Trabajo nocturno e índice de masa corporal en los trabajadores de la salud : una revisión de la literatura

Introducción: Se considera el trabajo rotativo nocturno como aquel que se lleva a cabo fuera de las horas laborales diurnas. Se ha planteado que el trabajo en horas nocturnas podría estar relacionado con diversos desordenes, dentro de ellos un incremento en el índice de masa corporal con el consecuente desarrollo de sobrepeso y obesidad. El objetivo de este estudio es realizar una revisión de la literatura existente, acerca del trabajo rotativo nocturno y su relación con el índice de masa corporal (IMC) en trabajadores de la salud. Métodos: Se realizó una revisión sistemática de información publicada en los últimos 10 años en la base de datos PUBMED y se seleccionaron únicamente los artículos de texto completo relacionados con este tema en los idiomas inglés, español e italiano. Resultados: A través de la búsqueda se encontraron 10 artículos que cumplieron los criterios de inclusión definidos. Predominantemente se obtuvieron estudios de diseño transversal. Tres de estos estudios encontraron una asociación entre trabajo rotativo nocturno actual e incremento en el IMC y por el contrario dos estudios no hallaron esta asociación. Por otro lado, seis estudios coinciden en una asociación positiva entre mayor tiempo acumulado en trabajo rotativo nocturno y un incremento en el IMC. Conclusiones: Los hallazgos encontrados en los estudios analizados apuntan a la existencia de una estrecha relación entre el aumento del Índice de Masa Corporal (IMC) con los turnos nocturnos (o rotativos que incluyen este horario) llevados a cabo de manera prolongada, en los trabajadores de la salud, en comparación con los trabajadores que realizan turnos diurnos regulares.

Comunicação e prática política nas monarquias ibéricas de antigo regime (1700-1750): Évora, Córdova, Ouro Preto e Quito

O presente estudo trata da prática política nos diferentes espaços das monarquias ibéricas na primeira metade do século XVIII. Tendo como objecto de análise principal a correspondência de quatro municípios seleccionados como observatórios (Évora, Córdova, Ouro Preto e Quito), pretende-se conhecer com maior detalhe as variações desta mesma prática em função dos contextos. Partindo da ideia de que o modelo político-administrativo implementado na América seria, na essência, decalcado do peninsular, procura-se aqui entender as mutações resultantes desta transferência. Ao longo deste trabalho defender-se-á a ideia de que, apesar das semelhanças entre o aparelho burocrático metropolitano e americano, a prática política nos territórios extra-europeus revestia-se de um conjunto de especificidades que a diferenciavam de forma clara. Neste sentido, argumenta-se que estas mutações condicionavam igualmente quais seriam os interlocutores das coroas nas diferentes regiões. Ou seja, que uma mesma instância teria, nos territórios ultramarinos e peninsulares, graus de participação nos processos de negociação e articulação política consideravelmente diferentes, algo que de que os municípios são um bom exemplo. Para o efeito serão comparados aspectos como os ritmos da comunicação; o relevo de cada instância na comunicação com a coroa; o perfil dos indivíduos que, nos diferentes territórios, ocupavam os ofícios da malha administrativa; as dinâmicas de especialização de competências ou de concentração de funções num mesmo cargo; a conflitualidade institucional e a existência de iniciativas políticas de cariz supramunicipal; Abstract: This study deals with the political practice in different areas of the Iberian monarchies in the first half of the eighteenth century. The main object of study is the correspondence of four selected municipalities (Évora, Cordoba, Ouro Preto and Quito), and it aims to know in greater detail the variations of this same practice on different contexts. Starting from the idea that the political and administrative model implemented in America would, in essence, be modeled on the peninsular, the intent is to understand the changes resulting from this transfer. Throughout this work we will argue that, despite the similarities between the metropolitan and American bureaucracy, political practice in non-European territories possessed a set of characteristics that were very specific. In this sense, it is argued that these mutations would also determine which would be the interlocutors of the crowns in different regions. That is, if the same instance would, in the overseas and peninsular territories, have different levels of participation in the negotiation and in the political articulation processes, something that municipalities are a good example of. For this purpose, aspects such as the rhythms of communication; the importance of each instance in the correspondence with the crown; the profile of the individuals who, in different territories, occupied the offices of the administrative network; the dynamics of specialization or concentration of functions in the same position; the institutional conflicts and the existence of supramunicipal initiatives will be compared.

Alpha oscillations index the functionality and the plastic changes of the visual system

Alpha oscillations are linked to visual awareness and to the periodical sampling of visual information, suggesting that alpha rhythm reflect an index of the functionality of the posterior cortices, and hence of the visual system. Therefore, the present work described a series of studies investigating alpha oscillations as a biomarker of the functionality and the plastic modifications of the visual system in response to lesions to the visual cortices or to external stimulations. The studies presented in chapter 5 and 6 showed that posterior lesions alter alpha oscillations in hemianopic patients, with reduced alpha reactivity at the eyes opening and decreased alpha functional connectivity, especially in right-lesioned hemianopics, with concurrent dysfunctions in the theta range, suggesting a specialization of the right hemisphere in orchestrating alpha oscillations and coordinating complex interplays among different brain rhythms. The study presented in chapter 7 investigated a mechanism of rhythmical attentional sampling of visual information in healthy participants, showing that perceptual performance is influenced by a rhythmical mechanism of attentional allocation, occurring at lower-alpha frequencies (i.e., 7 Hz), when a single spatial location is monitored, and at lower frequencies (i.e., 5 Hz), when attention is allocated to two spatial locations. Moreover, the right hemisphere seemed to have a dominance in this rhythmical attentional sampling, distributing attentional resources to the entire visual field. Finally, the study presented in chapter 8 showed that prolonged visual entrainment induce long-term modulations of resting-state alpha activity in healthy participants, suggesting that persistent modifications in the functionality of the visual system are possible. Altogheter, these findings show that functional processes and plastic changes of the visual system are reflected in alpha oscillatory patterns. Therefore, investigating and promoting alpha oscillations may contribute to the development of rehabilitative protocols to ameliorate the functionality of the visual system, in brain lesioned patients.

Processi e pratiche di Innovazione Responsabile: il ruolo dell' Advanced Design nella trasformazione collaborativa dei territori

La ricerca indaga il rapporto tra Design e Innovazione Responsabile calandolo all’interno della relazione tra territorio e pratiche collaborative guidate dal design, ma anche legate al patrimonio culturale immateriale e a un sistema di conoscenza a quintupla elica. La necessità emergente di cura del futuro porta a rivedere il contesto del territorio come campo strumentale per la trasformazione degli individui e della comunità e a domandarsi in che modo il design possa supportare questo cambiamento, abilitando la produzione di conoscenza collaborativa. La ricerca parte dal dimostrare come il modello di innovazione recentemente proposto dalla Comunità Europea attraverso il concetto di Responsible Research Innovation (RRI), poi ripreso nella nozione di Responsible Innovation (RI), sia un campo aperto e responsivo: se integrato con altre discipline, in particolare con il design, può supportare lo sviluppo di processi, politiche, prodotti, servizi e comportamenti che rispettino la relazione tra società, ambiente, identità individuale e collettiva e i ritmi ad essi connessi. Partendo dal contesto sopra descritto, ci si chiede come il design e il designer possano integrare le dimensioni RI nei processi di progettazione, per innovare in modo collaborativo i territori. Si individua quindi nell’Advanced Design la metodologia che, grazie alla sua natura anticipatrice, collaborativa, trasformativa, riesce a coniugarsi virtuosamente con l’approccio RI e supportare il cambiamento in atto. L’intersezione di questi elementi porta alla creazione del Modello Advanced Design per/con l’Innovazione Responsabile (ADIR): un sistema multidimensionale per gruppi di innovazione (quintupla elica) che hanno l’obiettivo di rigenerare in modo collaborativo e inclusivo i territori. L’esperienza sul campo ha confermato come la struttura del modello, formata da un corpus di semi-lavorati, permetta di creare un proprio ritmo, una compenetrazione tra azioni e forme progettuali volti a mantenere il senso di comunità e il coinvolgimento degli attori, a creare relazioni, a sviluppare una trasformazione continua.

Molecular changes induced by a centrally-induced state of synthetic torpor in multiple organs:a new strategy for radioprotection.

Torpor is a successful survival strategy displayed by several mammalian species to cope with harsh environmental conditions. A complex interplay of ambient, genetic and circadian stimuli acts centrally to induce a severe suppression of metabolic rate, usually followed by an apparently undefended reduction of body temperature. Some animals, such as marmots, are able to maintain this physiological state for months (hibernation), during which torpor bouts are periodically interrupted by short interbouts of normothermia (arousals). Interestingly, torpor adaptations have been shown to be associated with a large resistance towards stressors, such as radiation: indeed, if irradiated during torpor, hibernators can tolerate higher doses of radiation, showing an increased survival rate. New insights for radiotherapy and long-term space exploration could arise from the induction of torpor in non-hibernators, like humans. The present research project is centered on synthetic torpor (ST), a hypometabolic/hypothermic condition induced in a non-hibernator, the rat, through the pharmacological inhibition of the Raphe Pallidus, a key brainstem area controlling thermogenic effectors. By exploiting this procedure, this thesis aimed at: i) providing a multiorgan description of the functional cellular adaptations to ST; ii) exploring the possibility, and the underpinning molecular mechanisms, of enhanced radioresistance induced by ST. To achieve these aims, transcriptional and histological analysis have been performed in multiple organs of synthetic torpid rats and normothermic rats, either exposed or not exposed to 3 Gy total body of X-rays. The results showed that: i) similarly to natural torpor, ST induction leads to the activation of survival and stress resistance responses, which allow the organs to successfully adapt to the new homeostasis; ii) ST provides tissue protection against radiation damage, probably mainly through the cellular adaptations constitutively induced by ST, even though the triggering of specific responses when the animal is irradiated during hypothermia might play a role.

Le sol productif. Au-delà de la « zone », vers des stratégies de reterritorialisation des sites d’activité

Depuis 70 ans, les outils de planification des zones dédiées aux activités productives (Zones industrielles, Zones d’activités économiques, etc.) ont produit des espaces déconnectés des spécificités physiques et sociales du territoire, et ont participé à réduire le sol à un support de production soumis en premier lieu à des logiques de marché. Aujourd’hui, nous constatons l’inadéquation de ces outils avec leur objectif : le développement du territoire. L’ambition de la thèse est de réfléchir à une démarche alternative qui permet d’envisager des outils de planification capables d’instaurer une relation de maintien et de valorisation des ressources territoriales. Face à un aménagement des activités productives inadéquat au développement durable du territoire, la thèse propose de retracer une généalogie de la démarche « territorialiste » qui vise à établir une relation synergique entre la production et les ressources territoriales. Une démarche « Eutopique » de retour au territoire qui, en prenant en compte le lien indissociable entre défis sociaux et environnementaux, permet d’un côté de rétablir une relation aux ressources naturelles et d’en respecter les cycles et les rythmes écologiques, et de l’autre d’identifier des éléments de réponse à la crise sociale. Suite à une introduction critique du rapport que les activités productives établissent avec le territoire, le raisonnement se développe en quatre parties : Les trois premières parties suivent une approche généalogique et montrent comment les concepts de cette démarche ont évolué et se sont transformées en s’adaptant à différents contextes, et répondant à la question de pourquoi et comment ces transferts théoriques ont vu le jour. Dans la quatrième partie de la thèse est retracée l’influence et le développement original que cette démarche trouve aujourd’hui en France : l’objectif est celui d’ouvrir sur des stratégies pour envisager un système productif capable de développer le territoire dans le temps long.