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In this article, the development of a culture-specific lay health advisor LHA program, Protegiendo Nuestra Comunidad , for recently immigrated Mexicans is described.
The collaborative inquiry process was applied as an empowerment philosophy and methodology of Paulo Freire and an ecological framework was used for the development of Protegiendo Nuestra Comunidad. The use of principles of empowerment for curriculum development, teaching methodology, and program delivery are described.
Economic evaluations of health technologies and health interventions are considered in many countries as the fourth barrier for adopting new services or drugs; followed by safety, efficacy and quality.
The validity and reliability of the results will depend on the perspective of the study, timeframe of the analysis, discount rate, the model used and the costs involved. This study aims to assess the cost effectiveness of home care treatment in users with diagnosis of uncomplicated community acquired pneumonia compared with traditional hospitalization at inpatient wards.
The hypothesis is that home based care would be more cost effective compared to traditional hospitalization. The study perspective was from the health provider. Microcosting was used to determine the costs of both treatment modalities in a sample of 20 users treated with each modality during at main Hospitals of Coquimbo Region, Chile. The main outcome of effectiveness was the number of inpatient care days saved. Additionally, number of infections associated to health care IAHC and type of discharge were measured.
The study concludes that there is a better cost effectiveness relationship for the home care modality, with fewer days of treatment, at lower costs and without risk of IAHC. However, further studies are needed in order to achieve accurate results.
Published by Elsevier Inc. All rights reserved. The REACH Su Comunidad Consortium worked with 10 communities to address disparities in access to healthy food and physical activity opportunities among Hispanic populations through policy, systems, and environmental PSE strategies. Community health workers took leadership roles in the implementation of PSE strategies in partnership with local multisector coalitions.
This article describes the role of community health workers in PSE change, the technical and professional development support provided to the REACH Su Comunidad Communities, and highlights professional development needs of community health workers engaging in PSE strategies. Its main effort has been to integrate Bolivia's 3. This article explores how children and youth learned indigenous heritage "saberes" knowings through intent community participation in Nocutzepo, Mexico.
The "familia" family and " comunidad " community -based saberes were valuable for skills acquisition, but most important for learning indigenous forms of…. UMA network could be easily integrated into the existing cellular networks without influencing mobile core network, and could provides high-quality mobile services with preferentially priced indoor voice and data usage. This helps to improve subscriber's experience. This offers the traditional mobile operators an opportunity to integrate WiMax technique into cellular network.
In the end of this article, we also give an analysis of potential influence on the cellular core networks ,which is pulled by UMA network. Development of a seroprevalence map for avian influenza in broiler chickens from Comunidad Valenciana, Spain. The aim of this study was to design and implement a seroprevalence map based on business intelligence for low pathogenicity notifiable avian influenza LPNAI in broilerchickens in Comunidad Valenciana Spain.
The software mapping tool developed for this study consisted of three main phases: data collection, data analysis and data representation. To obtain the serological data, the authors analysed 8, serum samples from broiler farms over three years.
The data were represented on a map of Comunidad Valenciana, including geographical information of flock locations to facilitate disease monitoring. The data from this study showed no evidence of contact with LPNAI in broiler flocks and the novel software mapping tool proved a valuable method for easily monitoring on the serological response to avian influenza information, including geographical information. Due to their contact configurations, the secular period increases are interpreted as a result of mass transfer from the less massive component to the more massive one.
The cyclic period variation of UY UMa may be interpreted in terms of either the magnetic activity or the light time effect. Initial results of the oesophageal and gastric cancer registry from the Comunidad Valenciana. Fourteen of the 24 public hospitals belonging to the Comunidad Valenciana participated. All patients with diagnosis of oesophageal or gastric carcinomas operated from January to December were evaluated.
Demographic, clinical and pathological data were analysed. Four hundred and thirty-four patients oesophageal carcinomas and gastric carcinomas were included. Only two hospitals operated more than 10 patients with oesophageal cancer per year. Transthoracic oesophaguectomy was the most frequent approach A total gastrectomy was performed in On the contrary, lower oesophagus and GOJ carcinomas were treated preferably with chemotherapy alone Any neoadjuvant treatment was administered to Half patients with oesophageal carcinoma or gastric carcinoma received no adjuvant treatment.
This registry revealed that half patients with oesophageal cancer were operated in hospitals with less than 10 cases per year at the Comunidad Valenciana.
Also, it detected capacity improvement for some clinical outcomes of oesophageal and gastric carcinomas. Radioactivity measurements on migrating birds Turdus philomelos captured in the Comunidad Valenciana Spain. The radionuclides Cs, Cs and 90Sr have been measured in edible tissues and bones of migratory birds song-thrushes, Turdus philomelos from central and northern Europe and captured in the Comunidad Valenciana, Spain in the autumn-winter season.
Eight years after the Chernobyl accident, extensive agricultural lands in Europe are still contaminated and this study shows that there was a transfer of radioactive isotopes to the captured migratory song-thrushes. The whole-body dose commitment to humans consuming these birds is estimated.
AstroMadrid: Astrophysics and technological developments in Comunidad de Madrid. AstroMadrid is a network constituted by different research groups in the Comunidad de Madrid area, with the objective of coordinating the activities related to the development of astronomical instrumentation in the various centres.
AstroMadrid is a multidisciplinar team which benefits from the synergies provided by the different participating groups, optimizing our capabilities to develop instrumentation, and minimizing the problems related to the geographical dispersion within our region. AstroMadrid is also participated by several aerospace industries, which complement the capabilities and facilities available in the research centres.
In addition to optimizing the development of instrumentation, AstroMadrid plays an essential role in the formation of new engineers and scientists, by actively contributing to some Master degree courses organized by different Universities in Madrid. Genetic variability in environmental isolates of Legionella pneumophila from Comunidad Valenciana Spain.
Legionella pneumophila is associated to recurrent outbreaks in several Comunidad Valenciana Spain localities, especially in Alcoi, where social and climatic conditions seem to provide an excellent environment for bacterial growth. We have analysed the nucleotide sequences of three loci from 25 environmental isolates from Alcoi and nearby locations sampled over 3 years. The analysis of these isolates has revealed a substantial level of genetic variation, with consistent patterns of variability across loci, and comparable to that found in a large, European-wide sampling of clinical isolates.
Among the tree loci studied, fliC showed the highest level of nucleotide diversity. The analysis of isolates sampled in different years revealed a clear differentiation, with samples from being significantly distinct from those obtained in and Furthermore, although linkage disequilibrium measures indicate a clonal nature for population structure in this sample, the presence of some recombination events cannot be ruled out. Fundamental parameters of BE UMa revised. Shimanskii, V.
We have determined a complete set of parameters for the young pre-cataclysmic variable BE UMa from a comprehensive photometric and spectroscopic analysis using model atmospheres. Our precise photometry and spectroscopy were acquired with the 6-m telescope and Zeiss telescope of the Special Astrophysical Observatory and the 1.
We performed a detailed identification of emission lines of ten elements. We have studied the radial-velocity curves of the cool star using lines of various elements. All the curves exhibit the previously predicted distortions due to reflection effects in the close binary. We analyzed the light curves using model atmospheres for irradiated stars; all the parameters of BE UMa were refined. The abundances of helium and several light elements C, N, O, Ne, Mg in the atmosphere of the cool star are probably higher than the solar values.
We conclude that the physical characteristics of the primary are in good agreement with evolutionary tracks for planetary-nebula nuclei, and that the secondary is overluminous by a factor of 30 compared to main-sequence stars of the same mass. HIV infections are still a very serious concern for public heath worldwide. We have applied molecular evolution methods to study the HIV-1 epidemics in the Comunidad Valenciana CV, Spain from a public health surveillance perspective.
These sequences were subtyped and subjected to phylogenetic analyses in order to detect transmission clusters. In addition, univariate and multinomial comparisons were performed to detect epidemiological differences between HIV-1 subtypes, and risk groups. Subtype B is more likely to form transmission clusters than non-B variants and MSMs to cluster than other risk groups.
Multinomial analyses revealed an association between non-B variants, which are not established in the local population yet, and different foreign groups. An overview of measurements of radionuclides in foods of the Comunidad Valenciana Spain. Environmental radioactivity monitoring includes the determination of radionuclides in foods since they are an important way of intake of radionuclides to the human organism.
Moreover, knowledge of the levels of radionuclides in foodstuffs will inform about the environmental radioactivity background permitting to control possible contamination due to human activity, such as agriculture activity, nuclear power plants or other radioactive facilities. Those measurements are part of several monitoring programs promoted by the Generalitat Valenciana. A total of samples of fruits, cereals, vegetables, milk, meat, eggs and fish coming from markets, agricultural cooperatives or small producers have been analyzed.
A gamma-ray spectrometry analysis has been performed in all samples. It has been detected 40K in all samples, 7Be in some of them. Radiochemical separation of 90Sr has been carried out in some of the samples collected, mainly orange and lettuce. In this paper, a review of the data obtained at the period in the framework of the development of the Environmental monitoring program is presented. Legionella pneumophila infects humans to produce legionellosis and Pontiac fever only from environmental sources.
In order to establish control measures and study the sources of outbreaks it is essential to know extent and distribution of strain variants of this bacterium in the environment. Sporadic and outbreak-related cases of legionellosis have been historically frequent in the Comunidad Valenciana region CV, Spain , with a high prevalence in its Southeastern-most part BV. Environmental investigations for the detection of Legionella pneumophila are performed in this area routinely.
We present a population genetics study of 87 L. Our goal was to compare environmental genetic variation at two different geographic scales, at county and regional levels. Genetic diversity, recombination and population structure were analyzed with Sequence-Based Typing data and three intergenic regions.
The results obtained reveal a low, but detectable, level of genetic differentiation between both datasets, mainly, but not only, attributed to the occurrence of unusual variants of the neuA locus present in the BV populations.
This differentiation is still detectable when the 10 loci considered are analyzed independently, despite the relatively high incidence of the most common genetic variant in this species, sequence type 1 ST However, when the genetic data are considered without their associated geographic information, four major groups could be inferred at the genetic level which did not show any correlation with sampling locations.
The overall results indicate that the population structure of these environmental samples results from the joint action of a global, widespread ST-1 along with genetic differentiation at shorter geographic distances, which in this case are related to.
Los Servicios Sociales Especializados En Espana
Carmen Aleman Bracho Tomas Fernandez Garcia
Carmen Aleman Bracho