Primera parte de la Carolea Inchiridion : que trata de la vida y hechos del ... Emperador Don Carlos Quinto ... y de muchas notables cosas en ella sucedidas hasta el año de 1555 /

CCBE S. XVI,

Aplicación de la medicina ancestral en los usuarios del Centro de Salud Carlos Elizalde. Cuenca 2015

ANTECEDENTES: En gran parte del mundo la medicina tradicional es el pilar principal de la prestación de servicios de salud, por ello en algunos países suele denominarse medicina complementaria. La medicina tradicional ha sufrido transformaciones, y los valores de este tipo de medicina están desapareciendo con rapidez a pesar que la OMS dicta estrategias para su implementación y el MSP del Ecuador reconoce su valor. OBJETIVO GENERAL: Caracterización de la aplicación de la medicina ancestral en los usuarios y usuarias del Centro de Salud “Carlos Elizalde”. METODOLOGIA: Es un estudio cuantitativo descriptivo en el que caracteriza la aplicación de la medicina ancestral en los usuarios del Centro de Salud “Carlos Elizalde”. El método utilizado fue la entrevista previo consentimiento informado realizada, según criterios de inclusión y exclusión a un universo de 110 usuarios, en la tabulación de datos se utilizó el programa SPSS Windows y Excel, y estos fueron analizados en tablas simples y gráficos. RESULTADOS: Los resultados obtenidos han servido para identificar la aplicación la Medicina Ancestral en los usuarios que acuden al Centro de Salud “Carlos Elizalde” de la Parroquia Yanuncay, identificando a las personas que más acuden al tratamiento son adultos con 71% y adultos mayores con un 16%, la mayoría son amas de casa en un 38%, con instrucción de primaria incompleta, es las enfermedades más frecuentes son espanto con un 36%, mal aire 18% y 10% caída de zhungo; para el tratamiento utilizan plantas o hiervas en un 54%

Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: Quantifying the epidemiological transition

Background The Global Burden of Disease Study 2013 (GBD 2013) aims to bring together all available epidemiological data using a coherent measurement framework, standardised estimation methods, and transparent data sources to enable comparisons of health loss over time and across causes, age–sex groups, and countries. The GBD can be used to generate summary measures such as disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) that make possible comparative assessments of broad epidemiological patterns across countries and time. These summary measures can also be used to quantify the component of variation in epidemiology that is related to sociodemographic development. Methods We used the published GBD 2013 data for age-specific mortality, years of life lost due to premature mortality (YLLs), and years lived with disability (YLDs) to calculate DALYs and HALE for 1990, 1995, 2000, 2005, 2010, and 2013 for 188 countries. We calculated HALE using the Sullivan method; 95% uncertainty intervals (UIs) represent uncertainty in age-specific death rates and YLDs per person for each country, age, sex, and year. We estimated DALYs for 306 causes for each country as the sum of YLLs and YLDs; 95% UIs represent uncertainty in YLL and YLD rates. We quantified patterns of the epidemiological transition with a composite indicator of sociodemographic status, which we constructed from income per person, average years of schooling after age 15 years, and the total fertility rate and mean age of the population. We applied hierarchical regression to DALY rates by cause across countries to decompose variance related to the sociodemographic status variable, country, and time. Findings Worldwide, from 1990 to 2013, life expectancy at birth rose by 6·2 years (95% UI 5·6–6·6), from 65·3 years (65·0–65·6) in 1990 to 71·5 years (71·0–71·9) in 2013, HALE at birth rose by 5·4 years (4·9–5·8), from 56·9 years (54·5–59·1) to 62·3 years (59·7–64·8), total DALYs fell by 3·6% (0·3–7·4), and age-standardised DALY rates per 100 000 people fell by 26·7% (24·6–29·1). For communicable, maternal, neonatal, and nutritional disorders, global DALY numbers, crude rates, and age-standardised rates have all declined between 1990 and 2013, whereas for non–communicable diseases, global DALYs have been increasing, DALY rates have remained nearly constant, and age-standardised DALY rates declined during the same period. From 2005 to 2013, the number of DALYs increased for most specific non-communicable diseases, including cardiovascular diseases and neoplasms, in addition to dengue, food-borne trematodes, and leishmaniasis; DALYs decreased for nearly all other causes. By 2013, the five leading causes of DALYs were ischaemic heart disease, lower respiratory infections, cerebrovascular disease, low back and neck pain, and road injuries. Sociodemographic status explained more than 50% of the variance between countries and over time for diarrhoea, lower respiratory infections, and other common infectious diseases; maternal disorders; neonatal disorders; nutritional deficiencies; other communicable, maternal, neonatal, and nutritional diseases; musculoskeletal disorders; and other non-communicable diseases. However, sociodemographic status explained less than 10% of the variance in DALY rates for cardiovascular diseases; chronic respiratory diseases; cirrhosis; diabetes, urogenital, blood, and endocrine diseases; unintentional injuries; and self-harm and interpersonal violence. Predictably, increased sociodemographic status was associated with a shift in burden from YLLs to YLDs, driven by declines in YLLs and increases in YLDs from musculoskeletal disorders, neurological disorders, and mental and substance use disorders. In most country-specific estimates, the increase in life expectancy was greater than that in HALE. Leading causes of DALYs are highly variable across countries. Interpretation Global health is improving. Population growth and ageing have driven up numbers of DALYs, but crude rates have remained relatively constant, showing that progress in health does not mean fewer demands on health systems. The notion of an epidemiological transition—in which increasing sociodemographic status brings structured change in disease burden—is useful, but there is tremendous variation in burden of disease that is not associated with sociodemographic status. This further underscores the need for country-specific assessments of DALYs and HALE to appropriately inform health policy decisions and attendant actions.

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

Background The Global Burden of Disease, Injuries, and Risk Factor study 2013 (GBD 2013) is the first of a series of annual updates of the GBD. Risk factor quantification, particularly of modifiable risk factors, can help to identify emerging threats to population health and opportunities for prevention. The GBD 2013 provides a timely opportunity to update the comparative risk assessment with new data for exposure, relative risks, and evidence on the appropriate counterfactual risk distribution. Methods Attributable deaths, years of life lost, years lived with disability, and disability-adjusted life-years (DALYs) have been estimated for 79 risks or clusters of risks using the GBD 2010 methods. Risk–outcome pairs meeting explicit evidence criteria were assessed for 188 countries for the period 1990–2013 by age and sex using three inputs: risk exposure, relative risks, and the theoretical minimum risk exposure level (TMREL). Risks are organised into a hierarchy with blocks of behavioural, environmental and occupational, and metabolic risks at the first level of the hierarchy. The next level in the hierarchy includes nine clusters of related risks and two individual risks, with more detail provided at levels 3 and 4 of the hierarchy. Compared with GBD 2010, six new risk factors have been added: handwashing practices, occupational exposure to trichloroethylene, childhood wasting, childhood stunting, unsafe sex, and low glomerular filtration rate. For most risks, data for exposure were synthesised with a Bayesian meta-regression method, DisMod-MR 2.0, or spatial-temporal Gaussian process regression. Relative risks were based on meta-regressions of published cohort and intervention studies. Attributable burden for clusters of risks and all risks combined took into account evidence on the mediation of some risks such as high body-mass index (BMI) through other risks such as high systolic blood pressure and high cholesterol. Findings All risks combined account for 57·2% (95% uncertainty interval [UI] 55·8–58·5) of deaths and 41·6% (40·1–43·0) of DALYs. Risks quantified account for 87·9% (86·5–89·3) of cardiovascular disease DALYs, ranging to a low of 0% for neonatal disorders and neglected tropical diseases and malaria. In terms of global DALYs in 2013, six risks or clusters of risks each caused more than 5% of DALYs: dietary risks accounting for 11·3 million deaths and 241·4 million DALYs, high systolic blood pressure for 10·4 million deaths and 208·1 million DALYs, child and maternal malnutrition for 1·7 million deaths and 176·9 million DALYs, tobacco smoke for 6·1 million deaths and 143·5 million DALYs, air pollution for 5·5 million deaths and 141·5 million DALYs, and high BMI for 4·4 million deaths and 134·0 million DALYs. Risk factor patterns vary across regions and countries and with time. In sub-Saharan Africa, the leading risk factors are child and maternal malnutrition, unsafe sex, and unsafe water, sanitation, and handwashing. In women, in nearly all countries in the Americas, north Africa, and the Middle East, and in many other high-income countries, high BMI is the leading risk factor, with high systolic blood pressure as the leading risk in most of Central and Eastern Europe and south and east Asia. For men, high systolic blood pressure or tobacco use are the leading risks in nearly all high-income countries, in north Africa and the Middle East, Europe, and Asia. For men and women, unsafe sex is the leading risk in a corridor from Kenya to South Africa. Interpretation Behavioural, environmental and occupational, and metabolic risks can explain half of global mortality and more than one-third of global DALYs providing many opportunities for prevention. Of the larger risks, the attributable burden of high BMI has increased in the past 23 years. In view of the prominence of behavioural risk factors, behavioural and social science research on interventions for these risks should be strengthened. Many prevention and primary care policy options are available now to act on key risks.

Averting biodiversity collapse in tropical forest protected areas

The rapid disruption of tropical forests probably imperils global biodiversity more than any other contemporary phenomenon(1-3). With deforestation advancing quickly, protected areas are increasingly becoming final refuges for threatened species and natural ecosystem processes. However, many protected areas in the tropics are themselves vulnerable to human encroachment and other environmental stresses(4-9). As pressures mount, it is vital to know whether existing reserves can sustain their biodiversity. A critical constraint in addressing this question has been that data describing a broad array of biodiversity groups have been unavailable for a sufficiently large and representative sample of reserves. Here we present a uniquely comprehensive data set on changes over the past 20 to 30 years in 31 functional groups of species and 21 potential drivers of environmental change, for 60 protected areas stratified across the world's major tropical regions. Our analysis reveals great variation in reserve `health': about half of all reserves have been effective or performed passably, but the rest are experiencing an erosion of biodiversity that is often alarmingly widespread taxonomically and functionally. Habitat disruption, hunting and forest-product exploitation were the strongest predictors of declining reserve health. Crucially, environmental changes immediately outside reserves seemed nearly as important as those inside in determining their ecological fate, with changes inside reserves strongly mirroring those occurring around them. These findings suggest that tropical protected areas are often intimately linked ecologically to their surrounding habitats, and that a failure to stem broad-scale loss and degradation of such habitats could sharply increase the likelihood of serious biodiversity declines.

An estimate of the number of tropical tree species

The high species richness of tropical forests has long been recognized, yet there remains substantial uncertainty regarding the actual number of tropical tree species. Using a pantropical tree inventory database from closed canopy forests, consisting of 657,630 trees belonging to 11,371 species, we use a fitted value of Fisher's alpha and an approximate pantropical stem total to estimate the minimum number of tropical forest tree species to fall between similar to 40,000 and similar to 53,000, i.e., at the high end of previous estimates. Contrary to common assumption, the Indo-Pacific region was found to be as species-rich as the Neotropics, with both regions having a minimum of similar to 19,000-25,000 tree species. Continental Africa is relatively depauperate with a minimum of similar to 4,500-6,000 tree species. Very few species are shared among the African, American, and the Indo-Pacific regions. We provide a methodological framework for estimating species richness in trees that may help refine species richness estimates of tree-dependent taxa.

Hermano de hombre soy : Entrevista al P. Juan Carlos Scannone S.I. sobre la mediación de la filosofía en el diálogo entre literatura y teología

Tres miembros del Seminario Interdisciplinario Permanente de Literatura, Estética y Teología entrevistaron a Juan Carlos Scannone en búsqueda de una conversación que abra nuevas perspectivas. Los temas principales fueron: el inicio de Scannone en el diálogo entre literatura y teología, la formación humanística de los jesuitas, los precursores en la Argentina, la mediación simbólica, los aportes de Paul Ricoeur, el método interdisciplinario y la mediación filosófica, la novela latinoamericana.

La recepción de la obra de Carlos Vega

Resumen: En la primera parte de este artículo se mencionan textos sobre aspectos de la obra de Carlos Vega publicados en revistas científicas argentinas y en similares sedes de otros países, así como trabajos de este autor reeditados con posterioridad a su muerte. En la segunda se comentan los capítulos que conformarán el libro Estudios sobre la obra de Carlos Vega, de próxima publicación, algunos de los cuales ya aparecieron en años anteriores mientras que otros han sido escritos especialmente para la ocasión.

Carlos Vega dramaturgo

Entre los papeles que integran el Fondo Documental “Carlos Vega” del Instituto de Investigación Musicológica de la Universidad Católica Argentina, se encuentra un testimonio de lo que podría considerarse una de las primeras aproximaciones de Carlos Vega al teatro: es el programa de una velada literario-musical organizada por la Escuela Normal Popular en “honor de sus primeras egresadas” en el Teatro de la Sociedad Italiana de Cañuelas. En la función del domingo 24 de septiembre de 1916, participó como actor en dos pasos de comedia, en el denominado Lo imprevisto y en el que cerró el espectáculo, Los pantalones. También en su transcurso recitó el monólogo Vísperas de boda. En el programa no se indican autores, lo que abre el interrogante sobre si quizás además colaboró en alguno de estos monólogos en tal condición, pues en esos años ya se ejercitaba como escritor.

Lauro Ayestarán, Carlos Vega, y las dos orillas del Río de la Plata

Resumen: El texto explora el diálogo de las dos figuras fundacionales de la musicología de Argentina y Uruguay: de Vega como maestro y Ayestarán como discípulo, y de ambos como amigos. La rica correspondencia que mantuvieran durante casi tres décadas permite recorrer diversas características de sus personalidades, que se centran obsesivamente en el rigor y en la entrega pero que no excluyen el humor y la ternura. Se aportan observaciones acerca de la compleja relación de ambos con otras personalidades del medio musical argentino.

Relatos inéditos de Carlos Vega

En 1932, Carlos Vega publica Agua, una colección de microrrelatos o, mejor, “cuentos mínimos”, según aparece en el subtítulo de la obra. Antes de Agua, Vega ya había dado a conocer Hombre (1926) y Campo (1927), dos libros de poesía. Éstas fueron las únicas obras literarias de Carlos Vega que se editaron en forma de libro, pero sabemos que más allá de estos textos, se conservan inéditas varias obras de teatro, algunos poemas sueltos y un puñado de narraciones.

El libro “El himno nacional argentino” de Carlos Vega

Resumen: Conferencia destinada a analizar el texto de Carlos Vega a la luz de algunos antecedentes producidos por el mismo autor sobre la materia y de textos de otros autores citados en la bibliografía.

Carlos Vega, creador de música escénica para La Salamanca de Ricardo Rojas

Resumen: La finalidad de este trabajo es analizar la tarea que desarrolló Carlos Vega al componer música escénica para el drama La Salamanca de Ricardo Rojas y como aplicó, en función de un espectáculo teatral, los conocimientos adquiridos a través de la labor de investigación etnomusicológica que desarrolló.

Evaluación del potencial agro-ecoturístico en la finca Jardín del Edén, comunidad Las Azucenas, San Carlos, Río San Juan, Nicaragua

El agroecoturismo es la combinación de dos actividades turísticas en donde se ofrece la posibilidad de conocer los aspectos culturales, prácticas tradicionales de cultivos, como también promover la conservación y disfrutar de los parajes naturales. El estudio se llevó a cabo en una finca privada, propiedad del señor Patricio Maradiaga ubicada en la comunidad Las Azucenas, a 13 km de la ciudad de San Carlos, Rio San Juan. El área de estudio abarca 60mz. Se llevó a cabo el estudio en tres etapas de campo utilizando un formato de diagnóstico y reconocimiento de los sitios de interés, combinando las entrevistas que se le realizaron al dueño de la finca al igual que a turistas extranjeros y nacionales. Dentro de los atractivos encontrados se destacaron, belleza escénica, bosque húmedo tropical y avistamiento de aves. Con base en la información recopilada, se elaboró la propuesta de un circuito agroecoturístico con 3 opciones de recorrido y la presentación de un paquete agroecoturístico con el debido costo, se elaboró una propuesta de mejora para atención al cliente tomando en cuenta las facilidades, condiciones y necesidades de la finca en estudio. Se espera que al implementar el circuito agroecoturístico se mejore la calidad de vida del productor y se promueva la conservación de la fauna que habita en el bosque. Ante el posible efecto que tenga el agroecoturismo sobre las especies silvestres, se recomienda no utilizar objetos que produzcan ruido u olores que perturben su ciclo reproductivo.

[Discurso do Deputado Carlos Nelson : Sessão Conjunta do Congresso Nacional de 29 de setembro de 1981]

Declara apoio a nota do Instituto de Arquitetos do Brasil, Departamento de Brasília, contra o Projeto de Lei n. 4937/1981, de iniciativa do Governador Aimé Lamaison, que "dispõe sobre a desafetação de bens de uso comum do povo, situados no Distrito Federal". Critica a TERRACAP e a Secretaria de Viação e Obras pelo favorecimento da especulação imobiliária, através da alienação de áreas públicas e da desfiguração do Plano Piloto de Lúcio Costa. Denuncia as pressões sobre o Conselho de Arquitetura e Urbanismo. Afirma a necessidade de representação política para o Distrito Federal, de modo que o povo, através de seus mandatários, possa ter poder de decisão sobre a problemática urbana.