Proyectos

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]Substantial data support early interventions for people experiencing FEP to ameliorate symptoms and minimize disability. FEP programs have been widely and successfully implemented in high-income countries (HIC). With the partial exception of Chile, however, there is not a single low-and-middle income country (LMIC) that offers universal access to FEP services. Chile is unique among LMICs in having created a platform for the implementation of FEP services, including 1) a FEP policy that mandates identification of FEP individuals at primary care and delivery of community-based FEP treatments at outpatient clinics, and 2) a public health care system within which this mandate can be fulfilled. Nonetheless, our team has documented that FEP services provided at outpatient clinics do not conform to recently established evidence-based approaches. Therefore, the overarching goal of this project is to address the shortfall in evidence-based practices for FEP in Chile by first adapting OnTrackChile (OTCH) from OnTrackNY (OTNY), a coordinated specialty care program for FEP currently being implemented across New York State and the US, and then implementing OTCH on a wide scale. Like most FEP programs, OTNY is clinically effective, but unlike most others, it also has a wellestablished training and technical assistance infrastructure and a proven track record of being scaled up in large urban areas. To achieve our main goal, we will use the Dynamic Adaptation Process model to first inform the adaptation and implementation of OTCH in the Chilean context. We will then use a Hybrid Trial Type 1 design to evaluate the implementation of OTCH, as well as its effectiveness and cost, in a cluster randomized controlled trial (RCT) (N = 300 from 21 outpatient clinics). The cluster-RCT will include the following: blinded interviews with participants (baseline, 12, 24 months); detailed information about service use (every 3 months, needed for cost estimates); assessments of mental health providers (6,12, and 24 months, needed for service and implementation outcomes); and ongoing mixed methods evaluation of the implementation process.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]Objetivo de la investigación: Evaluar el efecto de un extracto hidroalcohólico de Lampaya sobre la alteración en la vía de señalización de la insulina inducida por ácido palmítico adipocitos 3T3-L1.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]During the last decades, employment conditions has changed in an important way. Although these changes have included more flexible employment relations, it has also included higher levels of job insecurity and lack of social security. This situation has affected all groups of workers, including those in stable jobs(2) and people working in the health sector. Those changes in the labour market have particularly affected young professionals, in this sense, the current rate of youth unemployment is one of the highest reported in recent year, or the conditions in which they work are poor or informal, often working in jobs below their professional training, generating a major concern for the professional future. This situation could generate also additional stress at this stage of life, as well as frustration and demotivation. Little information is available about working conditions and labour insertion process in young health professionals and the association with health conditions. For this, Maria Teresa Solis Soto (Alumna, Bolivia) in coordination with Leonardo Briceño (Universidad del Rosario, Colombia), and Ricardo Oyarzun (Universidad Austral de Chile) carried out a study (baseline) to evaluate the relationship between work experiences, expectations and individual characteristics with physical and mental health in newly graduated young professionals. This study, also has the support of Universidade Federal do Paraná-Brazil, Universidad San Francisco Xavier de Chuquisaca- Bolivia, CIH Alumni Network, and Master in International Occupational Safety and Health. In the universities included, all students in the last year were invited to participate. For baseline study, we collected information about socioeconomic information and, lifestyle, Job expectations, History of previous working conditions, psychosocial factors (pre-employment), academic Information, health conditions. The study ask for ethical approval in each country. International ethical research guidelines were considered at all research steps. A written informed consent form as well as a letter explaining the importance of the study were to the questionnaire. Confidentiality and voluntary participation was respected.\ Preliminary results were disseminated to inform the local universities. This information will be useful for universities and labour organizations in order to implement strategies that fit with the current and future labour market conditions taking care of the human resource for health.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]Nature of the volcanism and structures of the outer-rise (Chile Central - Juan Fernández) JFROR[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""][/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]El proyecto tuvo como objetivos la formación continua de profesorado de cinco comunas de la región de O'Higgins en interculturalidad y uso del cine como herramienta de innovación didáctica en el aula de escuelas municipales. Los beneficiarios directos de Cineduka fueron 11 docentes de Artes Visuales y de Historia y Geografía y aproximadamente 700 estudiantes de 7º año básico de las escuelas participantes.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]Adverse intrauterine conditions, such as fetal growth restriction (FGR), increase the risk to develop cardiometabolic diseases in the adulthood. This concept has been called ‘Developmental Origins of Health and Disease’ (DOHaD) and relies on the activation of mechanisms sensing and signaling a diversity of stimuli during early development that later leads to higher risk of disease. The mechanisms that have been broadly suggested to be involved in these processes are epigenetic modifications in key gene promoters that could ‘record’ normal and abnormal perinatal stimuli. Intrauterine oxidative stress and chronic hypoxia are common features in FGR. Several cellular processes require the participation of pro-oxidant molecules which are normally neutralized by antioxidant defenses. However, under determined conditions, such as chronic hypoxia, the pro-oxidants overcome these defenses inducing oxidative stress. The latter is an important stimulus that regulates vascular function and cardiovascular physiology, playing a key role in the development of cardiovascular diseases, regulating negatively the bioavailability of the main vasodilator nitric oxide (NO). In addition, the vascular system presents a high phenotypic plasticity during life, which is modulated and restricted by epigenetic mechanisms (including DNA methylation, histone post-translational modifications, and micro RNAs). The higher cardiovascular risk in adults born with FGR can be traced back to a reduced arterial compliance in pre-pubertal subjects and a decreased peripheral endothelial-dependent vascular relaxation at birth. This endothelial dysfunction (ED) is also observed in FGR placental vessels, suggesting an early onset of ED that could be evidenced in systemic and placental arteries. Our studies in human placentae have demonstrated that ED in FGR can be modulated by oxidative stress and is associated with changes in proteome profile as well as an epigenetic-mediated regulation of eNOS expression. Similarly, in guinea pigs, we have found that ED in FGR is also occurring in the fetal arteries and is prevented by maternal treatment with antioxidants. Analysis of eNOS expression and Nos3 promoter DNA methylation profile in endothelial cells from the aorta and umbilical arteries of FGR guinea pigs shows common molecular markers of ED in FGR systemic and umbilical vessels which are reverted by a maternal antioxidant treatment. Altogether, these data support the role of oxidative stress in the epigenetic programming of ED in FGR and the potential predictive value of studying human umbilical arteries endothelial cells (HUAEC). However, there are no studies addressing the time course and origins of the ED in FGR and the participation of additional epigenetic mechanisms, such as miRNAs, in this process. Here, we put forward two inter-related hypotheses. First, that arterial endothelium from babies with FGR show a genomic DNA methylation signature along with an altered expression of miRNAs miR-21, miR-126 & miR-155, which contributes to changes in the expression of enzymes related to NO synthesis, endothelial dysfunction, and vascular remodeling. Second, that FGR has, during gestation, dynamic changes in the expression of miRNAs miR-21, miR-126 & miR-155 as an early response to hypoxia and oxidative stress in the fetus leading, in the long term, to endothelial dysfunction and vascular remodeling. These hypothesis will be tested in primary cultures of HUAEC from FGR neonates and validated using guinea pig and chick embryo models of FGR according to the following general aims (GA): GA-1 To demonstrate, in human umbilical artery endothelial cells, whether FGR is associated with an altered epigenetic regulation (i.e. increased levels of miR-21, miR-126 & miR-155 and a differential genomic DNA methylation) of NO-related enzymes (i.e. eNOS, DDAH1, Nrf2, Arg2, and HO-1), which modifies the response to hypoxia and impairs angiogenic capacity.GA-2 To demonstrate, in FGR guinea pigs, whether circulating levels of miR-21, miR-126 & miR-155 are dynamically regulated during the development of fetal vascular dysfunction and if the prevention of oxidative stress by an antioxidant administration to mothers, contributes to this regulation. GA-3 To demonstrate, in FGR chicken embryos, whether the silencing of miR-21, miR-126 and miR-155 expression modifies the endothelial and vascular dysfunction induced by chronic hypoxia and oxidative stress. Our expected outcome is to demonstrate that miRNAs miR-21, miR-126 & miR-155 participates in the early defense to hypoxia and oxidative stress in the FGR, but leading at long-term to ED. Further, we propose that regulation of these miRNAs during gestation could prevent these effects. This project is not only relevant to uncover the developmental mechanisms that determine short- and long-term vascular dysfunction, but also to open potential approaches for treatments in complicated pregnancies in humans. Combined, our program of work offers insights into mechanisms underlying the association between intrauterine hypoxia, oxidative stress and the increased risk of developing cardiovascular disease in later life, and possible interventions considering administration of therapeutic agents at critical stages of intrauterine development.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]La construcción de un modelo predictivo, que podría dar origen a una herramienta de screening para ayudar al profesor a identificar un problema de salud mental en el aula y solicitar ayuda a los equipos de apoyo psico-pedagógico dentro del establecimiento. De igual forma, este proyecto podría dar origen a una cohorte de estudiantes que permita profundizar en el estudio de la relación salud mental – resultados académicos, con productos científicos (conocimiento) y tecnológicos de innovación, que apoyen el trabajo de los docentes y sus establecimientos.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]La enfermedad de Chagas es una de las enfermedades parasitarias más importante en Latinoamérica, afectando a aproximadamente 6 millones de personas. Esta enfermedad es causada por el protozoo hemoflagelado Trypanosoma cruzi, el cual presenta un ciclo de vida indirecto que incluye insectos hematófagos y mamíferos. Dadas las características de abundancia y asociación al peridomicilio del vector silvestre Mepraia spinolai, su la amplia distribución en Chile y las variadas especies de mamíferos que pueden ser identificados como fuente de infección para este vector, cobra importancia realizar estudios que relacionen a esta especie con sus potenciales hospederos. Del punto de vista epidemiológico, esto es importante para evitar indirectamente la transmisión de T. cruzi al hombre, al disminuir la propagación de este vector. Objetivos Puesto que se eliminó al vector Triatoma infestans de los domicilios en Chile, los estudios en los vectores silvestres cobran cada día más importancia, sobre todo en áreas donde se establece el contacto con el hombre. El objetivo principal de esta investigación es evaluar la interacción entre el tipo de hospedero y la infección por T. cruzi en M. spinolai, determinando su repercusión en la eficacia biológica de este vector endémico. Metodología La evaluación de la eficacia biológica del vector se realizará a través de la determinación de la sobrevivencia poblacional de M. spinolai, de su tiempo de desarrollo hasta estado adulto y de su fecundidad. Esto será comparado según su dieta específica (conejo, rata, cabra o gallina) y su estatus de infección por T. cruzi. Cada grupo será alimentado con un determinado hospedero (sin infección) a lo largo de toda su vida, desde el estadio II hasta adulto. Los triatominos infectados serán capturados en terreno, y su infección por T. cruzi será determinada en deyecciones mediante PCR en tiempo real. Los triatominos no infectados serán obtenidos de una colonia de laboratorio generada a partir de insectos no infectados, libres de infección. Resultados Esperados Como resultado general, se podrá evaluar la eficacia biológica de esta especie al alimentarse con animales disponibles en el peridomicilio, y se podrá discriminar si las diferencias según hospedero varían en el caso de que los vectores estén infectados. Se espera una mayor eficacia biológica por parte del grupo de M. spinolai libres de infección respecto al grupo de aquellos infectados por T. cruzi. Por otra parte, se espera que el tipo de hospedero del que se alimentan los insectos triatominos también genere diferencias en la eficacia biológica del vector, principalmente determinadas por las características sanguíneas de cada especie de vertebrado. El conocer qué especie favorece el crecimiento de las poblaciones de M. spinolai, permitirá aconsejar sobre medidas de manejo de animales a los pobladores de las regiones endémicas – principalmente rurales - que apunten a reducir el riesgo de proliferación de esta especie en la cercanía de sus hogares.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]

[vc_section el_class="container mx-auto align-items-center circle--pattern" css=".vc_custom_1648956589196{padding-top: 3rem !important;}"][vc_row el_class="pb-5"][vc_column][vc_wp_custommenu nav_menu="6"][uoh_breadcrumb_component automatic_breadcrumb="true"][uoh_title_component title_dropdown="big" title_decorator="true"]{{title}}[/uoh_title_component][vc_column_text css=""]La construcción de un modelo predictivo, que podría dar origen a una herramienta de screening para ayudar al profesor a identificar un problema de salud mental en el aula y solicitar ayuda a los equipos de apoyo psico-pedagógico dentro del establecimiento. De igual forma, este proyecto podría dar origen a una cohorte de estudiantes que permita profundizar en el estudio de la relación salud mental – resultados académicos, con productos científicos (conocimiento) y tecnológicos de innovación, que apoyen el trabajo de los docentes y sus establecimientos.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649209804184{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5"][vc_row el_class="container mx-auto align-items-center p-md-0 pt-5"][vc_column el_class="p-0"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1649210787516{background-color: #f6faff !important;}" el_class="p-md-0 pt-md-5 pb-md-5"][vc_row el_class="container mx-auto align-items-center"][vc_column][/vc_column][/vc_row][/vc_section]