Amelia Zathar de Traad una mujer viuda y madre de seis hijos dejó su pueblo natal Zahlé en el Líbano para migrar hacia Barranquilla, Colombia. Pronto sus hijos constituyeron una sociedad comercial que se concentró en los negocios de los bienes raíces, el préstamo de dinero y las acciones. El estudio de caso de Amelia y su familia permite ampliar el limitado perfil sobre los inmigrantes árabes construido por la historiografía, descritos como hombres jóvenes solteros que se dedicaron principalmente a la compra y venta de mercancías. Este artículo revisa los protocolos notariales y demuestra que no todos los inmigrantes árabes que llegaron a Colombia fueron hombres ni se dedicaron al comercio.
Peru has several studies based on the Peruvian Tropical Andes (PTA) and its effects due to climate change. It has been shown that due to orography characteristics, different kinds of climate conditions are seen. In that sense, the PTA has a very complex climate system, which causes significant variability mostly related to an increase in temperature and a decrease in precipitation patterns. The Mantaro Valley is located in the PTA, Junin region. Where vulnerable farmers are already affected by poverty, practice agriculture based on rain-fed cropping systems. Hence, climate variability causes agricultural vulnerability and water resource scarcity. This study aims to elaborate the Spatio-temporal drought assessment over Mantaro Valley to provide information on local climate change events. In order to do so, the Standardized Precipitation Evapotranspiration Index (SPEI), recognized by the World Meteorological Organization (WMO), was used. The results have shown that almost every station has clear evidence of warming over the years and only a precipitation decrease in two out of six stations. Furthermore, the Spatio-temporal analysis shows around 30% of drought events from the total data, considering the frequency, severity, and duration. In conclusion, it has been demonstrated that all analyzed stations within Mantaro Valley have the same deportment regarding drought characteristics with different highest frequency per time scale. Finally, it is recommended to keep tracking stations with the lowest available data, realize comparison analysis with different drought assessment methods, and study the correlation between drought and ENSO events and other climate events such as floods.
9 páginas ; Latin America consumes less than 2.7% of the morphine in the world, as reported by the governments to the International Narcotics Control Board. Methods to improve access to opioids for the treatment of pain have been developed by the Pain & Policy Studies Group (PPSG), a World Health Organization Collaborating Center at the University of Wisconsin. This article describes the preparation and implementation of an action plan in Colombia as a part of an international fellowship program on opioid policy developed by the PPSG and funded by the Open Society Institute. The action plan for Colombia included three steps: 1) a survey of regulators and health care providers to identify the current situation and their perceptions of opioid availability in the regions of the country; 2) a workshop with representatives of the Ministry of Health, the national and state competent authorities, pain and palliative care physicians, and international leaders; and 3) implementation workshops at the local level throughout the country. For the survey, response rates of 47% and 96% were registered among physicians and competent authorities, respectively. The survey identified significant regional differences in perceived opioid availability between physicians and regulators. Focus group discussions during the workshop identified several reasons leading to limited availability of opioids in the country, including deficiencies in the procurement process, insufficient human resources, excessive bureaucratic tasks, insufficient number of pharmacies authorized to dispense controlled medications in the country, lack of training in the health care professions, and overly restrictive laws and regulations governing opioid availability. The third step of the action plan has not been implemented. Additional and continuous monitoring needs to be implemented to measure the progress of this project.
9 páginas ; Latin America consumes less than 2.7% of the morphine in the world, as reported by the governments to the International Narcotics Control Board. Methods to improve access to opioids for the treatment of pain have been developed by the Pain & Policy Studies Group (PPSG), a World Health Organization Collaborating Center at the University of Wisconsin. This article describes the preparation and implementation of an action plan in Colombia as a part of an international fellowship program on opioid policy developed by the PPSG and funded by the Open Society Institute. The action plan for Colombia included three steps: 1) a survey of regulators and health care providers to identify the current situation and their perceptions of opioid availability in the regions of the country; 2) a workshop with representatives of the Ministry of Health, the national and state competent authorities, pain and palliative care physicians, and international leaders; and 3) implementation workshops at the local level throughout the country. For the survey, response rates of 47% and 96% were registered among physicians and competent authorities, respectively. The survey identified significant regional differences in perceived opioid availability between physicians and regulators. Focus group discussions during the workshop identified several reasons leading to limited availability of opioids in the country, including deficiencies in the procurement process, insufficient human resources, excessive bureaucratic tasks, insufficient number of pharmacies authorized to dispense controlled medications in the country, lack of training in the health care professions, and overly restrictive laws and regulations governing opioid availability. The third step of the action plan has not been implemented. Additional and continuous monitoring needs to be implemented to measure the progress of this project.
Background & Aims: Hepatoblastoma (HB) is a rare disease. Nevertheless, it is the predominant pediatric liver cancer, with limited therapeutic options for patients with aggressive tumors. Herein, we aimed to uncover the mechanisms of HB pathobiology and to identify new biomarkers and therapeutic targets in a move towards precision medicine for patients with advanced HB. Methods: We performed a comprehensive genomic, transcriptomic and epigenomic characterization of 159 clinically annotated samples from 113 patients with HB, using high-throughput technologies. Results: We discovered a widespread epigenetic footprint of HB that includes hyperediting of the tumor suppressor BLCAP concomitant with a genome-wide dysregulation of RNA editing and the overexpression of mainly non-coding genes of the oncogenic 14q32 DLK1-DIO3 locus. By unsupervised analysis, we identified 2 epigenomic clusters (Epi-CA, Epi-CB) with distinct degrees of DNA hypomethylation and CpG island hypermethylation that are associated with the C1/C2/C2B transcriptomic subtypes. Based on these findings, we defined the first molecular risk stratification of HB (MRS-HB), which encompasses 3 main prognostic categories and improves the current clinical risk stratification approach. The MRS-3 category (28%), defined by strong 14q32 locus expression and Epi-CB methylation features, was characterized by CTNNB1 and NFE2L2 mutations, a progenitor-like phenotype and clinical aggressiveness. Finally, we identified choline kinase alpha as a promising therapeutic target for intermediate and high-risk HBs, as its inhibition in HB cell lines and patient-derived xenografts strongly abrogated tumor growth. Conclusions: These findings provide a detailed insight into the molecular features of HB and could be used to improve current clinical stratification approaches and to develop treatments for patients with HB. Lay summary: Hepatoblastoma is a rare childhood liver cancer that has been understudied. We have used cutting-edge technologies to expand our molecular knowledge of this cancer. Our biological findings can be used to improve clinical management and pave the way for the development of novel therapies for this cancer. ; Instituto de Salud Carlos III PI09/00751 PI10/02082 PI13/02340 European Union (EU) 668596 826121 Agencia de Gestio D'Ajuts Universitaris de Recerca Agaur (AGAUR) 2019 FI_B01024 Associazione Italiana per la Ricerca sul Cancro (AIRC) C9380/A26813 Gilead Sciences European Union's Horizon 2020 research and innovation programme (HEPCAR) 667273-2 ICREA United States Department of Defense CA150272P3 United States Department of Health & Human Services National Institutes of Health (NIH) - USA NIH National Cancer Institute (NCI) Tisch Cancer Institute P30-CA196521 Samuel Waxman Cancer Research Foundation Spanish National Health Institute SAF2016-76390 Agencia de Gestio D'Ajuts Universitaris de Recerca Agaur (AGAUR) SGR-1358 2017-SGR-490 Ramon y Cajal program of the Ministry of Science and Innovation of Spain RYC-2010-07249 Miguel Servet program of the ISCIII CPII14/00021 CIBERehd CB06/04/0033
