Syndromic surveillance at a long term shelter for persons displaced by hurricanes Katrina and Rita conducted by the San Antonio Metropolitan Health District

Background. Beginning September 2, 2005, San Antonio area shelters received approximately 12,700 evacuees from Hurricane Katrina. Two weeks later, another 12,000 evacuees from Hurricane Rita arrived. By mid-October, 2005, the in-shelter population was 1,000 people. There was concern regarding the potential for spread of infectious diseases in the shelter. San Antonio Metropolitan Health District (SAMHD) established a syndromic surveillance system with Comprehensive Health Services (CHS) who provided on-site health care. CHS was in daily contact with SAMHD to report symptoms of concern until the shelter closed December 23, 2005. ^ Study type. The objective of this study was to assess the methods used and describe the practical considerations involved in establishing and managing a syndromic surveillance system, as established by the SAMHD in the long-term shelter clinic maintained by CHS for the hurricane evacuees. ^ Methods. Information and descriptive data used in this study was collected from multiple sources, primarily from the San Antonio Metropolitan Health District’s 2006 Report on Syndromic Surveillance of a Long-Term Shelter by Hausler & Rohr-Allegrini. SAMHD and CHS staff ensured that each clinic visit was recorded by date, demographic information, chief complaint and medical disposition. Logs were obtained daily and subsequently entered into a Microsoft Access database and analyzed in Excel. ^ Results. During a nine week period, 4,913 clinic visits were recorded, reviewed and later analyzed. Repeat visits comprised 93.0% of encounters. Chronic illnesses contributed to 21.7% of the visits. Approximately 54.0% were acute care encounters. Of all encounters, 17.3% had infectious disease potential as primarily gastrointestinal and respiratory syndromes. Evacuees accounted for 86% and staff 14% of all visits to the shelter clinic. There were 782 unduplicated individuals who sought services at the clinic, comprised of 63% (496) evacuees and 36% (278) staff members. Staff were more likely to frequent the clinic but for fewer visits each. ^ Conclusion. The presence of health care services and syndromic surveillance provided the opportunity to recognize, document and intervene in any disease outbreak at this long-term shelter. Constant vigilance allowed SAMHD to inform and reassure concerned people living and working in the shelter and living outside the shelter.^

Knowledge and Attitudes of Young People in Nigeria about HIV/AIDS---A systematic review

Background: HIV/AIDS has remained one of Nigeria's biggest health and social issues for decades. People aged between 10 and 24 are the most affected. Research into why this population subset is affected is very pertinent. We therefore conducted a systematic review of the Knowledge and Attitudes of young people in Nigeria about HIV/AIDS to understand where the gaps between knowledge and attitudes can be bridged. ^ Methods: We conducted searches in Medline, PubMed, African Index Medicus, Cumulative Index of Nursing and Allied Health. WHO and UNAIDS documents were also searched. Other journals were hand searched. Searches were for studies between 1986 (when HIV/AIDS was first reported in Nigeria) till date. In addition, data abstraction and quality assessment were done. ^ Results: 279 titles and abstracts were found and 33 articles in full text were appraised critically and 17 articles were selected based on our criteria. This revealed a dearth of well conducted studies in the literature despite the enormity of the HIV/AIDS epidemic. Constructs for Knowledge and attitudes were itemized on two tables for each article based on the Health Belief Model. Even though many of the studies showed high level of knowledge about HIV/AIDS, it did not impact attitudes about the disease. Also fear and anxiety prevented participants from acquiring knowledge. These recurring themes arguably were not limited to any region or area, background or group. ^ Conclusion: There is a need for future research to be culturally sensitive with a focus on attitudes and correction of misconceptions about HIV/AIDS among our youth.^

Formulación de un plan de desarrollo agropecuario y forestal para una comunidad ejidal del municipio de San Fernando, Chiapas, México

El perfil socioeconómico de Chiapas es primordialmente rural, debiendo reconocerse la diversidad de sus actividades agropecuarias y forestales para generar condiciones específicas de desarrollo. Considerando lo anterior, se realizó esta investigación entre mayo de 1998 y diciembre de 1999, como un estudio de caso sobre los aspectos agropecuarios y forestales más relevantes en el ejido Villa Allende, que expresa problemas ejidales característicos de la región. El ejido cuenta con 3.300 hectáreas, 554 ejidatarios y se ubica en el municipio de San Fernando en la Región Central de Chiapas. Se estudiaron las circunstancias de los ejidatarios, conocimiento local y procesos de trabajo agrícola desde una perspectiva de planeación. A partir de ello se generó el plan de desarrollo, el cual es el primero expuesto en el municipio de San Fernando que se dirige al sector ejidal. Su propósito es plasmar una propuesta general en materia agropecuaria y forestal que pueda ser base para la concertación y que permita vislumbrar opciones dirigidas a mejorar la calidad de vida de los habitantes del ejido Villa Allende. Se postulan las siguientes políticas de desarrollo: 1. Fortalecimiento de la producción y la autosuficiencia alimentaria. 2. Impulso al crecimiento económico. 3. Dotación de infraestructura básica. 4. Reordenamiento agropecuario y forestal con criterios sociales, ecológicos y económicos. 5. Promoción de la salud. Con base en las políticas, se enuncian objetivos programas y subprogramas o proyectos.

Juventud, delito y trabajo en San Salvador de Jujuy (Argentina)

El delito juvenil y la inseguridad pública de la Argentina reciente son temas que se han instalado en la agenda tanto política como científica. Algunos autores proponen comprender a estos fenómenos como producto de los procesos de declive institucional que atraviesa actualmente el país, declive que se caracteriza por una serie de transformaciones de las estructuras institucionales de tradición social salarial que afectaron no solo a las economías domésticas sino a un estilo de vida organizado en torno al trabajo, la familia y la educación. En San Salvador de Jujuy, los jóvenes infractores de la ley penal tienen familias cuyas condiciones sociales aparentan derivarse de estos procesos: existencias cercanas a -inmersas en- la pobreza; en algunos casos, necesidades básicas insatisfechas; pertenencia a una escenografía urbana periférica y marginal. Además, estos jóvenes son percibidos y representados mediáticamente con sentidos valorativos cargados de prejuicios y posturas que esencializan el delito, invisibilizando el carácter social y cultural de la problemática. Precisamente, la propuesta de este trabajo radica en analizar y discutir las condiciones de vida de este segmento poblacional, junto con los procesos de exclusión social por los cuales transita de manera fluctuante, con el objetivo de contribuir, a través de un estudio situado, a la comprensión de una problemática cada vez más relevante

Formulación de un plan de desarrollo agropecuario y forestal para una comunidad ejidal del municipio de San Fernando, Chiapas, México

El perfil socioeconómico de Chiapas es primordialmente rural, debiendo reconocerse la diversidad de sus actividades agropecuarias y forestales para generar condiciones específicas de desarrollo. Considerando lo anterior, se realizó esta investigación entre mayo de 1998 y diciembre de 1999, como un estudio de caso sobre los aspectos agropecuarios y forestales más relevantes en el ejido Villa Allende, que expresa problemas ejidales característicos de la región. El ejido cuenta con 3.300 hectáreas, 554 ejidatarios y se ubica en el municipio de San Fernando en la Región Central de Chiapas. Se estudiaron las circunstancias de los ejidatarios, conocimiento local y procesos de trabajo agrícola desde una perspectiva de planeación. A partir de ello se generó el plan de desarrollo, el cual es el primero expuesto en el municipio de San Fernando que se dirige al sector ejidal. Su propósito es plasmar una propuesta general en materia agropecuaria y forestal que pueda ser base para la concertación y que permita vislumbrar opciones dirigidas a mejorar la calidad de vida de los habitantes del ejido Villa Allende. Se postulan las siguientes políticas de desarrollo: 1. Fortalecimiento de la producción y la autosuficiencia alimentaria. 2. Impulso al crecimiento económico. 3. Dotación de infraestructura básica. 4. Reordenamiento agropecuario y forestal con criterios sociales, ecológicos y económicos. 5. Promoción de la salud. Con base en las políticas, se enuncian objetivos programas y subprogramas o proyectos.

Juventud, delito y trabajo en San Salvador de Jujuy (Argentina)

El delito juvenil y la inseguridad pública de la Argentina reciente son temas que se han instalado en la agenda tanto política como científica. Algunos autores proponen comprender a estos fenómenos como producto de los procesos de declive institucional que atraviesa actualmente el país, declive que se caracteriza por una serie de transformaciones de las estructuras institucionales de tradición social salarial que afectaron no solo a las economías domésticas sino a un estilo de vida organizado en torno al trabajo, la familia y la educación. En San Salvador de Jujuy, los jóvenes infractores de la ley penal tienen familias cuyas condiciones sociales aparentan derivarse de estos procesos: existencias cercanas a -inmersas en- la pobreza; en algunos casos, necesidades básicas insatisfechas; pertenencia a una escenografía urbana periférica y marginal. Además, estos jóvenes son percibidos y representados mediáticamente con sentidos valorativos cargados de prejuicios y posturas que esencializan el delito, invisibilizando el carácter social y cultural de la problemática. Precisamente, la propuesta de este trabajo radica en analizar y discutir las condiciones de vida de este segmento poblacional, junto con los procesos de exclusión social por los cuales transita de manera fluctuante, con el objetivo de contribuir, a través de un estudio situado, a la comprensión de una problemática cada vez más relevante

Formulación de un plan de desarrollo agropecuario y forestal para una comunidad ejidal del municipio de San Fernando, Chiapas, México

El perfil socioeconómico de Chiapas es primordialmente rural, debiendo reconocerse la diversidad de sus actividades agropecuarias y forestales para generar condiciones específicas de desarrollo. Considerando lo anterior, se realizó esta investigación entre mayo de 1998 y diciembre de 1999, como un estudio de caso sobre los aspectos agropecuarios y forestales más relevantes en el ejido Villa Allende, que expresa problemas ejidales característicos de la región. El ejido cuenta con 3.300 hectáreas, 554 ejidatarios y se ubica en el municipio de San Fernando en la Región Central de Chiapas. Se estudiaron las circunstancias de los ejidatarios, conocimiento local y procesos de trabajo agrícola desde una perspectiva de planeación. A partir de ello se generó el plan de desarrollo, el cual es el primero expuesto en el municipio de San Fernando que se dirige al sector ejidal. Su propósito es plasmar una propuesta general en materia agropecuaria y forestal que pueda ser base para la concertación y que permita vislumbrar opciones dirigidas a mejorar la calidad de vida de los habitantes del ejido Villa Allende. Se postulan las siguientes políticas de desarrollo: 1. Fortalecimiento de la producción y la autosuficiencia alimentaria. 2. Impulso al crecimiento económico. 3. Dotación de infraestructura básica. 4. Reordenamiento agropecuario y forestal con criterios sociales, ecológicos y económicos. 5. Promoción de la salud. Con base en las políticas, se enuncian objetivos programas y subprogramas o proyectos.

Juventud, delito y trabajo en San Salvador de Jujuy (Argentina)

El delito juvenil y la inseguridad pública de la Argentina reciente son temas que se han instalado en la agenda tanto política como científica. Algunos autores proponen comprender a estos fenómenos como producto de los procesos de declive institucional que atraviesa actualmente el país, declive que se caracteriza por una serie de transformaciones de las estructuras institucionales de tradición social salarial que afectaron no solo a las economías domésticas sino a un estilo de vida organizado en torno al trabajo, la familia y la educación. En San Salvador de Jujuy, los jóvenes infractores de la ley penal tienen familias cuyas condiciones sociales aparentan derivarse de estos procesos: existencias cercanas a -inmersas en- la pobreza; en algunos casos, necesidades básicas insatisfechas; pertenencia a una escenografía urbana periférica y marginal. Además, estos jóvenes son percibidos y representados mediáticamente con sentidos valorativos cargados de prejuicios y posturas que esencializan el delito, invisibilizando el carácter social y cultural de la problemática. Precisamente, la propuesta de este trabajo radica en analizar y discutir las condiciones de vida de este segmento poblacional, junto con los procesos de exclusión social por los cuales transita de manera fluctuante, con el objetivo de contribuir, a través de un estudio situado, a la comprensión de una problemática cada vez más relevante

Palynology of marine sediment cores from the West African coast

Seven sediment cores from the cruises of the "Meteor" and "Valdivia" were examined palynologically. The cores were retrieved from the lower continental slope in the area of between 33.5° N and 8° N, off the West African coast. Most of the cores contain sediments from the last Glacial and Interglacial period. In some cases, the Holocene sediments are missing. Some individual cores contain sediments also from earlier Glacial and Interglacial periods. The main reason for making this palynological study was to find out the differences between the vegetation of Glacial and Interglacial periods in those parts of West Africa which at present belong to the Mediterranean zone, the Sahara and the zones of the savannas and tropical forests. In today's Mediterranean vegetation zone at core 33.5° N, forests and deciduous forests in particular, are missing during Glacial conditions. Semi-deserts are found instead of these. In the early isotope stage 1, there is a very significant development of forests which contain evergreen oaks; this is the Mediterranean type of vegestation development. The Sahara type of vegetation development is shown in four cores from between 27° N and 19° N. The differences between Glacial and Interglacial periods are very small. It must be assumed therefore that in this latitudes, both Glacial and Interglacial conditions gave rise to desert generally. The results are in favour of a slightly more arid climate during Glacial and more humid one during Interglacial periods. The southern boundary of the Sahara and the adjacent savannas with grassland and tropical woods were situated more to the south during the Glacial periods than they were during the Interglacial ones. In front of today's savanna belt, it can be seen from the palynological results that there are considerable differences between the vegetation of Glacial and Interglacial periods. The woods are more important in Interglacial periods. During the Glacial periods these are replaced from north to south decreasingly by grassland (savanna and rainforest type of vegetation development). The southern limit of the Sahara during stage 2 was somewhat between 12° N and 8° N which is between 1.5 and 5 degrees in latitude further south than it i s today. Not only do these differences in climate and vegetation apply to the maximum of the last Glacial and for the Holocene, but they apparently apply also to the older Glacial and Interglacial periods, where they have been found in the profiles. The North African deset belt can be said to have expanded during Glacial times both towards the north and towards the south. All the available evidence of this study indicates that the grass land or the semi-desert of the Southern Europe cam einto connection with those of the N Africa; there could not have been any forest zone between them. The present study was also a good opportunity for investigating some of the basic marine palynological problems. The very well known overrepresentation of pollen grains of the genus Pinus in marine sediments can be traced as fa as 21° N. The present southern limit for the genus Pinus is on the Canaries and on the African continent as approximately 31° N. Highest values of Ephedra pollen grains even occur south of the main area of the present distribution of that genus. These does not seem to be any satisfactory explanation for this. In general, it would appear that the transport of pollen grains from the north is more important than transport from the south. The results so far, indicate strongly that further palynological studies are necessary. These should concentrate particularly on cores from between 33° N and 27° N as well as between 17° N and 10° N. It would also be useful to have a more detailed examination of sediments from the last Intergalcial period (substage 5 e). Absolute pollen counts and more general examination of surface samples would be desirable. Surface samples should be taken from the shelf down to the bottom of the continental slope in different latitudes.

Pollen distribution in marine sediment samples along the south-western African coast

The distribution of pollen in marine sediments is used to reconstruct pathways of terrigenous input to the oceans and provides a record of vegetation change on adjacent continents. The wind transport routes of aeolian pollen is comprehensively illustrated by clusters of trajectories. Isobaric, 4-day backward trajectories are calculated using the modelled wind-field of ECHAM3, and are clustered on a seasonal basis to estimate the main pathways of aeolian particles to sites of marine cores in the south-eastern Atlantic. Trajectories and clusters based on the modelled wind-field of the Last Glacial Maximum hardly differ from those of the present-day. Trajectory clusters show three regional, and two seasonal patterns, determining the pathways of aeolian pollen transport into the south-eastern Atlantic ocean. Mainly, transport out of the continent occurs during austral fall and winter, when easterly and south-easterly winds prevail. South of 25°S, winds blow mostly from the west and southwest, and aeolian terrestrial input is very low. Generally, a good latitudinal correspondence exists between the distribution patterns of pollen in marine surface sediments and the occurrence of the source plants on the adjacent continent. The northern Angola Basin receives pollen and spores from the Congolian and Zambezian forests mainly through river discharge. The Zambezian vegetation zone is the main source area for wind-blown pollen in sediments of the Angola Basin, while the semi-desert and desert areas are the main sources for pollen in sediments of the Walvis Basin and on the Walvis Ridge. A transect of six marine pollen records along the south-western African coast indicates considerable changes in the vegetation of southern Africa between glacial and interglacial periods. Important changes in the vegetation are the decline of forests in equatorial Africa and the north of southern Africa and a northward shift of winter rain vegetation along the western escarpment.

Evaluating a Speech Communication System for deaf people

This paper describes the development of an Advanced Speech Communication System for Deaf People and its field evaluation in a real application domain: the renewal of Driver’s License. The system is composed of two modules. The first one is a Spanish into Spanish Sign Language (LSE: Lengua de Signos Española) translation module made up of a speech recognizer, a natural language translator (for converting a word sequence into a sequence of signs), and a 3D avatar animation module (for playing back the signs). The second module is a Spoken Spanish generator from sign-writing composed of a visual interface (for specifying a sequence of signs), a language translator (for generating the sequence of words in Spanish), and finally, a text to speech converter. For language translation, the system integrates three technologies: an example-based strategy, a rule-based translation method and a statistical translator. This paper also includes a detailed description of the evaluation carried out in the Local Traffic Office in the city of Toledo (Spain) involving real government employees and deaf people. This evaluation includes objective measurements from the system and subjective information from questionnaires. Finally, the paper reports an analysis of the main problems and a discussion about possible solutions.

Translating bus information into sign language for deaf people

This paper describes the application of language translation technologies for generating bus information in Spanish Sign Language (LSE: Lengua de Signos Española). In this work, two main systems have been developed: the first for translating text messages from information panels and the second for translating spoken Spanish into natural conversations at the information point of the bus company. Both systems are made up of a natural language translator (for converting a word sentence into a sequence of LSE signs), and a 3D avatar animation module (for playing back the signs). For the natural language translator, two technological approaches have been analyzed and integrated: an example-based strategy and a statistical translator. When translating spoken utterances, it is also necessary to incorporate a speech recognizer for decoding the spoken utterance into a word sequence, prior to the language translation module. This paper includes a detailed description of the field evaluation carried out in this domain. This evaluation has been carried out at the customer information office in Madrid involving both real bus company employees and deaf people. The evaluation includes objective measurements from the system and information from questionnaires. In the field evaluation, the whole translation presents an SER (Sign Error Rate) of less than 10% and a BLEU greater than 90%.

Approaching unbanked people: a person-to-person payment application on Facebook

More than 2.5 billion people are still unbanked and they do not access or use financial services. In this paper, we present an innovative service that allows Santander University Smart Card holders to make person-to-person payments to their friends, using different social channels, such as Telegram, Facebook or Twitter. Our first implementation is based on Facebook, one of the most used social networks. This approach allows the service to reach a great number of potential users but the delivery and stability of the service depends on an external provider. We include the description of the service architecture, its implementation, tests, and the lessons learned from the development. We also discuss pros and cons of the third party service dependency from the technical and business viewpoints.

CLIMA ORGANIZACIONAL E BURNOUT: UM ESTUDO COM SERVIDORES PÚBLICOS FEDERAIS

As condições inadequadas vivenciadas nas organizações afligem não só os trabalhadores da iniciativa privada, pois são igualmente encontradas no segmento estatal, contrariando a expectativa de que o aparato governamental eliminaria as condições insalubres e criaria outras melhores nas quais prevalecesse à promoção de saúde. Diante desse panorama questionou-se porque, uma vez que, pelo menos do ponto de vista da sociedade leiga, esses servidores estão submetidos a condições privilegiadas de trabalho. O presente estudo objetivou identificar e descrever possíveis relações entre o clima organizacional e o burnout em servidores públicos de uma instituição federal de ensino. Objetivou-se ainda descrever o clima organizacional predominante. A pesquisa realizada teve cunho quantitativo, tipo estudo de caso e exploratória. A coleta de dados deu-se por meio das escalas ECO (escala de clima organizacional), ECB (escala de caracterização do burnout) e um questionário sociodemográfico, todos os instrumentos autoaplicáveis eletronicamente disponíveis à instituição. Participaram do estudo 201 servidores públicos federais, com idade média de 37 anos, majoritariamente de nível superior e casados. Os resultados revelaram que cerca de um quarto dos participantes raramente experimentaram burnout, no entanto outra quarta parte deles frequentemente experimentaram altos níveis de burnout, resultado bastante expressivo. Os servidores perceberam clima organizacional mediano, destacando-se a boa coesão entre os colegas de trabalho e a percepção de baixa recompensa. Merece destaque a grande dispersão entre as percepções de clima, o que permite inferir haver subclimas não identificados nesta investigação, possivelmente ocasionados por uma força de clima fraca e pela participação dos servidores de unidades de ensino geograficamente distintas, geridas por gestores locais com relativa autonomia. Os resultados dos cálculos de correlação revelaram que, quanto menos os participantes percebem apoio da chefia e da organização, coesão entre colegas, e mais controle/pressão, mais exaustos se sentem, mais desumanizam as pessoas com quem tratam e mais se decepcionam no trabalho e vice-versa. Conforto físico menor está associado a maior desumanização e a mais decepção no trabalho e vice-versa; e que controle/pressão, relaciona-se positiva e fracamente com desumanização e vice-versa. Desta forma, a hipótese de que existe associação entre burnout e clima organizacional foi confirmada. Os resultados também revelaram que os servidores com burnout, perceberam pior clima organizacional que os seus pares sem burnout, confirmando a segunda hipótese. Esses servidores também se mostraram neutros quanto à percepção de apoio da chefia e conforto físico; não percebem controle pressão, nem recompensa; todavia percebem coesão entre os colegas. Esses resultados sugerem que os participantes têm se apoiado nessas relações para suportar a indiferença e ausência de estímulos experimentados no trabalho. Os resultados obtidos nesse estudo permitiram concluir que o clima organizacional é fraco, provavelmente influenciado por uma cultura organizacional fraca, explicando a heterogeneidade da percepção do clima organizacional pelos servidores. Além disso, embora haja burnout entre poucos participantes, há que se atentar que cerca de um quarto deles, encontra-se acometido desta síndrome e isto poderá contagiar os demais.