Reducing visual deficits caused by refractive errors in school and preschool children: results of a pilot school program in the Andean region of Apurimac, Peru

Background: Refractive error is defined as the inability of the eye to bring parallel rays of light into focus on the retina, resulting in nearsightedness (myopia), farsightedness (Hyperopia) or astigmatism. Uncorrected refractive error in children is associated with increased morbidity and reduced educational opportunities. Vision screening (VS) is a method for identifying children with visual impairment or eye conditions likely to lead to visual impairment. Objective: To analyze the utility of vision screening conducted by teachers and to contribute to a better estimation of the prevalence of childhood refractive errors in Apurimac, Peru. Design: A pilot vision screening program in preschool (Group I) and elementary school children (Group II) was conducted with the participation of 26 trained teachers. Children whose visual acuity was<6/9 [20/30] (Group I) and≤6/9 (Group II) in one or both eyes, measured with the Snellen Tumbling E chart at 6 m, were referred for a comprehensive eye exam. Specificity and positive predictive value to detect refractive error were calculated against clinical examination. Program assessment with participants was conducted to evaluate outcomes and procedures. Results: A total sample of 364 children aged 3–11 were screened; 45 children were examined at Centro Oftalmológico Monseñor Enrique Pelach (COMEP) Eye Hospital. Prevalence of refractive error was 6.2% (Group I) and 6.9% (Group II); specificity of teacher vision screening was 95.8% and 93.0%, while positive predictive value was 59.1% and 47.8% for each group, respectively. Aspects highlighted to improve the program included extending training, increasing parental involvement, and helping referred children to attend the hospital. Conclusion: Prevalence of refractive error in children is significant in the region. Vision screening performed by trained teachers is a valid intervention for early detection of refractive error, including screening of preschool children. Program sustainability and improvements in education and quality of life resulting from childhood vision screening require further research.

Killke and Killke-related pottery from Cuzco, Peru, in the Field Museum of Natural History / Brian S. Bauer, Charles Stanish.

n.s. no.15(1990)

Report of an exploratory mission of the United Nations on the economic and social development of the Department of Cuzco, Peru.

Mode of access: Internet.

Petroleum resources and uranium possibilities of the Pucallpa region, Loreto Department, Peru /

In cooperation with the Junta de Control de Energía Atómica del Peru.

Conquista del Peru : verdadera relacion de la conquista del Peru [e] prouincia del Cuzco llamada la nueua Castilla, conquistada por Francisco piçarro ... /

Ruiz Fidalgo,

The organic sea-surface microlayer in the upwelling region off the coast of Peru and potential implications for air-sea exchange processes

The sea-surface microlayer (SML) is at the upper- most surface of the ocean, linking the hydrosphere with the atmosphere. The presence and enrichment of organic compounds in the SML have been suggested to influence air- sea gas exchange processes as well as the emission of primary organic aerosols. Here, we report on organic matter components collected from an approximately 50µm thick SML and from the underlying water (ULW), ca. 20 cm below the SML, in December 2012 during the SOPRAN METEOR 91 cruise to the highly productive, coastal upwelling regime off the coast of Peru. Samples were collected at 37 stations including coastal upwelling sites and off-shore stations with less organic matter and were analyzed for total and dissolved high molecular weight (> 1 kDa) combined carbohydrates (TCCHO, DCCHO), free amino acids (FAA), total and dissolved hydrolyzable amino acids (THAA, DHAA), transparent exopolymer particles (TEP), Coomassie stainable particles (CSPs), total and dissolved organic carbon (TOC, DOC), total and dissolved nitrogen (TN, TDN), as well as bacterial and phytoplankton abundance. Our results showed a close coupling between organic matter concentrations in the water column and in the SML for almost all components except for FAA and DHAA that showed highest enrichment in the SML on average. Accumulation of gel particles (i.e., TEP and CSP) in the SML differed spatially. While CSP abundance in the SML was not related to wind speed, TEP abundance decreased with wind speed, leading to a depletion of TEP in the SML at about 5 m s-1 . Our study provides insight to the physical and biological control of organic matter enrichment in the SML, and discusses the potential role of organic matter in the SML for air-sea exchange processes.

Seismic structure along transitions from flat to normal subduction: central Mexico, southern Peru, and southwest Japan

The fine-scale seismic structure of the central Mexico, southern Peru, and southwest Japan subduction zones is studied using intraslab earthquakes recorded by temporary and permanent regional seismic arrays. The morphology of the transition from flat to normal subduction is explored in central Mexico and southern Peru, while in southwest Japan the spatial coincidence of a thin ultra-slow velocity layer (USL) atop the flat slab with locations of slow slip events (SSEs) is explored. This USL is also observed in central Mexico and southern Peru, where its lateral extent is used as one constraint on the nature of the flat-to-normal transitions.

In western central Mexico, I find an edge to this USL which is coincident with the western boundary of the projected Orozco Fracture Zone (OFZ) region. Forward modeling of the 2D structure of the subducted Cocos plate using a finite-difference algorithm provides constraints on the velocity and geometry of the slab’s seismic structure in this region and confirms the location of the USL edge. I propose that the Cocos slab is currently fragmenting into a North Cocos plate and a South Cocos plate along the projection of the OFZ, by a process analogous to that which occurred when the Rivera plate separated from the proto-Cocos plate 10 Ma.

In eastern central Mexico, observations of a sharp transition in slab dip near the abrupt end of the Trans Mexican Volcanic Belt (TMVB) suggest a possible slab tear located within the subducted South Cocos plate. The eastern lateral extent of the USL is found to be coincident with these features and with the western boundary of a zone of decreased seismicity, indicating a change in structure which I interpret as evidence of a possible tear. Analysis of intraslab seismicity patterns and focal mechanism orientations and faulting types provides further support for a possible tear in the South Cocos slab. This potential tear, together with the tear along the projection of the OFZ to the northwest, indicates a slab rollback mechanism in which separate slab segments move independently, allowing for mantle flow between the segments.

In southern Peru, observations of a gradual increase in slab dip coupled with a lack of any gaps or vertical offsets in the intraslab seismicity suggest a smooth contortion of the slab. Concentrations of focal mechanisms at orientations which are indicative of slab bending are also observed along the change in slab geometry. The lateral extent of the USL atop the horizontal Nazca slab is found to be coincident with the margin of the projected linear continuation of the subducting Nazca Ridge, implying a causal relationship, but not a slab tear. Waveform modeling of the 2D structure in southern Peru provides constraints on the velocity and geometry of the slab’s seismic structure and confirms the absence of any tears in the slab.

In southwest Japan, I estimate the location of a possible USL along the Philippine Sea slab surface and find this region of low velocity to be coincident with locations of SSEs that have occurred in this region. I interpret the source of the possible USL in this region as fluids dehydrated from the subducting plate, forming a high pore-fluid pressure layer, which would be expected to decrease the coupling on the plate interface and promote SSEs.

Sexualidade e gênero na Amazônia urbana do Peru

O tema da sexualidade na região amazônica do Peru tem sido objeto de diversas elaborações discursivas desde os tempos coloniais, destacando-se certas ideias, como intensidade e desordem. Tais concepções sedimentaram-se em representações de ampla difusão e permanência no país, sendo a charapa ardiente, representação hipersexualizada da mulher amazônica, a mais paradigmática. A existência desses discursos e a escassez de literatura acadêmica sobre o tema da sexualidade nesta região motivaram esta pesquisa, que objetivou explorar o lugar da sexualidade na construção de si, entre mulheres da Amazônia urbana do Peru. Para tal foi efetuada uma revisão de fontes secundárias, dirigida a rastrear a origem desta representação e sua recriação, na história do país. A seguir, a partir de informações obtidas em entrevistas em profundidade com mulheres da região investigada, foram exploradas suas opiniões acerca desta representação e a maneira como lidam com ela, em circunstâncias concretas da vida cotidiana. Os relatos evidenciaram tanto processos de negação como de reprodução e resignificação, em um jogo complexo e flexível, que varia de acordo com o contexto em que as mulheres se encontram. Por outro lado, foram apreendidas as trajetórias afetivo-sexuais das informantes, por intermédio de entrevistas em profundidade, a partir de indagações sobre diversos temas, como iniciação sexual, infidelidade feminina, valoração da atividade sexual e trocas econômico-sexuais, entre outros. Foram identificados eixos estruturantes da vida sexual destas mulheres. Destaca-se um discurso relacional, que enaltece a reciprocidade como marco da vida sexual e, em segundo plano, comparece também uma retórica fisicalista, que considera a atividade sexual como necessidade corporal. Por fim, o estudo evidenciou um importante papel da sexualidade como recurso feminino, no plano econômico, em estreita articulação com dimensões afetivas e considerações familiares. Trata-se de trocas econômico-sexuais que integram a dinâmica cotidiana de reciprocidade nos vínculos afetivo-sexuais.

Análise morfométrica das estruturas maxilo-mandibulares de indivíduos pré-colombianos e contemporâneos da Costa Central do Peru

O objetivo deste trabalho foi avaliar morfometricamente as modificações ocorridas ao longo de 500 anos nas estruturas maxilo-mandibulares de indivíduos da Costa Central do Peru. Foram utilizadas telerradiografias laterais de 30 crânios secos, sem deformidades esqueléticas e em normoclusão, do período Pré-colombiano (grupo Pré-colombiano) e de 30 peruanos nativos contemporâneos, com características esqueléticas e oclusais semelhantes, provenientes da mesma região geográfica (grupo Contemporâneo). Estas telerradiografias foram digitalizadas e 14 pontos cefalométricos foram marcados e utilizados como marcos anatômicos homólogos para a análise morfométrica. O tamanho do centróide, a forma e a alometria foram comparados entre os grupos para a amostra total, para homens e para mulheres, pelos testes de one-way ANOVA, função discriminante e regressão multivariada, respectivamente. As mesmas avaliações foram realizadas para homens e mulheres do mesmo grupo. O tamanho do centróide foi significativamente maior para o grupo Contemporâneo tanto para a amostra total, quanto para homens e mulheres, demonstrando que as estruturas maxilo-mandibulares dos indivíduos contemporâneos é maior do que de seus ancestrais. Quando homens e mulheres foram comparados intra-grupos o tamanho do centróide foi significativamente maior para os homens do grupo Contemporâneo, com a mesma tendência para os homens pré-colombianos, porém sem significância estatística. Observou-se diferenças significativas entre os grupos para a forma das estruturas maxilo-mandibulares indicando que ao longo do tempo houve um deslocamento posterior da região da pré-maxila e um deslocamento considerável para cima e para trás da apófise coronóide, uma abertura do ângulo na região goníaca e um alongamento no sentido vertical da região da sínfise mandibular. Essas mudanças morfológicas foram mais evidentes nas mulheres do que nos homens, parecendo haver maior efeito das tendências seculares nas mulheres. Não houve diferenças morfológicas entre homens e mulheres quando comparados intra-grupos, demonstrando que os resultados observados não foram influenciados pelo dimorfismo sexual. As diferenças de tamanho existentes intra-grupos foram responsáveis por apenas 6% das diferenças de forma, e portanto não há efeito causal do tamanho sobre as diferenças de forma observadas entre os grupos. Pode-se concluir que as diferenças morfológicas das estruturas maxilo-mandibulares encontradas neste estudo sugerem mudanças nas condições ambientais da população da Costa Central do Peru ao longo de 500 anos e podem contribuir para o melhor esclarecimento dos fatores etiológicos das más oclusões.

Geopolítica da integração sul-americana: o desafio do Oceano Pacífico e a parceria estratégica Brasil-Peru para o século XXI

A dissertação versa sobre a formulação de uma política externa brasileira para a América do Sul a partir do século XXI, e, discute as opções e os caminhos necessários para o desenvolvimento do Brasil em conjunto com os seus vizinhos. Nosso objetivo é apontar o necessário aprofundamento da integração regional para fazer frente aos desafios presentes e futuros que poderão ameaçar a soberania dos países sul-americanos se estes não forem membros de uma instituição política, (um ente supranacional), que os guie em decisões comuns para o bem-estar destes mesmos. Entendemos que a geopolítica do Oceano Pacífico e a consequente presença da China no subcontinente serão alguns dos alicerces para o fomento da cooperação regional e urgimos, ainda, por uma maior integração entre Brasil e Peru, sendo esse vizinho andino a peça chave para a integração transoceânica dos Estados sul-americanos como um estímulo fundamental para o objetivo integracionista final: a construção civilizacional dos Estados Unidos da América do Sul.

Holocene history of the El Niño phenomenon as recorded in flood sediments of northern coastal Peru

EXTRACT (SEE PDF FOR FULL ABSTRACT): The Holocene history of flooding in northern coastal Peru is believed to be a proxy record for the El Niño phenomenon. A recently completed set of 30 radiocarbon dates on overbank flood deposits and a tsunami deposit from the Casma region (Figure 1 and Table 1) establishes a chronology for the largest events that have occurred during the last 3500 years. ... The data presented here indicate that events much larger than the one in 1982-1983 may occur with a frequency of about once every 1000 years.

Air pollution, Fuel Usage and Health Outcomes in Madre de Dios, Peru: a Comparative Cross Sectional Study

Air pollution is a common problem. Particulate matter generated from air pollution has been tied to adverse health outcomes associated with cardiovascular disease. Biomass fuels are a specific contributor to increased particulate matter and arise as a result of indoor heating, cook stoves and indoor food preparation. This is a two part cross sectional study looking at communities in the Madre de Dios region. Survey data was collected from 9 communities along the Madre de Dios River. Individual level household PM2.5 was also collected as a means to generate average PM data stratified by fuel use. Data collection was affected by a number of outside factors, which resulted in a loss of data. Results from the cross-sectional study indicate that hypertension is not a significant source of morbidity. Obesity is prevalent and significantly associated with kitchen venting method indicating a potential relationship.