Search Results (131)

Introduction: Breakfast has emerged as a critical factor in preventing cardiovascular diseases, driven not only by its nutritional content but also by its alignment with circadian rhythms. However, gaps remain in the literature regarding its clinical impact and thematic evolution. Objective: To characterize the global scientific output on the relationship between breakfast quality and cardiovascular health through a systematic bibliometric analysis. Methodology: The PRISMA 2020 protocol was applied to select 1436 original articles indexed in Scopus and Web of Science (1957–2025). Bibliometric tools, including R (v4.4.2) and VOSviewer (v1.6.19) were used to map productivity, impact, collaboration networks, and emerging thematic areas. Results: Scientific output has grown exponentially since 2000. The most influential journals are the American Journal of Clinical Nutrition, Nutrients, and Diabetes Care. The United States, United Kingdom, and Japan lead in publication volume and citations, with increasing participation from Latin American countries. Thematic trends have shifted from traditional clinical markers to innovative approaches such as chrononutrition, digital health, and personalized nutrition. However, methodological gaps persist, including a predominance of observational studies and an underrepresentation of vulnerable populations. Conclusions: Breakfast is a dietary practice with profound implications for cardiometabolic health. This study provides a comprehensive overview of scientific literature, highlighting both advancements and challenges. Strengthening international collaboration networks, standardizing definitions of a healthy breakfast, and promoting evidence-based interventions in school, clinical, and community settings are recommended. Full article

Oral tradition stories hold a vital place in language education, offering rich repositories of linguistic, cultural, and historical knowledge. In the Spanish as a Foreign Language (SFL) context, their inclusion provides dynamic opportunities to explore diversity, foster critical and creative thinking, and challenge dominant epistemologies. Despite their pedagogical potential, these narratives remain largely absent from formal curricula, with most SFL textbooks still privileging canonical works, particularly those from the Latin American Boom or European literary texts. This article aims to provide practical guidance for SFL instructors on designing effective, culturally responsive materials for the teaching of vocabulary. Drawing on a methodological framework for material design and a cognitive approach to vocabulary learning, I present original pedagogical material based on a Colombian oral tradition story about the witches of La Jagua (Huila, Colombia) to inspire educators to integrate oral tradition stories into their classrooms. As argued throughout, oral narratives not only support vocabulary acquisition and intercultural competence but also offer students meaningful engagement with the values, worldviews, and linguistic diversity that shape Colombian culture. This approach redefines language teaching through a more descriptive, contextualized, and culturally grounded lens, equipping learners with pragmatic, communicative, and intercultural skills essential for the 21st century. My goal with this article is to advocate for teacher agency in material creation, emphasizing that educators are uniquely positioned to design pedagogical resources that reflect their own cultural realities and local knowledge and to adapt them meaningfully to their students’ needs. Full article

This article presents an integrative review of the role of the 7S-Based Feeding framework (Healthy, Sustainable, Safe, Social, Sovereign, Solidary, and Satisfactory) and its relationship with the One Health approach and human development in Latin America. Through an analysis of 18 articles selected via the PRISMA methodology and coded using ATLAS.ti, thematic patterns and analytical gaps were identified using Sankey diagrams and qualitative content analysis. The results indicate that the dimensions most frequently addressed were Sustainable, Healthy, Safe, and Social. In contrast, the Sovereign and Solidarity-based dimensions were underrepresented, while the Satisfactory dimension was entirely absent. Only one-third of the articles explicitly applied the One Health framework. The study proposes a theoretical integration of these approaches to enhance the understanding of food systems as determinants of well-being. It concludes that incorporating the 7S-Based Feeding framework into public food policies could strengthen their impact on equity, health, and resilience in Latin American communities. Full article

This article carries out an interdisciplinary analysis of five MOOC courses developed by the University of Valladolid and offered on higher education platforms between 2020 and 2024. This research is based on the study of the lexical categories used by the informants participating in these courses, establishing a correlation with the theoretical and practical debates surrounding the definition of heritage and the frameworks of contemporary heritage education. Through a metalinguistic approach, the semantic limits of the emerging lexical categories are examined, paying attention to their ambiguity, polysemy and contexts of use, both from a formal linguistic perspective and from a hermeneutic approach. The analysis is based on natural language processing tools, complemented by qualitative techniques from applied linguistics and cultural studies. This dual approach, both scientific–statistical and humanistically nuanced, allows us to identify recurrent discursive patterns, as well as significant variations in the conceptualization of heritage according to the socio-cultural and geographical profiles of the participants. The results of the linguistic analysis are contrasted with the thematic lines investigated by our research group, focusing on cultural policy, legacy policies, narratives linked to the culture of depopulation, disputed scientific paradigms, and specific lexical categories in the Latin American context. In this sense, the article takes a critical look at discursive production in massive online learning environments, positioning language as a key indicator of the processes of cultural resignification and the construction of legacy knowledge in the Ibero-American context. The findings of my scientific article underscore the pressing need for a multiform liberation of the traditionally constrained concept of heritage, which has long been framed within rigid institutional, legal, and disciplinary boundaries. This normative framework, often centered on materiality, monumentalism, and expert-driven narratives, limits the full potential of heritage as a relational and socially embedded construct. My research reveals that diverse social agents—ranging from educators and local communities to cultural mediators and digital users—demand a more flexible, inclusive, and participatory understanding of heritage. This shift calls for redefining legacy not as a static legacy to be preserved but as a dynamic bond, deeply rooted in affective, symbolic, and intersubjective dimensions. The concept of “heritage as bond”, as developed in contemporary critical theory, provides a robust framework for this reconceptualization. Furthermore, the article highlights the need for a new vehiculation of access—one that expands heritage experience and appropriation beyond elite circles and institutionalized contexts into broader social ecosystems such as education, digital platforms, civil society, and everyday life. This approach promotes legacy democratization, fostering horizontal engagement and collective meaning-making. Ultimately, the findings advocate for a paradigm shift toward an open, polyphonic, and affective heritage model, capable of responding to contemporary socio-cultural complexities. Full article

This study analyzes the intersection of energy, urban planning, decarbonization, and sustainability as a central axis for addressing urban development challenges in Latin America. A systematic search of the Scopus database selected 509 articles published between 2019 and 2024. The documents were thematically classified into urban planning (274), energy (79), and decarbonization (147), identifying only 10 studies that simultaneously integrate at least two of these dimensions in Latin American contexts. While this sample of 10 articles does not allow for generalizations about the region, the article selects representative cases to contextualize the type of research conducted, rather than offering extrapolable results. An exploratory multivariate analysis was applied to identify patterns, thematic gaps, and convergence trends, including Principal Component Analysis (PCA) to reduce the dimensionality of the set of key concepts and Hierarchical Clustering (HCC) to group terms according to their semantic proximity. These results are complemented by co-occurrence and thematic concentration maps generated from keywords extracted from the selected articles. The findings reveal a low level of integration among the topics analyzed, justifying the need to establish new lines of interdisciplinary research. The study proposes a replicable analytical tool that guides future regional research and contributes to the achievement of the Sustainable Development Goals, especially SDG 7 (Affordable and Clean Energy), SDG 11 (Sustainable Cities and Communities), and SDG 13 (Climate Action). Full article

This study explores the use of Life Cycle Assessments (LCAs), Total Sustainability Assessment, and Life Cycle Sustainability Assessment (LCSA) as tools to evaluate the environmental, social, and economic impacts in Agri-industry. It highlights the unique trajectory of LCA and LCSA implementation in Latin America, shaped by the region’s distinct environmental, social, and economic contexts, contrasted with global research trends. Evidence shows the importance of biodiversity, conservation, and deforestation mitigation in Latin American LCA applications, which differ from the urban-focused impacts seen in regions like Europe or North America. Furthermore, it emphasizes the significant role of LCSA in addressing socio-economic challenges unique to Latin America, such as inequality and labor conditions. The research reveals the benefits of LCA and LCSA methodologies in the agro-industrial sector, particularly in addressing social issues like land use rights and rural community welfare. Despite challenges such as limited access to high-quality data and the need for capacity building, the innovative application of these methodologies in Latin America offers valuable insights for the global community. Our work relies on Latent Dirichlet Allocation (LDA) to analyze the LCSA literature from 1990 to 2024, identifying evolving trends and research focal areas in sustainability. The analysis herein presented highlights the need for a multi-dimensional and holistic approach to sustainability research and practice. Our findings also emphasize the importance of developing comprehensive models and integrated methodologies to effectively address complex sustainability challenges. Environmental information remains crucial for policy processes, acknowledging uncertainties in estimations and the connection between land use change, agriculture, and emissions from the global food economy and bioenergy sectors. The research underscores the dynamic nature of LCSA and the importance of continually reassessing sustainability efforts to address pressing challenges. Full article

The concept of a “water governance crisis” manifests distinctly across different regions. In the Global South, particularly in rapidly urbanizing cities, innovative governance models that incorporate community participation are critically needed to address unique challenges such as informal settlements and less stringent pollution controls. This paper presents a theoretical and methodological approach, emphasizing citizen science and community engagement in urban water management. It explores how engaging communities in the assessment and management of water bodies not only enhances the identification of priority areas but also strengthens local capacities to address environmental challenges. An analytical framework highlighting the interdependence between valuation languages and citizen science supports the development of management models for degraded hydro-social territories. Utilizing a mixed-methods approach, this research develops social indicators and applies participatory methodologies, such as Participatory Mapping, demonstrated through a study of four urban rivers in Sangolquí, Ecuador: Santa Clara, San Pedro, Pita, and San Nicolás. Our findings reveal that participatory models are more effective than traditional technocratic hierarchies and underscore a new paradigm for water governance that prioritizes local knowledge and community practices. This study not only reveals the ecological, social, and spatial configurations of urban river landscapes in Sangolquí but also suggests the framework’s applicability to other Latin American cities facing similar challenges. Full article

The objective of this study was to document an experience of training community environmental leaders in the context of sustainable development in localities surrounding the Chautengo Lagoon, Guerrero, Mexico. Specifically, we explored the epistemological, theoretical, deontological, and pedagogical–didactic components that must be considered when designing a training process for community environmental leaders in rural contexts. A mixed, descriptive, transversal approach was used to articulate scientific knowledge with local knowledge. Twelve semi-structured interviews identified potential environmental leaders, while nineteen surveys assessed training needs. Subsequently, a tailored capacity-building program was designed, implemented, and evaluated, which assessed empirical knowledge of communities and sustainable practices. A total of 19 leaders with organizational and mobilization skills were trained, successfully engaging 1500 people in an environmental cleanup campaign. The program covered key topics such as sustainable development management, environmental education for sustainability, and local governance, resulting in the formation of an environmental advocacy committee. Participants rated the program positively for its design (90%), content, materials, facilitator performance (71%), and duration (67%). This study contributes to the understanding of community environmental leadership in Latin America highlighting the value of local knowledge as a tool for environmental governance and sustainable social change. Our findings suggest that strengthening community leadership with participatory methodologies can improve environmental awareness, community resilience, and long-term ecological conservation. The program can be replicated in vulnerable communities in other contexts and positively impact local governance. Full article

The COVID-19 pandemic has widened the gap in mortality between different population groups. While socioeconomic status has been shown to be an important determinant of mortality, the relationship between migration status and mortality risk remains unclear. The objective of this paper is to explain whether and why foreign populations had a higher risk of mortality than Swiss nationals during the initial outbreak of the COVID-19 pandemic in Switzerland. We use original linked data to measure the risk of COVID-19 mortality for different groups of foreigners, compared to Swiss nationals, using logistic regression. We find that the risk of death from COVID-19 in 2020 was significantly higher for some groups of foreign nationals—but not all groups—compared to Swiss nationals. Increased mortality is observed among foreign communities who have been living in Switzerland for more than 20 years, notably, Italians, people of Balkan origin, and Latin Americans. For these three communities, we suggest that high mortality is due to a combination of overexposure, for socioeconomic reasons, and reduced access to health systems. These findings contribute to the understanding of migrant health disparities during pandemics and inform future public health interventions. Full article

The management of laicity in Mexico, legally and politically, is a federal issue that involves regulating the activities of Churches and religious communities in the public space, in their practices, rituals, and relations with the organs of the state. However, in recent years, the growing presence and activity of Churches at the local level has called into question the need to observe how laicity is managed by subnational governments, both state and municipal. Are there mechanisms at the local level to regulate the presence of religion in the public space? How are religious traditions presented as culturally managed? What are the demands of Churches on local authorities and what is their political relationship with them? How is the demand for religious freedom resolved locally without violating citizens’ other freedoms, such as the freedom of conscience in issues such as education, health, traffic, and freedom of expression? All this has put into perspective whether laicity and the secular state should continue to be a national dimension or whether it is necessary to rethink legal and political forms at the local level, building new frameworks of governance and governability. This text reviews the public management of laicity in eight entities of the country, which in turn is representative of the rest of the entities with their local variations. However, they generally move in the constant dimensions of religious diversity, interreligious councils, offices, or those in charge of religious affairs, and levels of municipal participation. The construction of a new laicity is then proposed, which does not exclude religion from the public agenda but rather a new secular perspective on the participation of religious communities in public affairs. From a Latin American perspective, Mexico is seen as an effective government regime that separates religion from politics, restricting the participation of religious organizations in the public agenda. However, at the local level, this regime is changing with the inclusion of faith-based organizations in politics. This will undoubtedly lead to a change in the historical concept, a reference point in the region. The term management of laicity refers to the regulation and administration of governments (services, legal support, spaces, and dialogues) with religious communities. Management (control, regulation, permits, sanctions, and recognition) is defined by law and in public policy towards religion from the federal government, but not in local governments that lack clear regulatory frameworks, intervention guidelines, and support, hence the emphasis on the term. Full article

The World Health Organization (WHO) defines vaccine hesitancy as reluctance or refusal to vaccinate despite availability. Contributing factors in visible minority populations include vaccine safety, effectiveness, mistrust, socioeconomic characteristics, vaccine development, information circulation, knowledge, perceived risk of COVID-19, and perceived benefit. Objectives: This study aimed to examine vaccine hesitancy in visible minority populations across Canadian regions. Methods: A survey was conducted among visible minority populations in Canadian regions, using 21 questions from the available literature via the Delphi method. The Canadian Hub for Applied and Social Research (CHASR) administered the survey to individuals 18 years or older who resided in Canada at the time of the survey and identified as visible minorities such as Asian, Black, and Latin American. After recruiting 511 participants, data analysis used Chi-square tests of association and 95% confidence intervals (CIs) to identify regional differences in vaccine choices, side effects, information sources, and reasons for vaccination. A weighted analysis extended the results to represent the visible minorities across provinces. Results: Higher rates of Pfizer were administered to participants in Ontario (73%), the Prairies (72%), British Columbia (71%), and Quebec (70%). British Columbia had the highest Moderna rate (59%). The most common side effect was pain at the injection site in Quebec (62%), Ontario (62%), BC (62%), and in the Atlantic (61%). Healthcare professionals and government sources were the most trusted information sources, with healthcare professionals trusted particularly in the Prairies (70%) and government sources similarly trusted in Quebec (65%) and Ontario (65%). In the Atlantic, 86% of refusals were due to side effects and 69% were due to prior negative vaccine experiences. Conclusions: Leveraging healthcare professionals’ trust, community engagement, and flexible policies can help policymakers improve pandemic preparedness and boost vaccine acceptance. Full article

Worldwide, concrete is used as the material of choice in the construction sector. In Latin American countries, concrete is primarily used in structural elements, because it is a low-maintenance, versatile, and economical material. With its characteristics, concrete has made it possible to cover Ecuador’ housing deficit to some extent. However, this construction material does not entirely respond to the needs of local communities, who are especially concerned about the displacement of traditional techniques and the loss of cultural heritage. In Ecuador, different fiber- and earth-based materials have been used in the construction sector for a long time. These materials present different technical, environmental, social, and cultural characteristics. This study aimed to evaluate the sustainability of the production of six local materials in Ecuador under three dimensions: environmental, social, and cultural, using local data. The data were collected in local production workshops, and life-cycle-based methodologies were applied. The results showed the relevance of developing regional inventories to represent the reality of production within the territory. Additionally, integrating the evaluation of environmental, social, and cultural dimensions shed light on the current situation of the building materials production sector, identifying possible trade-offs or synergies with a sustainable and interdisciplinary approach. Full article

Innovation is recognized as a key source of competitive advantage for organizations and a driver of societal well-being. Therefore, managing and quantifying innovation is necessary to fully leverage its potential. Although many innovation measurement tools exist, contextual differences limit their applicability, highlighting the need for tools tailored to regional and national specificities. This study aimed to develop a measurement tool for the Ecuadorian context, utilizing the Capacities, Results, and Impacts (CRI) model questionnaire for data collection and Item Response Theory (IRT) as a processing method. The CRI model offers a comprehensive framework for assessing innovation potential, enabling a dynamic understanding of this potential while highlighting nuances specific to regional contexts, particularly in Ecuador. Complementing this, IRT—a statistical framework for measuring latent traits—offers several advantages over classical methodologies, such as Classical Test Theory (CTT) and simple aggregate scoring methods. Unlike classical approaches, which often lack precision at extreme ability levels and are heavily sample-dependent, IRT provides item-level analysis, ensures parameter invariance across samples, and maintains accuracy across a wide range of latent trait levels. Together, these methodologies ensure a highly reliable and context-specific innovation measurement tool. Six IRT models were fitted using data from a national multisector sample of 321 organizations, providing a multidimensional measurement scale specialized in measuring innovation potential in Ecuador. These scales were later applied in a case study on the Information and Communication Technology (ICT) sector in Quito, Ecuador. The findings showed that ICT organizations had higher innovation potential than other industries in Ecuador but faced weaknesses in areas like access to funding. Based on these results, targeted strategies were proposed to address these weaknesses and foster innovation within the ICT sector. This research contributes to the field of managing innovation in Ecuador and the broader Latin American region by developing a context-specific and adaptable tool to benchmark innovation, guide organizational strategies, and shape public policy. While the ICT sector was identified as a key driver for addressing Ecuador’s innovation challenges, this research provides valuable contributions toward tackling these challenges and fostering innovation in the country. Full article

Background/Objectives: The rise in multidrug-resistant pathogens complicates UTI management, particularly in empirical therapy. This study aimed to develop and describe a Bayesian hierarchical weighted-incidence syndromic combination antibiogram (WISCA) model to optimize antibiotic selection for adult patients with community-onset UTIs. Methods: A retrospective study was conducted using a Bayesian hierarchical model. Data from microbiology laboratory records and medical databases were analyzed, focusing on age, prior antibiotic exposure, and clinical characteristics. Clinical outcomes, including extended hospital stays and in-hospital mortality, were evaluated before WISCA model development. Unlike traditional antibiograms, a WISCA integrates patient-specific factors to improve antimicrobial coverage estimations. A total of 11 monotherapies and 18 combination therapies were tested against 15 pathogens, with posterior coverage probabilities and 95% highest density intervals (HDIs) used to assess coverage. Results: Inappropriate final antibiotic treatment was associated with worse outcomes. The Bayesian framework improved estimations, particularly for rare pathogen–antibiotic interactions, increasing model applicability in high-resistance settings. Combination regimens showed superior coverage, especially in MDR cases and older adults. Conclusions: This study employed a comprehensive methodological approach for WISCA development, enhancing empirical antibiotic selection by incorporating local resistance data and patient-specific factors in a middle-income Latin American country with a high antimicrobial resistance profile. These findings provide a foundation for future clinical applications and antimicrobial stewardship strategies in high-resistance environments. Full article

Latin American upper-middle-income countries (LAUMICs) face significant challenges in ensuring equitable access to sexual and reproductive health (SRH) for adolescents due to socioeconomic inequalities, migration, and historical violence. This systematic review examines the barriers and facilitators to sexual and reproductive health access for adolescent girls (≤19 years old) in vulnerable situations across Latin America. Using six databases, 391 articles were reviewed; 10 met the inclusion criteria, and 10 more were included through backward search, resulting in 20 analyzed studies. Structural barriers such as economic, regulatory, and institutional constraints were found to restrict SRH access, exacerbated by social stigma and negative narratives, especially in cases involving sexual violence and clandestine abortions. Facilitators included intersectoral collaboration, preventive education, and community networks, which improved access to and the quality of services for vulnerable populations. The findings emphasize the need for sustainable strategies that address structural inequalities and stigma while strengthening health systems, and intersectoral cooperation. Comprehensive, culturally tailored education and clear regulatory frameworks are essential to achieving equitable and sustainable SRH services. These insights offer practical guidance for public policy and program design in LAUMICs, particularly for addressing the needs of marginalized adolescent populations. Full article