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Ortiz-Prado, Esteban, Juan Sebastian Izquierdo-Condoy, María G. Dávila-Rosero, Jorge Vásconez-González, Ana M. Diaz, Carla E. Moyano, Vanessa Arcos-Valle, Ginés Viscor, and Joshua H. West. Reduced violence-related burden and mortality at higher altitudes: examining the association between high altitude living and homicide rates in Ecuador. High Alt Med Biol. 25:295–307, 2024. Background: Homicides are a major public health concern and a leading cause of preventable deaths worldwide. The relationship between altitude and homicides remains unclear, and evidence of the possible effects of living at high altitudes on homicide rates is limited. This research aimed to investigate the mortality rates resulting from various types of aggression that culminated in homicides in Ecuador and to explore potential differences associated with altitude. Methods: An ecological analysis of homicide rates in Ecuador was conducted from 2001 to 2022. Homicide cases and the population at risk were categorized based on their place of residence according to two altitude classifications: a binary classification of low (<2,500 m) and high altitude (>2,500 m), and a detailed classification according to criteria by the International Society for Mountain Medicine, which includes low (<1,500 m), moderate (1,500–2,500 m), high (2,500–3,500 m), and very high altitude (3,500–5,500 m) categories. Both crude and directly age–sex standardized mortality rates were calculated for each altitude category. Results: We analyzed a total of 40,708 deaths attributed to aggressions (ICD-10 codes X85–Y09). The total homicide rate for men was 21.29 per 100,000 (95% confidence interval [CI]: 9.55–32.37), whereas for women, it was 2.46 per 100,000 (95% CI: 1.44–3.27). Average rates across the 22 analyzed years were higher at low altitudes (men: 13.2/100,000 and women: 1.33/100,000) as compared with high altitudes (men: 5.79/100,000 and women: 1.05/100,000). Notably, the male-to-female rate difference was more pronounced at low altitudes (898%) than at high altitudes (451%). Conclusions: Our study revealed a higher prevalence of homicides in certain provinces and significant disparities in mortality rates between men and women. Although we cannot establish a direct relationship between altitude and homicide rates, further research is needed to explore potential confounding factors and a better understanding of the underlying causes for these variations. [ABSTRACT FROM AUTHOR]

This research aims to describe temporal reference in Chilean Sign Language (LSCh) (Comrie, 1985; Bertinetto, 2013). In order to achieve this, videos were analyzed in which one or more Deaf people were signing in LSCh. The results show that the Chilean Sign Language uses adverbs and adverbial clauses to mark the temporal reference, therefore, the codification used is discursive, not grammatical. In order to illustrate other kinds of temporal reference codification, we used examples from the Mexican Sign Language grammar (Cruz, 2008) for contrast. [ABSTRACT FROM AUTHOR]

This work describes a new method for the determination of organic compounds in solid samples based on the equilibrium desorption of the analytes in an aqueous phase followed by stir bar sorptive-dispersive microextraction (SBSDME). Sand samples, contaminated with UV filters due to bathing and recreational activities, were dispersed in an aqueous medium by using a coated stir bar with CoFe 2 O 4 @oleic acid magnetic nanoparticles. The UV filters were physically desorbed from the surface of the sand particles and rapidly adsorbed on the hydrophobic coating of the nanoparticles, which were retrieved by means of their magnetism after stopping the stirring. In this manner, both preconcentration of the analytes and clean-up were simultaneously accomplished without the requirement of any additional sample preparation steps. After extraction, the analytes were desorbed in ethanol and then analyzed by gas chromatography-mass spectrometry (GC–MS). The main variables involved in the extraction process (i.e., sorbent amount, extraction time, pH and ionic strength) were studied to provide the best extraction efficiencies and maximum enrichment factors. Under the selected conditions, the figures of merit of the proposed method were evaluated providing limits of detection in the low ng g −1 range, enrichment factors between 23 and 80, and relative standard deviations (RSD%) below 14% for all the target analytes. Matrix effects were observed in real costal sand samples and thus standard addition calibration was employed for quantification. The method was successfully applied to the analysis of UV filters in several coastal sand samples of different origin. This work expands the analytical potential of the novel SBSDME approach to the determination of organic compounds in solid matrices. [ABSTRACT FROM AUTHOR]

Background: Gender-based violence is a major public health concern arising from the structural discrimination of women and girls. In 2014, Ecuador criminalized acts of femicide in response to a growing crisis across the region. As no epidemiological studies on the state of female homicides and femicides have been published, we estimated patterns of female homicides and femicides nationally and the burden through economic cost per years of life lost, between 2001 and 2017.Methods: Using aggregated data from the National Institute of Census and Statistics and police records we estimated the annual mortality rates, cumulative incidence and prevalence odds ratios for female homicides and femicides, from 2001 to 2017. The impact of aggressions, assaults and violence on years of life lost due to premature mortality was estimated using the Human Capital method.Results: Over the period, at least 3236 cases of female homicides and femicides were reported. The highest murder rate occurred in the province of Sucumbíos (6.5 per 100,000) and in the Putumayo canton (12.5 per 100,000). The most common way to murder their victims was using firearms (38%). The highest odds ratio was estimated for women aged between 25 and 29, at 4.5 (3.9-5.1), of primary school attainment at 17.2 (14.6-20.3) and of Afro-Ecuadoran descent 18.1 (10.5-30.9). Female homicide-related costs reached, on average, $35 million per year and more than $500 million lost from 2001 to 2017.Conclusions: The high rates, distribution and cost indicate that investments are urgently needed to address the structural causes and reduce the impact of female homicides and femicides in Ecuador; thereby protecting the livelihood and well-being of their women and girls. [ABSTRACT FROM AUTHOR]

The SARS-CoV-2 virus has spread rapidly around the globe. Nevertheless, there is limited information describing the characteristics and outcomes of COVID-19 patients in Latin America. We conducted a cross-sectional analysis of 9,468 confirmed COVID-19 cases reported in Ecuador. We calculated overall incidence, mortality, case fatality rates, disability adjusted life years, attack and crude mortality rates, as well as relative risk and relative odds of death, adjusted for age, sex and presence of comorbidities. A total of 9,468 positive COVID-19 cases and 474 deaths were included in the analysis. Men accounted for 55.4% (n = 5, 247) of cases and women for 44.6% (n = 4, 221). We found the presence of comorbidities, being male and older than 65 years were important determinants of mortality. Coastal regions were most affected by COVID-19, with higher mortality rates than the highlands. Fatigue was reported in 53.2% of the patients, followed by headache (43%), dry cough (41.7%), ageusia (37.1%) and anosmia (36.1%). We present an analysis of the burden of COVID-19 in Ecuador. Our findings show that men are at higher risk of dying from COVID-19 than women, and risk increases with age and the presence of comorbidities. We also found that blue-collar workers and the unemployed are at greater risk of dying. These early observations offer clinical insights for the medical community to help improve patient care and for public health officials to strengthen Ecuador's response to the outbreak. Author summary: In this study we summarize the epidemiological trends of the early phase of the novel coronavirus disease (COVID-19) pandemic in Ecuador, the country with the highest excess mortality reported at the beginning of the global health crisis due to COVID-19 worldwide. We have carried out a complete analysis of the epidemiological trends, clinical features, risk factors associated with death and the main demographic characteristics of the first 9,468 patients. Ecuador has officially reported 474 COVID-19 confirmed deaths, nevertheless, at least 4,780 deaths were reported as acute respiratory distress syndrome (ARDS) during the same period of time, suggesting an important underreporting and undertesting of COVID-19 cases in the country. In Ecuador, COVID-19 is five times more lethal among unemployed patients when compared to white-collar workers, suggesting a strong association between poverty and mortality. This is the first epidemiological report from Ecuador that uses the official bases of the reported cases of COVID-19 in Ecuador. High altitude dwellers have lower attack rates than their sea-level counterpart, nevertheless mortality is higher among those living above 2,500 m, possibly due to reduced access to health care services. [ABSTRACT FROM AUTHOR]