Controle da hipertensão arterial sistêmica na área de abrangência de uma Unidade Básica de Saúde

Ribeirão das Neves encontra-se localizado na região metropolitana de Belo Horizonte. Possui uma população de 296.317 pessoas. A equipe de saúde da família Jardim Alvorada fez o diagnostico situacional identificando vários problemas de saúde e priorizou a elevada incidência de pacientes com Hipertensão Arterial Sistêmica descompensada. O controle adequado da Hipertensão Arterial envolve muitas medidas. O objetivo do presente trabalho e elaborar um projeto de intervenção para melhorar o controle da hipertensão arterial sistêmica. Os principais problemas de saúde que afetam a comunidade foram identificados e priorizados pelo meio do método de estimativa rápida. Primeiramente foi revisada a literatura sobre Hipertensão Arterial utilizando bases de dados online Lilacs e Scielo com os seguintes descritores: Hipertensão Arterial, Tratamento, Atenção Primária. Foi identificado que constituem pilares fundamentais para o controle da Hipertensão Arterial a pratica sistemática de exercícios físicos, uma alimentação saudável e cumprir rigorosamente o tratamento. Com esta base teórica foram selecionados os respectivos nós críticos e elaborado o plano estratégico situacional (PES), incluindo o plano de ação para a intervenção. Foram propostos três grandes projetos: Mais Saúde com o objetivo de modificar habitos e estilos de vida inadequados; Saber Mais objetivando aumentar o nível de conhecimento dos pacientes e familiares sobre a doença e o Projeto de implantação da linha de cuidado - para identificação e atenção específica para usuários com hipertensão arterial

DISABILITY OF EXPERIENCE FOR SPINAL CORD INJURIES AND THE REHABILITATION PROCESS

http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95532011000100009&lng=es&nrm=isoLa discapacidad es un problema de salud que afecta distintas dimensiones en la calidad de vida de las personas. El objetivo del estudio fue describir las vivencias de las personas con discapacidad por lesión medular. Se presenta una investigación de tipo cualitativa de trayectoria etnográfica, utilizando la entrevista, observación participante de Spradley y el interaccionismo simbólico de Mead. El universo se constituyó por adultos discapacitados por traumatismo grave a la médula espinal, en rehabilitación en la Fundación Esperanza Nuestra. La investigación describe la vivencia de tener una discapacidad por daño a la medula espinal, lo difícil que es asumir esta condición y disponerse a la rehabilitación. Los informantes describen etapas en el proceso de rehabilitación; desde una fase marcada por la depresión, hasta alcanzar en los mejores casos la independencia absoluta. La presencia del profesional de enfermería es una constante en los distintos momentos de la trayectoria de aceptación de la discapacidad y rehabilitación que los informantes describen, por lo que cobra importancia el rol de la enfermera y los efectos de sus cuidados. Se observa en la vivencia una ausencia de participación de los centros de salud de atención primaria, por lo tanto es fundamental fortalecer las bases para el desarrollo de una red para la rehabilitación con base en salud familiar y comunitaria

Implementación y adaptación de un sistema de gestión estratégica en una organización política (movimiento político MIRA)

La planeación estratégica es una pieza clave en el desempeño de las organizaciones actuales, particularmente este tipo de estrategias se ha usado históricamente para alcanzar logros orientados a aumentar el valor de la empresa en el mercado. Sin embargo en organizaciones de tipo político, cuyos productos son tan variados y que cuenta con altos factores de cambio y poco controlables, la planeación estratégica se convierte en todo un reto. El presente texto muestra cómo se asumió el reto de la adopción de la planeación estratégica y la elaboración e implementación de un sistema de gestión estratégica (Kaplan and Norton, 2008b) que permitiera el logro de las metas en las campañas políticas de 2014 y 2015 en Colombia, que redundara en crecimiento y que generara una mayor participación del movimiento político MIRA en las diferentes corporaciones, proceso que vinculó a los niveles de dirección en torno a la estrategia y desde luego asoció todos los actores en la socialización e implementación. Para generar una estrategia adecuada se surtió el proceso de reconocimiento de cada característica de la organización con un diagnóstico específico y el uso de variados instrumentos de la planeación estratégica dando como resultado la implementación y adaptación de un sistema de gestión estratégica, planteado desde la teoría, que respondiera a las necesidades particulares de la institución en un periodo de tiempo establecido.Abstract Strategic planning is a key element in the performance of existing organizations, particularly this type of strategy has been used historically to achievement aimed at increasing the value of the company in the market. However, in organizations of a political nature, whose products are so varied and has high factors of change and difficult to control, strategic planning becomes a challenge. This paper shows how the challenge of adopting strategic planning and the development and implementation of a strategic management system (Kaplan and Norton, 2008b) that would allow the achievement of the goals in the political campaigns of 2014 and 2015 was assumed in Colombia, which will result in growth and generate greater participation of the political movement MIRA in different corporations, a process that linked levels of management about the strategy and of course all the actors associated in the socialization and implementation. . To generate an adequate strategy the process of recognition of each feature of the organization with a specific diagnosis and the use of various instruments of strategic planning resulting in the implementation and adaptation of a strategic management system, raised since the theory was supplied, to respond to the particular needs of the institution in a set time period.Maestrí

Pinochet’s Chile shows that repression can spell the end for dictators

Human rights violations committed by Augusto Pinochet’s military dictatorship in Chile contributed to the electoral defeat that led to his downfall. Surprisingly, this happened without changing citizens’ political alignment, write María Angélica Bautista, Felipe González, Luis Martínez, Pablo Muñoz, and Mounu Prem

Students frequently ask: ‘Yes but...What is the utility of physics?’

Two Teaching Innovation Projects were carried out in the framework of the subjects ‘Physics I’ and ‘Physics II’ for different Degrees on Engineering at the Engineering High School of the University of Cadiz, Spain, during the 2013-2014 course. The aim of these Projects was to catch the interest of first course students on physical phenomena and principles, a matter frequently considered as ‘difficult’ or even ‘boring’ for them when it is approached from an excessively formal scope. The methodology of the two Projects was based on experiments of Recreational Physics, different toys and devices, and other resources as posters, books and online contents. The Projects were conducted during Theory, Laboratory, and Online classes of Physics I and II, and their results were evaluated from questionnaires to the students. Main conclusions derived from them were: i) a significant increment on the interest of students on Physics and Science; ii) the aim of students for learning more about this kind of recreational physical experiments; and iii) a general sensation of enjoying the study and analysis of physical phenomena by students –and teachers as well–. In addition, students manifested their interest in this methodology to be applied to other Engineering subjects of their Degrees

Creación de un centro de consultoría basada en el emprendimiento y la internacionalización para el fomento y el desarrollo de las pymes en Santa Marta.

En la presente propuesta se abordan aspectos importantes que giran en torno a la creación de una consultoría universitaria. El trabajo recoge antecedentes de consultorías universitarias en el mundo, en el país y la región. Desde el punto de vista académico se construye un marco que orienta sobre la actividad consultora, procesos de emprendimiento e internacionalización, así como la importancia de una educación teórico-práctica. En esta investigación se desarrollará una propuesta que consta de tres fases para su implementación, desde la Fase 1 de consultoría para los actores primarios como los emprendedores, posteriormente se expanden las operaciones a la Fase 2 donde el mercado foco se compone por microempresarios hasta alcanzar el pleno funcionamiento de la consultoría dando paso a la Fase 3, la cual busca asesorar a empresas de mayor envergadura en el sector público y privado. Esto permitirá que la consultoría adquiera la experiencia necesaria para reinventar sus procesos internos, creé un reconocimiento y prestigio en el mercado, evite saturaciones y problemas de operatividad, a la vez que cumple con su función de orientar de buena forma a su público objetivo

Estrategias biológicas y Psicosocioculturales que intervienen en la conservación de la pareja: un análisis por sexo

La presente investigación tuvo como objetivo detectar las estrategias biológicas y psicosocioculturales que se emplean en el intento por lograr la conservación o permanencia de la vida en pareja. Se trabajó con una muestra no probabilística de tipo intencional, compuesta por 75 parejas, todos casados y viviendo juntos, divididos equitativamente por sexo. Se construyó un cuestionario ad hoc para detectar dichas estrategias. Las aplicaciones se hicieron en forma de entrevista y de manera individual. Los resultados muestran diferencias por sexo que confirman la instrumentalidad en los hombres y la expresividad en las mujeres como la base de la complementariedad dentro de una relación de pareja. Asimismo, se confirma la base biológica que subyace a la conservación o permanencia con la pareja

Does higher education reduce mortality? Evidence from a natural experiment

We provide new evidence on the causal eect of education on health. Our empirical strategy exploits the reduction in access to college experienced by individuals reaching college age shortly after the 1973 military coup in Chile, which led to a sharp downward kink in enrollment for the aected cohorts. Using data from the vital statistics for the period 1994-2017, we document an upward kink in the age-adjusted yearly mortality rate for these cohorts, a pattern that we also observe in matched individual-level records for hospitalized patients. Leveraging the downward kink in college enrollment, we estimate a negative eect of college on mortality, which is larger for men, but also sizable for women. Aected individuals have worse labor market outcomes, lower income, and are more likely to be enrolled in the public health system. They also report lower consumption of health services, which suggests that economic disadvantage and limited access to care plausibly contribute to the eect of education on health

A logic-based reasoner for discovering authentication vulnerabilities between interconnected accounts

With users being more reliant on online services for their daily activities, there is an increasing risk for them to be threatened by cyber-attacks harvesting their personal information or banking details. These attacks are often facilitated by the strong interconnectivity that exists between online accounts, in particular due to the presence of shared (e.g., replicated) pieces of user information across different accounts. In addition, a significant proportion of users employs pieces of information, e.g. used to recover access to an account, that are easily obtainable from their social networks accounts, and hence are vulnerable to correlation attacks, where a malicious attacker is either able to perform password reset attacks or take full control of user accounts. This paper proposes the use of verification techniques to analyse the possible vulnerabilities that arises from shared pieces of information among interconnected online accounts. Our primary contributions include a logic-based reasoner that is able to discover vulnerable online accounts, and a corresponding tool that provides modelling of user ac- counts, their interconnections, and vulnerabilities. Finally, the tool allows users to perform security checks of their online accounts and suggests possible countermeasures to reduce the risk of compromise

Self perception of body attractiveness in two cultures: Mexican and Argentine

In order to describe the level of physical attractiveness that mexican and argentine consider having, we worked with an intentional non-probabilistic sample composed of 272 university students shared equally by nationality and gender from the cities of Toluca (Mexico) and Mendoza (Argentina). The instrument used was physical attractiveness assessment, which evaluates the attractiveness of the visible body parts from 0 to 100%. The research findings by nationality show that mexican people value more their body parts compared with argentinean. Sex differences indicate that mexican men tend to consider more attractive their body parts than mexican women. However, argentinean people show no difference in the number of body parts evaluated as attractive. In both nationalities, there is a tendency to put a higher value on body parts considered masculine by men and feminine by women. In general, it appears that the body is and will remain an important mean of expression and the value that it is given will establish the degree of security that people has to relate to their particular psychological, sociological and cultural context