22 research outputs found
Family Preservation: The Parents’ Perceptions
This research documents the perspective of 100 parents who had an open case with the Department of Children and Family Service’s (DCFS) regarding their family’s well-being, reasons for referral and satisfaction with services. Two DCFS services, Family Preservation (FP) and routine Family Maintenance (FM) were examined using standardized instruments. Parents’ responses regarding reasons for involvement with the system differed from DCFS administrative data. FP parents had more children, were more likely to be monolingual Spanish speakers, and perceived greater improvement in discipline and emotional care of children and housing than FM parents. FP parents reported being satisfied with services. Implications include supporting community based culturally competent FP programs
Estimación del beneficio económico de ampliar la cobertura de serotipos neumocócicos en el programa nacional de inmunizaciones
La enfermedad causada por el Streptococcus pneumoniae en niños, es responsable de más de 800,000 muertes en el mundo cada año, una fracción importante puede reducirse con la administración de vacuna conjugada neumocócica, existen 2 vacunas indicadas en población menor de 5 años de edad: la vacuna conjugada neumococica 10 valente (10 serotipos) y vacuna conjugada neumocócica 13 valente (13 serotipos), que se diferencian por el número de antÃgenos incluidos en ellas y la proteÃna transportadora. Por ello se determina la intervención más costo beneficio para el Perú en relación a su impacto económico en el costo de las neumonÃas neumocócicas en población menor de 5 años de edad en el Perú, se utilizó el indicador costo de cada AVP evitado en relación al PBI per cápita. Comparativamente se encontró que PCV 13 es una intervención más costosa que PCV10; sin embargo, evita mayor número de casos de neumonÃa y menor costo de cada AVP evitado en relación al PBI per cápita. Realiza un estudio fármaco económico que estima el beneficio de dos vacunas neumocócicas conjugadas: 10valente y 13valente en su impacto sobre las neumonÃas en la población menor de 5 años de edad para el Perú 2015. Encuentra que el costo de la implementación de la propuesta de la vacuna conjugada neumocócica a PCV 13, incrementa en 9.6% el costo en comparación a usar PCV 10. Sin embargo, se obtiene mayor número de neumonÃas evitadas (3025 con PCV13 en comparación con 1782 con PCV 10), mayor número de muertes prematura evitadas (442 con PCV 13 en comparación con 260 con PCV 10) y por otro lado el costo de cada AVP evitado es 55% más bajo con PCV 13, adicionalmente la relación costo de cada AVP evitado en relación con el PBI per cápita es 54.8% más bajo. Concluye que para el Perú, la estrategia de vacunación con PCV 13 es más costo efectivo que la estrategia de vacunación con PCV 10, para evitar neumonÃas y AVP por neumonÃas en población menor de 5 años, para el año 2015.Tesi
U.S. Immigration Policy and Immigrant Children\u27s Well-being: The Impact of Policy Shifts
America is built upon a history of immigration; yet current immigration policy and anti-immigrant sentiment negatively affect the vulnerable population of immigrant families and children. Immigrant children face many problems, including economic insecurity, barriers to education, poor health outcomes, the arrest and deportation of family members, discrimination, and trauma and harm to their communities. These areas of immigrant children\u27s economic and material well-being are examined in light of restrictive and punitive immigration policies at the federal and local level. Implications for social policy reform, such as decriminalization, are discussed
Sindrome de GITELMAN: primer caso reportado en el Perú: GITELMAN syndrome first case report in Peru
ABSTRACT Introduction: Gitelman's syndrome is an infrequent tubulopathy, transmitted by autosomal recessive inheritance due to mutations of the SLC12A3 gene, which is responsible for encoding the cotransporter Na Cl synthesis of the distal convoluted tubule. This tubulopathy is characterized by hypokalemia, hypomagnesemia, hypocalciuria and metabolic alkalosis. Signs and symptoms are avid for salty foods, normal or low blood pressure, physical exercise intolerance, growth retardation, and short stature. Case Description: An 11-year-old male patient who presented weakness of upper and lower limbs on admission associated with muscle weakness. The physical examination of income is normal. Initial laboratory tests showed serum potassium of 2.8 mEq / L sodium of 132 mEq / L, chlorine of 84.26 mEq / L, magnesium of 1.4 mEq / L, calcium of 11.3 mEq / L. Venous gasometry at pH 7.42, pCO2, 34.1mmHg; PO2 36.8mm; Bicarbonate 31mmol / L. Conclusion: It is important to consider Gitelman's syndrome, since it is possible to suspect if a patient presents with tiredness, muscle weakness or saltiness, supporting a diagnosis of serum electrolytes. Treatment should be started with oral magnesium supplements and periodic monitoring. Key words: Gitelman's syndrome; Hypokalemia; Metabolic alkalosis; Hypomagnesaemia. (source: MeSH NLM)
DOI:
10.25176/RFMH.v18.n3.1597RESUMEN Introducción: El sÃndrome de Gitelman es una tubulopatÃa infrecuente, transmitida por herencia autosómica recesiva a causa de mutaciones del gen SLC12A3, que es el encargado de codificar la sÃntesis del cotransportador Na Cl del túbulo contorneado distal. Este tubulopatia está caracterizada por hipokalemia, hipomagnesemia, hipocalciuria y alcalosis metabolica. Entre los signos y sÃntomas tenemos avidez por comidas saladas, presión arterial normal o baja, intolerancia al ejercicio fÃsico, retraso de crecimiento y talla baja. Descripción del caso: Paciente varón de 11 años de edad que al ingreso presenta debilidad de miembros superiores e inferiores asociado a debilidad muscular. Al exámen fÃsico de ingreso se encuentra normal. Los exámenes de laboratorio de inicio mostraron potasio sérico de 2.8 mEq/L sodio de 132 mEq/L, cloro de 84.26 mEq/L, magnesio de 1.4 mEq/L, calcio de 11.3 mEq/L. GasometrÃa venosa de pH 7.42, pCO2, 34,1mmHg; pO2 36.8mm; bicarbonato 31mmol/L. Conclusión: Es importante tener en cuenta al sÃndrome de Gitelman ya que se puede sospechar si un paciente presenta cansancio, debilidad muscular o avidez por la sal, apoyando al diagnóstico un examen de electrolitos séricos. Se debe iniciar el tratamiento con suplementos orales de magnesio y hacer seguimiento periódico. Palabras clave: SÃndrome de Gitelman; Hipokalemia; Alcalosis metabólica; Hipomagnesemia. (fuente: DeCS BIREME)
DOI:
10.25176/RFMH.v18.n3.159
Contraceptive Use among Women who Inject Drugs:Motivators Barriers and Unmet Needs
We explored contraceptive use among 45 women who inject drugs in coastal Kenya. Overall, 29% were using contraceptives, motivated by a fear of unplanned pregnancy, a desire to shield children from the difficulties of drug use, the need to prevent HIV and other sexually transmitted infections, encouragement from health providers and outreach workers, or because they had achieved the desired number of children. However, 69% were not using contraceptives. Barriers to use included current pregnancy intentions, perceived infertility due to drug-induced amenorrhea, side effects, intimate partners’ influence, lack of information, complex health care appointments, and transportation costs. Rights-based integration of sexual and reproductive health into harm reduction services for women who inject drugs is required to minimize unmet contraception needs
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Ethnic-Racial Socialization among Latinx Families: A Systematic Review of the Literature
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Legal Vulnerability and Campus Environment: Assessing Factors that Affect the Academic Engagement of Undocumented College Students
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Disrupted Education?: A Latent Profile Analysis of Immigration-Related Distractions and Academic Engagement among Undocumented College Students
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