LA SELECCIÓN DE LOS BENEFICIARIOS PARA LOS PROGRAMAS CONTRA LA POBREZA: la experiencia del IMAS

Resumen Los esfuerzos por erradicar la pobreza en el país han llevado a la creación de un amplio andamiaje institucional que ha requerido del desarrollo de sistemas de selección de la población beneficiaria con el fin de canalizar los recursos de manera más eficiente y eficaz. Dentro de estos esfuerzos, el IMAS es el que más ha avanzado y en este artículo se busca presentar y evaluar el sistema desarrollado, conocido como SIPO. Para ello se enmarca conceptualmente el enfoque en las políticas sociales selectivas, se analiza el sistema SIPO y se confronta con una base externa, la encuesta de ingresos y gastos, con el fin de determinar tanto su cobertura específica como su capacidad de enfoque. Se obtiene que el instrumento muestra una amplia capacidad potencial de enfoque, pero falla en alcanzar esa cobertura, que permitiría la inclusión de una parte significativa de la población pobre. Se concluye con algunas recomendaciones sobre posibles acciones a tomar para consolidar el sistema.   Abstract Efforts to eradicate poverty in the country have led to the creation of a broad institutional framework that has required the development of systems for selecting the target population in order to channel resources more efficiently and effectively. Within these efforts, the IMAS is the most advanced and this article seeks to present and evaluate the system developed, known as SIPO. The conceptual approach is based upon targeted social policies, the system SIPO is examined and confronted with an external basis, the income and expenditure survey, in order to determine its specific coverage as its focus ability. It turns out that the instrument has a wide potential in its focus ability, but fails to achieve a coverage broad enough to include a significant proportion of the poor population. It concludes with some recommendations on possible actions to be taken to strengthen the system.

Animal model to compare the effects of suture technique on cross-sectional compliance on end-to-side anastomoses.

OBJECTIVE: An animal model has been developed to compare the effects of suture technique on the luminal dimensions and compliance of end-to-side vascular anastomoses. METHODS: Carotid and internal mammalian arteries (IMAs) were exposed in three pigs (90 kg). IMAs were sectioned distally to perform end-to-side anastomoses on carotid arteries. One anastomosis was performed with 7/0 polypropylene running suture. The other was performed with the automated suture delivery device (Perclose/Abbott Labs Inc.) that makes a 7/0 polypropylene interrupted suture. Four piezoelectric crystals were sutured on toe, heel and both lateral sides of each anastomosis to measure anastomotic axes. Anastomotic cross-sectional area (CSAA) was calculated with: CSAA = pi x mM/4 where m and M are the minor and major axes of the elliptical anastomosis. Cross-sectional anastomotic compliance (CSAC) was calculated as CSAC=Delta CSAA/Delta P where Delta P is the mean pulse pressure and Delta CSAA is the mean CSAA during cardiac cycle. RESULTS: We collected a total of 1200000 pressure-length data per animal. For running suture we had a mean systolic CSAA of 26.94+/-0.4 mm(2) and a mean CSAA in diastole of 26.30+/-0.5 mm(2) (mean Delta CSAA was 0.64 mm(2)). CSAC for running suture was 4.5 x 10(-6)m(2)/kPa. For interrupted suture we had a mean CSAA in systole of 21.98+/-0.2 mm(2) and a mean CSAA in diastole of 17.38+/-0.3 mm(2) (mean Delta CSAA was 4.6+/-0.1 mm(2)). CSAC for interrupted suture was 11 x 10(-6) m(2)/kPa. CONCLUSIONS: This model, even with some limitations, can be a reliable source of information improving the outcome of vascular anastomoses. The study demonstrates that suture technique has a substantial effect on cross-sectional anastomotic compliance of end-to-side anastomoses. Interrupted suture may maximise the anastomotic lumen and provides a considerably higher CSAC than continuous suture, that reduces flow turbulence, shear stress and intimal hyperplasia. The Heartflo anastomosis device is a reliable instrument that facilitates performance of interrupted suture anastomoses.

Cost-effectiveness of early detection of breast cancer in Catalonia (Spain)

Background: Breast cancer (BC) causes more deaths than any other cancer among women in Catalonia. Early detection has contributed to the observed decline in BC mortality. However, there is debate on the optimal screening strategy. We performed an economic evaluation of 20 screening strategies taking into account the cost over time of screening and subsequent medical costs, including diagnostic confirmation, initial treatment, follow-up and advanced care. Methods: We used a probabilistic model to estimate the effect and costs over time of each scenario. The effect was measured as years of life (YL), quality-adjusted life years (QALY), and lives extended (LE). Costs of screening and treatment were obtained from the Early Detection Program and hospital databases of the IMAS-Hospital del Mar in Barcelona. The incremental cost-effectiveness ratio (ICER) was used to compare the relative costs and outcomes of different scenarios. Results: Strategies that start at ages 40 or 45 and end at 69 predominate when the effect is measured as YL or QALYs. Biennial strategies 50-69, 45-69 or annual 45-69, 40-69 and 40-74 were selected as cost-effective for both effect measures (YL or QALYs). The ICER increases considerably when moving from biennial to annual scenarios. Moving from no screening to biennial 50-69 years represented an ICER of 4,469€ per QALY. Conclusions: A reduced number of screening strategies have been selected for consideration by researchers, decision makers and policy planners. Mathematical models are useful to assess the impact and costs of BC screening in a specific geographical area.

Intervencions de l'educadora social a la residència de la Bonanova. 'Intervenciones de la educadora social en la residencia de la Bonanova'.

Resumen tomado del autor

Desterrando minas

Desterrando minas es, a su vez, un documental de contexto y un documental de proceso. A partir de la inmersión en los mismos campamentos en los que viven los desminadores se cuenta la historia de Nariño como la vivieron sus pobladores, se muestra la manera en la que el miedo fue el principal configurador de las relaciones entre la comunidad y su territorio y cómo el desminado ha transformado ese miedo

Identification of micro-scale anthropogenic CO2, heat and moisture sources – processing eddy covariance fluxes for a dense urban environment

Anthropogenic emissions of heat and exhaust gases play an important role in the atmospheric boundary layer, altering air quality, greenhouse gas concentrations and the transport of heat and moisture at various scales. This is particularly evident in urban areas where emission sources are integrated in the highly heterogeneous urban canopy layer and directly linked to human activities which exhibit significant temporal variability. It is common practice to use eddy covariance observations to estimate turbulent surface fluxes of latent heat, sensible heat and carbon dioxide, which can be attributed to a local scale source area. This study provides a method to assess the influence of micro-scale anthropogenic emissions on heat, moisture and carbon dioxide exchange in a highly urbanized environment for two sites in central London, UK. A new algorithm for the Identification of Micro-scale Anthropogenic Sources (IMAS) is presented, with two aims. Firstly, IMAS filters out the influence of micro-scale emissions and allows for the analysis of the turbulent fluxes representative of the local scale source area. Secondly, it is used to give a first order estimate of anthropogenic heat flux and carbon dioxide flux representative of the building scale. The algorithm is evaluated using directional and temporal analysis. The algorithm is then used at a second site which was not incorporated in its development. The spatial and temporal local scale patterns, as well as micro-scale fluxes, appear physically reasonable and can be incorporated in the analysis of long-term eddy covariance measurements at the sites in central London. In addition to the new IMAS-technique, further steps in quality control and quality assurance used for the flux processing are presented. The methods and results have implications for urban flux measurements in dense urbanised settings with significant sources of heat and greenhouse gases.

A otimização de carteiras internacionais : efeitos dos países emergentes e risco cambial

Este trabalho analisa a existência de benefícios, em termos de risco e retorno, na inclusão de mercados emergentes globais e, em especial, dos países latinoamericanos na formação de carteiras internacionais ótimas, segundo o modelo de Markowitz (1952) e considerando o risco cambial. Para isto, o estudo baseia-se na análise das taxas de retornos mensais, desvio-padrão e coeficientes de correlação em termos de moeda local, dólar, iene, marco alemão e euro, dos Índices dos Mercados de Ações (IMAs) de dezenove países, dos Índices de Bolsa de Valores de São Paulo (IBOVESPA), Buenos Aires (MERVAL), México (IPC), Santiago (IPSA), e de Caracas (IBC), para o período compreendido entre janeiro de 1994 e dezembro de 2000. Utilizou-se o aplicativo SOLVER como ferramenta para a seleção de carteiras ótimas encontrando-se uma taxa livre de risco para este período de estudo como elemento para otimizar as diferentes carteiras internacionais, tomando como base o histórico das taxas das letras do tesouro dos EUA. Tem-se, como restrição, que os investidores não podem efetuar vendas a descoberto. Os resultados indicam que ainda existem evidências dos benefícios da diversificação internacional em termos de desempenho para os investidores mas que estes são menores comparados com aqueles encontrados no trabalho de Zanette (1995) ao considerar o fator cambial. Cabe indicar, também, que a inclusão do componente latino-americano nas diferentes carteiras otimizadas, quase não acrescenta benefício algum do desempenho geral destas carteiras, sendo nulo para as carteiras do investidor japonês.

Sustentabilidad de los programas de transferencias condicionadas: la experiencia del Instituto Mixto de Ayuda Social y Avancemos" en Costa Rica"

Incluye Bibliografía

Uso de cloridrato de zilpaterol em dietas para bovinos nelore confinados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Non-robotic thoracoscopic internal mammary artery preparation in the pig. A training model

Notwithstanding non-robotic, thoracoscopic preparation of the internal mammary artery (IMA) is a difficult surgical task, an appropriate experimental training model is lacking. We evaluated the young domestic pig for this purpose. Four domestic female pigs (30-40 kg body weight) were used for this study. Bilateral thoracoscopic preparation of the IMA was carried out under continuous, pressure controlled CO(2) insufflation. A 30 degrees rigid thoracoscope was inserted through a 10-mm port in the 5th/6th intercostal space (ICS) dorsally to the posterior axillary line. The dissection instrument (Ultracision Harmonic Scalpel) was inserted (5-mm port) in the 7th ICS at the posterior axillary line and the endo-forceps (5-mm port) in the 5th ICS at the posterior axillary line. Thoracoscopic IMA preparation in pig resulted more difficult than in man. A total of seven IMAs were prepared in their full intrathoracic length. A change in the preparation technique (lateral detachment of the endothoracic muscle) improved the safety of the procedure, allowing all four respective IMAs to be prepared safely, while the initial technique ensued an injury for 2 out of 3 vessels. The described young domestic pig model is suitable for experimental training of bilateral thoracoscopic IMA preparation.

Algoritmos inspirados en Swarm intelligence para el enrutamieto en redes de telecomunicaciones.

En las últimas décadas hemos visto un rápido desarrollo de las redes de telecomunicación llegando a todos los rincones de la sociedad, bien a través de cable o bien de forma inalámbrica. Dichas redes, que cada vez son más grandes, dinámicas y complejas, integrando un mayor número de servicios y protocolos, requieren de un componente central que es el enrutamiento. El enrutamiento determina las estrategias a utilizar por los nodos de una red para encontrar las rutas óptimas entre un origen y un destino en el envío de información. Resulta difícil conseguir una estrategia que se adapte a este tipo de entornos altamente dinámicos, complejos y con un alto grado de heterogeneidad. Los algoritmos clásicos propuestos hasta la fecha suelen ser algoritmos centralizados que tratan de gestionar una arquitectura claramente distribuida, que en escenarios estacionarios pueden mantener un buen rendimiento, pero que no funcionan bien en escenarios donde se dan continuos cambios en la topología de red o en los patrones de tráfico. Es necesario proponer nuevos algoritmos que permitan el enrutamiento de forma distribuida, más adaptables a los cambios, robustos y escalables. Aquí vamos a tratar de hacer una revisión de los algoritmos propuestos inspirados en la naturaleza, particularmente en los comportamientos colectivos de sociedades de insectos. Veremos cómo de una forma descentralizada y auto-organizada, mediante agentes simples e interacciones locales, podemos alcanzar un comportamiento global "inteligente" que cumpla dichas cualidades. Por último proponemos Abira, un algoritmo ACO basado en AntNet-FA que trata de mejorar el rendimiento y la convergencia introduciendo mecanismos de exploración, de feedback negativo como la penalización y de comunicación de de las mejores rutas. Tras realizar una simulación y comparar los resultados con el algoritmo original, vemos que Abira muestra un mejor rendimiento.