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Risk, Covid-19 and hospital care in Mexico City: Are we moving toward a new medical practice?

Rubén Muñoz (2023, [Artículo, Artículo])

Covid-19 pandemic has entailed new challenges for health care in the Mexican public health sector, producing changes in clinical practices that are now handling patients infected with covid-19 and also outpatient consultations at tertiary-level care hospitals. Some of these challenges are related to the perception of risk held by physicians regarding the possibility of contracting or transmitting covid-19 during their work,and to the management of risk from the standpoint of biomedical organizational culture linked to the material and symbolic conditions of public health services predating the pandemic. We analyze these issues from a anthropological research based on in-depth interviews to physicians that work with covid-19 patients at “Covid-19 hospitals” or “hybrid hospitals” in Mexico City. Covid-19 has arrived in social relations and perceptions of risk in the arena of health care and involves knowing and transforming some structural and symbolic conditions, resignified with the pandemic, for proper medical care.

Covid-19 percepción de riesgo personal de salud atención médica hospitalaria cultura organizacional biomédica CIENCIAS SOCIALES CIENCIAS SOCIALES risk perception health care workers hospital care biomedical organizational culture

Nivel de sobrecarga en el cuidador primario del adulto y factores predisponentes: estudio piloto

José Conrado Escobedo Martínez CLAUDIA OROZCO GOMEZ YADIRA MEJIA MEJIA ROSA ISELA ARIAS PACHECO (2020, [Artículo])

Introducción: Los cambios del envejecimiento generan pérdida progresiva de la capacidad de adaptación, produce modificaciones de autonomía, situación en la cual el Adulto Mayor (AM) depende de un cuidador para que sea responsable de atender sus necesidades cotidianas, condición que genera sobrecarga.Objetivo: Relacionar el nivel de sobrecarga del cuidador primario formal e informal del AM y sus factores predisponentes en2asilos de Chihuahua.Metodología: Diseño descriptivo, correlacional y transversal. Muestra de 30 cuidadores formales e informales de dos asilos, elegidos por conveniencia. Se utiliza el Instrumento escala de Zarit.Resultados: El 56% fueron cuidadores informales. Los factores predisponentes fueron el tiempo de cuidador y de cuidado al día. El 76% fueron mujeres, tiempo promedio de cuidador de 2.04 años, cuidado al día de 11.2 horas. 36 % con sobrecarga intensa. Correlación significativa con tiempo de cuidador-sobrecarga y tiempo de cuidado al día-sobrecarga, significancia del 95%. Discusión:Factores predisponentes con la sobrecarga, el tiempo de cuidador y tiempo de cuidado al día, resultados similares con otros estudios.Conclusiones:La sobrecarga tiene repercusiones en la salud del cuidador primario, es indispensable brindar atención tomando en cuenta factores que pueden ser controlados para evitar la sobrecarga en este grupo.

Introduction:The changes of aging generate progressive loss of adaptive capacity, produces modifications of autonomy, a situation in which the Elderly (AM) depends on a caregiver to be responsible for attending to their daily needs, a condition that generates overload. Objective:To relate the level of overload of the formal and informal primary caregiver of the AM and its predisposing factors in 2 asylums in Chihuahua. Methodology: Descriptive, correlational and transversal design. Sample of 30 formal and informal caregivers of two nursing homes, chosen for convenience. The Zarit scale instrument is used. Results:56% were informal caregivers. The predisposing factors were caregiver time and day care. 76% were women, average caregiver time of 2.04 years, day care of 11.2 hours. 36% with intense overload. Significant correlation with caregiver-overload time and day-over-care time, significance of 95%. Discussion:Predisposing factors with overload, caregiver time and care time per day, similar results with other studies.Conclusions:Overload has repercussions on the health of the primary caregiver, it is essential to provide care taking into account factors that can be controlled to avoid overload in this group.

MEDICINA Y CIENCIAS DE LA SALUD CIENCIAS MÉDICAS CIENCIAS CLÍNICAS Adulto mayor Cuidadores Sobrecarga Elderly Caregivers Overload

DEPRESSIVE SYMPTOMS (DS) AND CITIES: A SOCIOECONOMIC PERSPECTIVE FOR THE MEXICAN CASE

Jorge López Martínez Déborah Féber González (2023, [Artículo, Artículo])

This article presents an analysis of the proportion of the population that lives in the 20 top cities of Mexico. Population that suffers from moderate to severe Depressive Symptoms (DS) in relation to urban and socioeconomic factors typical of urban territories and comparing them with people living in rural or non-urban environments that suffers DS. To check this, we generated the Complex Index of Socioeconomic and Urban Conditions (CISUC), based on the Mind the GAPS framework, a model that relates the susceptibility or prevention of mental illness in cities based on urban factors, we also used socioeconomic indicators that exist in Mexican cities. For the construction of the ICCSU database, we used data from the National Health and Nutrition Survey in the years 2006, 2012 and 2018-19 and the data of the Mexican Institute for Competitiveness, A.C. and National Institute of Statistics and Geography in the same years. The results obtained from CISUC were reinforced with the use of a panel data model. The findings that we obtained reveal that there is a more important correlation between cities and people who suffer from moderate to severe DS than in rural areas, a condition that intensifies with the socioeconomic conditions of the population, for example, their socioeconomic stratum, their gender, and present urban marginalization. This allows to generate future discussions about other types of diseases such as anxiety, depression, stress, loneliness, and schizophrenia for large population groups. The panel model yields a lower goodness of adjustment, due to the lack of more time points, however, it points out that improvements in socioeconomic and urban conditions slightly reduce depressive symptoms.

mental health depressive symptoms (DS) urban marginalization socioeconomic factors cities salud mental sintomatología depresiva (SD) ciudades marginación urbana factores socioeconómicos CIENCIAS SOCIALESCIENCIAS SOCIALES CIENCIAS SOCIALES

User manual: How to use Agvisely to generate climate service advisories for livestock in Bangladesh

T.S Amjath-Babu Timothy Joseph Krupnik (2023, [Libro])

The Agvisely digital service for livestock integrates location-specific meteorological forecasts generated by the Bangladesh Meteorological Department (BMD) with species specific biological thresholds for weather variables (Temperature, rainfall, and temperature-humidity index (THI). When a biological threshold is to be breached in next five days' forecast, the system automatically generates location-specific management advice for livestock farmers. Advisories are based on a decision tree developed by the Bangladesh Livestock Research Institute (BLRI) and CIMMYT. Agvisely is a smart phone app and web-based service developed by the International Maize and Wheat Improvement Center (CIMMYT) CIMMYT with the support of USAID, securing the Food Systems of Asian Mega- Deltas (AMD) for Climate and Livelihood Resilience and the Transforming Agrifood Systems in South Asia (TAFSSA) initiatives in collaboration with Bangladesh Dept. of Agricultural Extension (DAE) and Bangladesh Meteorological Department (BMD).

CIENCIAS AGROPECUARIAS Y BIOTECNOLOGÍA CLIMATE SERVICES LIVESTOCK DIGITAL TECHNOLOGY

Influence of poverty concerns on demand for healthier processed foods: A field experiment in Mexico City

Marrit Van den Berg Jason Donovan (2023, [Artículo])

Living in poverty can present cognitive biases that exacerbate constraints to achieving healthier diets. Better diets could imply food choice upgrades within certain food categories, such as electing processed foods with an improved nutritional profile. This study evaluated the influence of monetary and health concerns on the willingness to pay (WTP) for healthier processed foods in a low-income section of Mexico City. We employed priming techniques from the scarcity literature, which are applied for the first time to healthier food purchasing behaviours in low-income settings. Our predictions are based on a dual system framework, with choices resulting from the interaction of deliberative and affective aspects. The WTP was elicited through a BDM mechanism with 423 participants. Results showed that induced poverty concerns reduced the valuations of one of the study's healthier food varieties by 0.17 standard deviations. The latter effect did not differ by income level. The WTP for a healthier bread product but one with relatively high sugar and fat content was reduced by induced poverty concerns only among certain consumers without bread purchasing restrictions (78% of the sample). Potential mechanisms were assessed through regression analysis and structural equation modelling. The relationship between poverty concerns and WTP was mediated by increased levels of stress. While we could not rule out impact on cognitive load, it was not deemed a mediator in this study. Our findings signal that improvements in economic and psychological well-being among low-income consumers may aid to increase their demand for healthier processed foods.

Healthier Diets Poverty Psychology Dual System Model CIENCIAS AGROPECUARIAS Y BIOTECNOLOGÍA DIET POVERTY PSYCHOLOGY STRESS WILLINGNESS TO PAY

Calibrated multi-model ensemble seasonal prediction of Bangladesh summer monsoon rainfall

Nachiketa Acharya Carlo Montes Timothy Joseph Krupnik (2023, [Artículo])

Bangladesh summer monsoon rainfall (BSMR), typically from June through September (JJAS), represents the main source of water for multiple sectors. However, its high spatial and interannual variability makes the seasonal prediction of BSMR crucial for building resilience to natural disasters and for food security in a climate-risk-prone country. This study describes the development and implementation of an objective system for the seasonal forecasting of BSMR, recently adopted by the Bangladesh Meteorological Department (BMD). The approach is based on the use of a calibrated multi-model ensemble (CMME) of seven state-of-the-art general circulation models (GCMs) from the North American Multi-Model Ensemble project. The lead-1 (initial conditions of May for forecasting JJAS total rainfall) hindcasts (spanning 1982–2010) and forecasts (spanning 2011–2018) of seasonal total rainfall for the JJAS season from these seven GCMs were used. A canonical correlation analysis (CCA) regression is used to calibrate the raw GCMs outputs against observations, which are then combined with equal weight to generate final CMME predictions. Results show, compared to individual calibrated GCMs and uncalibrated MME, that the CCA-based calibration generates significant improvements over individual raw GCM in terms of the magnitude of systematic errors, Spearman's correlation coefficients, and generalised discrimination scores over most of Bangladesh areas, especially in the northern part of the country. Since October 2019, the BMD has been issuing real-time seasonal rainfall forecasts using this new forecast system.

Multi-Model Ensemble Seasonal Forecasting CIENCIAS AGROPECUARIAS Y BIOTECNOLOGÍA CLIMATE SERVICES FORECASTING MONSOONS

Do provisioning ecosystem services change along gradients of increasing agricultural production?

Ronju Ahammad Stephanie Tomscha Sarah Gergel Frédéric Baudron Jean-Yves Duriaux Chavarría Samson Foli Dominic Rowland Josh Van Vianen Terence Sunderland (2024, [Artículo])

Context: Increasing agricultural production shapes the flow of ecosystem services (ES), including provisioning services that support the livelihoods and nutrition of people in tropical developing countries. Although our broad understanding of the social-ecological consequences of agricultural intensification is growing, how it impacts provisioning ES is still unknown. Objectives: We examined the household use of provisioning ES across a gradient of increasing agricultural production in seven tropical countries (Bangladesh, Burkina Faso, Cameroon, Ethiopia, Indonesia, Nicaragua and Zambia). We answered two overarching questions: (1) does the use of provisioning ES differ along gradients of agriculture production ranging from zones of subsistence to moderate and to high agriculture production? and (2) are there synergies and/or trade-offs within and among groups of ES within these zones? Methods: Using structured surveys, we asked 1900 households about their assets, livestock, crops, and collection of forest products. These questions allowed us to assess the number of provisioning ES households used, and whether the ES used are functionally substitutable (i.e., used similarly for nutrition, material, and energy). Finally, we explored synergies and trade-offs among household use of provisioning ES. Results: As agricultural production increased, provisioning ES declined both in total number and in different functional groups used. We found more severe decreases in ES for relatively poorer households. Within the functional groups of ES, synergistic relationships were more often found than trade-offs in all zones, including significant synergies among livestock products (dairy, eggs, meat) and fruits. Conclusions: Considering landscape context provides opportunities to enhance synergies among provisioning services for households, supporting resilient food systems and human well-being.

Agricultural Production Zones Agricultural Intensifcation Synergies and Trade-Offs Landscape Multifunctionality Social-Ecological Systems CIENCIAS AGROPECUARIAS Y BIOTECNOLOGÍA AGRICULTURE INTENSIFICATION ECOSYSTEM SERVICES LANDSCAPE SOCIAL-ECOLOGICAL RESILIENCE ECOSYSTEM SERVICES

Economic valuation of climate induced losses to aquaculture for evaluating climate information services in Bangladesh

Peerzadi Rumana Hossain T.S Amjath-Babu Timothy Joseph Krupnik (2023, [Artículo])

Very little research has focused on climate impacts on aquaculture and the potential of climate information services (CIS) for aquaculture to support sustainable development goals 2030 (SDGs)1. This study represents an effort to bridge this gap by conducting a first ex-ante economic evaluation of CIS for aquaculture in Bangladesh by semi-automating the extraction of data on climate-induced fish losses during 2011 to 2021 from popular online newspaper articles and corroborating them with available government and satellite datasets. During this period, Bangladesh faced an estimated loss of around 140 million USD for hatcheries, open water fish and shrimp. When validated with a year of country-wide official data on climate-induced economic losses to aquaculture, the damage reported from these media sources is approximately 10 percent of actual losses. Given this rule of thumb, the potential economic value of aquacultural CIS could be up to USD14 million a year, if 10 percent of the damage can be offset by appropriate services through a range of multi-sector efforts to establish and extend these services to farmers at scale.

Climate Information Services Newspaper Scraping CIENCIAS AGROPECUARIAS Y BIOTECNOLOGÍA LOSSES AQUACULTURE CLIMATE SERVICES SUSTAINABLE DEVELOPMENT GOALS

Potential impact of prosthetic biomaterials on the periodontium: a comprehensive review.

NATIVIDAD CASTRO ALARCON Artak Heboyan Gustavo Fernandes Norma Samanta Romero Castro (2023, [Artículo])

The success of a prosthetic treatment is closely related to the periodontal health of the individual. The aim of this article was to review and present the importance of prosthetic restorative materials on the condition of the periodontium, the changes that occur in the composition of the subgingival microbiota and the levels of inflammatory markers in gingival crevicular fluid. Articles on the influence of different prosthetic restorative materials on subgingival microbiota and proinflammatory cytokines were searched for using the keywords ¿prosthetic biomaterials¿, ¿fixed prosthesis¿, ¿periodontal health¿, ¿subgingival microbiota¿, ¿periodontal biomarkers¿ and ¿gingival crevicular fluid¿ in PubMed/Medline, Science Direct, Scopus and Google Scholar. The type of material used for prosthesis fabrication together with poor marginal and internal fit can result in changes in the composition of the subgingival microbiota, as well as increased accumulation and retention of dentobacterial plaque, thus favoring the development of periodontal disease and prosthetic treatment failure. Biological markers have helped to understand the inflammatory response of different prosthetic materials on periodontal tissues with the main purpose of improving their clinical application

in patients who need them. Metal-free ceramic prostheses induce a lower inflammatory response regardless of the fabrication method; however, the use of CAD/CAM systems is recommended for their fabrication. In addition, it is presumed that metal-ceramic prostheses cause changes in the composition of the subgingival microbiota producing a more dysbiotic biofilm with a higher prevalence of periodontopathogenic bacteria, which may further favor periodontal deterioration.

prosthetic biomaterials fixed prosthesis periodontal health MEDICINA Y CIENCIAS DE LA SALUD CIENCIAS MÉDICAS SALUD PÚBLICA