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Showing papers by "Central University of Ecuador published in 2019"


Journal ArticleDOI
19 Feb 2019-JAMA
TL;DR: Among patients with septic shock, a resuscitation strategy targeting normalization of capillary refill time, compared with a strategy targeting serum lactate levels, did not reduce all-cause 28-day mortality.
Abstract: Importance Abnormal peripheral perfusion after septic shock resuscitation has been associated with organ dysfunction and mortality. The potential role of the clinical assessment of peripheral perfusion as a target during resuscitation in early septic shock has not been established. Objective To determine if a peripheral perfusion–targeted resuscitation during early septic shock in adults is more effective than a lactate level–targeted resuscitation for reducing mortality. Design, Setting, and Participants Multicenter, randomized trial conducted at 28 intensive care units in 5 countries. Four-hundred twenty-four patients with septic shock were included between March 2017 and March 2018. The last date of follow-up was June 12, 2018. Interventions Patients were randomized to a step-by-step resuscitation protocol aimed at either normalizing capillary refill time (n = 212) or normalizing or decreasing lactate levels at rates greater than 20% per 2 hours (n = 212), during an 8-hour intervention period. Main Outcomes and Measures The primary outcome was all-cause mortality at 28 days. Secondary outcomes were organ dysfunction at 72 hours after randomization, as assessed by Sequential Organ Failure Assessment (SOFA) score (range, 0 [best] to 24 [worst]); death within 90 days; mechanical ventilation–, renal replacement therapy–, and vasopressor-free days within 28 days; intensive care unit and hospital length of stay. Results Among 424 patients randomized (mean age, 63 years; 226 [53%] women), 416 (98%) completed the trial. By day 28, 74 patients (34.9%) in the peripheral perfusion group and 92 patients (43.4%) in the lactate group had died (hazard ratio, 0.75 [95% CI, 0.55 to 1.02];P = .06; risk difference, −8.5% [95% CI, −18.2% to 1.2%]). Peripheral perfusion–targeted resuscitation was associated with less organ dysfunction at 72 hours (mean SOFA score, 5.6 [SD, 4.3] vs 6.6 [SD, 4.7]; mean difference, −1.00 [95% CI, −1.97 to −0.02];P = .045). There were no significant differences in the other 6 secondary outcomes. No protocol-related serious adverse reactions were confirmed. Conclusions and Relevance Among patients with septic shock, a resuscitation strategy targeting normalization of capillary refill time, compared with a strategy targeting serum lactate levels, did not reduce all-cause 28-day mortality. Trial Registration ClinicalTrials.gov Identifier:NCT03078712

432 citations


Journal ArticleDOI
TL;DR: An holistic approach across all ruminant livestock industries and long-term commitment is required for control of paratuberculosis.
Abstract: Paratuberculosis, a chronic disease affecting ruminant livestock, is caused by Mycobacterium avium subsp. paratuberculosis (MAP). It has direct and indirect economic costs, impacts animal welfare and arouses public health concerns. In a survey of 48 countries we found paratuberculosis to be very common in livestock. In about half the countries more than 20% of herds and flocks were infected with MAP. Most countries had large ruminant populations (millions), several types of farmed ruminants, multiple husbandry systems and tens of thousands of individual farms, creating challenges for disease control. In addition, numerous species of free-living wildlife were infected. Paratuberculosis was notifiable in most countries, but formal control programs were present in only 22 countries. Generally, these were the more highly developed countries with advanced veterinary services. Of the countries without a formal control program for paratuberculosis, 76% were in South and Central America, Asia and Africa while 20% were in Europe. Control programs were justified most commonly on animal health grounds, but protecting market access and public health were other factors. Prevalence reduction was the major objective in most countries, but Norway and Sweden aimed to eradicate the disease, so surveillance and response were their major objectives. Government funding was involved in about two thirds of countries, but operations tended to be funded by farmers and their organizations and not by government alone. The majority of countries (60%) had voluntary control programs. Generally, programs were supported by incentives for joining, financial compensation and/or penalties for non-participation. Performance indicators, structure, leadership, practices and tools used in control programs are also presented. Securing funding for long-term control activities was a widespread problem. Control programs were reported to be successful in 16 (73%) of the 22 countries. Recommendations are made for future control programs, including a primary goal of establishing an international code for paratuberculosis, leading to universal acknowledgment of the principles and methods of control in relation to endemic and transboundary disease. An holistic approach across all ruminant livestock industries and long-term commitment is required for control of paratuberculosis.

176 citations


Journal ArticleDOI
TL;DR: The main goals of this study are to identify the EDM tasks that have benefited from Deep Learning and those that are pending to be explored, to describe the main datasets used, and to provide an overview of the key concepts, main architectures, and configurations of Deep learning and its applications to EDM.
Abstract: Educational Data Mining (EDM) is a research field that focuses on the application of data mining, machine learning, and statistical methods to detect patterns in large collections of educational data. Different machine learning techniques have been applied in this field over the years, but it has been recently that Deep Learning has gained increasing attention in the educational domain. Deep Learning is a machine learning method based on neural network architectures with multiple layers of processing units, which has been successfully applied to a broad set of problems in the areas of image recognition and natural language processing. This paper surveys the research carried out in Deep Learning techniques applied to EDM, from its origins to the present day. The main goals of this study are to identify the EDM tasks that have benefited from Deep Learning and those that are pending to be explored, to describe the main datasets used, to provide an overview of the key concepts, main architectures, and configurations of Deep Learning and its applications to EDM, and to discuss current state-of-the-art and future directions on this area of research.

83 citations



Journal ArticleDOI
TL;DR: In this paper, the deactivation of Ni/La2O3-αAl 2O3 catalyst in ethanol steam reforming (ESR) was studied in order to establish the optimal conditions for maximizing H2 production and achieving steady behavior.
Abstract: Deactivation of Ni/La2O3–αAl2O3 catalyst in ethanol steam reforming (ESR) was studied in order to establish the optimal conditions for maximizing H2 production and achieving steady behavior. The ES...

65 citations


Journal ArticleDOI
TL;DR: The findings affirm that perceived trust, perceived risk, and perceived ease of use are not strong predictors of the intention to use cryptocurrencies and that the strength of their effects on the intend to use is determined by the perceived usefulness of adopting the mentioned disruptive innovation.
Abstract: Cryptocurrencies have the potential to become a disruptive innovation because they define a new paradigm: the decentralization of trust in secure electronic transactions without the need for a central control authority. Cryptocurrencies arouse interest in society because they reformulate the generation and transference of money. The aim of this paper is to investigate the role of the disruptive innovation of cryptocurrencies in the acceptance and trust perceived by users with regard to the monetary transactions generated in e-commerce. This paper defines a model using constructs from the technology acceptance model, trust and perceived risk. This model is evaluated using partial least squares analysis. The findings affirm that perceived trust, perceived risk, and perceived ease of use are not strong predictors of the intention to use cryptocurrencies and that the strength of their effects on the intention to use is determined by the perceived usefulness of adopting the mentioned disruptive innovation. This preliminary study makes a significant contribution to consumer behaviour research by analysing a cryptocurrency acceptance model for C2C e-commerce. The theoretical and practical contributions are detailed in the final section of the paper.

61 citations


Journal ArticleDOI
TL;DR: The results of a systematic review of the literature on dialogue-based CALL are presented, resulting in a conceptual framework for research on the matter and two main avenues for future research are proposed: relative effectiveness of dialogue- based CALL approaches, and dialogue systems as an environment for testing SLA hypotheses.
Abstract: This article presents the results of a systematic review of the literature on dialogue-based CALL, resulting in a conceptual framework for research on the matter. Applications allowing a learner to...

52 citations


Journal ArticleDOI
TL;DR: In this article, the authors explain how politicoeconomic and socio-institutional forces have triggered the emergence of a new hydrosocial territory, transforming the Ica Valley into a virtual-water extraction zone that produces luxury export crops for the North and China.
Abstract: In recent decades, an agro-export boom has deeply transformed Peru’s coastal valleys, resulting in dramatic territorial changes and social inequality in the Ica Valley. This article explains how politico-economic and socio-institutional forces have triggered the emergence of a new ‘hydrosocial territory’, transforming the Ica Valley into a virtual-water extraction zone that produces luxury export crops for the North and China. In addition, it shows how these territorial reconfigurations have led to ecological damage, water scarcity and increasing rural–urban inequality sustained by a hegemonic development discourse that supports agribusiness-elite territorial dominance and discourages social unrest.

50 citations


Journal ArticleDOI
TL;DR: Genotypes showed that cross-contamination between stages of poultry production can occur, stressing the importance of implementing good hygiene practices in every level of the production, and multidrug resistance patterns and the presence of important ESBL genes have public health implications that need to be deeply discussed with a one health approach.

39 citations


Journal ArticleDOI
TL;DR: The finding of multidrug resistant E. coli in dog feces found in a city park illustrates the importance of analyzing canine feces in public settings as part of MDR E. Escherichia coli surveillance programs.
Abstract: Objectives This study focused on estimating the prevalence of extended-spectrum β-lactamases (ESBLs), plasmid-mediated AmpC β-lactamases, carbapenemases and MCR-1-producing Escherichia coli in canine faeces from a public park in Quito, Ecuador. Methods Phenotypic and genotypic characterisation of E. coli isolated from 50 canine faecal samples recovered from a city park in Quito was performed. In addition, a multiple choice survey was conducted among 50 dog owners. Results Of the 50 faecal samples, 20 (40.0%) presented E. coli resistant to ceftriaxone. Moreover, 23 E. coli isolates were recovered for further analysis. All of the isolates showed as multidrug-resistant (MDR) phenotype (resistant to three or more antibiotic families). Resistance to carbapenems, tigecycline and amikacin was not observed. No major clonal relatedness was observed among the resistant isolates. The ESBL genes blaCTX-M-15, blaCTX-M-55 and blaCTX-M-65 were the most common. Two isolates harboured the blaCMY-2 gene and one isolate harboured both mcr-1 and blaCTX-M-65. Statistical analysis showed that older people were more conscious of collecting and disposing of dog faeces than subjects aged Conclusion The finding of MDR E. coli in dog faeces in a city park in Ecuador illustrates the importance of analysing canine faeces in public settings (e.g. parks, playgrounds) as part of surveillance programmes for MDR E. coli. In addition, this research might be a sentinel sampling method to gain a better understanding of community sources of antibiotic-resistant Enterobacteriaceae at human–animal–environment interfaces.

38 citations


Journal ArticleDOI
28 Feb 2019-Entropy
TL;DR: This paper presents a variation of the kNN algorithm, of the type structure less NN, to work with categorical data, which allows us to maintain the whole dataset in memory which leads to a considerable reduction of the amount of memory required.
Abstract: The kNN (k-nearest neighbors) classification algorithm is one of the most widely used non-parametric classification methods, however it is limited due to memory consumption related to the size of the dataset, which makes them impractical to apply to large volumes of data. Variations of this method have been proposed, such as condensed KNN which divides the training dataset into clusters to be classified, other variations reduce the input dataset in order to apply the algorithm. This paper presents a variation of the kNN algorithm, of the type structure less NN, to work with categorical data. Categorical data, due to their nature, can be compressed in order to decrease the memory requirements at the time of executing the classification. The method proposes a previous phase of compression of the data to then apply the algorithm on the compressed data. This allows us to maintain the whole dataset in memory which leads to a considerable reduction of the amount of memory required. Experiments and tests carried out on known datasets show the reduction in the volume of information stored in memory and maintain the accuracy of the classification. They also show a slight decrease in processing time because the information is decompressed in real time (on-the-fly) while the algorithm is running.

Journal ArticleDOI
TL;DR: The authors explored the genetic structure of 176 individuals from these three domains, genotyped with the Affymetrix Human Origins array, and inferred multiple sources of ancestry within the Native American ancestry component; one with clear predominance on the Coast and in the Andes, and at least two distinct substrates in neighboring Amazonia, including a previously undetected ancestry characteristic of northern Ecuador and Colombia.
Abstract: Studies of Native South American genetic diversity have helped to shed light on the peopling and differentiation of the continent, but available data are sparse for the major ecogeographic domains. These include the Pacific Coast, a potential early migration route; the Andes, home to the most expansive complex societies and to one of the most widely spoken indigenous language families of the continent (Quechua); and Amazonia, with its understudied population structure and rich cultural diversity. Here, we explore the genetic structure of 176 individuals from these three domains, genotyped with the Affymetrix Human Origins array. We infer multiple sources of ancestry within the Native American ancestry component; one with clear predominance on the Coast and in the Andes, and at least two distinct substrates in neighboring Amazonia, including a previously undetected ancestry characteristic of northern Ecuador and Colombia. Amazonian populations are also involved in recent gene-flow with each other and across ecogeographic domains, which does not accord with the traditional view of small, isolated groups. Long-distance genetic connections between speakers of the same language family suggest that indigenous languages here were spread not by cultural contact alone. Finally, Native American populations admixed with post-Columbian European and African sources at different times, with few cases of prolonged isolation. With our results we emphasize the importance of including understudied regions of the continent in high-resolution genetic studies, and we illustrate the potential of SNP chip arrays for informative regional-scale analysis.

Journal ArticleDOI
TL;DR: 12 Schiff base derivatives of 4-aminoantipyrine are synthesized and two potential Schiff bases are identified: one effective against E. faecalis and the other with antioxidant activity, both of which have reasonable ADME scores.
Abstract: Our main interest is the characterization of compounds to support the development of alternatives to currently marketed drugs that are losing effectiveness due to the development of resistance. Schiff bases are promising biologically interesting compounds having a wide range of pharmaceutical properties, including anti-inflammatory, antipyretic, and antimicrobial activities, among others. In this work, we have synthesized 12 Schiff base derivatives of 4-aminoantipyrine. In vitro antimicrobial, antioxidant, and cytotoxicity properties are analyzed, as well as in silico predictive adsorption, distribution, metabolism, and excretion (ADME) and bioactivity scores. Results identify two potential Schiff bases: one effective against E. faecalis and the other with antioxidant activity. Both have reasonable ADME scores and provides a scaffold for developing more effective compounds in the future. Initial studies are usually limited to laboratory in vitro approaches, and following these initial studies, much research is needed before a drug can reach the clinic. Nevertheless, these laboratory approaches are mandatory and constitute a first filter to discriminate among potential drug candidates and chemical compounds that should be discarded.

Journal ArticleDOI
05 Apr 2019-PLOS ONE
TL;DR: Poultry production systems represent a hotspot for AR in Ecuador, possibly mediated by the extensive use of antibiotics, and monitoring this sector in national and regional plans of AR surveillance should therefore be considered.
Abstract: Antimicrobial resistance (AR) is a worldwide concern. Up to a 160% increase in antibiotic usage in food animals is expected in Latin American countries. The poultry industry is an increasingly important segment of food production and contributor to AR. The objective of this study was to evaluate the prevalence, AR patterns and the characterization of relevant resistance genes in Extended Spectrum β-lactamases (ESBL) and AmpC-producing E. coli from large poultry farms in Ecuador. Sampling was performed from June 2013 to July 2014 in 6 slaughterhouses that slaughter broilers from 115 farms totaling 384 flocks. Each sample of collected caeca was streaked onto TBX agar supplemented with cefotaxime (3 mg/l). In total, 176 isolates were analyzed for AR patterns by the disk diffusion method and for blaCTX-M, blaTEM, blaCMY, blaSHV, blaKPC, and mcr-1 by PCR and sequencing. ESBL and AmpC E. coli were found in 362 flocks (94.3%) from 112 farms (97.4%). We found that 98.3% of the cefotaxime-resistant isolates were multi-resistant to antibiotics. Low resistance was observed for ertapenem and nitrofurantoin. The most prevalent ESBL genes were the ones belonging to the blaCTX-M group (90.9%), specifically the blaCTX-M-65, blaCTX-M-55 and blaCTX-M-3 alleles. Most of the AmpC strains presented the blaCMY-2 gene. Three isolates showed the mcr-1 gene. Poultry production systems represent a hotspot for AR in Ecuador, possibly mediated by the extensive use of antibiotics. Monitoring this sector in national and regional plans of AR surveillance should therefore be considered.

Journal ArticleDOI
TL;DR: This study shows that diarrheal infections can be efficiently diagnosed for their etiological agent and categorized based on their effects on the gut microbiome using metagenomic tools, which opens new possibilities for diagnostics and treatment.
Abstract: Escherichia coli is a leading contributor to infectious diarrhea and child mortality worldwide, but it remains unknown how alterations in the gut microbiome vary for distinct E. coli pathotype infections and whether these signatures can be used for diagnostic purposes. Further, the majority of enteric diarrheal infections are not diagnosed with respect to their etiological agent(s) due to technical challenges. To address these issues, we devised a novel approach that combined traditional, isolate-based and molecular-biology techniques with metagenomics analysis of stool samples and epidemiological data. Application of this pipeline to children enrolled in a case-control study of diarrhea in Ecuador showed that, in about half of the cases where an E. coli pathotype was detected by culture and PCR, E. coli was likely not the causative agent based on the metagenome-derived low relative abundance, the level of clonality, and/or the virulence gene content. Our results also showed that diffuse adherent E. coli (DAEC), a pathotype that is generally underrepresented in previous studies of diarrhea and thus, thought not to be highly virulent, caused several small-scale diarrheal outbreaks across a rural to urban gradient in Ecuador. DAEC infections were uniquely accompanied by coelution of large amounts of human DNA and conferred significant shifts in the gut microbiome composition relative to controls or infections caused by other E. coli pathotypes. Our study shows that diarrheal infections can be efficiently diagnosed for their etiological agent and categorized based on their effects on the gut microbiome using metagenomic tools, which opens new possibilities for diagnostics and treatment. IMPORTANCEE. coli infectious diarrhea is an important contributor to child mortality worldwide. However, diagnosing and thus treating E. coli infections remain challenging due to technical and other reasons associated with the limitations of the traditional culture-based techniques and the requirement to apply Koch’s postulates. In this study, we integrated traditional microbiology techniques with metagenomics and epidemiological data in order to identify cases of diarrhea where E. coli was most likely the causative disease agent and evaluate specific signatures in the disease-state gut microbiome that distinguish between diffuse adherent, enterotoxigenic, and enteropathogenic E. coli pathotypes. Therefore, our methodology and results should be highly relevant for diagnosing and treating diarrheal infections and have important applications in public health.

Journal ArticleDOI
TL;DR: Exposure to PM, DEP, and high doses of O3 resulted in a reduction of interferon gamma (IFN-γ) production and cytotoxicity of ILC1, highlighting potential mechanisms by which human ILCs react to air pollution that increase the susceptibility to infections and allergies.
Abstract: Outdoor air pollution is associated with respiratory infections and allergies, yet the role of innate lymphoid cells (ILCs) in pathogen containment and airway hyperresponsiveness relevant to effects of air pollutants on ILCs is poorly understood. We conducted a systematic review to evaluate the available evidence on the effect of outdoor air pollutants on the lung type 1 (ILC1) and type 2 ILCs (ILC2) subsets. We searched five electronic databases (up to Dec 2018) for studies on the effect of carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2), diesel exhaust particles (DEP), ozone (O3), and particulate matter (PM) on respiratory ILCs. Of 2209 identified citations, 22 full-text papers were assessed for eligibility, and 12 articles describing experimental studies performed in murine strains (9) and on human blood cells (3) were finally selected. Overall, these studies showed that exposure to PM, DEP, and high doses of O3 resulted in a reduction of interferon gamma (IFN-γ) production and cytotoxicity of ILC1. These pollutants and carbon nanotubes stimulate lung ILC2s, produce high levels of interleukin (IL)-5 and IL-13, and induce airway hyperresponsiveness. These findings highlight potential mechanisms by which human ILCs react to air pollution that increase the susceptibility to infections and allergies.

Journal ArticleDOI
TL;DR: PBMT, specifically when applied in the lower energy density, could be of importance in the determination of the mechanical quality of CSs, which may favor cell therapy by improving the CS transplantation approach.
Abstract: Photobiomodulation therapy (PBMT) and the cell sheet (CS) technology improve processes relevant to tissue regeneration. The aim of this study was to investigate the effects of different PBMT parameters on the architecture (histology), protein composition (Western blotting and immunohistochemistry) and ultrastructure [scanning electron microscopy (SEM) and transmission electron microscopy (TEM)] of the extracellular matrix (ECM) synthesized by CSs composed by human dental pulp stem cells (hDPSCs). Methods Thawed cells were recharacterized by the expression profile of the surface molecules of mesenchymal stem cells (MSCs) using flow cytometry. Clonogenic medium supplemented with vitamin C (20 μg/ml) was used for obtaining the CSs. PBMT was performed with continuous-wave diode laser (660 nm, 20 mW, 0.028cm2, 0.71 W/cm2) in punctual and contact mode. The CSs were allocated in 3 experimental groups: Control: no further treatment; PBMT1 [4 s, 3 J/cm2 (lower energy density), 0.08 J/point] and PBMT2 [7 s, 5 J/cm2 (higher energy density), 0.14 J/point]. Statistical comparisons were performed (p ≤ .05). Results The cells presented the classical immunoprofile of MSCs. Type I and type III collagens and fibronectin were present in the ECM of the CSs. PBMT1 induced higher amount of fibronectin. The overall ultrastructure of the CSs in the PBMT1 was epithelial-like, whereas the PBMT2 leads to CSs with fusiform cells arranged in bundles. TEM identified a more mature ECM and signs of apoptosis and necrosis in the PBMT2 group. Conclusion PBMT influence the composition and ultrastructure of the ECM of CSs of hDPSCs. Thus, PBMT, specifically when applied in the lower energy density, could be of importance in the determination of the mechanical quality of CSs, which may favor cell therapy by improving the CS transplantation approach.

Journal ArticleDOI
TL;DR: Marcelo F. Tognelli as discussed by the authors | Elizabeth P. Anderson | Luz F. Jiménez-Segura | Junior Chuctaya | Luisa Chocano | Javier A. Velásquez | Francisco A. Villa-Navarro
Abstract: Marcelo F. Tognelli | Elizabeth P. Anderson | Luz F. Jiménez‐Segura | Junior Chuctaya | Luisa Chocano | Javier A. Maldonado‐Ocampo | Lina Mesa‐Salazar | José I. Mojica | Fernando M. Carvajal‐Vallejos | Vanessa Correa | Hernán Ortega | Juan F. Rivadeneira Romero | Paula Sánchez‐Duarte | Neil A. Cox | Max Hidalgo | Pedro Jiménez Prado | Carlos A. Lasso | Jaime Sarmiento | Miguel A. Velásquez | Francisco A. Villa‐Navarro

Journal ArticleDOI
TL;DR: An accessible numerical model is provided to explain the etch profiles and the physico-chemical events at the Si-Au-electrolyte interface and offers guidelines for the development of finite-element modeling of metal assisted Si chemical etching.
Abstract: We report on metal-assisted chemical etching of Si for the synthesis of mechanically stable, hybrid crystallographic orientation Si superstructures with high aspect ratio, above 200. This method su...

Journal ArticleDOI
TL;DR: In this paper, the authors display the water overabundance discourse as a techno-political, naturalized construct that profoundly impacts rural-urban hydro-territoriality, showing how unequal power balances establish high-value (urban/elite) areas as protection zones and rural areas as sacrifice zones.
Abstract: Ecuador’s mega-dam project aims to control Chone city’s flooding hazards, but it submerges peasants’ territories–legitimized by ‘modern city/majority benefit’ versus ‘rural backward/sacrifice-able minority’ discourse. Presented as disordered, unruly and needing domestication, peasants must follow urban imaginaries and safeguard modern-urban progress. Policy-makers’ water overabundance discourse presents ‘flood risk’ as a natural and techno-managerial problem, hiding how unequal power balances establish ‘high-value’ (urban/elite) areas as protection zones and rural areas as sacrifice zones. Excessive water is stored in rural areas, neglecting peasants’ livelihoods and governance forms. The paper’s political ecology approach displays the ‘water overabundance’ discourse as a techno-political, naturalized construct that profoundly impacts rural–urban hydro-territoriality.

Journal ArticleDOI
17 Jan 2019
TL;DR: The importance of emotions for the neuro-didactics as they affect the learning process is discussed in this paper, where a review of literature related to the functioning of the emotional brain and the way in which emotions influence human learning is presented.
Abstract: espanolEste articulo pretende exponer la importancia de las emociones para la neurodidactica en la medida que estas inciden en el proceso de aprendizaje. El objetivo de la neurodidactica es potenciar el desarrollo de nuevas estrategias basadas en las teorias de las neurociencias, que dan cuenta del manejo de las emociones y su relacion con el aprendizaje, mismo que se puede conceptualizar como la creacion de memorias impulsadas por estimulos que lo potencian o inhiben. El aprendizaje tiene relacion directa no solo con la memoria, sino fundamentalmente con los estimulos emocionales, de los que depende que y con que profundidad se aprende. El aprendizaje inicia en el hipocampo y amigdala, que colaboran en la evaluacion de los estimulos emocionales. Las estrategias didacticas que se utilizan en el aula tienen la capacidad de favorecer el aprendizaje de los estudiantes o de impedirlo, en funcion de la gestion de las emociones que el maestro realice. El articulo se construyo sobre la base de la revision de literatura relacionada con el funcionamiento del cerebro emocional, y la forma en que las emociones influyen en el aprendizaje humano. Palabras clave: Neurociencias; neuroeducacion; neurodidactica; emociones EnglishThis article exposes the importance of emotions for the neurodidactics as they affect the learning process. The objective of the neurodidactics is to promote the development of new strategies based on the theories of neurosciences, that shows the manage of emotions and their relationship with the learning process, which can be conceptualized as the creation of memories driven by stimuli that boost or inhibit. Learning has a direct relationship not only with memory, but fundamentally with emotional stimuli, on which depends what and how deep is the student learning. Learning begins in the hippocampus and amygdala, which collaborate in the evaluation of emotional stimuli. The didactic strategies used in the classroom contribute to the learning process of students or to stop it, depending on the management of the emotions that the teacher make. The article was built on the basis of the review of literature related to the functioning of the emotional brain, and the way in which emotions influence human learning. Key Words: Neuroscience: neuroeducation; neurodidactics; emotions

Journal ArticleDOI
TL;DR: The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities, however, periodontal health and fluorosis seem to be highly prevalent in children from Quito.
Abstract: There is a paucity of population-based surveys on oral health conditions in Ecuador. Thus, the aim of this study was to conduct an epidemiological survey with a representative sample of children aged 12 years from public schools of Quito, Ecuador. The aim of this initial report was to describe the methodology used in the survey, as well to present results regarding calibration procedures and prevalence of oral-health related outcomes. We invited 33 public schools’ coordinators from the urban area of Quito, and 1100 children (12 years old) to take part in this study. Six trained and calibrated examiners conducted clinical examinations using oral mirrors and ball-ended probes to assess: dental caries, traumatic dental injuries, malocclusion, gingival bleeding, presence of calculus and fluorosis. Children also responded a questionnaire on Oral Health-Related Quality of Life (OHRQoL). Individual sociodemographic data was collected through a questionnaire sent to parents. Moreover, some contextual data on school environment (infrastructure conditions, promotion of health practices and negative episodes) were also evaluated. Prevalence values, crude and weighted by sampling weights, and 95% confidence intervals (95%CI) were calculated. Nine hundred and ninety-eight children from 31 schools were examined from March to May 2017. The adjusted prevalence values (95%CI) for the six outcomes evaluated were: dental caries = 60.3% (55.3 to 65.0%); traumatic dental injuries = 20.7% (17.2 to 24.8%); dental fluorosis = 63.7% (58.5 to 68.5%); gingival bleeding = 92.0% (87.1 to 95.2%); presence of calculus = 69.9 (60.5 to 77.9%); and malocclusion = 25.8% (21.8 to 30.3%). Adjusted mean of number of decayed, missed or filled permanent teeth (DMF-T) was 1.61 (1.37 to 1.84). Results on OHRQoL and other contextual variables will be reported in other articles. The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities. However, periodontal health and fluorosis seem to be highly prevalent in children from Quito.

Journal ArticleDOI
TL;DR: It is concluded that the disease is endemic in Ecuador but is overlooked by medical and laboratory personnel and should be considered a public health issue in Ecuador.
Abstract: Background: Q fever is an underreported zoonotic disease of cattle and men in most countries of the world. Very little information about the prevalence of Coxiella burnetii infection in animals and humans comes from South and Central America and systematic studies are lacking. Methods: A seroprevalence survey for Q fever amongst cattle, farm workers and students was conducted in Ecuador using a commercial ELISA kit. Results: Survey results showed an unexpectedly high prevalence of Coxiella burnetii antibodies in dairy cattle (43%) and in farm workers (34%). In addition, a clinical case in a human of acute Q fever in the convalescent stage was detected. Conclusion: We conclude that the disease is endemic in Ecuador but is overlooked by medical and laboratory personnel. Q fever should be considered a public health issue in Ecuador and further research into the clinical relevance of this infection is recommended.

Journal ArticleDOI
18 Oct 2019-PLOS ONE
TL;DR: Investigation of biotic and abiotic factors that may influence the population dynamics of this invasive parasite suggested that populations in both habitats were continuous and multivoltine, and numbers of adult female flies appeared to be regulated chiefly by simple direct density dependence, and may be governed by availability of bird nests with nestlings.
Abstract: The invasive parasitic fly, Philornis downsi (Muscidae), is one of the greatest threats to the avifauna of the Galapagos Islands. The larvae of this fly feed on the blood and tissues of developing nestlings of at least 18 endemic and native birds. The aim of the current study was to investigate biotic and abiotic factors that may influence the population dynamics of this invasive parasite. To study the influence of vegetation zone and related climatic factors on fly numbers, a bi-weekly monitoring program using papaya-baited traps was carried out at a dry, lowland site and at a humid, highland site on Santa Cruz Island between 2012-2014. Female flies, a large proportion of which were inseminated and gravid, were collected throughout the year at both sites, indicating females were active during and between the bird breeding seasons. This is the first evidence that female flies are able to persist even when hosts are scarce. On the other hand, catch rates of male flies declined between bird breeding seasons. Overall, catch rates of P. downsi were higher in the drier, lowland habitat, which may be a consequence of host or resource availability. Time was a stronger predictor of adult fly numbers than climate, further suggesting that P. downsi does not appear to be limited by its environment, but rather by host availability. Seasonal catch rates suggested that populations in both habitats were continuous and multivoltine. Numbers of adult female flies appeared to be regulated chiefly by simple direct density dependence, and may be governed by availability of bird nests with nestlings. Nevertheless, confounding factors such as the existence of reservoir hosts that perpetuate fly populations and changes in behavior of P. downsi may increase the vulnerability of bird hosts that are already IUCN red-listed or in decline.

Journal ArticleDOI
TL;DR: Ecuador has one of the highest rates of thyroid cancer inLatin America, ranking first among women in Latin America, and although this cancer is frequent, mortality rate is relatively low.
Abstract: Thyroid cancer is the most frequent endocrine neoplasia worldwide. Information from Andean countries is scarce. In Ecuador there is no reports available of the epidemiology of this type of cancer. The aim of this study is to present the epidemiology and the burden of disease of thyroid cancer. This is a cross-sectional population-based analysis of thyroid cancer epidemiology in Ecuador from 2001 to 2016. The variables studied were the overall mortality rate, socio-demographics characteristics of the hospitalized patients, geographical trends and the burden of thyroid cancer in Ecuador. All the data was obtained from the official records reported by the Ministry of Public Health’s and retrieved from the public databases of the Vital Statistics Deaths and Births Databases and the National Institute of Census and Statistics (INEC). In Ecuador, over a period of 16 years from 2001 to 2016 a total of 23,632 hospital admissions were reported, which caused 1539 deaths due thyroid cancer. Data demonstrated an annual mean of 1477 cases, which caused 96 deaths per year in average. The annual incidence fluctuated from 3 in 2001 to 22 in 2016 per 100,000 inhabitants. Women were 5 times more likely than men to have thyroid cancer. The average length of stay for both sexes were 4 days. The mortality attributable to thyroid cancer represent less than 0.3% of all cancer deaths. Ecuador has one of the highest rates of thyroid cancer in Latin America, ranking first among women in Latin America. Although this cancer is frequent, mortality rate is relatively low. As this is the first national report of thyroid cancer in the country, a further analysis of the pathological variants and the grading of this neoplasia is needed.

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TL;DR: In this article, the impacts of agricultural land-use on the islands of Santa Cruz and San Cristobal were assessed, and the authors showed that present agricultural practices have potential for improvements towards a more sustainable agricultural use of soil resources on the Galapagos Islands.
Abstract: The Galapagos Islands have faced a huge rise in the number of inhabitants and tourists over recent decades. As a consequence, natural forest vegetation has been converted to arable land to meet the increasing demand for agricultural produce. However, studies on soils and soil use change in the Galapagos Islands are scarce. In this study, we assessed the impacts of agricultural land-use on the islands of Santa Cruz and San Cristobal. The site on Santa Cruz was called El Cascajo (EC, Leptosol, 5 years after conversion to intensive agriculture) and that on the oldest island of the Galapagos archipelago, San Cristobal, Cerro Verde (CV, Ferralsol, 15 years after conversion). At both sites, we compared arable soils to soils under forests within the adjacent Galapagos National Park, which had formed on the same parent materials. Several soil properties showed a significant impact of the arable use. Soil organic carbon (Corg) stocks were relatively high at both sites (between 94 ± 28 and 142 ± 10 Mg ha–1). At CV, the stocks were 25% lower in arable plots compared with natural forest, but the observed decrease at EC was non-significant. Many other parameters like total nitrogen and several Mehlich-III extractable nutrients were closely correlated with the changes in Corg. Microbial biomass carbon (Cmic) and dissolved organic carbon were significantly lower in arable plots compared with forest at both sites. At EC, Cmic/Corg dropped by a factor of 1.9. Changes in pH and the use of agrochemicals, evidenced by pesticide residues detected in the soil, might be a possible explanation. Ammonium-N decreased and nitrate-N increased tremendously in the arable plots on both islands. Our research shows that present agricultural practices have potential for improvements towards a more sustainable agricultural use of soil resources on the Galapagos Islands.

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TL;DR: In this paper, the potential energy-purposed H2 production in Ecuador from municipal solid waste (MSW) from fuel cell-propelled urban public transportation is evaluated. And a possible scenario for a non-conventional H2 generation path is shown, which could also represent a suitable MSW final disposal alternative with benefits to urban mobility.
Abstract: This paper performs an assessment of the potential energy-purposed H2 production in Ecuador from municipal solid waste (MSW). Thermochemical and electrochemical paths are considered for MSW conversion. Ecuadorian provincial MSW distribution (2016 data) provides the base information for assessing and constructing maps of the theoretical H2 production yield and its density per unit area. Additionally, the use of H2 in fuel cell-propelled urban public transportation is proposed as an end-use consumer. Results show that it is possible to fulfil urban public transportation energy demand in 91% of the country with MSW-derived H2; in fact, the three provinces that together generate 57% of the available MSW (Guayas, Pichincha, and Azuay) could satisfy their public transportation diesel fuel demand with MSW-derived hydrogen. In the case of these three provinces, H2 generation could replace by 2.57 times (on average) the local urban transportation diesel fuel demand. Finally, a possible scenario for a non-conventional H2 production path is shown, which could also represent a suitable MSW final disposal alternative with benefits to urban mobility.

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TL;DR: In this article, the authors investigate whether the different AFSs (chakras) preserve similar levels of forest diversity, and determine the effect of transformation of mature forests (MF) to chakras, in particular, forest alpha and beta diversity levels, and investigate whether native tree species recovery leads to the original forest structure following chakra abandonment.
Abstract: Aims Deforestation and biodiversity loss are two alarming, closely related problems, and the main factors triggering changes in land use. Indigenous agricultural practices in the western Amazon Basin are known as chakras, and their structure and dynamics are seemingly optimal for forest management. However, the variability in tree species and the degree of forest recovery after abandonment is poorly documented in this agroforestry system (AFS). The goals of this study were: (i) to investigate whether the different AFSs (chakras) preserve similar levels of forest diversity, (ii) to determine the effect of transformation of mature forests (MF) to chakras, in particular, forest alpha and beta diversity levels, and (iii) to investigate whether native tree species recovery leads to the original forest structure following chakra abandonment. Methods We assessed the floristic composition in three AFSs (cassava, corn, and cocoa), the secondary forest (SF), and the forest remnants in the buffer zone of the Northern Ecuadorian Amazon (NEA). All tree species with a diameter at breast height (dbh) ≥10 cm were inventoried in 61 plots (0.28 ha average) representing 17.44 ha. Alpha diversity was calculated in all systems to determine the levels of variability using species richness and the Shannon diversity index. Also, beta diversity was examined to evaluate the degree of dissimilarity among all AFSs with the MF in order to analyze changes in floristic composition. The divergence between the SF and the MF was analyzed to ascertain forest recovery after chakra abandonment. Important Findings A total of 4,060 trees (dbh ≥ 10 cm) representing 109 species, 96 genera, and 43 plant families were inventoried in 17.44 ha sampled in five systems in the buffer zone of the NEA. The most dominant plant families were Arecaceae, Myristicaceae, Fabaceae, Meliaceae, and Malvaceae, and the most representative genera included Iriartea, Virola, Guarea, Ocotea, Cordia, Chrysophyllum, and Inga. The MF in this zone is composed of 81 tree species circumscribed in 74 genera and 30 plant families. Transforming this MF to different chakras leads to a decrease of alpha diversity between 52% and 75%, particularly in AFS practiced for local food security (corn and cassava). However, all the AFSs preserve ca. 56% of the native flora existing in the MF, in which at least 8% of the species are threatened; however, the status of the remaining 92% of species is still unknown, indicating that the assessment of the rarity of the native trees is virtually unexplored. Additionally, all sites investigated consistently formed three clusters that corresponded to AFS, MF, and SF. Thus, the trend of forests to recover the original structure is facilitated by native trees left intact in the chakras. These results strongly support the potential to execute sustainable forest management and preservation of endangered tree species practicing this AFS.

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15 Aug 2019-PLOS ONE
TL;DR: In this article, the seasonality of AMR rates in respiratory bacteria was assessed using random-effects meta-analysis, and pooled odd ratios were calculated using winter as the reference group.
Abstract: Background Antimicrobial resistance (AMR) rates may display seasonal variation. However, it is not clear whether this seasonality is influenced by the seasonal variation of infectious diseases, geographical region or differences in antibiotic prescription patterns. Therefore, we assessed the seasonality of AMR rates in respiratory bacteria. Methods Seven electronic databases (Embase.com, Medline Ovid, Cochrane CENTRAL, Web of Science, Core Collection, Biosis Ovid, and Google Scholar), were searched for relevant studies from inception to Jun 25th, 2019. Studies describing resistance rates of Streptococcus pneumoniae and Haemophilus influenzae were included in this review. By using random-effects meta-analysis, pooled odd ratios of seasonal AMR rates were calculated using winter as the reference group. Pooled odd ratios were obtained by antibiotic class and geographical region. Results We included 13 studies, of which 7 were meta-analyzed. Few studies were done in H. influenzae, thus this was not quantitively analyzed. AMR rates of S. pneumoniae to penicillins were lower in other seasons than in winter with pooled OR = 0.71; 95% CI = 0.65–0.77; I2 = 0.0%, and to all antibiotics with pooled OR = 0.68; 95% CI = 0.60–0.76; I2 = 14.4%. Irrespective of geographical region, the seasonality of AMR rates in S. pneumoniae remained the same. Conclusion The seasonality of AMR rates could result from the seasonality of infectious diseases and its accompanied antibiotic use.

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TL;DR: This study determined life tables parameters of L. sericata (e.g. fly survivorship, mortality and life expectancy) and developmental time of different larval stages under controlled temperatures and found the highest mortality to occur at initial developmental stages.
Abstract: In forensic science, fly larval size and developmental time help to estimate the time elapsed since a person has died until the body is found, generally known as minimum postmortem interval (mPMI)....