Complementary and alternative medicine (CAM) use by african american (AA) and caucasian american (CA) older adults in a rural setting: a descriptive, comparative study

BACKGROUND: The use of CAM is at an all time high. There is very little research that compares the use of CAM in elders by ethnicity in rural settings. The purpose of the study was to determine if there was a difference between African American and Caucasian American rural elders on use of CAM and self-reported satisfaction with CAM. METHODS: The design was a descriptive, comparative study of 183 elders who reported the number of CAM used and satisfaction with CAM. A convenience sample was recruited through community service organizations in the state of Mississippi. The availability of elders through the support groups, sampling bias, subject effect, and self-report were limitations of the study. RESULTS: The commonest examples of CAM used by rural elders were prayer, vitamins, exercise, meditation, herbs, chiropractic medicine, glucosamine, and music therapy. Significant findings on SES and marital status were calculated. Differences on ethnicity and demographic variables were significant for age, education, and the use of glucosamine. CONCLUSIONS: Health care providers must be aware that elders are using CAM and are satisfied with their use. Identifying different uses of CAM by ethnicity is important for health care practitioners, impacting how health care is provided

Efectos de la aplicación del módulo ocupacional de dibujo en autocad en el desarrollo de las competencias laborales de los estudiantes de 4to grado de educación secundaria en la Institución Educativa Técnica No. 6086 "Santa Isabel" Chorrillos, 2014

El presente trabajo de investigación, tiene como objetivo, determinar los efectos de la aplicación del Módulo de Dibujo en Autocad en el desarrollo de las competencias laborales, de los estudiantes de 4to grado de educación secundaria de la I.E.T. Nº 6086,”Santa Isabel” Chorrillos, 2014. Es una investigación aplicada, de diseño, cuasi experimental, Para los datos Se ha utilizado en el recojo de los siguientes instrumentos, encuesta y lista de cotejo para los estudiantes. Para desarrollar el estudio se trabajó con una población de 60 alumnos del cuarto año de educación secundaria la muestra fue la misma para ello se seleccionó a dos secciones cuarto grado A y cuarto grado B, los cuales consta de de un total de 60 estudiantes correspondiendo a 30 alumnos en cada sección las mismas que se denominaron grupo control y experimental, para la recolección de datos se utilizaran un instrumento validado por juicio de expertos y determinado su confiabilidad mediante el coeficiente de Alpha de Cronbach Las conclusiones indican que Existe diferencia significativa de competencia laboral entre los estudiantes del 4to grado de educación secundaria del grupo experimental y control, como efecto de la aplicación del módulo ocupacional de dibujo en Autocad en la institución educativa técnica Nº 6086 “Santa Isabel Chorrillos, 2014

Ganadería Sustentable. Perspectivas regionales de ganadería sustentable para una visión nacional

El documento que aquí se presenta es un resumen de los temas, experiencias y recomendaciones que, desde diferentes perspectivas, intereses y saberes, aportaron los participantes en el 3er Foro de Ganadería Sustentable. Estamos seguros que el lector encontrará en este “gran menú de ideas” algunas que cubran sus intereses particulares; pero será en el seguimiento de los acuerdos y en la puesta en marcha de las propuestas de colaboración y mejora, que la práctica de la ganadería sustentable podrá consolidarse.GI

Impacto de un plan de mejora en la calidad de la atención y la satisfacción del usuario, en una IPS de primer nivel en la ciudad de Ibagué entre los años 2017 y 2018

El presente portafolio busca garantizar el desarrollo adecuado de todos los integrantes de una institución prestadora de servicios de salud de primer nivel de la ciudad de Ibagué, con el principal objetivo de brindar al paciente una atención humanizada, con un servicio productivo y efectivo con altos estándares de calidad. La característica principal es identificar el personal idóneo, para desempeñar el cargo que tiene dentro de la organización, así como desarrollar el trabajo en equipo para el logro de los objetivos y el desarrollo de un excelente clima laboral. Es importante, tener en cuenta que aspectos como la oportuna selección, capacitación, actualización y seguimiento de las actividades que desarrolla el personal, son las principales oportunidades de una mejora continua dentro de la organización; razón por la cual serán los principales puntos para fortalecer en este proceso.EspecializaciónEspecialista En Gerencia De La Salu

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia en el departamento del Caquetá Municipio de Florencia, Puerto Rico, Departamento del Huila Municipio de Gigante y Magdalena.

El desplazamiento forzado es uno de los muchos fenómenos que deja el flagelo de la violencia, que se constituye en la violación de los derechos humanos y de lesa humanidad, afectando principalmente comunidades campesinas, indígenas, afrodescendientes y mujeres. En el presente documento se analiza el relato de Gloria, tomado de Relatos de Vida, del cual se hace la respectiva reflexión, así como formulación de preguntas (estratégicas, circulares y reflexivas) que se podrían realizar a la víctima. El caso de Gloria tiene que ver con el desplazamiento forzado y con la discriminación por ser una víctima más del conflicto armado que se vive en el interior del país. Estas preguntas están orientadas hacia un acercamiento psicosocial ético y proactivo en la superación de las condiciones de victimización. De igual forma; se presenta acciones de apoyo a las personas afectadas según caso Pandurí y estrategias psicosociales para el abordaje psicosocial. Estos aportes son realizados a través de la reflexión y análisis de cada uno de los integrantes del grupo de trabajo colaborativo. El presente documento es un trabajo colaborativo en el cual la opinión y aportes de cada integrante del equipo de trabajo colaborativo son tenidos en cuenta para la consolidación del producto final. Asimismo; foto voz es una estrategia que permite mostrar la realidad social permitiéndonos analizar y comprender la situación que afecta a la comunidad en diferentes contextos. En el trabajo realizado se pudo evidenciar que las realidades mostradas por los compañeros de grupo hacen referencia a situaciones que se viven actualmente como la violencia social, violencia cultural, violencia intrafamiliar, maltrato infantil, abandono en saneamiento básico y calles por parte del Estado. Situaciones que requieren de especial atención tanto que afecta la calidad de vida de las personas y comunidades que habitan en las diferentes regiones. Es así como nuestra responsabilidad social como futuros profesionales en el campo de la Psicología está orientada en el diseño e implementación de estrategias y actividades que les permitan a las comunidades alcanzar una mejor calidad de vida, la cual se reflejara en la salud mental de las comunidades.Forced displacement it is one of the many phenomena the scourge of violence, which it constitutes the violation of human rights and crimes against humanity, affecting mainly farmers, indigenous, afrodescendant and women. In this document the Gloria’ story, taken from “Life Stories” is analyzed, which the respective reflection as well as the formulation of questions (strategic, circular and reflexive) that could be asked to the victim. The fact is that Gloria has to do with forced displacement and discrimination because she is one more victim of the armed conflict that exists in the interior of the country. Gloria's case has to do with forced displacement and discrimination because she is one more victim of the armed conflict that exists in the interior of our country. These questions are oriented towards an ethical and proactive psychosocial approach in overcoming victimization conditions. Similarly; support actions are presented to the affected people according to the Pandurí case and psychosocial strategies for the psychosocial approach were given. These supports are made with the reflection and analyze of each one partner of group. This is a collaborative homework in which opinion and contributions are take in account. Likewise, the fotovoice as a strategic in order to show the social reality we allow to analyze and understand the situation that affect people in different context. In the present document it was possible to demonstrate that the realities shown by the classmates refer to situations that are currently experienced as social violence, cultural violence, intrafamily violence, child abuse, abandonment in basic sanitation and streets by the State. Situations that require special attention so much that affects the quality of life of the people and communities that inhabit the different regions. Thus, our social responsibility as professionals Psychology is oriented in design and implementation strategies and activities that allowed communities to reach a better life quality. Finally, the analytical and reflective report of the photovoice experience made in step 3 of the Diploma is presented

Quantitative trait loci (QTLs) analysis of palm oil fatty acid composition in an interspecific pseudo-backcross from Elaeis oleifera (HBK) Cort,s and oil palm (Elaeis guineensis Jacq.)

IATE Axe 4 : Biotechnologie microbienne et enzymatique des lipides et des agropolymèresWe chose an Elaeis interspecific pseudo-backcross of first generation (E. oleifera x E. guineensis) x E. guineensis to identify quantitative trait loci (QTLs) for fatty acid composition of palm oil. A dense microsatellite linkage map of 362 loci spanned 1.485 cM, representing the 16 pairs of homologous chromosomes in the Elaeis genus from which we traced segregating alleles from both E. oleifera and E. guineensis grandparents. The relative linear orders of mapped loci suggested the probable absence of chromosome rearrangements between the E. oleifera and E. guineensis genomes. A total of 19 QTL associated to the palm oil fatty acid composition were evidenced. The QTL positions and the species origin as well as the estimated effects of the QTL marker alleles were in coherence with the knowledge of the oil biosynthesis pathway in plants and with the individual phenotypic correlations between the traits. The mapping of chosen Elaeis key genes related to oleic acid C18:1, using intra-gene SNPs, supported several QTLs underlying notably FATA and SAD enzymes. The high number of hyper-variable SSR loci of known relative linear orders and the QTL information make these resources valuable for such mapping study in other Elaeis breeding materials

Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography

[EN] In acute ST-segment elevation myocardial infarction (STEMI) late gadolinium enhancement (LGE) may underestimate segmental functional recovery. We evaluated the predictive value of cardiac magnetic resonance (CMR) feature-tracking (FT) for functional recovery and whether it incremented the value of LGE compared to low-dose dobutamine stress echocardiography (LDDSE) and speckle-tracking echocardiography (STE). Eighty patients underwent LDDSE and CMR within 5-7 days after STEMI and segmental functional recovery was defined as improvement in wall-motion at 6-months CMR. Optimal conventional and FT parameters were analyzed and then also applied to an external validation cohort of 222 STEMI patients. Circumferential strain (CS) was the strongest CMR-FT predictor and addition to LGE increased the overall accuracy to 74% and was especially relevant in segments with 50-74% LGE (AUC 0.60 vs. 0.75, p = 0.001). LDDSE increased the overall accuracy to 71%, and in the 50-74% LGE subgroup improved the AUC from 0.60 to 0.69 (p = 0.039). LGE + CS showed similar value as LGE + LDDSE. In the validation cohort, CS was also the strongest CMR-FT predictor of recovery and addition of CS to LGE improved overall accuracy to 73% although this difference was not significant (AUC 0.69, p = 0.44). Conclusion: CS is the strongest CMR-FT predictor of segmental functional recovery after STEMI. Its incremental value to LGE is comparable to that of LDDSE whilst avoiding an inotropic stress agent. CS is especially relevant in segments with 50-74% LGE where accuracy is lower and further testing is frequently required to clarify the potential for recovery.This research was supported by the Instituto de Salud Carlos III and co-funded by Fondo Europeo de Desarrollo Regional (FEDER) (grant numbers PI17/01836 and CIBERCV16/11/00486). JG and DM acknowledge financial support from the "Agencia Valenciana de la Innovacion, Generalitat Valenciana" (grant) and from the "Conselleria d'Educacio, Investigacio, Cultura i Esport, Generalitat Valenciana" (grant number AEST/2019/037).Valente, FX.; Gavara-Doñate, J.; Gutiérrez, L.; Rios-Navarro, C.; Rello, P.; Maymi, M.; Fernandez-Galera, R.... (2021). Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography. Journal of Clinical Medicine. 10(22):1-12. https://doi.org/10.3390/jcm10225261S112102

Self-esteem and suicidal behaviour in youth: A meta-analysis of longitudinal studies

Background: Previous literature suggests that low self-esteem is a risk factor for suicide attempts, but no meta-analyses have been conducted to assess this association in adolescents/young adults. The present study examined the relationship between low self-esteem and suicide attempts in young people (12-26 years old). Method: Meta-analyses were performed using random-effects models (ES) and odds ratio (OR). Heterogeneity and sensitivity analyses were performed. Results: From 26,883 initial titles, 22 studies met the inclusion criteria, of which 9 studies had data that could be included in the meta-analysis. The meta-analysis showed that youths with lower self-esteem were more likely to have future suicide attempts, with an effect size (self-esteem as continuous variable) of d = .58 (95% CI = .44 - .73) and, for low self-esteem (categorical variable) an OR = 1.99 (95% CI = 1.39-2.86; p < .001). Conclusion: A low level of self-esteem is a risk factor for suicide attempts in adolescents/young adults

Predictive Value of Cardiac Magnetic Resonance Feature Tracking after Acute Myocardial Infarction: A Comparison with Dobutamine Stress Echocardiography

Ecocardiografía de seguimiento de manchas; Deformación del miocardio; Seguimiento de características de resonancia magnética cardíacaSpeckle-tracking echocardiography; Myocardial deformation; Cardiac magnetic resonance feature-trackingEcocardiografia de seguiment de taques; Deformació del miocardi; Seguiment de característiques de ressonància magnètica cardíacaIn acute ST-segment elevation myocardial infarction (STEMI) late gadolinium enhancement (LGE) may underestimate segmental functional recovery. We evaluated the predictive value of cardiac magnetic resonance (CMR) feature-tracking (FT) for functional recovery and whether it incremented the value of LGE compared to low-dose dobutamine stress echocardiography (LDDSE) and speckle-tracking echocardiography (STE). Eighty patients underwent LDDSE and CMR within 5–7 days after STEMI and segmental functional recovery was defined as improvement in wall-motion at 6-months CMR. Optimal conventional and FT parameters were analyzed and then also applied to an external validation cohort of 222 STEMI patients. Circumferential strain (CS) was the strongest CMR-FT predictor and addition to LGE increased the overall accuracy to 74% and was especially relevant in segments with 50–74% LGE (AUC 0.60 vs. 0.75, p = 0.001). LDDSE increased the overall accuracy to 71%, and in the 50–74% LGE subgroup improved the AUC from 0.60 to 0.69 (p = 0.039). LGE + CS showed similar value as LGE + LDDSE. In the validation cohort, CS was also the strongest CMR-FT predictor of recovery and addition of CS to LGE improved overall accuracy to 73% although this difference was not significant (AUC 0.69, p = 0.44). Conclusion: CS is the strongest CMR-FT predictor of segmental functional recovery after STEMI. Its incremental value to LGE is comparable to that of LDDSE whilst avoiding an inotropic stress agent. CS is especially relevant in segments with 50–74% LGE where accuracy is lower and further testing is frequently required to clarify the potential for recovery.This research was supported by the Instituto de Salud Carlos III and co-funded by Fondo Europeo de Desarrollo Regional (FEDER) (grant numbers PI17/01836 and CIBERCV16/11/00486). JG and DM acknowledge financial support from the “Agencia Valenciana de la Innovación, Generalitat Valenciana” (grant) and from the “Conselleria d’Educació, Investigació, Cultura i Esport, Generalitat Valenciana” (grant number AEST/2019/037)

Cooperación al Desarrollo en el Aula Universitaria

El proyecto pretende contextualizar las asignaturas implicadas en el mismo para que el alumno perciba algunas relaciones económicas y sociales injustas que generan pobreza, incorporando conceptos y actividades de carácter solidari