Latin American Experience Research Articles

MSOR12 Presentation Time: 8:55 AM: Skin Brachytherapy, an Alternative Treatment for Non-Melanoma Skin Cancer: A Case Series from a Low Middle Income Country, Latin American Experience

MSOR12 Presentation Time: 8:55 AM: Skin Brachytherapy, an Alternative Treatment for Non-Melanoma Skin Cancer: A Case Series from a Low Middle Income Country, Latin American Experience

PO0306: Ocular Brachytherapy with I-125 an Increasingly Important Option in Ocular Melanoma: A Case Series from a Low Middle Income Country, Latin American Experience

PO0306: Ocular Brachytherapy with I-125 an Increasingly Important Option in Ocular Melanoma: A Case Series from a Low Middle Income Country, Latin American Experience

A model of endogenous education quality: the role of teachers

Abstract Over the last 40 years, the massive increase in average years of schooling in developing countries was not accompanied by a similar increase in Gross Domestic Product (GDP) per capita. We investigate this apparent disconnect between education and growth by focusing on the role of education quality. We propose an overlapping generations model which features an endogenous tradeoff between quantity and quality of education. A policy that increases average years of schooling then has an ambiguous effect on long-run human capital and GDP per capita. We also consider a quantitative version of the model to understand the Latin American experience between 1970 and 2010.

North-South research collaboration during complex global emergencies: Qualitative knowledge production and sharing during COVID-19

Large multinational teams of academics and activist-practitioners that span the Global North-South divide have become common in qualitative research because of the reliance of field of peace and conflict studies on “local” knowledge and expertise. Complex global emergencies, such as the COVID-19 pandemic, present the opportunity to (re)shape and (re)consider these endeavors in key some ways. This article focuses on the involvement of South-based activist-practitioners in three large North-South collaborations, one pre-pandemic (Beyond Words: Implementing Latin American Truth Commission Recommendations), one ongoing when the pandemic began (Gender, Justice, and Security Hub), and one launched during the pandemic (Truth Commissions and Sexual Violence: African and Latin American Experiences). Drawing on center-periphery framework, we adopt an autoethnographic approach, to reflect on how the pandemic has not only reinforced existing structural and institutional asymmetries through reduced funding, professional uncertainty, and personal loss and insecurity but also added some new ethical concerns. This reality has tested both our capacity and commitment to work toward the decolonization of knowledge in the field. In making this argument, we seek to contribute to the discussion on research ethics and the politics of knowledge production and sharing in qualitative peace and conflict research.

The middle-income trap and the middle-technology trap in Latin America–practice comparison based on East Asian perspective

Most Latin American countries entered the ranks of middle-income levels almost simultaneously with Japan and South Korea. However, while Japan and South Korea embarked on the path of economic development through technological innovation and industrial upgrading, Latin America fell into the middle-income trap. By examining the history of industrial and technological development in Brazil, Argentina, and Mexico, three representative countries in Latin America, this paper finds that the fundamental reasons for Latin America falling into the middle-income trap lie in the tension between the choice of industrialization path and primitive accumulation, as well as the institutional deficiencies in technology and industrial development. Latin America, which has fallen into the middle-income trap, finds it hard to upgrade its technology and is trapped in premature industrialization and the middle-technology trap. It can be said that Latin America has fallen into a double trap, which reinforces each other and forms a solid trap pattern. The warning from the Latin American experience is that late-developing countries need to maintain an open attitude during the process of technological catching up, build a complete technological innovation system, enhance industrial and technological governance capabilities, and seize the window of opportunity for technological and industrial upgrading. Otherwise, there is a significant risk of falling into the middle-income trap and even the double trap.

“¡Eso no nos representa!” Historia, contexto(s) y representación en el Monumento Nacional a la Memoria de las Víctimas del Holocausto Judío de Buenos Aires, Argentina

Objective/Context: In the field of Holocaust studies, the Latin American experience has occupied a liminal space. Even when the global character assumed by its forms of remembrance is widely accepted, little attention has been paid to the national cases of this region. This paper deals with a specific national case through the construction record of the National Monument to the Victims of the Jewish Holocaust, located in the city of Buenos Aires, Argentina. The present research reveals the legal and administrative process that accompanied its gestation, the recognition of the actors that intervened throughout the period, and, finally, the character and debates that the architecture of the pantheon provoked. This cycle, which lasted a little more than two decades, allows us to qualify the meaning of the global character of Holocaust memory by considering how this experience was redefined in a national context. Methodology: For this research, qualitative techniques are used in the analysis of the legislative and patrimonial records, journalistic sources, interviews with involved actors, and a documentary film called “Monument,” which aims to give an account of the history of its construction and the representational matrix of that memorial. Originality: Although there have been, in recent years, some works that addressed the memory of the Holocaust in Argentina, they focused on various cultural media: literature, film, and testimonial narratives. This paper addresses an object whose materiality is different—monumental—and which was conceived as a public policy of commemorative character. The analysis of the construction of this memorial pantheon allows recognition of how the transnational dimensions of Holocaust remembrance intersected with aspects of the Argentine political process of the last twenty years. Conclusions: The analysis of the construction process and the materiality assumed by its architecture demonstrate, first, how the global dimensions of Holocaust remembrance interact with local contexts and, second, the tensions raised between the actors and organizations that promote its memory and the victims of Nazi persecution in Argentina.

Regulatory sandboxes for trustworthy artificial intelligence – global and Latin American experiences

ABSTRACT This paper explores how regulatory sandboxes can be used to promote the development of trustworthy artificial intelligence (AI) systems. The analysis focus on the experiences of Data Protection Authorities (DPAs) who have been experimenting with sandboxes to foster the implementation of privacy by design principles in AI systems. Throughout bibliographic research, this study (i) highlights privacy-related elements on international AI regulatory frameworks; (ii) explores the concept of privacy by design (PbD) and some of its strategies, patterns and techniques, such as Privacy Enhancing Technologies (PETs); (iii) reflects upon the impact of regulatory sandboxes; and (iv) analyses how regulatory sandboxes are being discussed in the context of AI regulatory frameworks. While this study brings global perspective on regulatory sandboxes, it also does relevant analysis in the Latin American context by presenting different stages of development of initiatives in the region. One of the main findings of this paper is that literature currently lacks an analysis of how privacy by design could be used in the context of AI systems design and governance. It also suggests that regulatory sandboxes may be able to integrate PbD principles to foster the development of trustworthy AI, although further research would be needed on that matter.

Neoadjuvant Treatment of Locally Advanced Thyroid Cancer: A Preliminary Latin American Experience.

Background: Surgical resection is not always achievable in thyroid cancer patients. Neoadjuvant therapy is rarely used, but recent trends favor multikinase inhibitors or selective tyrosine kinase inhibitors. These aim to reduce tumor volume, enabling previously unfeasible surgeries. Patients and Methods: Consecutive patients with locally advanced malignant thyroid tumors who received systemic therapies with a neoadjuvant intention were included in this retrospective multicenter case series conducted in five Latin American referral centers. Primary outcomes were pre- versus postneoadjuvant response evaluations using the Response Evaluation Criteria in Solid Tumors, feasibility of surgery, and completeness of resection. Secondary outcomes were mortality and status at the last visit. Results: Twenty-seven patients were included in this analysis. Patients with unresectable differentiated thyroid cancer (DTC) or poorly differentiated thyroid cancer (PDTC) received sorafenib (n = 6) or lenvatinib (n = 12), those with medullary thyroid cancer (MTC) were treated with vandetanib (n = 5) or selpercatinib (n = 1), and those with anaplastic thyroid cancer (ATC) harboring a BRAFV600E mutation (n = 3) received dabrafenib and trametinib. The median patient age was 66 years (range 12-82), and 52% of the patients were female. In patients with PTC and PDTC, the median reduction in the diameter of the primary tumor was 25% (range 0-100%) after a median of 6 months of treatment. Surgical intervention was performed in 10 (55%) of the patients. Among these, six patients (60%) achieved R0/R1 resection status. Six patients with MTC had a median reduction in tumor diameter of 24.5% (range 1-49) after a median treatment time of 9.5 months. Only one patient receiving selpercatinib, with a tumoral reduction of 25% could undergo surgery, resulting in an R2 resection due to extensive mediastinal extension. Three patients with ATC showed a median tumor diameter reduction of 42% (range 6.7-50) after a median treatment time of 2 months. Two patients underwent surgical intervention and achieved R1 and R2 resection, respectively. Conclusions: While neoadjuvant therapy achieved tumoral responses, surgical resection was feasible in 55% of DTC, 33% of ATC, and 16% of MTC patients, with R0/R1 resection in 26% of the cohort, underscoring the need for patient selection and further research in this area.

Tropicalizing platformization? Tensions in research on algorithms and platforms in Latin America

This short article critically examines the growing body of research on algorithms and platforms in Latin America. Drawing on an analysis of articles published in Portuguese or Spanish in journals of the region, we discuss the main analytical approaches that shape Latin American platformization research. We reveal a tension between two dominant analytical orientations. On one hand, there is a tendency to directly apply concepts and theories from the global North to interpret Latin American experiences, a phenomenon we call “tropicalization.” On the other hand, research from the region also produces context-specific knowledge that questions established theoretical frameworks or bridges the study of the local and the global. While both orientations are valuable, we emphasize the importance of developing analytical approaches tailored to address the specific realities of Latin America. These approaches underscore the significance of regionally grounded scholarship in understanding contemporary cultural practices.

Climate and sovereign risk: The Latin American experience with strong ENSO events

Using monthly panel data over the period 2007–2019 for seven Latin American countries, we empirically test the impact of climate shocks, here strong ENSO events (El Niño Southern Oscillations), on sovereign risk. Local Projections are computed to assess the dynamic response of sovereign spreads to ENSO events. Results show that strong El Niño and La Niña shocks lead to a significant increase in sovereign spreads, but with different timing. Strong El Niño shocks are associated with a significant short-term increase in sovereign spreads, while strong La Niña events are associated with a delayed but significant increase in sovereign spreads after a short-term decrease. Thus, our results suggest a potential asymmetry in the effect of these strong ENSO events on sovereign risk. We also highlight high volatility in the dynamics of sovereign spreads, which may reflect an overreaction of investors faced with the high degree of uncertainty generated by the economic and financial consequences associated with strong ENSO events. Complementary time-series estimates suggest that Costa Rica and Peru are especially subject to these effects. Overall, our results provide a warning about the fact that, in the case of Latin American countries, weather shocks associated with strong ENSO events have adverse macroeconomic and financial consequences that can lead to an increase in sovereign risk, hinder their government's ability to act as a ‘climate rescuer’ of last resort, and may be aggravated in the future by climate change.

Improving Waiting Time for Chemotherapy with Ahead-of-Time Drug Preparation.

Waiting time for chemotherapy infusion is a fundamental factor to measure quality of care. It has been shown that a prolonged waiting time is related to a higher incidence of anticipatory nausea and poor patient adherence to scheduled appointments and recommended oncology treatment programs. Some chemotherapy regimens can be prepared hours ahead-of-time, due to long stability. We aimed to study the effect of an informatic-led workflow redesign intervention, facilitating workflow changes in the Oncology Pharmacy, on patient waiting time. This intervention included changes on EHR processes and the chemotherapy CPOE. Their main effect was allowing ahead-of-time preparation of selected chemotherapy regimes. We conducted a cross sectional study, comparing waiting times pre and post intervention periods. A total of 4600 programmed chemotherapy episodes were included. We found a 26.5 % decrease in the mean wait time in the post intervention period (p > 0.02). We were able to show a decrease in waiting time and a measurable impact of the intervention. This evaluation produced valuable and actionable data for Oncology units and adds a valuable, Latin American experience to the literature.

Clinical outcomes of total femoral replacement. First Latin American experience

IntroductionThe femur is frequently affected by primary and metastatic bone tumors. In cases with substantial bone loss, Total Femur Replacement (TFR) remains the only viable limb preservation option. This study investigates the clinical outcomes of TFR patients in a Latin American setting, with a minimum 3-year follow-up. MethodsRetrospective review identifying cases of TFR at a single center from 2009 to 2020. Patients who had TFR either due to oncological indications or complications arising from oncology-related surgeries were included. Data on the indications for surgery and post-operative complications were recorded. To assess functional status, the Musculoskeletal Tumor Society (MSTS) score and the Toronto Extremity Salvage Score (TESS) were used. ResultsFourteen patients met the inclusion criteria. Diagnoses included eight osteosarcomas, four chondrosarcomas, one Ewing sarcoma, and one giant cell tumor. Ten patients had undergone prior surgeries. Indication for TFR was a complication of a previous surgery in 78.6 % of cases. Post-TFR complications were experienced by 35.7 % of patients, requiring further surgeries. At the 3-year mark, average MSTS and TESS scores were 67.4 % and 70.8 %, respectively. ConclusionTotal femur replacement serves as a valuable limb salvage solution for patients with significant femoral defects in oncological scenarios, however, there is a significant risk of complications. Given its potential benefits, it is essential for developing countries to consider incorporating TFR into their healthcare systems.

The role of rules and norms in conditional cash transfer programs – Latin American experience

The most important element of conditional cash transfer (CCT) programs is conditioning the social transfer on some pre-defined requirements concerning healthcare and education. The conditioning (co-responsibility) is justified by the belief that higher accumulation of human capital will allow the beneficiaries to permanently lift out of poverty. The literature on the subject is ample, focused mostly on the cost effectiveness of CCTs and their impact on poverty rates and income inequalities. Usually ignored are the rules and norms – important from the institutional perspective – that affect the behavior of participants as well as non-participants and influence their attitudes towards work, childcare, social responsibility, etc.
 The aim of the paper is twofold. First, to identify rules and norms that matter for the effects and efficiency of CCTs. Second, to define the channels through which they impact the behavior of economic agents. The research hypothesis assumes that conditionality of transfers increases the efficiency of public social spending and can be applied broadly, in many contexts. To verify the hypothesis, an extensive meta-analyses of available studies was performed. The initial conclusions suggest that CCTs could be successfully used in developed countries as well as in poorer regions.

Mexico and Ecuador at the ICJ: A Plea for Taking the Latin American Experience Seriously

Mexico and Ecuador at the ICJ: A Plea for Taking the Latin American Experience Seriously

The role of an emergency basic income: Lessons from the Latin American experience to confront the COVID‐19 pandemic

AbstractThe article provides a brief overview of the social impacts of the COVID‐19 crisis in Latin America and the Caribbean, presenting how these are intertwined with a structural deficit of social protection systems. It also describes the main features of the emergency social protection responses adopted by Latin American countries that are relevant to the ongoing debate on an emergency basic income. Finally, it discusses the role, implications, and challenges in implementing an emergency basic income as a sustainable entitlement, embedded in the social protection system, to be activated in times of crisis.

Percutaneous closure of subclavian iatrogenic injuries after central venous catheterization: a Latin American experience.

Arterial injuries following central venous catheterization (CVC) range between 0.1%-2.7%. The open surgical approach could be related to increased rates of morbidity and mortality. Vascular closure devices (VCD) are often used for the management of these patients with a success rate of up to 80%. Describe our experience in managing arterial vascular injuries following central venous catheterization with Perclose ProGlide (Abbott Vascular IncSanta Clara, CA, USA). A retrospective review of all patients over 18 years old who underwent percutaneous closure of arterial injuries following central venous catheterization in our center between January 2018 and May 2023 was included and reported with a 90-day follow-up. 3 Patients were included, in all cases, access to the CVC were right with a subclavian artery injury. Ultrasound and fluoroscopy guide was used in all cases. For the 3 cases, a percutaneous technique using Perclose ProGlide (Abbott Vascular IncSanta Clara, CA, USA) was performed. With a 100% success rate, and no complications evidenced after 90 days of follow-up. Inadvertent arterial catheterization it's a non-negligible complication after CVC placement. VCD could be considered a safe and feasible approach for the management of these traumatic injuries.

Crimes of the powerful in Latin America and the Caribbean: Toward a research agenda

AbstractThe scholarship on crimes of the powerful encompasses a critical examination of social harms, and crimes perpetrated by privately or publicly operated businesses and corporations, the state, international organizations, elites, as well as the state‐mediated administrative and political responses to these crimes. Going beyond state‐centric definitions of crime and deviance, this scholarship emphasizes studying power and the harmful and criminogenic operations of the neoliberal‐capitalism. However, this scholarship has overlooked the systemic examination of these crimes in the Global South, Latin America and the Caribbean, and their impact on racialized, gendered, and other marginalized communities. This article aims to contribute to this scholarship by providing an overview of the current developments in the scholarship on crimes of the powerful and proposing some future research areas for Latin America and the Caribbean. Thus, the article aims to demonstrate that the Latin American and Caribbean experiences with crimes of the powerful can expand our understanding of the social harms generated by powerful organizations and actors and magnify the analytical and methodological reach of this critical scholarship.

Latin American children in Ontario child welfare: An examination of investigation disparities

Despite literature indicating that children and families of certain racial and ethnic backgrounds are more likely to experience child welfare involvement than white children and families, there is limited research on Latin American children’s child welfare involvement within the Canadian context. This study provides the first investigation of potential differences and disparities in child welfare involvement for Latin American children in Ontario, Canada, by conducting a secondary analysis of data from the Ontario Incidence Study of Reported Child Abuse and Neglect 2018 (OIS-2018). The OIS-2018 collected data on child protection investigations from investigating workers, including characteristics of the investigated child, their caregivers, and their household, as well as characteristics of the investigation and short-term investigative dispositions. Incidence rates and disparity indices were calculated, and descriptive and bivariate analyses compared investigations involving Latin American children to those involving white children across key characteristics. While comprising a relatively small proportion of the investigation population, Latin American children were more than twice as likely to be investigated as white children. Consistent with this investigation disparity, significant differences were also observed in rates of substantiation and placement in out-of-home care. Investigations involving Latin American families more frequently involved concerns about family violence and were more likely to be initiated by police, but they were less likely to involve concerns about child or caregiver risks. These findings underscore a need to focus on Latin American experiences in the child welfare system, their service trajectories, and practice and policy considerations that can adequately respond to this community’s unique needs.

The evolution of the service-learning methodology as a university social responsibility strategy that generates shared value: a Latin American experience

PurposeThe study analyzed how the service-learning (SL) methodology can become a university social responsibility (USR) strategy that generates shared value for the university and its stakeholders.Design/methodology/approachThis qualitative and exploratory–descriptive research had a nonexperimental field and cross-sectional design that used field techniques such as focus groups and in-depth interviews with the participants of the USR program “MIPyME vs COVID-19” in two Latin American countries.FindingsThis study revealed the perceptions of students who participated in the USR program on how a virtual service-learning (vSL) strategy related to the use of technology generates a positive impact on the development of shared learning between students and micro-entrepreneurs from a global and Latin American perspective, as well as for the internationalization of their study plans.Research limitations/implicationsThe field study was conducted in only two Latin American countries; however, the USR program has been implemented in eight universities from eight Latin American countries with very similar social, political and health contexts.Originality/valueIt is one of the first studies on SL used in a strategic and articulated way in universities with a USR approach. It analyzed traditional evaluations of this methodology, incorporating others such as virtuality (produced by the effects of the COVID-19), which led the authors to generate methodological innovations based on new ways of connecting, linking and generating shared learning and value for all.

Limitations and inconsistencies of using the four waves of modern terrorism to understand Latin America

ABSTRACT Rapoport’s theory of waves of terrorism has been considered a milestone when studying terrorist movements worldwide. This theory states that terrorism develops due to temporal, ideological and technological trends, which stimulate or diminish expressions of terrorism. More concretely, Rapoport argues that since the 19th century, global events have generated four waves of terrorism: anarchist, anticolonial, New Left, and religious. Using the Latin American experience of terrorist movements, this article explores inconsistencies and two main limitations in Rapoport’s theory. Firstly, it shows how Latin America’s historical and political particularities led to the weakness or absence of the anarchist and religious waves. Secondly, this article evidences that Rapoport ignored state terrorism and narcoterrorism, both extremely relevant to understanding terrorism in the region. Consequently, this study concludes that, despite it constituting a powerful theory for understanding terrorism from a global perspective, it requires a more nuanced regional approach and attention to more exhaustive expressions of the terrorist phenomenon.