Resposta dels Serveis Socials de la Mancomunitat del Pla de Mallorca a les persones grans de la Mancomunitat del Pla

El present article efectua un recorregut al llarg de la Mancomunitat del Pla de Mallorca per tal de poder exposar les prestacions i els serveis que té a la seva disposició la nostra gent gran. Cal tenir en compte que la Mancomunitat del Pla de Mallorca és la zona més envellida de la nostra illa: aquesta realitat fa que a l’hora de planificar des dels Serveis Socials Comunitaris, es prioritzi el sector de la gent gran. El 2008 els Serveis Socials Comunitaris de la Mancomunitat del Pla de Mallorca varen implementar el sistema de dependència, la qual cosa ens ha permès realitzar unes reflexions per afrontar el futur amb uns serveis de qualitat i adaptats a la realitat d’una societat en permanent canvi. Aquest fet ha suposat un gran esforç per part de l’equip tècnic del Departament de Serveis Socials Comunitaris, ja que s’ha hagut de reestructurar de bell nou per adaptar-se a aquesta realitat, amb el convenciment de treballar per millorar i apropar els serveis a la ciutadania dels municipis del Pla de Mallorca.El presente artículo efectúa un recorrido a lo largo de la Mancomunitat Pla de Mallorca con el fin de poder exponer las prestaciones y servicios que están a disposición de nuestros mayores. Se tiene que tener en cuenta que la Mancomunitat Pla de Mallorca es la zona más envejecida de nuestra Isla, esta realidad hace que a la hora de planificar desde los servicios sociales comunitarios se priorice el sector de las personas mayores. En el 2008 los servicios sociales comunitarios de la Mancomunitat Pla de Mallorca implementaron el sistema de dependencia, lo cual nos ha permitido realizar unas reflexiones para encarar un futuro con unos servicios de calidad y adaptados a la realidad de una sociedad en permanente cambio. Este hecho ha supuesto un gran esfuerzo por parte del equipo técnico del departamento de servicios sociales comunitarios, ya que se ha tenido que reestructurar de nuevo para adaptarse a esta realidad, con el convencimient

Isotemporal substitution of inactive time with physical activity and time in bed: cross-sectional associations with cardiometabolic health in the PREDIMEDPlus study

Background: This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Methods: This is a cross-sectional analysis of baseline data from 2189 Caucasian men and women (age 55-75 years, BMI 27-40 Kg/m2) from the PREDIMED-Plus study (http://www.predimedplus.com/). All participants had ≥3 components of the metabolic syndrome. Inactive time, physical activity and time in bed were objectively determined using triaxial accelerometers GENEActiv during 7 days (ActivInsights Ltd., Kimbolton, United Kingdom). Multiple adjusted linear and logistic regression models were used. Isotemporal substitution regression modelling was performed to assess the relationship of replacing the amount of time spent in one activity for another, on each outcome, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Results: Inactive time was associated with indicators of obesity and the metabolic syndrome. Reallocating 30 min per day of inactive time to 30 min per day of time in bed was associated with lower BMI, waist circumference and glycated hemoglobin (HbA1c) (all p-values < 0.05). Reallocating 30 min per day of inactive time with 30 min per day of LPA or MVPA was associated with lower BMI, waist circumference, total fat, visceral adipose tissue, HbA1c, glucose, triglycerides, and higher body muscle mass and HDL cholesterol (all p-values < 0.05). Conclusions: Inactive time was associated with a poor cardio-metabolic profile. Isotemporal substitution of inactive time with MVPA and LPA or time in bed could have beneficial impact on cardio-metabolic health

Comparative efficacy of two primary care interventions to assist withdrawal from long term benzodiazepine use: A protocol for a clustered, randomized clinical trial

<p>Abstract</p> <p>Background</p> <p>Although benzodiazepines are effective, long-term use is not recommended because of potential adverse effects; the risks of tolerance and dependence; and an increased risk of hip fractures, motor vehicle accidents, and memory impairment. The estimated prevalence of long-term benzodiazepine use in the general population is about 2,2 to 2,6%, is higher in women and increases steadily with age. Interventions performed by General Practitioners may help patients to discontinue long-term benzodiazepine use. We have designed a trial to evaluate the effectiveness and safety of two brief general practitioner-provided interventions, based on gradual dose reduction, and will compare the effectiveness of these interventions with that of routine clinical practice.</p> <p>Methods/Design</p> <p>In a three-arm cluster randomized controlled trial, general practitioners will be randomly allocated to: a) a group in which the first patient visit will feature a structured interview, followed by visits every 2-3 weeks to the end of dose reduction; b) a group in which the first patient visit will feature a structured interview plus delivery of written instructions to self-reduce benzodiazepine dose, or c) routine care. Using a computerized pharmaceutical prescription database, 495 patients, aged 18-80 years, taking benzodiazepine for at least 6 months, will be recruited in primary care health districts of three regions of Spain (the Balearic Islands, Catalonia, and Valencia). The primary outcome will be benzodiazepine use at 12 months. The secondary outcomes will include measurements of anxiety and depression symptoms, benzodiazepine dependence, quality of sleep, and alcohol consumption.</p> <p>Discussion</p> <p>Although some interventions have been shown to be effective in reducing benzodiazepine consumption by long-term users, the clinical relevance of such interventions is limited by their complexity. This randomized trial will compare the effectiveness and safety of two complex stepped care interventions with that of routine care in a study with sufficient statistical power to detect clinically relevant differences.</p> <p>Trial Registration</p> <p>Current Controlled Trials: <a href="http://www.controlled-trials.com/ISRCTN13024375">ISRCTN13024375</a></p

Prevenir el abandono educativo en la educación secundaria profesional: aportaciones del alumnado y del profesorado.

[eng]This article looks at the conditions underlying determination and educational success in vocational secondary education (basic vocational training and intermediate vocational training) from the perspective of education centres. To achieve this, we undertook a case study at two education centres in the Balearic Islands, based on a qualitative research process and providing the students and teachers involved with a voice of their own. The results show a high level of consensus among students and teachers regarding the key educational practices to prevent students from dropping out of vocational secondary education: proximity and availability of the teaching staff, confidence in the potential of the students, the demand and the evaluation of the students, the link with the world of work and proactive teaching in the classroom. They also agree on the main elements that enable these practices to prevent drop-outs: a small number of teachers in each group, a small number of students per class and good coordination among teaching staff. [eng]En este artículo analizamos las condiciones para la perseverancia y el éxito educativo en la educación secundaria profesional (formación profesional básica y ciclos formativos de grado medio) desde la perspectiva de los centros educativos. Para ello hemos llevado a cabo el estudio de caso de dos centros educativos de Baleares, en base a un proceso de investigación cualitativa dando la voz al alumnado y al profesorado implicado. Los resultados muestran un elevado grado de consenso entre alumnado y profesorado en cuanto a que los elementos clave en la prevención del abandono en la educación secundaria profesional son: proximidad y disponibilidad del profesorado, confianza en el potencial del alumnado, exigencia y evaluación del alumnado, vinculación con el mundo laboral y dinámica activa de las clases. También coinciden en apuntar como aspectos organizativos facilitadores de los mismos: un número reducido de profesorado en cada grupo, un número reducido de alumnos y alumnas en clase y una buena coordinación del profesorado

Parlem de : reflexions sobre la nostra sexualitat

Recoge las reflexiones sobre las actitudes más apropiadas respecto a los temas de educación afectivo-sexual. Es un material informativo nacido de la necesidad observada en el centro de responder a las demandas e inquietudes que tenía el alumnado sobre el tema de la sexualidad, presentado de manera amena a la vez que reflexiva.BalearesGovern de les Illes Balears. Secció de material didàctic i divulgació educativa; Passatge de Guillem de Torrella, 1, planta quarta; 07002 Palma de Mallorca, Illes Balears; 971 17 65 00; [email protected]

Synthesis, X-ray characterization and computational Studies of N-imidazolyl and N-pyrazolyl pyrimidine derivatives

[eng] In this manuscript we report the synthesis and X-ray characterization of neutral 2-(1H-imidazol-1-yl)- pyrimidine (1), 2-(1H-pyrazol-1-yl)-pyrimidine (2) and 1-(2-pyrimidinyl)-1H-benzimidazole (3). We have also obtained crystals of the corresponding hydrochlorides of compounds 1 and 3. Finally, the outer sphere complex of protonated 2-(1H-imidazol-1-yl)-pyrimidine with [CoCl4]2 as counterion is described. In several charged structures interesting anionep interactions determine the crystal packing. Moreover, in neutral systems some stacking interactions are governed by double lone pairep interactions. High level ab initio calculations (RI-MP2/def2-TZVP) have been used to evaluate the noncovalent interactions observed in the solid state and the interplay between them

Efficacy of two interventions on the discontinuation of benzodiazepines in long-term users: 36-month follow-up of a cluster randomised trial in primary care

[eng] Background Primary care interventions that promote cessation of benzodiazepine (BZD) use in long-term users are effective at 1 year, but their efficacy at 3 years is uncertain. Aim To assess the 3-year efficacy of two primary care interventions delivered by GPs on cessation of BZD use in long-term users. Design and setting Multicentre, three-arm, cluster randomised, controlled trial, with random allocation at the GP level. Method Seventy-five GPs and 532 patients were randomly allocated to three groups: usual care (control), structured intervention with stepped-dose reduction and follow-up visits (SIF), or structured intervention with written stepped-dose reduction (SIW). The primary outcome was BZD use at 36 months. Results At 36 months, 66/168 patients (39.2%) in the SIW group, 79/191 patients (41.3%) in the SIF group, and 45/173 patients (26.0%) in the control group had discontinued BZD use. The relative risks (RR) adjusted by cluster were 1.51 (95% CI = 1.10 to 2.05; P = 0.009) in the SIW group and 1.59 (95% CI = 1.15 to 2.19; P = 0.005) in the SIF group. A total of 131/188 patients (69.7%) who successfully discontinued BZD use at 12 months remained abstinent at 36 months. The groups showed no significant differences in anxiety, depression, or sleep dissatisfaction at 36 months. Conclusion The interventions were effective on cessation of BZD use; most patients who discontinued at 12 months remained abstinent at 3 years. Discontinuation of BZD use did not have a significant effect on anxiety, depression, or sleep quality