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.

Isotope composition of dolomite, calcite and pore-waters of ODP Leg 210 samples

Early diagenetic dolomite beds were sampled during the Ocean Drilling Programme (ODP) Leg 201 at four reoccupied ODP Leg 112 sites on the Peru continental margin (Sites 1227/684, 1228/680, 1229/681 and 1230/685) and analysed for petrography, mineralogy, d13C, d18O and 87Sr/86Sr values. The results are compared with the chemistry, and d13C and 87Sr/86Sr values of the associated porewater. Petrographic relationships indicate that dolomite forms as a primary precipitate in porous diatom ooze and siliciclastic sediment and is not replacing the small amounts of precursor carbonate. Dolomite precipitation often pre-dates the formation of framboidal pyrite. Most dolomite layers show 87Sr/86Sr-ratios similar to the composition of Quaternary seawater and do not indicate a contribution from the hypersaline brine, which is present at a greater burial depth. Also, the d13C values of the dolomite are not in equilibrium with the d13C values of the dissolved inorganic carbon in the associated modern porewater. Both petrography and 87Sr/86Sr ratios suggest a shallow depth of dolomite formation in the uppermost sediment (<30 m below the seafloor). A significant depletion in the dissolved Mg and Ca in the porewater constrains the present site of dolomite precipitation, which co-occurs with a sharp increase in alkalinity and microbial cell concentration at the sulphate-methane interface. It has been hypothesized that microbial 'hot-spots', such as the sulphate-methane interface, may act as focused sites of dolomite precipitation. Varying d13C values from -15 per mil to +15 per mil for the dolomite are consistent with precipitation at a dynamic sulphate-methane interface, where d13C of the dissolved inorganic carbon would likewise be variable. A dynamic deep biosphere with upward and downward migration of the sulphate-methane interface can be simulated using a simple numerical diffusion model for sulphate concentration in a sedimentary sequence with variable input of organic matter. Thus, the study of dolomite layers in ancient organic carbon-rich sedimentary sequences can provide a useful window into the palaeo-dynamics of the deep biosphere.

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.