Addressing Minority Health Disparities in Richmond: Results from a Health Needs Assessment of a Southside Community

Background: Evidence shows the effectiveness of integrating community health workers (CHWs) into care models serving high-risk patients to reduce emergency department (ED) use, increase primary care use, and address adverse social determinants of health (SDH). The Southwood Resource Center, part of a network of clinics established by Richmond City Health Department, utilizes CHWs to address disparities affecting underserved populations through primary care referrals and additional resource linkages. Local student-volunteers in partnership with CHWs conducted a community needs assessment to identify patient resource gaps, aid in design and implementation of SDH interventions, and examine the relationship between chronic disease management and ED use reductions. Methods: English and Spanish-language surveys were conducted during patient visits to the SRC, in addition to other settings to facilitate representative sampling. A total of 134 responses were received, with Blacks (34%) and Hispanic/Latinos (65%) well represented. Results: Significant social determinants identified by the needs assessment included housing stability, and transportation and food access. Respondents indicated need for support managing chronic conditions including heart disease, diabetes, mental health and asthma. 1 in 3 respondents (31%) reported using the ED for primary care, and nearly 2 in 3 (66%) reported not having a family doctor. Barriers to health care included cost (35.6%), insurance status (50.4%) and transportation access (29.6%). Conclusions: CHWs play an important role in identifying community strengths and resource gaps and linking patients to additional resources. Opportunities for service improvements include bilingual care coordination, chronic care management, health insurance navigation, food subsistence resources, and transportation support.https://scholarscompass.vcu.edu/gradposters/1104/thumbnail.jp

La investigación en las ciencias sociales

La primera parte del artículo presenta la forma como el ITESO, a través del Departamento de Ciencias Sociales, realiza investigación-intervención en el ámbito de lo social. La segunda parte muestra la trayectoria del Departamento de Ciencias Sociales desde su fundación, con las orientaciones de investigación e intervención, teóricas y metodológicas, por las que ha optado. Se incluye obra del pintor Javier Campos Cabello reproducida en blanco y negro.ITESO, A.C

Photovoltaic Energy to Face an Earthquake

The application of photovoltaic technology is necessary to reduce the harmful effects of an intense earthquake in the city of Portoviejo. It is based on the information obtained about the occurrence of the earthquake on April 16 and considering data from other events of the same nature occurred in the territory, an assessment of the seismic risk for the city and by characterization of one of the zones is made subject to danger, the introduction of photovoltaic luminaires is proposed in order to provide certain strengths that can facilitate the work of the first urgency in the rescue and urgent repair of breakdowns, as well as the evacuation of the population to safer areas especially at night. An analysis is made of the technological structure of photovoltaic luminaires and the prices they have in the market, both internally and Internationally

Staphylococcus sp, tratamiento antimicrobiano y resistencia en pioderma bacteriana superficial canina

En la Provincia de Buenos Aires, Argentina, existen pocos estudios sobre la frecuencia del tratamiento antimicrobiano en pioderma canina y el nivel de resistencia antimicrobiana de Staphylococcus sp. Los principales objetivos de este estudio fueron analizar la resistencia antimicrobiana de Staphylococcus sp, la frecuencia del tratamiento antimicrobiano y sus recidivas en caninos con pioderma. Se analizaron 39 caninos con diagnóstico clínico de pioderma, procedentes de clínicas veterinarias privadas del área de Buenos Aires. Se recogieron, en el momento de la pioderma activa, hisopados de lesiones cutáneas para cultivo bacteriano y análisis por espectrometría de masas. Además, se registró raza, sexo, clasificación clínica de la pioderma, tratamiento antimicrobiano y recaídas de la enfermedad. El 76% de los animales estudiados recibieron cefalexina por vía oral después del examen clínico, y dentro de este porcentaje, el 31,6% también recibió otros tipos de agentes antimicrobianos debido a recaídas. El 24% restante recibió como tratamiento antimicrobiano lincomicina, minociclina y/o doxiciclina. En el 60% de los animales estudiados, la pioderma diagnosticada tenía una causa alérgica, que a su vez coincidió con las recaídas y fue similar al porcentaje de resistencia a la meticilina (51%) de los diferentes aislamientos de Staphylococcus sp. El 80% de las resistencias a meticilina observadas se trataron previamente con cefalexina. Inesperadamente, el mayor porcentaje de resistencia observada fue a eritromicina, clindamicina (demostrando fenotipo constitutivo MLSB) y sulfatrimetoprim

The Future of Micro-grids in Ecuador

An analysis is made on the development of power lines worldwide and that offer the approaches of the impacts that are generated in the economic and environmental, which justify the application of smart grids in Ecuador, as an effective way to raise the efficiency of the electric power service and to achieve a more efficient use of the energy that is generated by showing the different technologies used in electricity generation where renewable energy sources are incorporated. A comparative analysis of how the installed generation power has been increasing until 2016 is shown

Lo humano en riesgo: la educación frente a la globalización

Los especialistas ponen al descubierto los principales desafíos político-educativos, teóricos y prácticos del discurso sobre la educación y plantean la necesidad de que esta se abra para dar acceso a la integración de la persona y a la orientación de una sociedad configurada por valores humanos fundamentales, esto es, la búsqueda de una educación en verdad humana en la era de la globalización.ITESO, A.C

Microgrids Views From a Geographic Information System

Currently, Ecuador advocates a change in the energy matrix, academic centers should develop a strategy that allows them to short and medium-term training specialists give technical responses to this proposal it must create the conditions in college so that future generations be able to link the processes of investment in energy with the territorial space. The Technical University of Manabí (UTM) has proposed a research project funded by the National Secretary of Planning and Development of Ecuador (Senplades), aimed at boosting sustainable energy solutions that are based on the technical philosophy of microgrids with the use of renewable energy sources (RES). In this paper the spatial information related to solar energy potential of the province of Manabí, Ecuador\u27s, managed by a geographic information system (GIS) as an integration tool that provides information on objectives that interact with microgrids shown, also the importance of its use as a management tool projects related to the use of RES and instrumentation aimed at ensuring innovative solutions to support the change of energy matrix from a territorial perspective is exposed

Filogeografía de la pescadilla de red Cynoscion guatucupa (Perciformes: Sciaenidae) del Atlántico suroccidental

The genetic structure of populations/species was established during the Quaternary glaciations. Over the last 250 ka (Pleistocene), the South American marine biogeographic history recorded three main glaciations: the most extensive one between 140 and 180 ka, a minor one between 60 and 70 ka, and the last glaciation approximately between 15 and 35 ka. With the aim of assessing the pattern of molecular diversity and historical demography of weakfish (Cynoscion guatucupa), a 365 bp sequence of the mitochondrial control region was amplified at four coastal sites located in the southwestern Atlantic. Haplotype diversity was high, whereas nucleotide diversity was low and similar at each sample site. AMOVA failed to detect population structure. This lack of differentiation was subsequently observed in the distribution of samples sites in the haplotype network. Fu’s Fs was negative and highly significant while the mismatch analysis yielded a unimodal distribution, indicating a global population expansion. The Bayesian skyline plot revealed a coalescence time of weakfish population at approximately 210 ka, and a very rapid expansion from 180-190 ka, probably caused by a habitat expansion, as these two events coincide in time.La estructura genética de las poblaciones/especies se ha establecido principalmente durante las glaciaciones del Cuaternario. La historia biogeográfica marina en Sudamérica en los últimos 250 ka registra durante el Pleistoceno tres glaciaciones importantes: la más extensa entre 140-180 ka, una menor entre 60-70 ka y la última glaciación aproximadamente entre 15-35 ka. Para evaluar el patrón de diversidad molecular y de demografía histórica en la pescadilla de red (Cynoscion guatucupa) se analizó una secuencia de 365 pb de la región control del ADN mitocondrial en cuatro zonas costeras del Atlántico suroccidental. La diversidad haplotípica fue alta mientras que la diversidad nucleotídica fue baja y ambos índices fueron similares en cada sitio de muestreo. El análisis de varianza molecular (AMOVA) no detectó estructura poblacional. Esta falta de diferenciación posteriormente se pudo observar en la distribución de los sitios de muestreo en la red de haplotipos. El test de Fu fue negativo y altamente significativo y el análisis de falta de coincidencia produjo una distribución unimodal indicando expansión poblacional. El skyline plot indicó un tiempo a la coalescencia de 210 ka y una expansión poblacional que comenzó hace 180-190 ka que probablemente se produjo por la expansión del hábitat ya que ambos eventos coinciden en el tiempo

Short-term effects of side-alternating Whole-Body Vibration on cognitive function of young adults

Recent research in rodents and humans revealed that Whole-Body Vibration (WBV) is beneficial for cognitive functions. However, the optimal WBV conditions are not established: contrary to vertical WBV, side-alternating WBV was not investigated before. The present study investigated the short-term effects of side-alternating WBV in standing and sitting posture on specific cognitive function of young adults. We used a balanced cross-over design. Sixty healthy young adults (mean age 21.7 ± 2.0 years, 72% female) participated. They were exposed to three bouts of two-minute side-alternating WBV (frequency 27 Hz) and three control conditions in two different sessions. In one session a sitting posture was used and in the other session a standing (semi-squat) posture. After each condition selective attention and inhibition was measured with the incongruent condition of the Stroop Color-Word Interference Test. WBV significantly (p = 0.026) improved selective attention and inhibition in the sitting posture, but not in the standing posture. The sitting posture was perceived as more comfortable, joyous and less exhaustive as compared to the standing posture. This study demonstrated that side-alternating WBV in sitting posture improves selective attention and inhibition in healthy young adults. This indicates that posture moderates the cognitive effect of WBV, although the effects are still small. Future studies should focus on the working mechanisms and further optimization of settings, especially in individuals who are unable to perform active exercise