Graves' disease (GD) has been reported to be frequently complicated with other autoimmune diseases. However, it is rarely complicated with scleroderma-polymyositis overlap syndrome. Recently, we encountered a 35-year-old womanwhodeveloped GDand immunethrombocytopenic purpura during follow-up observation of scleroderma-dermatomyositis overlap syndrome. Platelet counts recovered after high-dose y-globulin therapy and bolus methylprednisolone therapy. The present case is the first report of a combination of scleroderma, dermatomyositis, GD, and immunethrombocytopenic purpura. The patient was antiKu antibody-positive and had relatively low natural killer T cell counts, both of which might contribute to the complication of multiple autoimmune diseases.
The livelihood approach aims at the analysis, understanding and restrictions that the poorest people have to face in order to recover from difficult situations. The Department for International Development model is applied to an urban zone with the purpose of making an assessment of the livelihood of the district 'la Comuna 1' in Medellin, Colombia, which has been recognised as the poorest and one of the most dangerous districts of the city. The case study presents both a quantitative analysis (macro) and qualitative (micro) analysis, as a mixed method that allows a more complete analysis and understanding of livelihood, and providing a deeper understanding of the district from the livelihood approach. The results indicate a stable growth of livelihood during the period of analysis.
Se construyó el estado del arte del marco jurídico de protección de los humedales frente al cambio climático, con base en un análisis bibliométrico y de redes, utilizando como instrumento la búsqueda de documentos científicos en la base de datos Scopus®. Las áreas temáticas más importantes proceden de las ciencias ambientales. Las tendencias investigativas más relevantes de esta revisión frente al cambio climático fueron: a) la importancia de los humedales y sus impactos; b) la protección y conservación ambiental de los humedales, y sus efectos en la biodiversidad; c) las políticas ambientales de gestión (restauración, conservación, protección de humedales) y el desarrollo sostenible. Se identificaron otros aspectos de importancia como son las tendencias regionales y planificación territorial, la gestión del carbono, la producción de metano, indicadores paisajísticos y participación efectiva como elementos para las políticas ambientales de manejo, restauración, protección y conservación de estos ecosistemas.
Since its appearance in the 70s of the last century, Sustainable Development (SD) as a concept has had multiple definitions making this something that is considered still under construction. This situation has made the SD has become a problem of permanent discussion and multiple interpretations. As each new concept addresses a different element to develop and sustain, the variables, indicators, measurement, interpretation and improvement strategies vary, even making it impossible to reproduce the measurement of it or its inapplicability in different territories. A concept of SD based on a harmonized structure and founded on the well-being of the individual and the society in which it is immersed, becomes the key to overcome this problem that has even led to the deviation and indiscriminate use of the term "Sustainable" and of the SD itself. This concept of SD must respond to a polyhedral structure in which both the main or base plan and the fundamental or improvement axis are associated with life and well-being, which implies the undeniable and indissoluble existence of a fundamental relationship between the DS and Welfare and more in depth, between the development of the individual and social development.
La sustentabilidad está enmarcada en las dimensiones ambientales, sociales, económicas y culturales, las cuales permiten direccionar la transformación del territorio. Sin embargo, no se evidencian procesos de apropiación de los saberes ancestrales frente al manejo eficiente del agua por parte de las instituciones del país, propiciando que en los territorios las comunidades rurales estén en situación de vulnerabilidad y riesgo de pervivencia. El objetivo de este trabajo es realizar una revisión sistemática de literatura sobre las definiciones, aportes e importancia que tiene los conocimientos, los saberes ancestrales frente al agua y el desarrollo local de las comunidades ancestrales en los departamentos del Cauca y Huila Colombia. La metodología propuesta está apoyada en las herramientas cienciométricas y el proceso de consultas de las bases de datos de Scopus, Web of Science, Dimensions, para seleccionar los documentos más relevantes a través de la plataforma Tree of Science y el análisis de los tópicos de investigación relacionados a la sustentabilidad, desarrollo local y agua. El hallazgo más importante es que resulta necesario un cambio de paradigma frente a la gestión hídrica, donde los aspectos espirituales y cosmogónicos de los Pueblos Originarios sean visibilizados e incluidos en la gestión del recurso hídrico.
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