A Tele-Health Communication and Information System for Underserved Children in Rural Areas of Nicaragua

Millennium Development Goals point out the necessity of actively promoting maternal-child health care status, especially in underserved areas. This article details the development actions carried out between 2008 and 2011 in some rural communities of Nicaragua with the aim to provide a low-cost tele-health communication service. The service is managed by the health care center of Cusmapa, which leads the program and maintains a communication link between its health staff and the health brigades of 26 distant communities. Local agents can use the system to report urgent maternal-child health care episodes to be assessed through WiMAX-WiFi voice and data communications attended by two physicians and six nurses located at the health care center. The health and nutritional status of the maternal-child population can be monitored to prevent diseases, subnutrition, and deaths. The action approach assumes the fundamentals of appropriate technology and looks for community- based, sustainable, replicable, and scalable solutions to ensure future deployments according to the strategies of the United Nations

Sistema de información y comunicación para salud y nutrición de niños desatendidos en áreas rurales de Nicaragua

Los Objetivos de Desarrollo del Milenio señalan la importancia de promover el conocimiento del estado de salud materno-infantil, en especial en las zonas más desprotegidas. El presente artículo detalla las acciones llevadas a cabo durante los años 2008 y 2011 en algunas comunidades rurales de Nicaragua con el objetivo de brindar un servicio de comunicaciones de bajo coste. Dicho servicio es administrado por el centro de salud de Cusmapa, que lidera el programa y mantiene una estrecha comunicación entre su personal y los brigadistas de salud de 26 comunidades aisladas. Los agentes locales, a través de la red de datos y voz WiMAX/WiFi instalada, pueden utilizar el sistema de comunicaciones para informar acerca de episodios urgentes de salud materno-infantil a fin de que sean evaluados o atendidos por dos médicos y seis enfermeras que se encuentran en el centro de salud. El objetivo de monitorizar el estado de salud y nutrición de la población materno-infantil es prevenir la aparición de enfermedades, evitar la desnutrición e incluso la muerte. Esta investigación asume los principios básicos de la tecnología adecuada buscando soluciones basadas en la comunidad, sostenibles, replicables y escalables a fin de garantizar futuros despliegues de acuerdo con las estrategias de Naciones Unidas

Análisis estratégico para el desarrollo de las Mipymes en Colombia

La investigación Análisis estratégico para el desarrollo de las MIPYME en Colombia elaborado por las Universidades Externado, del Valle, de la Sabana, Icesi y Pontificia Bolivariana de Medellín presenta las principales características de estas empresas en el país, analiza sus estrategias y principales factores competitivos, determina sus fortalezas y debilidades; y por otra parte plantea propuestas de actuación para la mejora de la competitividad y el éxito. El trabajo pretende ser de utilidad para los empresarios ya que les permite conocer factores que contribuyen en la mejora de su desempeño, de igual manera para las entidades gubernamentales de apoyo a las MIPYME y para la academia, ya que les muestra las áreas en las cuales es más conveniente enfocar sus actividades de fomento, asesoría y capacitació

The effect of maleinized linseed oil (MLO) on mechanical performance of poly(lactic acid)-thermoplastic starch (PLA-TPS) blends

[EN] In this work, poly(lactic acid), PLA and thermoplastic starch, TPS blends (with a fixed content of 30 wt.% TPS) were prepared by melt extrusion process to increase the low ductile properties of PLA. The TPS used contains an aliphatic/aromatic biodegradable polyester (AAPE) that provides good resistance to aging and moisture. This blend provides slightly improved ductile properties with an increase in elongation at break of 21.5% but phase separation is observed due to the lack of strong interactions between the two polymers. Small amounts of maleinized linseed oil (MLO) can positively contribute to improve the ductile properties of these blends by a combined plasticizing-compatibilizing effect. The elongation at break increases over 160% with the only addition of 6 phr MLO. One of the evidence of the plasticizing-compatibilizing effect provided by MLO is the change in the glass transition temperature (Tg) with a decrease of about 10 °C. Field emission scanning electron microscopy (FESEM) of PLA-TPS blends with varying amounts of maleinized linseed oil also suggests an increase in compatibility.This research was supported by the Ministry of Economy and Competitiveness-MINECO, Ref: MAT2014-59242-C2-1-R. Authors also thank to "Conselleria d'Educacio, Cultura i Esport"-Generalitat Valenciana, Ref: GV/2014/008 for financial support.Ferri Azor, JM.; García García, D.; Sánchez Nacher, L.; Fenollar Gimeno, OÁ.; Balart Gimeno, RA. (2016). The effect of maleinized linseed oil (MLO) on mechanical performance of poly(lactic acid)-thermoplastic starch (PLA-TPS) blends. Carbohydrate Polymers. 147:60-68. https://doi.org/10.1016/j.carbpol.2016.03.082S606814

Feelings of burden among family caregivers of people with spinal cord injury in Turkey

Study design: The study was designed as a cross-sectional survey. Objectives: The purpose of the study was to examine the level of feelings of burden in family caregivers of people with spinal cord injury (SCI) in Turkey, and to explore its predictors. Setting: Turkey. Methods: One hundred family caregivers of people with SCI completed measures of burden of caregiving, depression, social support and physical health. The SCI participants completed a measure of functional independence. Multivariate statistics and structural equation modeling (SEM) were conducted to identify significant predictors of caregiver burden. Results: Caregiver burden was significantly related to caregivers’ feelings of depression. SEM analysis showed that social support from family and from friends predicted caregiver burden via depression. Caregivers’ age, sex, educational level, physical health and household income did not significantly predict their feelings of depression or burden. Conclusions: Our findings revealed that support received from both families and friends is an important source for alleviating the depressive feelings of caregivers and, in return, their burden in the caregiving. In Turkey, high support from family members is expected and is important for psychological well-being, yet the current study showed that the support received from friends also has unique contribution to the well-being of the caregivers of persons with SCI. Overall, our findings highlight the importance of supportive relationships between family as well as friends for the caregivers who may have to provide lifetime care for their family member with special needs.WOS:000407265700012Scopus - Affiliation ID: 60105072PMID: 28169295Science Citation Index Expanded - Social Sciences Citation IndexQ2 - Q3ArticleUluslararası işbirliği ile yapılan - EVETAğustos2017YÖK - 2016-1

Continuous use of intermittent bladder catheterization - can social support contribute?

OBJECTIVE: to investigate the factors affecting the adequate continuous use of intermittent catheterization and its relation with social support.METHOD: sectional, descriptive and correlational study involving 49 patients with neuropathic bladder caused by spinal cord injury.RESULTS: almost all (92%) participants continued the intermittent catheterization, but 46.9% made some changes in the technique. The complications (28.6% of the sample) were mainly infection and vesicolithiasis. There were high scores for social support in relation to people that were part of the patient's social support.CONCLUSION: All of them noticed great support from the family, but not from the society in general. The difficulties were related to the lack of equipment and inadequate infrastructure, leading to changes that increased urologic complications

Cognitive Changes and Quality of Life in Neurocysticercosis: A Longitudinal Study

Neurocysticercosis (NCC) is one of the most common parasitic infections of the central nervous system. Cognitive changes have been frequently reported with this disease but have not been well studied. Our study team recruited a group of new onset NCC cases and a matched set of healthy neighborhood controls and new onset epilepsy controls in Lima, Peru for this study. A neuropsychological battery was administered at baseline and at 6 months to all groups. Brain MRI studies were also obtained on NCC cases at baseline and at 6 months. Newly diagnosed patients with NCC had mild cognitive deficits and more marked decreases in quality of life at baseline compared with controls. Improvements were found in both cognitive status and quality of life in patients with NCC after treatment. This study is the first to assess cognitive status and quality of life longitudinally in patients with NCC and provides new data on an important clinical morbidity outcome