Identificacion y analisis de morbilidad fonoaudiologica del area de voz en los centros de atencion primaria en Talca

70 p.Este estudio descriptivo da luces de cuanta es la demanda fonoaudiológica en el área de voz, por edad y sexo, en los centros de atención primaria de la ciudad de Talca durante el periodo comprendido desde el 10 de marzo hasta el 17 de julio de 2008. Para acceder a esta información se recolectaron los datos de los portafolios de los internos de fonoaudiología de la Universidad de Talca, como también se revisaron las interconsultas ingresadas a fonoaudiología del hospital de Talca. Los datos encontrados arrojaron que la demanda fonoaudiológica en el área de voz es de un 4%, con respecto al total de áreas demandadas. Por otro lado, la mayor demanda es en la etapa infantil, rango comprendido desde los 0 a los 10 años de edad, con un 35,71% y que predomina la demanda femenina con un 64% sobre la masculina

HIV Care Providers’ Role Legitimacy as Supporters of Their Patients’ Alcohol Reduction

Although HIV care providers are strategically situated to support their patients’ alcohol reduction efforts, many do not do so, sometimes failing to view this support as consistent with their roles. Using data collected from 112 HIV providers in 7 hospital-based HIV Care Centers in the NYC metropolitan area, this paper examines the correlates of providers’ role legitimacy as patients’ alcohol reduction supporters. Results indicate that providers (1) responsible for a very large number of patients and (2) with limited confidence in their own ability to give this assistance, but high confidence intheir program’s ability to do so, were less likely to have a high level of role legitimacy as patients’ alcohol reduction supporters. Findings suggest the types of providers to target for alcohol reduction support training

Stockyard Road, Siler City, North Carolina, Chatham County : a community assessment including secondary and qualitative data collection and analysis

Stockyard Road , a small, rural community in Southwestern Chatham County, North Carolina, is located three miles west of Siler City. We first met the residents of this community in August of 1997 when, as five first-year master’s students at the School of Public Health, we were assigned to Stockyard Road to conduct a “community diagnosis:” A community diagnosis... aims to understand many facets of a community including culture, values and norms, leadership and power structure, means of communication, helping patterns, important community institutions and history. A good diagnosis suggests what it is like to live in a community, what the important health problems in a community are, what interventions are most likely to be efficacious, and how the program would be best evaluated (Steuart, GW and Kark, SL, 1962). As we researched secondary data and talked with residents of Stockyard Road, we frequently struggled with the question of how to define the geographic and social boundaries of this community. None of the service providers that we spoke with actually described Stockyard Road as a "community." The residents themselves rarely used the term community to refer to Stockyard Road unless they were responding to one of our questions about it. Nonetheless, it is apparent that the residents who live here have a unified sense of where their community begins and ends, both in terms of physical and psychological boundaries. As one community member said, "I would say it's this area from highway 64 up to, ya know that intersection I told ya about [Bish Road]. It's not the whole Stockyard Road to me. Further up, that's a different community to me." Said another resident in regard to community boundaries "It's like the White and Black are separated and the people around the curve are separated." Although the primary concern of a community diagnosis is the health of the community, the process recognizes other aspects of a community that impact its wellness. Our team assessed the Stockyard Road community over the course of two semesters, collecting secondary data and interviewing 25 community members and service providers. In the fall, the major focus was on collecting quantitative data from a number of county, state and national sources. However, the conclusions we can draw from this data are limited. This limitation is partly due to the fact that most of the data were only available at the county level, and the demographics of Stockyard Road differ from other parts of Chatham County; namely, it is a small, predominantly African-American neighborhood. Thus, we have placed greater emphasis on the primary data collected during the spring semester through interviews with community members. During the course of interviewing, Stockyard Road residents graciously shared their thoughts and experiences with our team. The following summarizes several important findings that have emerged through observations and conversations with community members and service providers. Stockyard Road is comprised of primarily African American residents. Estimates suggest that there are approximately 60-70 individuals living within this community. Many of the community members have lived in the community all their lives and have extended family in the area. Two churches are located in the Stockyard Road community, the Unity Powerhouse Holiness Church and the Mt. Cavalry Holiness Church. Together these two churches offer a variety of activities and programs to residents. These include adult choirs, children’s choirs, women’s groups and weekly worship services. Stockyard Road residents have many individual talents and skills to offer the community. Residents play musical instruments, sing in the church choir, stake out vegetable gardens and run small businesses. Others find time to volunteer at local civic organizations and schools. The Stockyard Road community is located in an Extra Territorial Jurisdiction and is therefore not within the Siler City limits. This has both political implications and implications in terms of residents’ access to services (mail delivery, trash, sewage and water hook-up, etc.) In recent years, housing conditions in Stockyard Road have deteriorated. On March 10, 1998, ten homes in the area were officially condemned and occupants were issued eviction notices. Many residents in Stockyard Road lack indoor plumbing. As a result, some residents are forced to use neighbors’ facilities or one of two functioning outhouses. Crime and safety are also a major concern to residents of Stockyard Road. Some residents blame rising crime on a recent influx of inexpensive rental housing. Transportation is an issue for the many residents that do not own cars because there is no public transportation system in Chatham County. Many depend on neighbors to drive them to work, to buy groceries, or to receive medical care. Compared to nearby Siler City, there are few economic opportunities available to residents of Stockyard Road. Most of the employees who work at the Carolina Stockyards, located within the community, are from neighboring towns. Residents of Stockyard Road face many barriers to receiving adequate health care. These include lack of insurance, dissatisfaction with the quality of service and inaccessibility to services located in Pittsboro, Greensboro and Chapel Hill. Historically, Stockyard Road is a community that has garnered very little attention within Chatham County. Nonetheless, the complex social, economic and political issues facing this community pose serious challenges for Stockyard Road residents. By utilizing some of the existing resources and developing new ones, Stockyard Road can continue to strengthen community ties and move towards increased community cohesion.Master of Public Healt

Decision-Making about COVID-19 Vaccines among Health Care Workers and Their Adolescent Children

Health care workers promote COVID-19 vaccination for adolescent patients, and as parents, may influence their own children to get vaccinated. We conducted virtual, semi-structured qualitative interviews with vaccinated health care workers and their adolescent children to explore their decision-making process for COVID-19 vaccination. In total, 21 health care workers (physicians, nurses, and medical staff) and their adolescent children (N = 17) participated in interviews. The following three themes described parent-adolescent decision-making for COVID-19 vaccination: (1) family anticipation and hesitation about COVID-19 vaccine approval; (2) parents’ or adolescents’ choice: the decision maker for adolescent COVID-19 vaccination; and (3) leveraging one’s vaccination status to encourage others to get vaccinated. Nurses encouraged adolescent autonomy in decisions for COVID-19 vaccination while physicians viewed vaccination as the parent’s decision. Health care workers and their adolescent children used role-modeling to motivate unvaccinated peers and may model their decision-making process for adolescent COVID-19 vaccination with their own children to support their patients’ and parents’ vaccine decisions

Drug treatment program patients' hepatitis C virus (HCV) education needs and their use of available HCV education services

BACKGROUND: In spite of the disproportionate prevalence of hepatitis C virus (HCV) infection among drug users, many remain uninformed or misinformed about the virus. Drug treatment programs are important sites of opportunity for providing HCV education to their patients, and many programs do, in fact, offer this education in a variety of formats. Little is known, however, about the level of HCV knowledge among drug treatment program patients, and the extent to which they utilize their programs' HCV education services. METHODS: Using data collected from patients (N = 280) in 14 U.S. drug treatment programs, we compared patients who reported that they never injected drugs (NIDUs) with past or current drug injectors (IDUs) concerning their knowledge about HCV, whether they used HCV education opportunities at their programs, and the facilitators and barriers to doing so. All of the programs were participating in a research project that was developing, implementing, and evaluating a staff training to provide HCV support to patients. RESULTS: Although IDUs scored higher on an HCV knowledge assessment than NIDUs, there were many gaps in HCV knowledge among both groups of patients. To address these knowledge gaps, all of the programs offered at least one form of HCV education: all offered 1:1 sessions with staff, 12 of the programs offered HCV education in a group format, and 11 of the programs offered this education through pamphlets/books. Only 60% of all of the participating patients used any of their programs' HCV education services, but those who did avail themselves of these HCV education opportunities generally assessed them positively. In all, many patients were unaware that HCV education was offered at their programs through individual sessions with staff, group meetings, and books/pamphlets, (42%, 49%, and 46% of the patients, respectively), and 22% were unaware that any HCV education opportunities existed. CONCLUSION: Efforts especially need to focus on ensuring that all drug treatment program patients are made aware of and encouraged to use HCV education services at their programs

A power-line communication system governed by loop resonance for photovoltaic plant monitoring

Within this paper, a PLC system that takes advantage of the loop resonance of an entire DC-PV string configured as a circular signal path is developed and implemented. Low cost and extremely simple transceivers intended to be installed within each PV module of a string have been designed and successfully tested. In addition, an anti-saturation coil has been conceived to avoid saturation of the core when the entire DC current of the string flows through it. Bi-directional half-duplex communication was successfully executed with up to a 1 MHz carrier frequency (150 kbps bitrate), using a simple ASK modulation scheme. The transmission and reception performance are presented, along with the overall system cost in comparison to the previous literature.The Universidad dee Valladolid with the predoctoral contracts of 2020 co-funded by Santander Bank.https://www.mdpi.com/journal/sensorsam2023Electrical, Electronic and Computer Engineerin

A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons.

BACKGROUND: Prisoners experience significantly worse health than the general population. This review examines the effectiveness and cost-effectiveness of peer interventions in prison settings. METHODS: A mixed methods systematic review of effectiveness and cost-effectiveness studies, including qualitative and quantitative synthesis was conducted. In addition to grey literature identified and searches of websites, nineteen electronic databases were searched from 1985 to 2012. Study selection criteria were: Population: Prisoners resident in adult prisons and children resident in Young Offender Institutions (YOIs). INTERVENTION: Peer-based interventions Comparators: Review questions 3 and 4 compared peer and professionally led approaches. OUTCOMES: Prisoner health or determinants of health; organisational/ process outcomes; views of prison populations. STUDY DESIGNS: Quantitative, qualitative and mixed method evaluations. RESULTS: Fifty-seven studies were included in the effectiveness review and one study in the cost-effectiveness review; most were of poor methodological quality. Evidence suggested that peer education interventions are effective at reducing risky behaviours, and that peer support services are acceptable within the prison environment and have a positive effect on recipients, practically or emotionally. Consistent evidence from many, predominantly qualitative, studies, suggested that being a peer deliverer was associated with positive effects. There was little evidence on cost-effectiveness of peer-based interventions. CONCLUSIONS: There is consistent evidence from a large number of studies that being a peer worker is associated with positive health; peer support services are also an acceptable source of help within the prison environment and can have a positive effect on recipients. Research into cost-effectiveness is sparse. SYSTEMATIC REVIEW REGISTRATION: PROSPERO ref: CRD42012002349