Los equipos interdisciplinarios en el abordaje de la salud mental comunitaria. La experiencia en la Provincia de Misiones durante el período 2013-201.16H372

A partir de la Ley Nacional de Salud Mental N° 26657/10, los profesionales del ámbito de la salud enfrentan nuevos desafíos orientados a provocar rupturas con el modelo tradicional. Por un lado, como modelo en construcción, el abordaje de la salud mental debiera ser a nivelcomunitario, con centralidad en los principios de libertad, igualdad, dignidad, autonomía y derechos humanos. Por otro lado, prevé la conformación de equipos interdisciplinarios con el propósito de favorecer la integración y producción de conocimientos, de modo que todos los actores intervinientes puedan participar del proceso. En la Provincia de Misiones, desde el año 2011 se conforman equipos de salud integrados por profesionales y técnicos de distintas disciplinas a través del Programa Nacional de Salud Mental Comunitaria, y la acción ya no se limita a la intervención médica sino que el tratamiento, rehabilitación y reinserción del sujeto se piensa a partir del intercambio disciplinario. Si bien un equipo interdisciplinario es un grupo, la conformación del grupo no garantiza el trabajo interdisciplinario. Por ello, la investigación se propone conocer, describir y analizar cómo se construye la dinámica de los equipos para la elaboración colectiva de diagnósticos y planes de intervención en salud mental comunitaria.

Biphytane and stable carbon isotopic values of sugars and glycerol from ODP Hole 204-1245D and 201-1229A

The membrane lipids diglycosyl-glycerol dibiphytanyl glycerol tetraethers (2G-GDGTs) in marine subsurface sediments are believed to originate from uncultivated benthic archaea, yet the production of 2G-GDGTs from subseafloor samples has not been demonstrated in vitro. In order to validate sedimentary biosynthesis of 2G-GDGTs, we performed a stable carbon isotope probing experiment on a subseafloor sample with six different 13C-labelled substrates (bicarbonate, methane, acetate, leucine, glucose and Spirulina platensis biomass). After 468 days of anoxic incubation, only glucose and S. platensis resulted in label uptake in lipid moieties of 2G-GDGTs, indicating incorporation of carbon from these organic substrates. The hydrophobic moieties of 2G-GDGTs showed minimal label incorporation, with up to 4 per mil 13C enrichment detected in crenarchaeol-derived tricyclic biphytane from the S. platensis-supplemented slurries. The 2G-GDGT-derived glucose or glycerol moieties also showed 13C incorporation (Dd13C = 18 - 38 per mil) in the incubations with glucose or S. platensis, consistent with a lipid salvage mechanism utilized by marine benthic archaea to produce new 2G-GDGTs. The production rates were nevertheless rather slow, even when labile organic matter was supplied. The 2G-GDGT turnover times of 1700 - 20 500 years were much longer than those estimated for subseafloor microbial communities, implying that sedimentary 2G-GDGTs as biomarkers of benthic archaea are cumulative records of past and present generations.

Diatom events and Neogene nannofossils of ODP Hole 201-1225A

Shipboard investigation of magnetostratigraphy and shore-based investigation of diatoms and calcareous nannofossils were used to identify datum events in sedimentary successions collected at Ocean Drilling Program (ODP) Leg 201 Site 1225. The goal was to extend the magnetic record previously studied at the same site, ODP Leg 138 Site 851, and provide a comprehensive age model for Site 1225. Two high-magnetic intensity zones at 0-70 and 200-255 meters below seafloor (mbsf) were correlated with lithologic Subunits IA and IC in Hole 1225A. Subunit IA (0-70 mbsf) contains the magnetic reversal record until the Cochiti Subchronozone (3.8 Ma) and has a sedimentation rate of 1.7 cm/k.y. This agrees with previous work done at Site 851. Subunit IC (200-255 mbsf) was not sampled at Site 851. Diatom and nannofossil biostratigraphy constrained this subunit, and we found it to contain the magnetic reversal record between Subchrons C4n.2r and C5n.2n (8.6-9.7 Ma), yielding a sedimentation rate of 2.7 cm/k.y. Biostratigraphy was used to establish the sedimentation rates within Subunits IB and ID (70-200 mbsf and 255-300 mbsf, respectively). These subunits had higher sedimentation rates (~3.4 cm/k.y.) and coincide with the late Miocene-early Pliocene biogenic bloom event (4.5-7 Ma) and the Miocene global cooling trend (10-15 Ma). High biogenic productivity associated with these subunits resulted in the pyritization of the magnetic signal. In lithologic Subunit ID, basement flow is another factor that may be altering the magnetic signal; however, the good correlation between the biostratigraphy and magnetostratigraphy indicates that the magnetic record was locked-in near the seafloor and suggests the age model is robust.

(Table T2) Sulfur isotopes of pore water from ODP Leg 201 sites

Fifty-seven interstitial water samples from six sites (Ocean Drilling Program Sites 1225-1229 and 1231) in the eastern equatorial Pacific Ocean and the Peru margin were analyzed for the stable sulfur isotopic composition (34S/32S) of dissolved sulfate along with major and minor ions. With the exception of Site 1231, sulfate from the interstitial fluids (d34S values as much as 89 per mil vs. the SF6-based Vienna-Canyon Diablo troilite standard) is found at depth to be enriched in 34S with respect to modern seawater sulfate (d34S = ~21 per mil), indicating that microbial sulfate reduction (MSR) took place to different extents at all investigated sites. Deeper sediments at Sites 1228 and 1229 are additionally influenced by diffusion of a sulfate-rich brine that has already undergone sulfate reduction. The intensity of MSR depends on the availability of substrate (organic matter), sedimentation conditions, and the active bacterial community structure. Formation of isotopically heavy diagenetic barite at the sulfate-methane transition zone is expected at Sites 1227 (one front), 1229 (two fronts), and probably Site 1228. At Site 1231, the constant sulfur isotopic composition of sulfate and concentrations of minor pore water ions indicate that suboxic (essentially iron and manganese oxide based) diagenesis dominates and no net MSR occurs.