Morbidity and temporary cycles for the outpatient service at Universidad Estatal a Distancia in Costa Rica

No data has apparently been published on morbidity and outpatient service of faculty and staff of a distance university.  This report presents such data from the Universidad Estatal a Distancia (Costa Rican State University for Distance Education). The participants in this study were the employees who were outpatients between January 15, 2004 and December 15, 2006.  Instead of using a sample, the entire population was studied with a total of 1,526 medical records. Procedure: During the first stage all of the medical records were read and the morbidity data was tabulated.  Subsequently, this information was statistically analyzed using Statgraphics Centurion XV. The main findings were that 50% of the patients used the outpatient service only once during the study period and that most of them were between 20 and 50 years of age.  The days with the most consultations were Mondays, Tuesdays, and Wednesdays.  The number of consultations was relatively stable throughout the year, with a slight increase in June. The three main causes for visiting the service were: upper respiratory tract diseases, muscular-skeletal disorders, and irritated digestive system problems. Main conclusions: Most of the consultations were from the departments with the more faculty and staff members; however, some departments had extremely high or low consultation rates per capita, maybe due to factors such as pathologies that require periodic control, geographical proximity, and psycho-social issues of patients who create a vicious circle due to the somatization of such problems.  The hypothesis that this population’s morbidity rate would differ from the national average because of its high educational level was rejected.  Nevertheless, the hypothesis that there are weekly and yearly cycles was maintained.

Proposal for Labor Market Integration of Teachers in Contexts of High Social Vulnerability

The purpose of this paper is to share a proposal for teacher’s labor market integration in contexts of high social5 vulnerability. This paper is the result of a research conducted in a priority attention primary school6 of the central canton of Heredia7. It explored the labor market integration process of teachers, considering the community, family and student reality of a population social risk. The research that supports this proposal is based on a qualitative approach, since the diagnosis process is not intended to provide answers that could be commonly applied to other education centers in similar contexts, but to make an exploratory approach of teachers’ reality and their integration process into education institutions of high social vulnerability. Therefore, although this paper intends to share this experience, it does not aim to unify integration practices, but to be an input in carrying out similar processes.  (5) The concept of high social vulnerability is understood based on Sojo’s approach (2003), which defines it as marginal urban communities in areas considered by the Costa Rican government as priority areas with the greatest social, economic backwardness in the country, and high rates of violence, leisure, unemployment and drug addiction. (6) Translator’s note: The Costa Rican education system is composed of primary education (1st-6th grade) and secondary education (7th-11th grade). (7)A public primary school in the circuit 02 of the Province of Heredia.

MAKING THE GROUP CATALOGUE OF PERIODICALS UNIT INFORMATION DOCUMENT OF THE FACULTY OF SOCIAL SCIENCES NATIONAL UNIVERSITY

We present the results of the final graduation practice called "Creating the Serials Union Catalogue of Documentary Information Units of the Faculty of Social Sciences at the National University" which consisted of creating a computerized catalog for periodicals by GENISIS program. Unit of documentary information: Faculty of Social Sciences National University: CIDCSO (Documentary Information Centre of Social Sciences), FBEH (Bibliographical School of History), MA (International Relations Specialist Library "Luis and Felipe Molina ") and CINPE (Library of the National Centre for Economic Policy on Sustainable Development).

Dyslipidemia and blood lipid levels in patients tratied in primary care centers in east SAN JOSE

Dyslipidemia, i.e. high levels of blood lipids (cholesterol and triglycerides), is strongly related to cardiovascular disease (CVD). In order to reduce the risk of CVD at any moment in a person ́s life, it is crucial to know his/her –and the population’s– lipid profile. The aim of this study was to assess the (statistical) indicators of blood lipids and the prevalence of dyslipidemia in patients treated in the Integral Health Attention Program from Universidad de Costa Rica. A descriptive study was conducted including 10,044 patients aged 20 to 65 years, who were tested for a blood lipid profile in 2006. A total of 2,969 (29.6%) male and 7,075 (70.4%) female patients took part in the study, with an average age of 43.5 years. General averages for blood lipids were: 203.3 mg/dl for total cholesterol, 50.1 mg/dl for HDL, 120.1 mg/dl for LDL, and 165.6 mg/dl for triglycerides. Prevalence of 17.2% was determined for hypercholesterolemia (≥240 mg/dl), as well as 21.3% for low HDL levels (<40 mg/dl), 11.9% for high LDL levels (≥160 mg/dl), and 26.3% for high triglyceride levels (≥200 mg/dl). Women showed higher overall levels of dyslipidemia than men. Based on health areas, no significant differences were found in general lipid levels by age or sex. Results indicate that the general prevalence of dyslipidemia is close to half the rate reported in worldwide literature and lower than results reported in Costa Rican studies. However, general averages exceeded optimal levels for each blood lipid; consequently, it is important to develop health interventions oriented to reduce the impact of dyslipidemia in the studied population.

El abuso sexual a niñas, niños y adolescentes: un secreto familiar, un problema familiar, un problema social

This investigation has the purpose of identifying how to prevent through educational processes, and then eradicate, the sexual abuse against children and adolescents in rural communities from Salvador, Guatemala, Honduras and Nicaragua. The premise is that sexual abuse cannot be approached in an isolated way; it requires integral and committed actions of the institutions in charge of children and adolescents’ integral protection and development. This implies considering: the legal framework, the response offered by government and private organizations towards the prevention and attention of rights as well as their actions to penalize and restore the violated rights; the role of families as main responsible of the well being of their children and the role of children and adolescents.

La política educativa y su compromiso con la equidad social y el desarrollo sostenible

The article centers its analysis in two areas of the current educational policies in Costa Rica: the statements that the document contains about its commitment with the social equity and the sustainable development, subject that has a strong relationship with rural education, its conceptualization, its planning, and its development. At the same time, it traces a brief description of the development of the right to education in the nation’s politics, showing advances of the country’s vulnerable groups, with the promulgation of new laws that these sectors have been reaching through fights and organized demands.

METRÓPOLE E ALIENAÇÃO - AS CONTRADIÇÕES ENTRE RIQUEZA TÉCNICA E POBREZA SOCIAL PRODUZIDAS PELA LOCALIZAÇÃO DAS EMPRESAS DE TELEMARKETING NA CIDADE DE SÃO PAULO

O objetivo central desse artigo é analisar a territorialidade das empresas de telemarketing na cidade de São Paulo. Buscamos comprovar a hipótese de que há um processo complexo de alienação, em relação ao trabalho e à própria cidade, especialmente vinculado à atividade dos trabalhadores nos call centers. O controle, a rigidez em relação ao cumprimento de metas, a falta de interação entre os colegas de trabalho e o não reconhecimento na profissão são elementos que contribuem para confirmar parte desse processo de alienação. Por outro lado, as dificuldades em relação à circulação na cidade, a distância e o tempo excessivo das viagens entre o local de moradia e o de trabalho, assim como o não estabelecimento de vínculos com o bairro onde as empresas se situam, indicam elementos que justificam um processo de não pertencimento, de estranhamento em relação à cidade. Do mesmo modo, o uso, pelas empresas de telemarketing, da infra-estrutura presente na metrópole, das relações de proximidade com outras empresas, de uma mão-de-obra relativamente qualificada e barata, expõe essas cidades às contradições entre uma riqueza técnica e uma pobreza social. Tal pobreza é decorrente do ônus pago pelos trabalhadores que não têm acesso às virtudes das inovações presentes em áreas selecionadas da metrópole.