Acondicionamiento y mejora de la M-507 entre Aldea del Fresno y Navalcarnero. Tramo: Variante de Villamanta. Villamanta (Madrid)

Este proyecto constituye un estudio informativo ordenado por la Dirección General de Carreteras e Infraestructuras de la Comunidad de Madrid debido a la siniestralidad detectada en la M-507 entre Aldea del Fresno y Navalcarnero, en su paso por Villamanta (travesía de Villamanta), a los problemas de trazado de la misma que comprometían seriamente la seguridad de los usuarios, y atendiendo al Plan de disminución de la siniestralidad y mejora de la capacidad de la Comunidad de Madrid. Además, la existencia de travesías siempre hace más incómoda la circulación a aquellos usuarios de la carretera cuyo destino no sea esa población, pues ralentiza su marcha y compromete su seguridad. Con este proyecto, se pretende hacer frente a esa problemática, desviando el tráfico, mejorando el trazado y la circulación. Su fín último es mejorar la unión de las poblaciones periféricas del Suroeste de la Comunidad de Madrid con el Centro de la misma.

Ogygia: seu, Rerum Hibernicarum chronologia. : Ex pervetustis monumentis fideliter inter se collatis eruta, atque è sacris ac prophanis literis primarum orbis gentium tam genealogicus, quam chronologicis sufflaminata præsidiis. : Liber primus. Ab universali diluvio, ad annum Virginei partus 428 ... : Quibus accedit, regum Hiberniæ Christianorum ab anno 428 ad annum 1022; aliorumque eventuum inde ad jam regnantem Carolum 2 brevis chronologica tabula. : Deinde carmen chronographicum summam omnium à diluvio ad præsens tempus complectens. : Postremò catalogus regum in Britannia Scotorum, ex Hiberniæ monumentis. /

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Perceived Stress and Self‑rated Health of Haitian and African Americans with and without Type 2 Diabetes

Background: Blacks have a higher incidence of diabetes and its related complications. Self-rated health (SRH) and perceived stress indicators are associated with chronic diseases. The aim of this study was to examine the associations between SRH, perceived stress and diabetes status among two Black ethnicities. Materials and Methods: The cross-sectional study included 258 Haitian Americans and 249 African Americans with (n = 240) and without type 2 diabetes (n = 267) (N = 507). Recruitment was performed by community outreach. Results: Haitian-Americans were less likely to report ‘fair to poor’ health as compared to African Americans [OR=0.58 (95% CI: 0.35, 0.95), P = 0.032]; yet, Haitian Americans had greater perceived stress than African Americans (P = 0.002). Having diabetes was associated with ‘fair to poor’ SRH [OR=3.14 (95% CI: 2.09, 4.72),P < 0.001] but not perceived stress (P = 0.072). Haitian-Americans (P = 0.023), females (P = 0.003) and those participants having ‘poor or fair’ SRH (P < 0.001) were positively associated with perceived stress (Nagelkerke R2=0.151). Conclusion: Perceived stress associated with ‘poor or fair’ SRH suggests that screening for perceived stress should be considered part of routine medical care; albeit, further studies are required to confirm our results. The findings support the need for treatment plans that are patient-centered and culturally relevant and that address psychosocial issues.

Dietary Intake Of Flavonoids And HDL- And LDL- Cholesterol In Two Black Ethnicities With And Without Type 2 Diabetes

Flavonoids are a class of over 6,500 plant metabolites that have been associated with reduced mortality from cardiovascular disease. A cross-sectional analysis of dietary flavonoids and serum cholesterol in 507 Blacks with and without type 2 diabetes (258 Haitian-Americans and 249 African-Americans) showed differences by ethnicity and diabetes status. Haitian-Americans consumed more of most flavonoids as compared to African-Americans. Individuals with type 2 diabetes consumed less of most flavonoids as compared to those without diabetes. Flavonoids were differentially associated with low-density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL) by diabetes status. Flavanones were associated with lower LDL for participants without diabetes and higher LDL for those with diabetes, independent of ethnicity and adjusted for age, gender, cholesterol medications, daily energy, dietary fat, body mass index (BMI), and smoking. Flavan-3-ols were positively related to LDL while polyflavonoids (theaflavin and polymers, proanthocyanidins) were inversely related to LDL for the group without diabetes only. Higher anthocyanidins and flavan-3-ols and lower polyflavonoids were associated with higher HDL (same adjustments) for those without diabetes, whereas no flavonoids were associated with HDL for individuals with type 2 diabetes.