Community health workers: The critical link to sustainable, healthy societies in low-resource settings---A model for the Baylor Shoulder to Shoulder Foundation

Community health workers (CHWs) can serve as a bridge between healthcare providers and communities to positively impact social determinants of health and, thus, the overall health of the population. The potential to effect lasting change is particularly significant within resource-poor settings with limited access to formally trained health care providers such as the small, rural village of Santa Ana Intibucá, Honduras and surrounding areas—located on the geographically and politically isolated border of Honduras and El Salvador. The Baylor Shoulder to Shoulder Foundation (BSTS) works in conjunction with Santa Ana's volunteer health committee to bring a health brigade that has provided health care and public health projects to the area at least twice a year since 2001. They have also hired a full-time Honduran physician, a Honduran in-country administrative director, and built a clinic; yet, no community health worker program exists. This CHW program model is the response to a clear need for a CHW program within the area served by BSTS and presents a CHW program model specific to Santa Ana Intibucá and surrounding areas to be implemented by BSTS. Methods used to develop this model include reviewing the literature for recommendations from leading authorities as well as successfully implemented CHW programs in comparable regions. This information was incorporated into existing knowledge and materials currently being used in the area. Using the CHW model proposed here, each brigade, in conjunction with the communities served, can help develop new modules to respond to the specific health priorities of the region at that time, incorporating consistent modes of contact with the local physician and the CHWs to provide refresher courses, training in new topics of interest, and to be reminded of the importance of community health workers' role as the critical link to healthy societies. With cooperation, effort, and support, the brigade can continue to help integrate a sustainable CHW system in which communities may be able to maximize the care they receive while also learning to care for their own health and the future of their communities.^

Lecturas sobre The Foundation. A Great American Secret (2007), Joel L. Fleishman, New York, Public Affairs

Fil: Quesada, Fernando. Universidad Nacional de Cuyo. Facultad de Filosofía y Letras. Instituto Multidisciplinario de Estudios Sociales Contemporáneos

The shift of paradigm in the organizations like foundation of the style of ethical leadership

La presente investigación tiene por objeto analizar el cambio de paradigma en las organizaciones como fundamento del liderazgo ético desde una realidad postmoderna a fin de detectar la necesidad de un liderazgo ético en las organizaciones donde los líderes sean formadores de valores a través del modelaje directivo; es un estilo de liderazgo en el que la visión ética, sistémica e integradora son unas de las principales aptitudes que el líder ético ha de poner en la práctica. Se han desarrollado teorías de liderazgo centradas no tanto en los rasgos o comportamientos de los líderes, sino en la relación entre líder y sus seguidores

The foundation of the Mexican welfare state and social security reform in the 1990s

Before 1982 Mexico's welfare state regime was a limited conservative one that put priority on the social security of organized labor. But following the country's debt crisis in 1982, this regime changed to a hybrid liberal model. The Ernest Zedillo government (1995-2000) in particular pushed ahead with liberal reform of the social security system. This paper examines the characteristics and the policy making of the social security reforms in the 1990s. The results suggest that underlying these reforms was the restructuring of the economy and the need to cope with the cost of this restructuring. The paper also points out that one of the main factors making possible the rapid execution of the reforms were the weakened political clout of the officialist labor unions due to their steady breakdown during the 1990s and the increase in the monopolistic power of the state vis-a-vis the position of labor during the negotiations on social security reforms.

Towards the foundation of a global modes concept

A contribution is presented, intended to provide theoretical foundations for the ongoing efforts to employ global instability theory for the analysis of the classic boundary-layer flow, and address the associated issue of appropriate inflow/outflow boundary conditions to close the PDE-based global eigenvalue problem in open flows. Starting from a theoretically clean and numerically simple application, in which results are also known analytically and thus serve as a guidance for the assessment of the performance of the numerical methods employed herein, a sequence of issues is systematically built into the target application, until we arrive at one representative of open systems whose instability is presently addressed by global linear theory applied to open flows, the latter application being neither tractable theoretically nor straightforward to solve by numerical means. Experience gained along the way is documented. It regards quantification of the depar- ture of the numerical solution from the analytical one in the simple problem, the generation of numerical boundary layers at artificially truncated boundaries, no matter how far the latter are placed from the region of highest flow gradients and, ultimately the impracti- cally large number of (direct and adjoint) modes necessary to project an arbitrary initial perturbation and follow its temporal evolution by a global analysis approach, a finding which may question the purported robustness reported in the literature of the recovery of optimal perturbations as part of global analyses yielding under-resolved eigenspectra.

Intensive Metrics for the Study of the Evolution of Open Source Projects: Case Studies from Apache Software Foundation Projects

Based on the empirical evidence that the ratio of email messages in public mailing lists to versioning system commits has remained relatively constant along the history of the Apache Software Foundation (ASF), this paper has as goal to study what can be inferred from such a metric for projects of the ASF. We have found that the metric seems to be an intensive metric as it is independent of the size of the project, its activity, or the number of developers, and remains relatively independent of the technology or functional area of the project. Our analysis provides evidence that the metric is related to the technical effervescence and popularity of project, and as such can be a good candidate to measure its healthy evolution. Other, similar metrics -like the ratio of developer messages to commits and the ratio of issue tracker messages to commits- are studied for several projects as well, in order to see if they have similar characteristics.

Seismic performance case study of bridge pile cap foundation

The purpose of this report is to build a model that represents, as best as possible, the seismic behavior of a pile cap bridge foundation by a nonlinear static (analysis) procedure. It will consist of a reproduction of a specimen already built in the laboratory. This model will carry out a pseudo static lateral and horizontal pushover test that will be applied onto the pile cap until the failure of the structure, the formation of a plastic hinge in the piles due to the horizontal deformation, occurs. The pushover test consists of increasing the horizontal load over the pile cap until the horizontal displacement wanted at the height of the pile cap is reached. The output of this model will be a Skeleton curve that will plot the lateral load (kN) over the displacement (m), so that the maximum movement the pile cap foundation can reach before its failure can be calculated. This failure will be achieved when the load at that specific shift is equal to 85% of the maximum. The pile cap foundation finite element model was based on pile cap built for a laboratory experiment already carried out by the Master student Deming Zhang at Tongji University. Two different pile caps were tested with a difference in height above the ground level. While one has 0:3m, the other rises 0:8m above the ground level. The computer model was calibrated using the experimental results. The pile cap foundation will be programmed in a finite element environment called OpenSees (Open System for Earthquake Engineering Simulation [28]). This environment is a free software developed by Berkeley University specialized, as it name says, in the study of earthquakes and its effects on structures. This specialization is the main reason why it is being used for building this model as it makes it possible to build any finite element model, and perform several analysis in order to get the results wanted. The development of OpenSees is sponsored by the Pacific Earthquake Engineering Research Center through the National Science Foundation engineering and education centers program. OpenSees uses Tcl language to program it, which is a language similar to C++.

Technical criteria for the desing of foundation slabs and perimetral wall in difficult terrain in Madrid. Spain

This paper explains a procedure for the choice of ballast modules used for the design of direct continuous foundation in karst terrain. The presence of dangerous cavities is introduced in this procedure thereby evaluating risk failure. It also provides pertinent guidelines to direct the geotechnical survey of the terrain.

Technical criteria for the design of foundation slabs and perimetral wall in difficult terrain in south east Madrid, Spain

This paper explains a procedure for the choice of ballast modules used for the design of direct continuous foundation in karst terrain. The presence of dangerous cavities is introduced in this procedure thereby evaluating risk failure. It also provides pertinent guidelines to direct the geotechnical survey of the terrain.

Elsa Peretti Foundation

Elsa Peretti Foundation [Proyecto]

Offshore wind foundation design: some key issues

Despite the growth of the offshore wind industry, there are currently doubts relating to the design of wind facilities in the sea. This paper expounds current, already identified structural uncertainties: problems for soil characterization and transition piece (TP) design. This document also introduces new doubts or issues to be researched in the near future in this field (wave theory, scour process, wave load actions, scale difficulty, etc.), not as yet identified due to the scarce experience in the offshore wind industry. With this in mind, technical offshore wind standards related to foundation design have been reviewed.

Construction History in Spain: the Discipline's Foundation

In the past two decades the History of Construction has started to become an independent discipline. On one hand, the number of articles, theses and books that could be assigned to this field has grown exponentially. Furthermore, there have been numerous and remarkably successful Congresses: 12 National (Spain 8; France 2; United Kingdom 1; Germany 1) and 4 International Congresses (Madrid 2003, Cambridge 2006, Cottbus 2009, Paris 2012), see Table 1 below. However, the situation is far from that corresponding to an already recognized discipline, such as the History of Art or the History of Science. There are no University chairs and departments, and in the reference databases “Construction History” is not listed as a common descriptor. This is not surprising; it reflects the inertia of academia to accept new disciplines. In what follows we will discuss the current state of discipline in Spain. Previous articles have tackled the matter. We will try to avoid unnecessary repetitions and concentrate on: 1) The activities of the Spanish Society of Construction History; 2) Its consequences on teaching and research, taken as a case study the experience in the School of Architecture of Madrid, and 3) We will give a provisional List of dissertations on Construction History read in Spain in the last forty years. First, we will try to define with the least possible ambiguity its field and its objectives. The intention is not to enter into the actual debate on the "definition" of Construction History, but to expose, in as detached as possible way, the ideas behind the actions made.

Declining brain activity in cognitively normal apolipoprotein E ɛ4 heterozygotes: A foundation for using positron emission tomography to efficiently test treatments to prevent Alzheimer's disease

Cross-sectional positron emission tomography (PET) studies find that cognitively normal carriers of the apolipoprotein E (APOE) ɛ4 allele, a common Alzheimer's susceptibility gene, have abnormally low measurements of the cerebral metabolic rate for glucose (CMRgl) in the same regions as patients with Alzheimer's dementia. In this article, we characterize longitudinal CMRgl declines in cognitively normal ɛ4 heterozygotes, estimate the power of PET to test the efficacy of treatments to attenuate these declines in 2 years, and consider how this paradigm could be used to efficiently test the potential of candidate therapies for the prevention of Alzheimer's disease. We studied 10 cognitively normal ɛ4 heterozygotes and 15 ɛ4 noncarriers 50–63 years of age with a reported family history of Alzheimer's dementia before and after an interval of approximately 2 years. The ɛ4 heterozygotes had significant CMRgl declines in the vicinity of temporal, posterior cingulate, and prefrontal cortex, basal forebrain, parahippocampal gyrus, and thalamus, and these declines were significantly greater than those in the ɛ4 noncarriers. In testing candidate primary prevention therapies, we estimate that between 50 and 115 cognitively normal ɛ4 heterozygotes are needed per active and placebo treatment group to detect a 25% attenuation in these CMRgl declines with 80% power and P = 0.005 in 2 years. Assuming these CMRgl declines are related to the predisposition to Alzheimer's dementia, this study provides a paradigm for testing the potential of treatments to prevent the disorder without having to study thousands of research subjects or wait many years to determine whether or when treated individuals develop symptoms.