A decision support procedure for the bioeconomy transition: A Colombian case study.

An increasing number of countries and regions consider the bioeconomy transition a strategic policy priority. When approached through the lens of a circular economy perspective, investments in bioeconomy have the potential to enhance resource utilisation efficiency, preserve biodiversity and ecosystems, and foster sustainable development with low emissions. At the same time, if requirements and contextual factors of bioeconomy strategies are not formally analysed, bioeconomic investments might lead to unintended negative consequences. This paper proposes a decision support procedure to design, assess, prioritise, and monitor bioeconomy investments and policies. The flexibility and scalability of our decision support procedure is tested in Colombia to foster a regional and local transition to bioeconomy initiatives that consider the local capital assets and the stakeholders' views. The heterogeneous character of the Colombian environment, economy, society and culture represents an ideal condition to test the strength of the decision support procedure to promote bioeconomy in low and middle-income countries. Our empirical results highlight the benefit of adopting a formal assessment framework that includes strategic national indicators, regional features and stakeholders' views. In terms of the Colombian regional bioeconomy ambitions, we highlight the need for expanding knowledge hubs and participatory stakeholder networks and buttressing appropriate financial mechanisms.

Tuberculosis peritoneal y pleural en un paciente inmunocompetente con dolor abdominal crónico / Peritoneal and pleural tuberculosis in an immunocompetent patient with chronic abdominal pain

Objetivo: La tuberculosis es un grave problema de salud pública más acentuado en los países en desarrollo. De las manifestaciones extrapulmonares las que comprometen la cavidad abdominal están dentro de las menos frecuentes y se asocian con factores de predisposición específica. Se requiere un alto nivel de sospecha diagnóstica en el abordaje inicial de esta enfermedad. Presentamos el caso de un adulto masculino sin condiciones de predisposición quien consultó por un cuadro de dolor abdominal crónico y los estudios complementarios manifestaron una tuberculosis peritoneal con compromiso pleural sin síntomas respiratorios.

Objetive: Tuberculosis is a serious public health problem most prevalent in developing countries. Of extrapulmonary manifestations, those involving the abdominal cavity are among the least frequent and are associated with specific predisposing factors. A high level of diagnostic suspicion is required in the initial approach of this disease. We present the case of a male adult patient with no predisposing conditions who consulted for chronic abdominal pain. The complementary studies evidenced peritoneal tuberculosis with pleural involvement with no respiratory symptoms.

Captura y selectividad del zooplancton por Utricularia foliosa (Lentibulariaceae) en la Ciénaga de Paredes, Santander, Colombia / Capture and selectivity of zooplankton by Utricularia foliosa (Lentibulariaceae) in the Ciénaga de Paredes, Santander, Colombia

ResumenLas plantas carnívoras del género Utricularia, capturan un amplio ámbito de organismos acuáticos. La mayoría se desarrollan en ambientes con carencias de nutrientes y tienen la capacidad de cambiar las condiciones de su microambiente. El objetivo de la presente investigación fue estudiar la selectividad, en la captura de zooplancton por Utricularia foliosa en la Ciénaga de Paredes; entre febrero y noviembre 2014. Se determinó si existe selección en los recursos alimentarios de la planta con el índice de Czekanowski y el grado de selección, a través de los índices de Savage e Ivlev. Se estableció la relación existente entre los patrones de captura y selección del zooplancton, con variables físicoquímicas y la disponibilidad de nutrientes en la Ciénaga. En nuestros resultados, el índice de Czekanowski evidenció selección, en los recursos alimentarios de la planta, durante todo el pulso de inundación, con valores entre 0.28 y 0.41. Se encontró selección positiva significativa, con el índice de Savage, para los géneros Lecane sp., Alona sp., Ceriodaphnia sp., y Bosmina sp. (p < 0.05). Se obtuvieron resultados similares, con el índice de Ivlev. La intensidad en la selección de los géneros varió entre periodos hidrológicos y por periodos de aguas altas y bajas. Se identificó que los cambios en la concentración de amoniaco y nitrato, además de la variación en la conductividad eléctrica de la ciénaga influencian la captura que realiza U. foliosa. Este es el primer trabajo que permite dar un acercamiento al entendimiento de la selección de recursos alimentarios dentro de la especie a través de índices de selectividad y uno de los pocos para el género.

Abstract:Utricularia is a genus of carnivorous plants that capture a wide range of aquatic organisms. Most of these plants grow in environments with nutrients deficiency and have the ability to change the conditions of their microenvironment. The aim of this research was to study the selectivity in the zooplankton capture by Utricularia foliosa in the Ciénaga de Paredes. Our study was undertaken between February and November, 2014. We tried to determine if there is selection in the plant's food resources by the Czekanowski's index, and the selection degree by the Savage and Ivlev's indexes. Additionally, we studied the possible relation between the patterns of zooplankton capture and selection, with physicochemical variables in the swamp. The Czekanowski's index showed a food selection in plant resources throughout the flood pulse, with values between 0.28 and 0.41. We also found a significant positive selection with Savage's index for Lecane sp., Alona sp., Ceriodaphnia sp., and Bosmina sp. (p < 0.05); similar results were obtained with Ivlev's index. The intensity in the selection of each captured genus varied significantly between hydrological periods and between high and low water levels in the swamp. It was possible to identify some changes in the ammonia and nitrate concentration and some variability in the electric conductivity of the swamp, which influenced the captures made by U. foliosa. This is the first paper that allows an approach to understand the selection of food resources for the species, using a selectivity index, and one of the few for the genus. Rev. Biol. Trop. 64 (3): 1297-1310. Epub 2016 September 01.

[Capture and selectivity of zooplankton by Utricularia foliosa (Lentibulariaceae) in the Ciénaga de Paredes, Santander, Colombia]. / Captura y selectividad del zooplankton por Utricularia foliosa (Lentibulariaceae) en la Ciénaga de Paredes, Santander, Colombia.

Utricularia is a genus of carnivorous plants that capture a wide range of aquatic organisms. Most of these plants grow in environments with nutrients deficiency and have the ability to change the conditions of their microenvironment. The aim of this research was to study the selectivity in the zooplankton capture by Utricularia foliosa in the Ciénaga de Paredes. Our study was undertaken between February and November, 2014. We tried to determine if there is selection in the plant's food resources by the Czekanowski's index, and the selection degree by the Savage and Ivlev's indexes. Additionally, we studied the possible relationship between the patterns of zooplankton capture and selection, with physicochemical variables in the swamp. The Czekanowski's index showed a food selection in plant resources throughout the flood pulse, with values between 0.28 and 0.41. We also found a significant positive selection with Savage's index for Lecane sp., Alona sp., Ceriodaphnia sp., and Bosmina sp. (p < 0.05); similar results were obtained with Ivlev's index. The intensity in the selection of each captured genus varied significantly between hydrological periods and between high and low water levels in the swamp. It was possible to identify some changes in the ammonia and nitrate concentration and some variability in the electric conductivity of the swamp, which influenced the captures made by U. foliosa. This is the first paper that allows an approach to understand the selection of food resources for the species, using a selectivity index, and one of the few for the genus.

[Hearing disorders in elderly people, associated factors and quality of life: SABE Study, Bogotá, Colombia]. / Problemas de la audición en el adulto mayor, factores asociados y calidad de vida: estudio SABE, Bogotá, Colombia.

INTRODUCTION: The aging of the population is a universal epidemiological phenomenon which is not unfamiliar to us and is accompanied by a marked increase of life expectancy. Age-dependent comorbidities, such as hearing disorders, are more prevalent and affect the quality of life in a noticeable manner. OBJECTIVE: To estimate the prevalence of hearing disorders, of the associated factors and their impact on the quality of life of older adults in Bogota. MATERIALS AND METHODS: Data was taken from the Bogotá SABE Study, which included 2,000 individuals aged =60 years in a probabilistic cross-sectional study sampled by clusters (with 81.9% coverage). We used the "hearing disorders" variable relating it to socio-demographic variables, as well as to the use of hearing aids, the self-perceived health, the comorbidities, the functionality, the cognition and the quality of life as measured with the Visual Analog Scale of the EuroQol Group (EQ-VAS). RESULTS: We found a prevalence of hearing disorders in 267 individuals (13.5%), of whom 15% used hearing aids. The frequency was higher in individuals aged =75 years (46.1%), in the low socioeconomic level (20.2%) and among illiterate people (19.3%, p<0.05). Regarding comorbidities, we found a higher prevalence in individuals suffering from depression (20.2%, p<0.001), and high blood pressure (15%, p<0.01). The quality of life was worse in individuals with hearing disorders, as measured with the EuroQol EQ-VAS (60.93 ± 1.38 vs. 71.75 ± 0.45, p< 0.0001), but it improved among those who used hearing aids as compared to those who did not use them (59.59 ± 1.52, p<0.01). CONCLUSIONS: Hearing disorders are relevant in elderly individuals and they affect their perceived quality of life in a noticeable manner. In addition, they are associated with other clinical, functional and cognitive problems. Nevertheless, the intervention with hearing aids reverses that perception.

Problemas de la audición en el adulto mayor, factores asociados y calidad de vida: estudio SABE, Bogotá, Colombia / Hearing disorders in elderly people, associated factors and quality of life: SABE Study, Bogotá, Colombia

Introducción. El envejecimiento de la población es un fenómeno epidemiológico universal que conlleva un acentuado aumento de la expectativa de vida y al cual no somos ajenos. Las enfermedades concomitantes dependientes de la edad, entre ellas los problemas auditivos, son cada día más prevalentes e inciden notoriamente en la calidad de vida. Objetivo. Estimar la prevalencia de los problemas de audición, así como de los factores asociados y su efecto en la calidad de vida de los adultos mayores en Bogotá. Materiales y métodos. Se analizaron los datos del estudio SABE, Bogotá, en el curso del cual se entrevistó a 2.000 personas de 60 años o más en una muestra transversal probabilística por conglomerados (cobertura de 81,9 %). Se utilizó la variable "problemas en la audición" y se relacionó con los factores sociodemográficos, el uso de dispositivos auriculares, la percepción de la propia salud, las enfermedades concomitantes, la funcionalidad, la cognición y la calidad de vida, medida esta con la escala visual analógica del grupo EuroQOL ( EuroQoL-Visual Analogue Scale , EQ-VAS). Resultados. Se encontró una prevalencia de problemas de audición en 267 personas (13,5 %), de las cuales el 15 % utilizaba audífonos; dicha prevalencia fue mayor en aquellas de 75 o más años (46,1 %), en el nivel socioeconómico bajo (20,2 %) y entre analfabetas (19,3 %, p<0,05). Se encontró mayor prevalencia en las personas con depresión (20,2 %, p<0,001) y con hipertensión arterial (15 %, p<0,01). En aquellas con problemas de audición se encontró peor calidad de vida medida por la EQ-VAS (60,93±1,38 Vs . 71,75±0,45, p<0,0001). Cuando las personas usaban los audífonos, su calidad de vida mejoraba en comparación con la de quienes no los utilizaban (59,59±1,52, p<0,01). Conclusiones. Los problemas auditivos son relevantes en los adultos mayores e inciden notoriamente en su percepción de la calidad de vida, asociándose con otras situaciones clínicas, funcionales y cognoscitivas; sin embargo, el uso de audífonos revierte esta percepción.

Introduction: The aging of the population is a universal epidemiological phenomenon which is not unfamiliar to us and is accompanied by a marked increase of life expectancy. Age-dependent comorbidities, such as hearing disorders, are more prevalent and affect the quality of life in a noticeable manner. Objective: To estimate the prevalence of hearing disorders, of the associated factors and their impact on the quality of life of older adults in Bogota. Materials and methods: Data was taken from the Bogotá SABE Study, which included 2,000 individuals aged =60 years in a probabilistic cross-sectional study sampled by clusters (with 81.9% coverage). We used the "hearing disorders" variable relating it to socio-demographic variables, as well as to the use of hearing aids, the self-perceived health, the comorbidities, the functionality, the cognition and the quality of life as measured with the Visual Analog Scale of the EuroQol Group (EQ-VAS). Results: We found a prevalence of hearing disorders in 267 individuals (13.5%), of whom 15% used hearing aids. The frequency was higher in individuals aged =75 years (46.1%), in the low socioeconomic level (20.2%) and among illiterate people (19.3%, p<0.05). Regarding comorbidities, we found a higher prevalence in individuals suffering from depression (20.2%, p<0.001), and high blood pressure (15%, p<0.01). The quality of life was worse in individuals with hearing disorders, as measured with the EuroQol EQ-VAS (60.93 ± 1.38 vs. 71.75 ± 0.45, p< 0.0001), but it improved among those who used hearing aids as compared to those who did not use them (59.59 ± 1.52, p<0.01). Conclusions: Hearing disorders are relevant in elderly individuals and they affect their perceived quality of life in a noticeable manner. In addition, they are associated with other clinical, functional and cognitive problems. Nevertheless, the intervention with hearing aids reverses that perception.