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2.
Gac. méd. Méx ; 158(6): 402-409, nov.-dic. 2022. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1430370

RESUMO

Resumen Introducción: El vitiligo es incurable, lentamente progresivo, su prevalencia varía de 0.4 a 2.0 %. La calidad de vida relacionada con la salud (CVRS) se refiere al bienestar autopercibido asociado a la presencia de una enfermedad y su tratamiento. Métodos: Estudio transversal en un centro dermatológico. Se incluyeron adultos con vitiligo no segmentario (VNS), en tanto que se excluyeron pacientes con otros trastornos pigmentarios y otros tipos de vitiligo. Se aplicó el cuestionario VitiQoL (0 = sin afectación, 90 = máxima afectación), el Vitiligo Extent Score (VES) y el Vitiligo Area Scoring Index (VASI). Resultados: Participaron 492 pacientes, 63 % mujeres. Se obtuvieron 32.6 puntos de promedio en el VitiQoL (IC 95 % = 30.6-34.5). La autopercepción de gravedad y la CVRS se correlacionaron (r = 0.568, p < 0.001). La edad, el sexo femenino, la menor educación y la mayor gravedad autopercibida se asociaron a peor CVRS. La proporción de personas que reportaron una adicción fue similar en los grupos con peor y mejor CVRS (28 % versus 32 %, p = 0.23). Conclusión: La peor CVRS se explica por la autopercepción de gravedad, preocupación por la progresión de la enfermedad, aspecto de la piel y acciones necesarias para evitar la exposición al sol durante la recreación.


Abstract Introduction: Vitiligo is an incurable, slowly progressive skin condition, the prevalence of which ranges from 0.4 to 2.0%. Health-related quality of life (HRQoL) refers to self-perceived well-being associated with the presence of a disease and its treatment. Methods: Cross-sectional study at a dermatological center. Adults with non-segmental vitiligo (NSV) were included, while patients with other pigmentary disorders and other types of vitiligo were excluded. The VitiQoL questionnaire (0 = no skin involvement, 90 = maximum skin involvement), the Vitiligo Extent Score (VES) and the Vitiligo Area Scoring Index (VASI) were applied. Results: 492 patients did participate; 63% were women. An average score of 32.6 was obtained on VitiQoL (95% CI = 30.6-34.5). Self-perception of severity and HRQoL were correlated (r = 0.568, p < 0.001). Age, the female gender, lower education and higher self-perceived severity were associated with poorer HRQoL. The proportion of subjects who reported an addiction was similar in the worst and best HRQoL groups (28% vs. 32%, p = 0.23). Conclusion: Poorer HRQoL is explained by severity self-perception, concern about disease progression, appearance of the skin and necessary actions to avoid sun exposure during recreation.

3.
Gac Med Mex ; 158(6): 393-400, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36657133

RESUMO

INTRODUCTION: Vitiligo is an incurable, slowly progressive skin condition, the prevalence of which ranges from 0.4 to 2.0%. Health-related quality of life (HRQoL) refers to self-perceived well-being associated with the presence of a disease and its treatment. METHODS: Cross-sectional study at a dermatological center. Adults with non-segmental vitiligo (NSV) were included, while patients with other pigmentary disorders and other types of vitiligo were excluded. The VitiQoL questionnaire (0 = no skin involvement, 90 = maximum skin involvement), the Vitiligo Extent Score (VES) and the Vitiligo Area Scoring Index (VASI) were applied. RESULTS: 492 patients did participate; 63% were women. An average score of 32.6 was obtained on VitiQoL (95% CI = 30.6-34.5). Self-perception of severity and HRQoL were correlated (r = 0.568, p < 0.001). Age, the female gender, lower education and higher self-perceived severity were associated with poorer HRQoL. The proportion of subjects who reported an addiction was similar in the worst and best HRQoL groups (28% vs. 32%, p = 0.23). CONCLUSION: Poorer HRQoL is explained by severity self-perception, concern about disease progression, appearance of the skin and necessary actions to avoid sun exposure during recreation.


INTRODUCCIÓN: El vitiligo es incurable, lentamente progresivo, su prevalencia varía de 0.4 a 2.0 %. La calidad de vida relacionada con la salud (CVRS) se refiere al bienestar autopercibido asociado a la presencia de una enfermedad y su tratamiento. MÉTODOS: Estudio transversal en un centro dermatológico. Se incluyeron adultos con vitiligo no segmentario (VNS), en tanto que se excluyeron pacientes con otros trastornos pigmentarios y otros tipos de vitiligo. Se aplicó el cuestionario VitiQoL (0 = sin afectación, 90 = máxima afectación), el Vitiligo Extent Score (VES) y el Vitiligo Area Scoring Index (VASI). RESULTADOS: Participaron 492 pacientes, 63 % mujeres. Se obtuvieron 32.6 puntos de promedio en el VitiQoL (IC 95 % = 30.6-34.5). La autopercepción de gravedad y la CVRS se correlacionaron (r = 0.568, p < 0.001). La edad, el sexo femenino, la menor educación y la mayor gravedad autopercibida se asociaron a peor CVRS. La proporción de personas que reportaron una adicción fue similar en los grupos con peor y mejor CVRS (28 % versus 32 %, p = 0.23). CONCLUSIÓN: La peor CVRS se explica por la autopercepción de gravedad, preocupación por la progresión de la enfermedad, aspecto de la piel y acciones necesarias para evitar la exposición al sol durante la recreación.


Assuntos
Qualidade de Vida , Vitiligo , Humanos , Adulto , Feminino , Masculino , México , Estudos Transversais , Inquéritos e Questionários
4.
Sci Total Environ ; 784: 147057, 2021 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-34088051

RESUMO

The 2018 Camp fire destroyed the town of Paradise, California and resulted in 82 fatalities, the worst wildfire disaster in the US to date. Future disasters of similar or greater magnitude are inevitable given predicted climate change but remain highly uncertain in terms of location and timing. As with other natural disasters, simulation models are one of the primary tools to map risk and design prevention strategies. However, risk assessments have focused on estimation of mean values rather than predicting extreme events that are increasingly becoming a reality in many parts of the globe. Using the western US as a study area, we synthesized newer wildfire simulation and building location data (54 million fires, 25 million building locations) and compared the outputs to several sources of observed exposure data. The simulations used synchronized weather among spatial simulation subunits, thereby providing estimates of extreme fire seasons, fire events within them, and exceedance probabilities at multiple scales. We found that annual area burned was accurately replicated by simulations but building exposure was substantially overestimated, although the relatively small historical sample size might have influenced the comparison. We identified extreme fire seasons in the simulation record (10,000 fire years) that exceeded historical fire seasons by 278% in terms of area burned, and 1255% in terms of buildings exposed, under contemporary climate. Simulated building exposure peaked in specific regions along gradients of building density and burnable fuels. The study is the first to explore large scale extreme wildfire exposure in terms of both annual variability and magnitude, providing a broad foundation of methods to advance wildfire disaster prediction.

5.
J Environ Manage ; 231: 303-320, 2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30359896

RESUMO

Southern European countries rely largely on fire suppression and ignition prevention to manage a growing wildfire problem. We explored a more wholistic, long-term approach based on priority maps for the implementation of diverse management options aimed at creating fire resilient landscapes, restoring cultural fire regimes, facilitating safe and efficient fire response, and creating fire-adapted communities. To illustrate this new comprehensive strategy for fire-prone Mediterranean areas, we developed and implemented the framework in Catalonia (northeastern Spain). We first used advanced simulation modeling methods to assess various wildfire exposure metrics across spatially changing fire-regime conditions, and these outputs were then combined with land use maps and historical fire occurrence data to prioritize different fuel and fire management options at the municipality level. Priority sites for fuel management programs concentrated in the central and northeastern high-hazard forestlands. The suitable areas for reintroducing fires in natural ecosystems located in scattered municipalities with ample lightning ignitions and minimal human presence. Priority areas for ignition prevention programs were mapped to populated coastal municipalities and main transportation corridors. Landscapes where fire suppression is the principal long-term strategy concentrated in agricultural plains with a high density of ignitions. Localized programs to build defensible space and improve self-protection on communities could be emphasized in the coastal wildland-urban interface and inner intermix areas from Barcelona and Gerona. We discuss how the results of this study can facilitate collaborative landscape planning and identify the constraints that prevent a longer term and more effective solution to better coexist with fire in southern European regions.


Assuntos
Incêndios Florestais , Conservação dos Recursos Naturais , Ecossistema , Florestas , Humanos , Espanha
7.
Data Brief ; 17: 1-5, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29349103

RESUMO

We provide 40 m resolution wildfire spread, hazard and exposure metric raster grids for the 0.13 million ha fire-prone Bages County in central Catalonia (northeastern Spain) corresponding to node influence grid (NIG), crown fraction burned (CFB) and fire transmission to residential houses (TR). Fire spread and behavior data (NIG, CFB and fire perimeters) were generated with fire simulation modeling considering wildfire season extreme fire weather conditions (97th percentile). Moreover, CFB was also generated for prescribed fire (Rx) mild weather conditions. The TR smoothed grid was obtained with a geospatial analysis considering large fire perimeters and individual residential structures located within the study area. We made these raster grids available to assist in the optimization of wildfire risk management plans within the study area and to help mitigate potential losses from catastrophic events.

8.
Data Brief ; 17: 124-128, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29349106

RESUMO

We provide the wildland urban interface (WUI) map of the autonomous community of Catalonia (Northeastern Spain). The map encompasses an area of some 3.21 million ha and is presented as a 150-m resolution raster dataset. Individual housing location, structure density and vegetation cover data were used to spatially assess in detail the interface, intermix and dispersed rural WUI communities with a geographical information system. Most WUI areas concentrate in the coastal belt where suburban sprawl has occurred nearby or within unmanaged forests. This geospatial information data provides an approximation of residential housing potential for loss given a wildfire, and represents a valuable contribution to assist landscape and urban planning in the region.

9.
Sci Total Environ ; 621: 872-885, 2018 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-29216595

RESUMO

We used spatial optimization to allocate and prioritize prescribed fire treatments in the fire-prone Bages County, central Catalonia (northeastern Spain). The goal of this study was to identify suitable strategic locations on forest lands for fuel treatments in order to: 1) disrupt major fire movements, 2) reduce ember emissions, and 3) reduce the likelihood of large fires burning into residential communities. We first modeled fire spread, hazard and exposure metrics under historical extreme fire weather conditions, including node influence grid for surface fire pathways, crown fraction burned and fire transmission to residential structures. Then, we performed an optimization analysis on individual planning areas to identify production possibility frontiers for addressing fire exposure and explore alternative prescribed fire treatment configurations. The results revealed strong trade-offs among different fire exposure metrics, showed treatment mosaics that optimize the allocation of prescribed fire, and identified specific opportunities to achieve multiple objectives. Our methods can contribute to improving the efficiency of prescribed fire treatment investments and wildfire management programs aimed at creating fire resilient ecosystems, facilitating safe and efficient fire suppression, and safeguarding rural communities from catastrophic wildfires. The analysis framework can be used to optimally allocate prescribed fire in other fire-prone areas within the Mediterranean region and elsewhere.

10.
Cuad. bioét ; 28(94): 303-316, sept.-dic. 2017.
Artigo em Inglês | IBECS | ID: ibc-167275

RESUMO

Preventive newborn male circumcision has been at the center of scientific debate for many years. The reason for promoting preventive newborn male circumcision is the reduction of the incidence of UTIs (in the first six months of life), penile cancer, transmission of STDs/HIV infection/AIDS. However preventive interventions in the newborn involving violations of bodily integrity elicit several ethical questions. In this article, we reviewed the literature regarding circumcision, the prevention of UTIs, penile cancer, transmission of STDs/HIV infection/AIDS and complications of this practice in the neonatal period. The very limited reduction of incidence of UTIs and the uncertain preventive role of newborn male circumcision towards penile cancer, STDs/HIV infection and AIDS, makes it difficult to justify male circumcision in newborns. Moreover, the challenge in obtaining a unanimous opinion on newborn male circumcision derives from the fact that, as a preventive intervention, it requires evaluation criteria that are not comparable to those of therapeutic treatments. Since preventive male circumcision determines permanent alteration of the body, some authors believe that it can be used only in subjects that are capable of giving their valid consent. In the case of a newborn, the "child’s best interest" should be used as a standard, but preventive newborn male circumcision does not satisfy it


La circuncisión masculina como tratamiento preventivo en recién nacidos ha estado en el centro del debate científico durante muchos años. Las razones para promover la circuncisión masculina preventiva en niños han sido la reducción de la incidencia de infecciones del tracto urinario (en los primeros seis meses de vida, UTIs), el cáncer de pene, la transmisión de VIH/SIDA y de otras enfermedades de transmisión sexual. Sin embargo, las intervenciones preventivas neonatales, que implican una violación de la integridad corporal del niño, presentan varias cuestiones éticas. En este artículo, revisamos la literatura con respecto a la circuncisión, la prevención de las UTIs, el cáncer de pene, la transmisión de VIH/SIDA y otras enfermedades de transmisión sexual y las complicaciones de esta práctica en el período neonatal. La muy limitada reducción de la incidencia de las UTIs y la incertidumbre en cuanto a la función preventiva de la circuncisión masculina en recién nacidos en relación con el cáncer de pene, la infección de VIH/SIDA y otras enfermedades de transmisión sexual, hace que sea difícil justificar la circuncisión masculina de tipo preventivo en neonatos. Por otra parte, los desafíos que aparecen en la obtención de una opinión unánime sobre la circuncisión masculina del recién nacido derivan del hecho que, como una intervención preventiva, se requieren criterios de evaluación que no son comparables a criterios de los tratamientos terapéuticos. Puesto que la circuncisión masculina preventiva determina una alteración permanente del cuerpo, algunos autores creen que puede ser utilizada sólo en los sujetos que son capaces de dar su consentimiento válido. En el caso de un recién nacido, "el mejor interés del niño" debe ser el estándar de referencia, pero la circuncisión masculina con carácter preventivo en niños recién nacidos no satisface este estándar


Assuntos
Humanos , Masculino , Recém-Nascido , Circuncisão Masculina/ética , Infecções Sexualmente Transmissíveis/prevenção & controle , Consentimento do Representante Legal/ética , Infecções por HIV/prevenção & controle , Neoplasias Penianas/prevenção & controle , Fimose/cirurgia , Medição de Risco
11.
Cuad Bioet ; 28(94): 303-316, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28963998

RESUMO

Preventive newborn male circumcision has been at the center of scientific debate for many years. The reason for promoting preventive newborn male circumcision, is the reduction of the incidence of UTIs (in the first six months of life), penile cancer, transmission of STDs/HIV infection/AIDS. However preventive interventions in the newborn involving violations of bodily integrity elicit several ethical questions. In this article, we reviewed the literature regarding circumcision, the prevention of UTIs, penile cancer, transmission of STDs/HIV infection/AIDS and complications of this practice in the neonatal period. The very limited reduction of incidence of UTIs and the uncertain preventive role of newborn male circumcision towards penile cancer, STDs/HIV infection and AIDS, makes it difficult to justify male circumcision in newborns. Moreover, the challenge in obtaining a unanimous opinion on newborn male circumcision derives from the fact that, as a preventive intervention, it requires evaluation criteria that are not comparable to those of therapeutic treatments. Since preventive male circumcision determines permanent alteration of the body, some authors believe that it can be used only in subjects that are capable of giving their valid consent. In the case of a newborn, the ″child's best interest″ should be used as a standard, but preventive newborn male circumcision does not satisfy it.


Assuntos
Proteção da Criança/ética , Circuncisão Masculina/ética , Neoplasias Penianas/prevenção & controle , Infecções Sexualmente Transmissíveis/prevenção & controle , Infecções Urinárias/prevenção & controle , Criança , Infecções por HIV/prevenção & controle , Humanos , Lactente , Recém-Nascido , Masculino
12.
Risk Anal ; 37(10): 1898-1916, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-27996154

RESUMO

We used simulation modeling to assess potential climate change impacts on wildfire exposure in Italy and Corsica (France). Weather data were obtained from a regional climate model for the period 1981-2070 using the IPCC A1B emissions scenario. Wildfire simulations were performed with the minimum travel time fire spread algorithm using predicted fuel moisture, wind speed, and wind direction to simulate expected changes in weather for three climatic periods (1981-2010, 2011-2040, and 2041-2070). Overall, the wildfire simulations showed very slight changes in flame length, while other outputs such as burn probability and fire size increased significantly in the second future period (2041-2070), especially in the southern portion of the study area. The projected changes fuel moisture could result in a lengthening of the fire season for the entire study area. This work represents the first application in Europe of a methodology based on high resolution (250 m) landscape wildfire modeling to assess potential impacts of climate changes on wildfire exposure at a national scale. The findings can provide information and support in wildfire management planning and fire risk mitigation activities.

13.
Science ; 351(6271): 388-91, 2016 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-26798016

RESUMO

Ecological intensification, or the improvement of crop yield through enhancement of biodiversity, may be a sustainable pathway toward greater food supplies. Such sustainable increases may be especially important for the 2 billion people reliant on small farms, many of which are undernourished, yet we know little about the efficacy of this approach. Using a coordinated protocol across regions and crops, we quantify to what degree enhancing pollinator density and richness can improve yields on 344 fields from 33 pollinator-dependent crop systems in small and large farms from Africa, Asia, and Latin America. For fields less than 2 hectares, we found that yield gaps could be closed by a median of 24% through higher flower-visitor density. For larger fields, such benefits only occurred at high flower-visitor richness. Worldwide, our study demonstrates that ecological intensification can create synchronous biodiversity and yield outcomes.


Assuntos
Abelhas , Biodiversidade , Produção Agrícola , Produtos Agrícolas/crescimento & desenvolvimento , Polinização , África , Animais , Ásia , Flores/crescimento & desenvolvimento
14.
Space Sci Rev ; 204(1-4): 49-82, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29755144

RESUMO

NASA's Solar Probe Plus (SPP) mission will make the first in situ measurements of the solar corona and the birthplace of the solar wind. The FIELDS instrument suite on SPP will make direct measurements of electric and magnetic fields, the properties of in situ plasma waves, electron density and temperature profiles, and interplanetary radio emissions, amongst other things. Here, we describe the scientific objectives targeted by the SPP/FIELDS instrument, the instrument design itself, and the instrument concept of operations and planned data products.

15.
Rev. biol. trop ; 63(4)Oct.-Dec. 2015.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1507464

RESUMO

Vaccinium meridionale es una planta silvestre productora de frutos comestibles en las áreas montañosas del norte de Suramérica. Sin embargo, no hay información suficiente sobre su sistema reproductivo, lo cual es fundamental para su manejo y conservación dado que sus frutos son extraídos de forma no sostenible y hay un creciente interés en establecer la especie como cultivo. Los objetivos de este trabajo fueron estudiar la biología floral y reproductiva de V. meridionale en condiciones naturales y analizar la importancia de los polinizadores en su reproducción. Para esto se realizaron observaciones y experimentos para describir su morfología y fenología floral, viabilidad de polen, receptividad de estigma, relación polen óvulo y producción de néctar. Para estudiar su sistema reproductivo se realizaron experimentos de emasculación, exclusión de polinizadores y polinización manual (autopolinización y polinización cruzada). El estudio se realizó con dos poblaciones silvestres de V. meridionale ubicadas en los departamentos de Cundinamarca y Boyacá, en la Cordillera Oriental de Colombia. Se encontró que aunque las flores tienen anteras poricidas la liberación del polen se da fácilmente sin vibración. V. meridionale presenta un gran despliegue y larga longevidad floral y hay un sesgo en la producción de néctar hacia la función femenina. Se estimó una relación polen/óvulo de 571±133, lo que clasifica a la especie como xenógama facultativa. Este resultado coincidió con los experimentos de polinización ya que en las dos poblaciones estudiadas las plantas produjeron frutos por agamospermia, autogamia y xenogamia. No obstante, se observó una fuerte depresión por endogamia manifestada en altas tasas de aborto de frutos producidos por autogamia a diferencia de los frutos provenientes de polinización cruzada que fueron retenidos por la planta desde su formación. Los rasgos florales presentados por la especie se consideran mecanismos para favorecer un gremio más diverso de visitantes florales que sólo los insectos capaces de polinización por vibración. Además, estos rasgos florales pueden aumentar la probabilidad de polinización y disminuir la geitonogamia. Igualmente la depresión por endogamia sugiere que la especie busca mantener el entrecruzamiento como su principal estrategia reproductiva. Por lo tanto, los polinizadores, en particular las abejas son fundamentales para la reproducción de V. meridionale y en consecuencia su conservación es esencial para mantener la variabilidad genética y oferta de frutos de esta especie.


Vaccinium meridionale is a wild plant producing edible fruits in the mountain areas of Northern South America. However, the fruits of this species has been under an unsustainable extraction and there is a growing interest of establishing this species as a crop; nevertheless, the information about its breeding system is scarce, which is essential for its sustainable management and conservation. This research aimed to study the floral and reproductive biology of V. meridionale in natural conditions, and to analyze the importance of pollinators on its reproduction, in two wild populations of V. meridionale in the states of Cundinamarca and Boyacá, in the Oriental Cordillera of Colombia. For this, we have made different observations and experiments to describe its flower morphology, floral phenology, pollen viability, stigma receptivity, pollen-ovule ratio and nectar production. To study its reproductive system, we performed experiments of flower emasculation, pollinator exclusion and hand pollination (self-and cross-pollination). We found that although the flowers have poricidal anthers, the release of pollen could occur easily without vibration. V. meridionale shows a large floral display, long floral longevity and has female-biased nectar production. The pollen-ovule ratio was of 571±133, which classified the species as facultative xenogamy. This result agreed with the pollination experiments because the plants produced fruits by agamospermy, selfing and outcrossing. However, we registered a strong inbreeding depression, observed in high rates of fruit abortions, after self-pollination. Unlike of self-pollinating fruits, the plant retains those produced by cross-pollination since its formation. The floral traits showed by this species are mechanisms to favor a more diverse guild of floral visitors than only insects able to buzz-pollination. In addition, these floral traits may enhance the pollination probability, and reduce geitonogamy. Moreover, the inbreeding depression suggests that V. meridionale promotes outcrossing as its main reproductive strategy. Therefore, pollinators, particularly bees, are essential for this species reproduction and conservation, and are critical in the maintenance of its genetic variability and fruits production.

16.
Cuad Bioet ; 26(87): 201-22, 2015.
Artigo em Espanhol | MEDLINE | ID: mdl-26378595

RESUMO

Since its inceptions, the standard of best interest of the child was linked to decisions about suspend life-sustaining treatments in neonatal units and evaluation of treatments applied to children in terms of their quality of life. This origin has conditioned the interpretation of the standard from two extremes: a vitalistic one, and a non vitalistic interpretation that triumphed in Western bioethics and has led to the consecration of the standard of best interest of the child in the Convention on the Rights of the Child of United Nations. A detailed analysis reveals a simplistic, utilitarian and proportionalist standard, which change the basis of parenthood. We therefore believe that the standard of the best interest of the child is not the best for the child in neonatal intensive care units and especially not in the process of withhold or withdrawal life-sustaining treatments.


Assuntos
Temas Bioéticos , Proteção da Criança , Terapia Intensiva Neonatal/ética , Neonatologia/ética , Adolescente , Envelhecimento/psicologia , Criança , Pré-Escolar , Eutanásia Ativa/ética , Eutanásia Ativa/legislação & jurisprudência , Eutanásia Passiva/ética , Eutanásia Passiva/legislação & jurisprudência , Direitos Humanos , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Terapia Intensiva Neonatal/legislação & jurisprudência , Pais , Pediatria/organização & administração , Autonomia Pessoal , Qualidade de Vida , Sociedades Médicas/normas , Consentimento do Representante Legal/legislação & jurisprudência , Nações Unidas/normas
17.
Cuad. bioét ; 26(87): 201-222, mayo-ago. 2015. tab
Artigo em Espanhol | IBECS | ID: ibc-144143

RESUMO

Desde sus inicios, el estándar del mejor interés del niño estuvo unido a las decisiones de suspensión de tratamientos de soporte vital en unidades de neonatología y a la evaluación de los tratamientos aplicados al niño en función de su calidad de vida. Éste origen ha condicionado la interpretación del estándar desde dos extremos: uno vitalista y uno no vitalista que ha triunfado en la bioética occidental y ha llevado a la consagración del estándar del mejor interés del niño en la Convención de Derechos del Niño de Naciones Unidas. Un análisis detallado nos descubre un estándar simplista, utilitarista y proporcionalista, que ha cambiado el fundamento de la paternidad. Por ello creemos que el estándar del mejor interés del niño no es lo mejor para el niño en las unidades de neonatología y especialmente en los procesos de decisión sobre mantener o suspender los tratamientos de soporte vital


Since its inceptions, the standard of best interest of the child was linked to decisions about suspend life-sustaining treatments in neonatal units and evaluation of treatments applied to children in terms of their quality of life. This origin has conditioned the interpretation of the standard from two extremes: a vitalistic one, and a non vitalistic interpretation that triumphed in Western bioethics and has led to the consecration of the standard of best interest of the child in the Convention on the Rights of the Child of United Nations. A detailed analysis reveals a simplistic, utilitarian and proportionalist standard, which change the basis of parenthood. We therefore believe that the standard of the best interest of the child is not the best for the child in neonatal intensive care units and especially not in the process of withhold or withdrawal life-sustaining treatments


Assuntos
Criança , Feminino , Humanos , Masculino , Criança Hospitalizada/educação , Criança Hospitalizada/legislação & jurisprudência , Criança Hospitalizada/psicologia , Autonomia Pessoal , Bioética/educação , Bioética/tendências , Competência Clínica , Eticistas/educação , Eticistas/legislação & jurisprudência , Eticistas/normas
18.
Environ Manage ; 55(5): 1200-16, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25613434

RESUMO

We used a fire simulation modeling approach to assess landscape scale wildfire exposure for highly valued resources and assets (HVR) on a fire-prone area of 680 km(2) located in central Sardinia, Italy. The study area was affected by several wildfires in the last half century: some large and intense fire events threatened wildland urban interfaces as well as other socioeconomic and cultural values. Historical wildfire and weather data were used to inform wildfire simulations, which were based on the minimum travel time algorithm as implemented in FlamMap. We simulated 90,000 fires that replicated recent large fire events in the area spreading under severe weather conditions to generate detailed maps of wildfire likelihood and intensity. Then, we linked fire modeling outputs to a geospatial risk assessment framework focusing on buffer areas around HVR. The results highlighted a large variation in burn probability and fire intensity in the vicinity of HVRs, and allowed us to identify the areas most exposed to wildfires and thus to a higher potential damage. Fire intensity in the HVR buffers was mainly related to fuel types, while wind direction, topographic features, and historically based ignition pattern were the key factors affecting fire likelihood. The methodology presented in this work can have numerous applications, in the study area and elsewhere, particularly to address and inform fire risk management, landscape planning and people safety on the vicinity of HVRs.


Assuntos
Conservação dos Recursos Naturais/métodos , Planejamento Ambiental , Incêndios , Tempo (Meteorologia) , Algoritmos , Simulação por Computador , Conservação dos Recursos Naturais/economia , Conservação dos Recursos Naturais/tendências , Incêndios/prevenção & controle , Humanos , Itália , Modelos Teóricos , Probabilidade , Medição de Risco/métodos , Gestão de Riscos
19.
Environ Monit Assess ; 187(1): 4175, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25471625

RESUMO

In this paper, we applied landscape scale wildfire simulation modeling to explore the spatiotemporal patterns of wildfire likelihood and intensity in the island of Sardinia (Italy). We also performed wildfire exposure analysis for selected highly valued resources on the island to identify areas characterized by high risk. We observed substantial variation in burn probability, fire size, and flame length among time periods within the fire season, which starts in early June and ends in late September. Peak burn probability and flame length were observed in late July. We found that patterns of wildfire likelihood and intensity were mainly related to spatiotemporal variation in ignition locations, fuel moisture, and wind vectors. Our modeling approach allowed consideration of historical patterns of winds, ignition locations, and live and dead fuel moisture on fire exposure factors. The methodology proposed can be useful for analyzing potential wildfire risk and effects at landscape scale, evaluating historical changes and future trends in wildfire exposure, as well as for addressing and informing fuel management and risk mitigation issues.


Assuntos
Monitoramento Ambiental , Incêndios/estatística & dados numéricos , Conservação dos Recursos Naturais , Incêndios/prevenção & controle , Humanos , Itália , Probabilidade , Medição de Risco/métodos , Estações do Ano , Vento
20.
Acta biol. colomb ; 18(3): 427-438, set.-dic. 2013. ilus, graf, mapas, tab
Artigo em Espanhol | LILACS | ID: lil-700439

RESUMO

El objetivo de este trabajo fue determinar marcadores palinológicos que permitieran caracterizar el origen geográfico y botánico de mieles provenientes de los departamentos de Boyacá, Cundinamarca, Santander y Magdalena. Se realizaron análisis melisopalinológicos de 184 muestras de miel procedentes de 131 apiarios. Se determinaron diferencias significativas entre tipos de mieles mediante un análisis discriminante y comparando la composición de especies entre las muestras. En total se encontraron 297 especies distribuidas en 69 familias, dentro de las cuales las más representativas fueron Mimosa sp., Cecropiasp., Eucalyptus sp., Piper sp. y Quercus humboldtii . Las familias más importantes fueron Fabaceae, Asteraceae,Myrtaceae, Rubiaceae, Fagaceae, y Melastomataceae. Se lograron determinar seis grupos de mieles diferenciadas por su origen geográfico: altiplano Cundiboyacense, Medio Chicamocha, Sumapaz, Bajo Chicamocha, Sierra Nevada de Santa Marta y provincia Comunera; también se encontraron diferencias entre las mieles de las regiones andinas y subandinas. Dentro de los tipos de mieles diferenciadas por origen botánico predominaron las mieles monoflorales de Trifolium Pratense, Coffeaarabica, Eucalyptus sp., Inga sp. y Heliocarpus americanus, mieles oligoflorales de asteráceas y mezclas de mielato de Q. humboldtii y néctar floral (Eucalyptus sp. tipo Brassicaceae, asteráceas). La información de este trabajo junto con la obtenida en análisis fisicoquímicos y sensoriales servirá de base para que los apicultores puedan solicitar la denominación de origen de estas mieles.


The aim of this work was to find palynological markers which permit differentiate honeys from the departments of Boyacá, Cundinamarca, Santander and Magdalena, by its geographical and botanical origin. Melissopalynological analyses were made of 184 honey samples obtained from 131 localities. A discriminant analysis and comparisons between the species composition of honey samples were made to find geographical and botanical origin differences. A total of 297 pollen species distributed in 69 families was found, being Mimosa sp., Cecropiasp., Eucalyptus sp., Piper sp. and Quercus humboldtii the most representatives. The major families were Fabaceae, Asteraceae, Myrtaceae, Rubiaceae, Fagaceae and Melastomataceae. Six honey groups differentiated by its geographical origin were found: Altiplano Cundiboyacense, Medio Chicamocha, Sumapaz, Bajo Chicamocha, Sierra Nevada de Santa Marta and Comunera Province. In a broader scale, honeys from the Andean and sub-Andean regions could be differentiated as well. Between the honey types differentiated by its botanical origin, the most important were monofloral honeys of Trifolium Pratense, Coffeaarabica, Eucalyptus sp., Inga sp. and Heliocarpus americanus, Asteraceae oligofloral honeys and mixtures of Q. humboldtii honeydew and floral nectar (Eucalyptus sp., Brassicaceae Type, Asteraceae). This information in addition to the obtained by physicochemical and sensorial analysis, may be the basis to acquire honeys´ origin denomination.

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