisms leading to accumulation of 14-3-3 protein in CSF are not fully understood, however neuronal loss followed by cell lysis is assumed to cause the increase in 14-3-3 levels, which also occurs in conditions such as brain ischemia. Here we investigated the relation between the levels of 14-3-3 protein, Lactate dehydrogenase (LDH) activity and expression of the prion protein (PrP) in CSF of sporadic and familial CJD cases. Unexpectedly, we found normal levels of LDH activity in CJD cases with moderate levels of 14-3-3 protein. Increased LDH activity was only observed in a percentage of the CSF samples that also exhibited high 14-3-3 levels. Analysis of the PrP expression pattern in CSF revealed a reduction in PrP levels in all CJD cases, as well as marked changes in its glycosylation pattern. PrP present in CSF of CJD cases was sensitive to proteases. The alterations in PrP expression observed in CJD cases were not detected in other pathologies affecting the nervous system, including cases of dementia and tropical spastic paraparesis/HTLV-1 associated myelopathy (HAM/TSP). Time course analysis in several CJD patients revealed that 14-3-3 levels in CSF are dynamic and show a high degree of variability during the end stage of the disease. Post-mortem analysis of brain tissue also indicated that 14-3-3 protein is upregulated in neuronal cells, suggesting that its expression is modulated during the course of the disease. These results suggest that a combined analysis of 14-3-3 and PrP expression pattern in CSF is a reliable biomarker to confirm the clinical diagnosis of CJD patients and follow disease progression.

Objective To determine if inappropriate tapering/discontinuation of opioids to Alberta patients occurred from mid-2013–2020, as unintended consequences of prescribing guidelines, regulations and policies in response to the North American opioid crisis.Design A population-based, repeated cross-sectional time-series study.Setting Alberta, Canada.Participants Residents of Alberta, Canada aged 18 and older who received an opioid dispense from a community pharmacy from 2013 to 2020.Main outcome measures The prevalence of potential rapid tapering was measured at a given date (reference day), enveloped by a data window. Dose changes were measured as oral morphine equivalents (OME) per patient, at multiple time points (‘data window’ around a reference day). Chronic recipients were identified, and their prescriptions were contrasted 90 days before and after the reference day to measure OME/day changes.Results Approximately 9000 dispenses (totalling ~6 million OME) per day were analysed from 2013 to 2020. The total number of opioid recipients was highly cyclic in nature (peaking in winter). The number of chronic opioid recipients remained somewhat stable from ~70K in 2013 to ~86K at the end of 2020. The number of chronic high and very high dose recipients presented a significant decrease after 2017. Approximately 11%–12% of chronic high-dose recipients experienced potential rapid dose tapering at a rate of 50% or more prereference to postreference day at any given point of time. For chronic very high dose recipients, approximately 11.5% experience potential rapid dose tapering at a rate of 50% or more prereference to postreference day at any given point of time. Potential discontinuation remained constant and the interventions did not have a significant impact on the trend.Conclusion The evidence suggests that changes in prescribing guidelines were not associated with an increase of rapid opioid tapering/discontinuation in Alberta.

Abstract The emergence of the novel SARS-CoV-2 virus is the most important public-health issue of our time. Understanding the diverse clinical presentations of the ensuing disease, COVID-19, remains a critical unmet need. Here we present a comprehensive listing of the diverse clinical indications associated with COVID-19. We explore the theory that anti-SARS-CoV-2 antibodies could cross-react with endogenous human proteins driving some of the pathologies associated with COVID-19. We describe a novel computational approach to estimate structural homology between SARS-CoV-2 proteins and human proteins. Antibodies are more likely to interrogate 3D-structural epitopes than continuous linear epitopes. This computational workflow identified 346 human proteins containing a domain with high structural homology to a SARS-CoV-2 Wuhan strain protein. Of these, 102 proteins exhibit functions that could contribute to COVID-19 clinical pathologies. We present a testable hypothesis to delineate unexplained clinical observations vis-à-vis COVID-19 and a tool to evaluate the safety-risk profile of potential COVID-19 therapies.

Summary: Here, we describe a bioinformatics pipeline that evaluates the interactions between coagulation-related proteins and genetic variants with SARS-CoV-2 proteins. This pipeline searches for host proteins that may bind to viral protein and identifies and scores the protein genetic variants to predict the disease pathogenesis in specific subpopulations. Additionally, it is able to find structurally similar motifs and identify potential binding sites within the host-viral protein complexes to unveil viral impact on regulated biological processes and/or host-protein impact on viral invasion or reproduction.For complete details on the use and execution of this protocol, please refer to Holcomb et al. (2021). : Publisher’s note: Undertaking any experimental protocol requires adherence to local institutional guidelines for laboratory safety and ethics.

Abstract Background The inappropriate and/or high prescribing of benzodiazepine and ‘Z’ drugs (BDZ +) is a major health concern. The purpose of this study was to determine whether physician or pharmacist led interventions or a simple letter or a personalized prescribing report from a medical regulatory authority (MRA) was the most effective intervention for reducing BDZ + prescribing by physicians to patients 65 years of age or older. Methods This was a four-armed, one year, blinded, randomized, parallel-group, investigational trial in Alberta, Canada. Participants were fully licensed physicians (n = 272) who had prescribed 4 times the defined daily dose (4 + DDD) or more of any BDZ + to an older patient at least once in the 3rd quarter of 2016. All physician-participants were sent a personalized prescribing profile by the MRA. They were then randomized into four groups that received either nothing more, an additional personal warning letter from the MRA, a personal phone call from an MRA pharmacist or a personal phone call from an MRA physician. The main outcomes were prescribing behavior change of physicians at one year in terms of: change in mean number of older patients receiving 4 + DDD BDZ + and mean dose BDZ + prescribed per physician. To adjust for multiple statistical testing, we used MANCOVA to test both main outcome measures simultaneously by group whilst controlling for any baseline differences. Results All groups experienced a significant fall in the total number of older patients receiving 4 + DDD of BDZ + by about 50% (range 43–54%) per physician at one year, and a fall in the mean dose of BDZ + prescribed of about 13% (range 10–16%). However, there was no significant difference between each group. Conclusions A personalized prescribing report alone sent from the MRA appears to be an effective intervention for reducing very high levels of BDZ + prescribing in older patients. Additional interventions by a pharmacist or physician did not result in additional benefit. The intervention needs to be tested further on a more general population of physicians, prescribing less extreme doses of BDZ + and that looks at more clinical and healthcare utilization outcomes.

Thrombosis is a recognized complication of Coronavirus disease of 2019 (COVID-19) and is often associated with poor prognosis. There is a well-recognized link between coagulation and inflammation, however, the extent of thrombotic events associated with COVID-19 warrants further investigation. Poly(A) Binding Protein Cytoplasmic 4 (PABPC4), Serine/Cysteine Proteinase Inhibitor Clade G Member 1 (SERPING1) and Vitamin K epOxide Reductase Complex subunit 1 (VKORC1), which are all proteins linked to coagulation, have been shown to interact with SARS proteins. We computationally examined the interaction of these with SARS-CoV-2 proteins and, in the case of VKORC1, we describe its binding to ORF7a in detail. We examined the occurrence of variants of each of these proteins across populations and interrogated their potential contribution to COVID-19 severity. Potential mechanisms, by which some of these variants may contribute to disease, are proposed. Some of these variants are prevalent in minority groups that are disproportionally affected by severe COVID-19. Therefore, we are proposing that further investigation around these variants may lead to better understanding of disease pathogenesis in minority groups and more informed therapeutic approaches.

A therapeutic intervention study of 20 patients with vulgar psoriasis, belonging to San Fernando Parish, in Montes, Sucre State (Venezuela), was carried out from May to December, 2013 who were randomly selected and assigned in 2 groups of identical quantity of members: a control group which used conventional medication with triamcinolone, and the study group which received topical treatment with Aloe vera cream (sabila) with inert base; in order to determine the effectiveness of the last one. To establish the comparison between both groups, non parametrical techniques were used due to the reduced number of patients, and a significance level of 0.05 was always considered. It was obtained that the therapeutic modality with sabila cream was as effective as the triamcinolone use, but unlike this last drug, it showed no adverse reactions. Thus, it could be concluded that the therapy with Aloe vera is effective to treat patients with vulgar psoriasis. [ABSTRACT FROM AUTHOR]

The tobacco is criticized by its negative incidence in the human health, although it understands each other the importance it has for the economy of the country and for the consumer's preferences, because of it, it is not suspend from the national production but we are conscious of the necessity to develop a less aggressive product to the environment. It was carried out an investigation in the central region of Cuba, in the period of the 2002-2009, with the purpose of promoting the environmental education in the tobacco sector, by means of the training and the agricultural extension, to contribute to obtain the sustainable productions. Theoretical and empiric methods were used, with them a diagnosis of the learning necessities was obtained on the topic and a program of pertinent training was applied through the agricultural extension. The obtained results indicated advances in the environmental education that were evidenced in the academic preparation of the professionals, the participation in events and development of projects referred to the environmental topic. Also the technical attendance to producers, the introduction and extension of scientific achievements, they propitiated the application of agroecological practices in the tobacco production with the purpose of obtaining high yield and quality with less noxious effects to the environment. [ABSTRACT FROM AUTHOR]

Abstract Background Fomite mediated transmission can be an important pathway causing significant disease transmission in number of settings such as schools, daycare centers, and long-term care facilities. The importance of these pathways relative to other transmission pathways such as direct person-person or airborne will depend on the characteristics of the particular pathogen and the venue in which transmission occurs. Here we analyze fomite mediated transmission through a comparative analysis across multiple pathogens and venues. Methods We developed and analyzed a compartmental model that explicitly accounts for fomite transmission by including pathogen transfer between hands and surfaces. We consider two sub-types of fomite-mediated transmission: direct fomite (e.g., shedding onto fomites) and hand-fomite (e.g., shedding onto hands and then contacting fomites). We use this model to examine three pathogens with distinct environmental characteristics (influenza, rhinovirus, and norovirus) in four venue types. To parameterize the model for each pathogen we conducted a thorough literature search. Results Based on parameter estimates from the literature the reproductive number ( R0 $\mathcal {R}_{0}$) for the fomite route for rhinovirus and norovirus is greater than 1 in nearly all venues considered, suggesting that this route can sustain transmission. For influenza, on the other hand, R0 $\mathcal {R}_{0}$ for the fomite route is smaller suggesting many conditions in which the pathway may not sustain transmission. Additionally, the direct fomite route is more relevant than the hand-fomite route for influenza and rhinovirus, compared to norovirus. The relative importance of the hand-fomite vs. direct fomite route for norovirus is strongly dependent on the fraction of pathogens initially shed to hands. Sensitivity analysis stresses the need for accurate measurements of environmental inactivation rates, transfer efficiencies, and pathogen shedding. Conclusions Fomite-mediated transmission is an important pathway for the three pathogens examined. The effectiveness of environmental interventions differs significantly both by pathogen and venue. While fomite-based interventions may be able to lower R0 $\mathcal {R}_{0}$ for fomites below 1 and interrupt transmission, rhinovirus and norovirus are so infectious ( R0>>1 $\mathcal {R}_{0}>>1$) that single environmental interventions are unlikely to interrupt fomite transmission for these pathogens.

It was carried out an evaluation of the behavior of the postgraduate preparation in ten companies dedicated to the tobacco production in their phases: agricultural, pre-industrial and industrial located in the central territory of Cuba, during the period 2002 at the 2009, with the objective of valuing their contribution to the individual development and the good acting of the professionals in the sector. For they were used it the methods: historical - logical, induction - deduction, analysis-synthesis and systemic that allowed the qualitative valuation of the trajectory of the superación, the reasoning of the particular problem and the generalizations at country level, the analysis of the facts that happen in the process, the elements that conform the system and the relationships among them. Also the direct observation of the preparation process and the interviews to the professionals. As a result it was identified that most of the professionals occupy directive positions and technicians and the received superación it propitiated the individual development, the good acting and positive productive results. Another important result was the progressive and stable increase in actions of the graduate degree modalities, graduate and the academic superación, I didn't seize in the obtaining of scientific degrees. The superación of the professionals contributed to the improvement in the execution of its functions, with the transmission of knowledge and experiences to the tobacco production and in turn to the effect regulator of the activity. [ABSTRACT FROM AUTHOR]

This essay examines a life story both from a personal and from a family point of view which allows us to reconstruct the events of the recent Peruvian national history and other phenomena of international character like the present day migration from Peru to Italy. In particular, it permits us to understand how the migratory trends present within the country are the same at work in international migration that in this case has connected the population of Lima's metropolitan area to a city of Northern Italy: Turin. The essay proposes the analytical investigation of a migratory route that develops mostly along the lines of family dynamics. The "active agent" of migration, in our case Natalia, establishes a critical rapport with her own migratory experience. Natalia is inclined not to reduce the years spent as an immigrant to a simple economic formula of family savings; but discovers in it an experience of personal maturation that has brought about a change of mentality, with the acquiring of new values she would like to pass on to her family and her community of origin. [ABSTRACT FROM AUTHOR]

Phosphoinositide 3-kinase (PI3K) plays an integral role in lymphocyte function. Mutations in PIK3CD and PIK3R1, encoding the PI3K p110δ and p85α subunits, respectively, cause increased PI3K activity and result in immunodeficiency with immune dysregulation. We describe here the first cases of disseminated and congenital toxoplasmosis in a mother and child who share a pathogenic mutation in PIK3R1 and review the mechanisms underlying susceptibility to severe Toxoplasma gondii infection in activated PI3Kδ syndrome (APDS) and in other forms of primary immunodeficiency.