Determinantes sociales de la salud en Bogotá DC: el caso del acceso y calidad de los servicios 2003, 2007 y 2011

Bogotá D.C. es una ciudad de más de siete millones de habitantes en su mayoría de estrato medio, dividida políticamente por veinte localidades. Aquí se generan la mayoría de oportunidades de desarrollo y día a día llega la población fluctuante de otras ciudades de Colombia en busca de un mejor futuro. Las necesidades de la población en una metrópolis como ésta no se hacen esperar y la salud entendida, como un buen estado físico y mental, además de ser una necesidad humana primordial se ha convertido en uno de los temas más agobiantes para los ciudadanos y los creadores de políticas públicas en el Distrito Capital. Alcanzar un adecuado estado de salud no es solo cuestión de asegurar y dar cobertura de servicio, también se requiere que las diferentes políticas públicas que existen estén articuladas para llegar al deseado estado de salud. Estas políticas públicas son los mismos determinantes sociales de salud, por los cuales la Organización Mundial de la Salud (OMS) ha impartido la instrucción de incrementar esfuerzos con el fin de mejorar el estado de salud de la población mundial. En esta investigación se realiza un análisis del Índice de Condiciones de Vida, calculado por el DANE, en la Encuesta Calidad de Vida para Bogotá en 2003, 2007 y Encuesta Multipropósito 2011, estudiando el primer factor que hace parte de dicho índice, el Acceso y Calidad de los Servicios, el cual se compone por cuatro aspectos: i) Abastecimiento y calidad del agua, ii) Eliminación de excretas; iii) Recolección de basuras y iv) Combustible para cocinar. La revisión teórica que aborda a los determinantes sociales de la salud evidencia que estos cuatro componentes son fundamentales para garantizar el estado de salud de los bogotanos y hacen parte de los objetivos del milenio. Adicionalmente se realizan regresiones lineales para determinar el peso que ha tenido el factor acceso y calidad de los servicios, en el estado de salud de los bogotanos, definiendo el Índice de Condiciones de Vida como variable proxy al estado de salud, para cada uno de los años de estudio. Por último se presentan algunos datos de los resultados de las políticas públicas relacionadas con el acceso y calidad de los servicios de los gobiernos de la ciudad correspondientes a los años de estudio.

Infrared optical coatings for the EarthCARE Multispectral Imager

The Earth Cloud, Aerosol and Radiation Explorer mission (EarthCARE) Multispectral Imager (MSI) is a radiometric instrument designed to provide the imaging of the atmospheric cloud cover and the cloud top surface temperature from a sun-synchronous low Earth orbit. The MSI forms part of a suite of four instruments destined to support the European Space Agency Living Planet mission on-board the EarthCARE satellite payload to be launched in 2016, whose synergy will be used to construct three-dimensional scenes, textures and temperatures of atmospheric clouds and aerosols. The MSI instrument contains seven channels: four solar channels to measure visible and short-wave infrared wavelengths, and three channels to measure infrared thermal emission. In this paper, we describe the optical layout of the infrared instrument channels, thin-film multilayer designs, the coating deposition method and the spectral system throughput for the bandpass interference filters, dichroic beam splitters, lenses and mirror coatings to discriminate wavelengths at 8.8, 10.8, & 12.0 µm. The rationale for the selection of thin-film materials, spectral measurement technique, and environmental testing performance are also presented.

Prevalência de sintomas depressivos e de déficit cognitivo na população de sessenta anos e mais em um município de médio porte do interior paulista

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Associação entre a qualidade de vida e aspectos nutricionais na terceira idade

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Descrição da população idosa segundo sua qualidade de vida e capacidade funcional em uma cidade de médio porte no interior paulista

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Precise Orbit Determination of Low Earth Satellites at AIUB using GPS and SLR data

An ever increasing number of low Earth orbiting (LEO) satellites is, or will be, equipped with retro-reflectors for Satellite Laser Ranging (SLR) and on-board receivers to collect observations from Global Navigation Satellite Systems (GNSS) such as the Global Positioning Sys- tem (GPS) and the Russian GLONASS and the European Galileo systems in the future. At the Astronomical Insti- tute of the University of Bern (AIUB) LEO precise or- bit determination (POD) using either GPS or SLR data is performed for a wide range of applications for satellites at different altitudes. For this purpose the classical numeri- cal integration techniques, as also used for dynamic orbit determination of satellites at high altitudes, are extended by pseudo-stochastic orbit modeling techniques to effi- ciently cope with potential force model deficiencies for satellites at low altitudes. Accuracies of better than 2 cm may be achieved by pseudo-stochastic orbit modeling for satellites at very low altitudes such as for the GPS-based POD of the Gravity field and steady-state Ocean Circula- tion Explorer (GOCE).

Association of nutritional risk and adverse medical outcomes across different medical inpatient populations

OBJECTIVE The aim of this study was to examine the prevalence of nutritional risk and its association with multiple adverse clinical outcomes in a large cohort of acutely ill medical inpatients from a Swiss tertiary care hospital. METHODS We prospectively followed consecutive adult medical inpatients for 30 d. Multivariate regression models were used to investigate the association of the initial Nutritional Risk Score (NRS 2002) with mortality, impairment in activities of daily living (Barthel Index <95 points), hospital length of stay, hospital readmission rates, and quality of life (QoL; adapted from EQ5 D); all parameters were measured at 30 d. RESULTS Of 3186 patients (mean age 71 y, 44.7% women), 887 (27.8%) were at risk for malnutrition with an NRS ≥3 points. We found strong associations (odds ratio/hazard ratio [OR/HR], 95% confidence interval [CI]) between nutritional risk and mortality (OR/HR, 7.82; 95% CI, 6.04-10.12), impaired Barthel Index (OR/HR, 2.56; 95% CI, 2.12-3.09), time to hospital discharge (OR/HR, 0.48; 95% CI, 0.43-0.52), hospital readmission (OR/HR, 1.46; 95% CI, 1.08-1.97), and all five dimensions of QoL measures. Associations remained significant after adjustment for sociodemographic characteristics, comorbidities, and medical diagnoses. Results were robust in subgroup analysis with evidence of effect modification (P for interaction < 0.05) based on age and main diagnosis groups. CONCLUSION Nutritional risk is significant in acutely ill medical inpatients and is associated with increased medical resource use, adverse clinical outcomes, and impairments in functional ability and QoL. Randomized trials are needed to evaluate evidence-based preventive and treatment strategies focusing on nutritional factors to improve outcomes in these high-risk patients.

Human Factor in Resilience Systems

This paper shows the importance of a holistic comprehension of the Earth as a living planet, where man inhabits and is exposed to environmental incidences of different nature. The aim of the paper here summarized is a reflection on all these concepts and scientific considerations related to the important role of men in the handling of natural hazards. Our Planet is an unstable and dynamical system highly sensitive to initial conditions, as proposed by Chaos theory (González-Miranda 2004); it is a complex organic whole, which responds to minimal variations which can affect several natural phenomena such as plate tectonics, solar flares, fluid turbulences, landscape formation, forest fires, growth and migration of populations and biological evolution. This is known as the “butterfly effect” (Lorenz 1972), which means that a small change of the system causes a chain of events leading to large-scale unpredictable consequences. The aim of this work is dwelling on the importance of the knowledge of these natural and catastrophic geological, biological and human systems so much sensible to equilibrium conditions, to prevent, avoid and mend their effects, and to face them in a resilient way

Environmental ethics for business sustainability

The paper derives operational principles from environmental ethics for business organizations in order to achieve sustainability. Business affects the natural environment at different levels. Individual biological creatures are affected by business via hunting, fishing, agriculture, animal testing, etc. Natural ecosystems are affected by business via mining, regulating rivers, building, polluting the air, water and land, etc. The Earth as a whole is affected by business via exterminating species, contributing to climate change, etc. Business has a natural, non-reciprocal responsibility toward natural beings affected by its functioning. At the level of individual biological creatures, awareness-based ethics is adequate for business. It implies that business should assure natural life conditions and painless existence for animals and other sentient beings. From this point of view a business activity system can be considered acceptable only if its aggregate impact on animal welfare is non-negative. At the level of natural ecosystems, ecosystem ethics is relevant for business. It implies that business should use natural ecosystems in a proper way, that is, not damaging the health of the ecosystem during use. From this point of view a business activity system can be considered acceptable only if its aggregate impact on ecosystem health is non-negative. At the level of the Earth as a whole, Gaian ethics applies to business. Its implication is that business should not contribute to the violation of the systemic patterns and global mechanisms of the Earth. From this point of view a business activity system can be considered acceptable only if its aggregate impact on the living planet is non-negative. Satisfying the above principles can assure business sustainability in an ethically meaningful way. In this case business performs its duty: not to harm nature or allow others to come to harm.

Circumpolar Landscape Units, links to GeoTIFFs

Requirements for space based monitoring of permafrost features had been already defined within the IGOS Cryosphere Theme Report at the start of the IPY in 2007 (IGOS, 2007). The WMO Polar Space Task Group (PSTG, http://www.wmo.int/pages/prog/sat/pstg_en.php) identified the need to review the requirements for permafrost monitoring and to update these requirements in 2013. Relevant surveys with focus on satellite data are already available from the ESA DUE Permafrost User requirements survey (2009), the United States National Research Council (2014) and the ESA - CliC - IPA - GTN -P workshop in February 2014. These reports have been reviewed and specific needs discussed within the community and a white paper submitted to the WMO PSTG. Acquisition requirements for monitoring of especially terrain changes (incl. rock glaciers and coastal erosion) and lakes (extent, ice properties etc.) with respect to current satellite missions have been specified. About 50 locations ('cold spots') where permafrost (Arctic and Antarctic) in situ monitoring has been taking place for many years or where field stations are currently established have been identified. These sites have been proposed to the WMO Polar Space Task Group as focus areas for future monitoring by high resolution satellite data. The specifications of these sites including meta-data on site instrumentation have been published as supplement to the white paper (Bartsch et al. 2014, doi:10.1594/PANGAEA.847003). The representativity of the 'cold spots' around the arctic has been in the following assessed based on a landscape units product which has been developed as part of the FP7 project PAGE21. The ESA DUE Permafrost service has been utilized to produce a pan-arctic database (25km, 2000-2014) comprising Mean Annual Surface Temperature, Annual and summer Amplitude of Surface Temperature, Mean Summer (July-August) Surface Temperature. Surface status (frozen/unfrozen) related products have been also derived from the ESA DUE Permafrost service. This includes the length of unfrozen period, first unfrozen day and first frozen day. In addition, SAR (ENVISAT ASAR GM) statistics as well as topographic parameters have been considered. The circumpolar datasets have been assessed for their redundancy in information content. 12 distinct units could be derived. The landscape units reveal similarities between North Slope Alaska and the region from the Yamal Peninsula to the Yenisei estuary. Northern Canada is characterized by the same landscape units like western Siberia. North-eastern Canada shows similarities to the Laptev coast region. This paper presents the result of this assessment and formulates recommendations for extensions of the in situ monitoring networks and categorizes the sites by satellite data requirements (specifically Sentinels) with respect to the landscape type and related processes.