Establishing the health and wellbeing needs of mining host community in Brazil, Chile and Peru: a mixed-method approach to identify priority areas for action to help communities meet their SDG3 targets.

BACKGROUND: The global mining industry is an important partner in advancing the 2030 Agenda for Sustainable Development. In 2018, Anglo American plc published their Sustainable Mining Plan, containing a goal for improving health and wellbeing aligned with the Sustainable Development Goal 3 (SDG3) targets. Having formed an independent multidisciplinary research consortium, we designed and implemented a mixed-methods approach to attain a deeper understanding of SDG3 priorities within the local context of communities hosting Anglo American mining operations located in Latin America. METHODS: In 2019, within the host communities of three mining operations in Chile, three in Brazil, and one in Peru, we conducted a qualitative study which included stakeholder workshops and key informant interviews. We also quantitatively appraised existing health data. Findings emerging from the qualitative and quantitative assessments were compared to identify health and wellbeing priority areas for action relevant to each community. RESULTS: Across the three countries, 120 people took part in workshops and 35 in interviews. In these workshops and interviews, non-communicable diseases (SDG3.4), harmful alcohol consumption (SDG3.5), and pollution, particularly air pollution (SDG3.9), were consistently identified as areas for priority action. There were similarities in the reporting of individual, interpersonal, community, societal, and structural factors underlying these priority areas across the different communities. The availability of quantitative data was generally good at the state level, becoming increasing sparse as we focused on smaller geographies. The priorities identified in the quantitative assessments generally aligned with those highlighted in the qualitative data. CONCLUSIONS: We highlight the importance of engaging with local populations to understand and address health needs. To address the priorities identified, intervention packages tailored to the specific needs of host communities, that tackle associated upstream societal level factors, are required. To facilitate this, appropriate monitoring systems and epidemiological investigations should be implemented to better understand the local context and quantify health issues. In the host communities, it is essential for the mining sector to be a key health partner in promoting integrated programmes that contribute to achieving the priority objectives and targets aligned with the SDG3 agenda.

Self-Transcendent Aspirations and Life Satisfaction: The Moderated Mediation Role of Gratitude Considering Conditional Effects of Affective and Cognitive Empathy.

Life aspirations are considered one of the most relevant components for human beings to give meaning and purpose to their existence. Different studies emphasized the relevance of intrinsic life aspirations to promote life satisfaction. However, few studies analyze the specific role of the intrinsic aspirations that have been recently categorized as self-transcendent. Self-transcendent aspirations are focused on helping others and improving society and, consequently, are considered aspirations whose purpose transcends oneself. In this sense, the objective of this study is to observe how self-transcendent aspirations are related to life satisfaction through dispositional gratitude. Additionally, we aim to study the moderating role of cognitive and affective empathy. There were 1,356 students (mean age = 21.5, standard deviation = 2.35 years) who took part in a scholarship program funded by the Education Ministry of Peru (PRONABEC), of which 57.7% were men and 42.3% were women. Results show a strong relationship between self-transcendent aspirations, gratitude, and cognitive and affective empathy. In the mediation analysis, an indirect effect of self-transcendent aspirations is observed on life satisfaction via gratitude. However, the moderated mediation showed that the addition of cognitive and affective empathy conditions the mediation effect. In this way, cognitive empathy has a significant interaction in the relationships between self-transcendent aspirations and gratitude, and between self-transcendent aspirations and life satisfaction. Results are discussed to emphasize the relevance of the mediating and moderating mechanisms considered in this study for the understanding of how self-transcendent life aspirations may promote life satisfaction.

Distinct Routes to Understand the Relationship Between Dispositional Optimism and Life Satisfaction: Self-Control and Grit, Positive Affect, Gratitude, and Meaning in Life.

Over the last years, understanding the implications of prospective thinking toward the future has become of increasing interest. This study aims to delve into the relation between dispositional optimism, one of the most relevant prospective constructs, and life satisfaction. Additionally, we also seek to prove the mediating effect of different cognitive and affective variables associated with both hedonic and eudaimonic well-being on this relationship. A first study is conducted with 275 secondary students to assess the relationship between optimism and life satisfaction through self-control and grit (14.82, SD = 1.07), which indicates a mediating effect of grit but not of self-control. A second study is carried out with 1,356 university students (21.5, SD = 2.35) to demonstrate the mediating effect of positive affect on dispositional optimism and life satisfaction. Results show a strong relationship between optimism and positive affect, but no mediating effect on life satisfaction. Finally, a third study comprising 371 secondary students (14.12, SD = 1.78) demonstrates the existence of a serial multiple mediation from gratitude and meaning in life over the relationship between optimism and life satisfaction. Implications are discussed in terms of how prospective variables like dispositional optimism may lead to an increase in subjective well-being (SWB) through different affective and cognitive mechanisms.

Epidemiología y clínica de las metástasis cutáneas en un hospital de Lima-Perú: Período 1996-2006 / Epidemiology and clinics of cutaneous metastases in a hospitalfrom LimaûPeru. Period 1996-2006

OBJETIVO: Determinar las características epidemiológicas y clínicas de las metástasis cutáneas en el Hospital Nacional EsSalud Edgardo Rebagliati Martins (HNERM) en el período 1996-2006. MATERIAL Y MÉTODOS: Estudio descriptivo de tipo serie de casos. La población de estudio estuvo constituida por los pacientes con diagnóstico de metástasis cutánea en el HNERM entre los años 1996 y 2006; no se realizó muestreo por ser la población pequeña y accesible. Los pacientes fueron seleccionados de acuerdo a criterios de inclusión y exclusión. Se revisó las historias clínicas de los pacientes obteniéndose las características epidemiológicas, clínicas, histopatológicas y supervivencia. RESULTADOS: Se diagnosticó 51 casos de metástasis cutáneas. La edad promedio fue de 65.0 ±15.4 años, el 58.8% correspondió al sexo femenino y el 41.2% al sexo masculino. El 29.4% se situó entre los 70-79 años, el 31.4% tenía diagnóstico previo de cáncer y el 23.5% tenía antecedentes familiares de cáncer. Se diagnosticó la metástasis cutánea antes que la neoplasia maligna primaria en el 67%. Las metástasis tuvieron origen en neoplasias dermatológicas en el 51.0% y en tumores de órganos sólidos en el 49.0% (cánceres de mama, riñón y vejiga). Los pacientes acudieron a consulta por presentar lesiones de tipo nódulo (31.4%) y tumor (9.8%). Las metástasis se localizaron en los varones predominantemente en el tórax posterior (19.0%) y en las piernas (14.3%); mientras que, en el tórax anterior (46.7%) y cuero cabelludo (23.3%) en las mujeres. La mediana de la supervivencia fue de 5.6 años. CONCLUSIONES: En el HNERM las metástasis cutáneas se presentan a edades avanzadas, predominan las de origen hematológico así como las originarias de mama y con frecuencia constituyen el primer signo para la identificación de una neoplasia oculta. Es relevante el antecedente familiar de neoplasia en los pacientes.

OBJECTIVES: To determine the clinical and epidemiology characteristics of cutaneous metastases at Hospital Nacional EsSalud Edgardo Rebagliati Martins during 1996-2006. MATERIALS AND METHODS: Descriptive study of cases series. The study population was constituted by patients with diagnoses of cutaneous metastases attended in the Hospital Edgardo Rebagliati Martins Essalud between 1996 and 2006; sampling was not performed because of population was small and accessible. Patients were selected in accordance with inclusion and exclusion criteria. Clinical past histories of patients were revised obtaining the next clinical, epidemiology and histopathology characteristics. Data obtained was registered in an instrument of data recollection and became part of a database. RESULTS: A total of 51 cutaneous metastases cases were diagnosed. The mean age of patientswas 65.0 ± 15.4 years, 58.8% corresponded female and the remaining 41.2% were male. The higher frequency was in patients between 70-79 years (29.4%), 31.4 % had previous diagnoses of cancer and 23.5% had family history of cancer (mainly father and brother). Cutaneous metastases were diagnosed before primary malignant neoplasea in 67% of patients. Metastases originated in hematological malignancies in 51.0% of cases and solid organ tumors in the remaining 49.0%. Solid organ tumors that most often gave rise to cutaneous metastases were breast, kidney and bladder. The patients attended mainly consulted for nodule like lesions (31.4%) and tumor (9.8%). Metastases were located predominantly in men in the posterior thorax (19.0%) and legs (14.3%), while in the anterior thorax (46.7%) and scalp (23.3%) in women. CONCLUSIONS: In the Hospital Nacional Edgardo Rebagliati, cutaneous metastases occur in later life, predominantly hematologic origin and those originating in breast and are often the first sign for the identification of occult neoplasy. It is relevant the family history of neoplasia in patients.