977 resultados para Programas socio-comunitarios


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Patients with neurodisabilities require early management, continuing into adulthood. Thus, transition services were implemented in hospitals. To have a better support when they enter into adult life, it is useful to know the problems that they could face. The aim of this study is to evaluate their activities and to assess their insertion problems in the professional world. It is based on medical records of patients, aged 16 to 25 years, followed in the transition clinic of young adults in the Neurorehabilitation services of a tertiary centre. From 387 patients of the paediatric consultation, there are 267 patients (69%), included 224 with neurodevelopmental diseases and 43 with neuromuscular diseases. Nearly half of them (46.8%) were in a protected environment, 37.08% studied and 3.4% worked. Paradoxically, only 29.2% reported work problems. These results highlight the need to increase the integration of young adults with neuromotor disorders in the labor market.

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Both individual socio-cultural determinants such as selected parental characteristics (migrant background, low educational level and workload) as well as the regional environment are related to childhood overweight and physical activity (PA). The purpose of the study was to compare the impact of distinct socio-cultural determinants such as the regional environment and selected parental characteristics on adiposity, PA and motor skills in preschool children. Forty preschools (N = 542 children) of two culturally different urban regions (German and French speaking part of Switzerland) participated in the study (Ballabeina Study). Outcome measures included adiposity (BMI and skinfold thickness), objectively measured sedentary activities and PA (accelerometers) and agility performance (obstacle course). Parental characteristics (migrant status, educational level and workload) were assessed by questionnaire. Children from the French speaking areas had higher adiposity, lower levels of total and of more intense PA, were more sedentary and less agile than children from the German speaking regions (percent differences for all outcome parameters except for BMI ≥10%; all p ≤ 0.04). Differences in skinfold thickness, sedentary activities and agility, but not in PA, were also found between children of Swiss and migrant parents, though they were ≤8% (p ≤ 0.02). While paternal workload had no effect, maternal workload and parental education resulted in differences in some PA measures and/or agility performance (percent differences in both: ≤9%, p ≤ 0.008), but not in adiposity or sedentary activities (p = NS). Regional differences in skinfold thickness, PA, sedentary activities and agility performance persisted after adjustment for parental socio-cultural characteristics, parental BMI and, where applicable, children's skinfolds (all p ≤ 0.01). The regional environment, especially the broader social environment, plays a prominent role in determining adiposity, PA and motor skills of young children and should be implicated in the prevention of obesity and promotion of PA in children. clinicaltrials.gov NCT00674544.

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Durante 1982 -83 se presentó, frente a las costas sudamericanas del Pacífico, el fenómeno de «El Niño» (EN) catalogado como el más intenso del siglo. Inesperadamente, el régimen de temperaturas superficiales del mar se incrementó rápidamente a partir de octubre de 1982, superando más de 7 ºC por encima del promedio. Las precipitaciones normalmente altas en el Ecuador, sobrepasaron al promedio anual en más de 600 % y mucho más en las zonas semiáridas del norte del Perú. Las perturbaciones climáticas y oceánicas se manifestaron durante 12meses por lo menos; las lluvias se propagaron hasta la zona central del Perú y los cambios oceánicos a todo el Pacífico Sudeste. Las reuniones científicas realizadas en la región del Pacífico Sudeste y fuera de esta, dieron a conocer notables cambios tanto físicos como biológicos en toda la Cuenca del Pacífico. Estas alteraciones afectaron en el mar la actividad pesquera y en el continente la agricultura, infraestructura vial, industrial y viviendas, así como la educación y la salud. Los gobiernos de Ecuador y Perú se vieron precisados a declarar en emergencia las áreas afectadas. Los daños que se consignan en el presente informe se consideran sólo parciales por tener como base evaluaciones realizadas hasta febrero de 1983. Las lluvias continuaron aún con mayor fuerza en los meses siguientes. Los gobiernos y las instituciones de la región reaccionaron intensificando la vigilancia de los cambios climáticos y oceánicos en relación con los recursos. La Comisión Permanente del Pacífico Sur (CPPS), coor dinó las actividades del Grupo ERFEN y organizó reuniones científicas con apoyo de la COI-UNESCO y la OMM. Estos organismos así como la FAO propiciaron y estimularon por su parte programas globales. A pesar de lo anterior, la importancia socio-económica de EN requiere de una mayor coordinación y cooperación internacional. La meta de los programas es lograr una adecuada predicción de EN.