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Con el objetivo de sistematizar una pedagogía de la militancia, este libro de autoría múltiple repasa y reflexiona sobre las dimensiones individuales y colectivas de las acciones que Noemí Labrune ha venido emprendiendo por décadas en el campo de los derechos humanos. De ese modo, se abarcan los orígenes del trabajo de extensión en las universidades argentinas, los procesos de resistencia y denuncia forjados durante y después de la última dictadura cívico-militar, los aspectos fundacionales y organizativos de los organismos de derechos humanos en Argentina y las estrategias desplegadas para hacer posibles los juicios de la verdad y los juicios de lesa humanidad. También las luchas de los pueblos originarios, los reclamos de las/os trabajadoras/es, el combate a la pervivencia de la violencia institucional, los usos pedagógicos de la memoria, la promoción del arte y de las/os artistas, las luchas ambientalistas, la exigibilidad de los derechos económicos y sociales, la demanda por los derechos de las/os niñas y adolescentes, y el fortalecimiento de la educación pública en todos sus niveles.- Fil: Azcónegui, María Cecilia. Universidad Nacional del Comahue. Facultad de Humanidades; Argentina. Fil: Barco, Silvia. Universidad Nacional del Comahue. Facultad de Ciencias de la Educación; Argentina. Fil: Basualdo, Guadalupe. Universidad de Buenos Aires. Departamento de Antropología Política y Jurídica; Argentina. Fil: Bellini, Leticia. Universidad Nacional del Comahue. Facultad de Ciencias de la Educación; Argentina. Fil: Bohoslavsky, Juan Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas. Universidad Nacional de Río Negro; Argentina. Fil: Cortiñas, Nora. Universidad de Buenos Aires. Facultad de Ciencias Económicas; Argentina. Fil: Fortunato, Susana. Universidad de Buenos Aires. Departamento de Extensión Universitaria; Argentina. Fil: Labrune, Noemí. Asamblea Permanente por los Derechos Humanos-Neuquén; Argentina. Fil: Labrune, Betina. Asociación Artístico Cultural SUR; Argentina. Fil: Mansilla, Sara. Asamblea Permanente por los Derechos Humanos-Neuquén; Argentina. Fil: Monte, Nerea Regina. Asamblea Permanente por los Derechos Humanos-Neuquén; Argentina. Fil: Purrán, Jorge Nawel. Confederación Mapuce de Neuquén. Observatorio de Derechos Humanos de Pueblos Indígenas; Argentina. Fil: Osés, Nara. Universidad Nacional del Comahue. Facultad de Derecho y Ciencias Sociales; Argentina. Fil: Pérez Esquivel, Adolfo. Asamblea Permanente de las Naciones Unidas sobre Derechos Humanos; Argentina. Fil: Ratier, Hugo. Universidad de Buenos Aires; Argentina. Fil: Santos, Hilda. Universidad de Buenos Aires; Argentina. Fil: Lugones, David. Delegación de Derechos Humanos de Neuquén; Argentina. Fil: Speier de Fernández, Nora. Universidad de Buenos Aires; Argentina. Fil: Tagliafico, María Clara. Universidad de Buenos Aires; Argentina. Fil: Toubes, Amanda. Universidad de Buenos Aires; Argentina. Fil: Albertoni, Jorge Luis. Fundación Kaizen; Argentina. Fil: Salaburu, Jorge. Servicio para la Comunicación y Capacitación de la Diócesis de Neuquén; Argentina. Fil: Landgrebe, Mabel. Ministerio de Desarrollo Social; Argentina. Fil: Goñi, Juan Cruz. Centro de Estudios Legales y Sociales; Argentina.

An integrated care organisation requires a flexible workforce with a variable skill mix in all care settings. Organisations should ensure that education and training are maintained to support safe, high quality care that provides value for money, promotes flexibility, and increases workforce participation in achieving organisation objectives and the expansion of services. Peripherally inserted central catheter (PICC) care was identified as a challenging area for the nursing workforce in acute care and community services, following the integration and service enlargement of the Whittington Health NHS Trust. This article describes the evaluation of a new PICC care training programme that was developed and implemented to increase knowledge and awareness. The evaluation provides the clinical education team with information to help identify additional training needs to facilitate the integration of care.

For several years, in-house clinical skills training has been used in hospitals and clinical settings. There has been a dramatic increase in recent years in the usage of clinical skills training to underpin role development and improve practice standards among healthcare professionals. This article describes the evaluation of an evidence-based electrocardiogram (ECG) lead placement training that was devised and implemented by the Whittington Health National Health Service (NHS) Trust Clinical Education Department to meet the gap in training needs. The findings will provide the department with facts if the trust is on the right path of accomplishing its planned goals to support role expansion, expert improvement and alteration in practice to improve patient care.

Health Education North Central and East London (HENCEL) provide funding support every year to the Whittington Health NHS Integrated Care Organisation (ICO). This ensures that nurses and midwives who are in current employment receive consistent high quality education and training to support the delivery of excellent care in line with the NMC standards. This article describes an analysis of nursing, midwifery and support workers training needs for academic year 2016/17 to meet service improvement. The analysis provides the clinical education and practice development team with information of whether the organisation is in the right direction in achieving its clinical strategic objectives to deliver consistent high quality and safe services and be recognised as a leader in the fields of multi-professional education.

Objective: To study changes in the prevalence of risk factors for cardiovascular disease after a five year population-wide intervention programme promoting a healthy lifestyle in a developing country. Design: Cross sectional cluster surveys in 1987 and 1992. Methodology included a two hour 75 g oral glucose tolerance test, measurement of body mass index, waist:hip ratio, basal lipid concentrations, and blood pressure; and a lifestyle questionnaire. Setting: Mauritius, in the Indian Ocean. Subjects: All adults aged 25-74 years residing in geographically defined clusters. Main outcome measures: Age standardised prevalence of categorical disease and risk factor conditions and mean levels and frequency distributions of continuous variables. Results: Response rates were 86.2% (5080/5892) in 1987 and 89.5% (5162/5770) in 1992. Significant decreases were found in the prevalence of hypertension (15.0% to 12.1% in men and 12.4% to 10.9% in women); cigarette smoking (58.2% to 47.2% and 6.9% to 3.7% respectively); and heavy alcohol consumption (38.2% to 14.4% and 2.6% to 0.6% respectively). Moderate leisure physical activity increased from 16.9% to 22.1% in men and from 1.3% to 2.7% in women. Mean population serum total cholesterol concentration fell appreciably from 5.5 mmol/l to 4.7 mmol/l (P Conclusions: Lifestyle intervention projects can be implemented and have positive effects in developing countries. A pronounced improvement in the population lipid profile in Mauritius was probably related to a change in the saturated fat content of a widely used cooking oil.

This study examined the relation between occupation and cardiovascular disease (CVD) risk factors in 2,795 individuals between ages 35 and 54 years from the rapidly developing island nation of Mauritius. Participants attended a 1992 population-based survey of noncommunicable disease (89.1 % response rate). Occupational status, physical activity in the previous year, cigarette smoking, and alcohol consumption were assessed by questionnaire. Anthropometric and metabolic measures included body mass index (kg/m2),waist-to-hip ratio, fasting serum high density lipoprotein cholesterol and low density lipoprotein cholesterol (LDL cholesterol), triglycerides, 2-hour postload plasma glucose and serum insulin concentrations, and blood pressure. In comparison with professional/skilled workers, age-adjusted means of insulin and glucose, LDL cholesterol, triglycerides, and systolic and diastolic blood pressures were significantly (p < 0.05) lower, and the age-adjusted mean for high density lipoprotein cholesterol was significantly higher for unskilled men. In women, risk factors other than LDL cholesterol varied significantly (p < 0.05) across occupational categories, with homemakers tending to have the least favorable profile. Unskilled workers reported significantly more physical activity (p < 0.01), alcohol consumption, and cigarette smoking (men only) (p < 0.05) than did the other groups. Adjustment for multiple covariates revealed an independent association between occupational status and most CVD risk factors, with physical activity attenuating this association. These results elucidate mediating behaviors of CVD risk across occupational categories that could be applied to intervention strategies in Mauritius.

The island nation of Mauritius, located in the southwest Indian Ocean, has a high prevalence of non-insulin-dependent diabetes mellitus (NIDDM) among all of its ethnic groups (Hindu and Muslim Indians, African-origin Creoles, and Chinese). These high rates of NIDDM among groups of varying genetic background provide strong support for the importance of environmental components in the etiology of the disease. Research in Mauritius using a simple activity scale has suggested that physical inactivity may be one of these components. The current investigation further examined the association between glucose tolerance and physical activity in middle-aged nondiabetic residents of Mauritius using a more extensive physical activity questionnaire (the Modifiable Activity Questionnaire). Excluding individuals with NIDDM, a statistically significant (P0.05) inverse relationship between physical activity and 2-h post-load glucose concentration was found for both males (rho = -0.14) and females (rho = -0.11). Stratifying by ethnic group, similar inverse correlations were observed in Hindu, Creole, and Chinese males, and in Hindu females (P0.05), as well as weaker relationships in Muslim males and Creole females (P0.10). Total physical activity remained an independent predictor of 2-h post-load glucose concentration after controlling for body mass index, waist-hip ratio, age, and family history of NIDDM. These data are supportive of a potentially important role of physical activity in the prevention of NIDDM in middle-aged inhabitants of Mauritius.

OBJECTIVE--To study changes in the prevalence of risk factors for cardiovascular disease after a five year population-wide intervention programme promoting a healthy lifestyle in a developing country. DESIGN--Cross sectional cluster surveys in 1987 and 1992. Methodology included a two hour 75 g oral glucose tolerance test, measurement of body mass index, waist:hip ratio, basal lipid concentrations, and blood pressure; and a lifestyle questionnaire. SETTING--Mauritius, in the Indian Ocean. SUBJECTS--All adults aged 25-74 years residing in geographically defined clusters. MAIN OUTCOME MEASURES--Age standardised prevalence of categorical disease and risk factor conditions and mean levels and frequency distributions of continuous variables. RESULTS--Response rates were 86.2% (5080/5892) in 1987 and 89.5% (5162/5770) in 1992. Significant decreases were found in the prevalence of hypertension (15.0% to 12.1% in men and 12.4% to 10.9% in women); cigarette smoking (58.2% to 47.2% and 6.9% to 3.7% respectively); and heavy alcohol consumption (38.2% to 14.4% and 2.6% to 0.6% respectively). Moderate leisure physical activity increased from 16.9% to 22.1% in men and from 1.3% to 2.7% in women. Mean population serum total cholesterol concentration fell appreciably from 5.5 mmol/l to 4.7 mmol/l (P < 0.001). The prevalence of overweight or obesity increased, and the rates of glucose intolerance changed little. The population frequency distributions of blood pressure, serum lipid concentration, and a composite risk factor score shifted advantageously. CONCLUSIONS--Lifestyle intervention projects can be implemented and have positive effects in developing countries. A pronounced improvement in the population lipid profile in Mauritius was probably related to a change in the saturated fat content of a widely used cooking oil.

The island nation of Mauritius, located in the southwest Indian Ocean, has a high prevalence of non-insulin-dependent diabetes mellitus (NIDDM) among all of its ethnic groups (Hindu and Muslim Indians, African-origin Creoles, and Chinese). These high rates of NIDDM among groups of varying genetic background provide strong support for the importance of environmental components in the etiology of the disease. Research in Mauritius using a simple activity scale has suggested that physical inactivity may be one of these components. The current investigation further examined the association between glucose tolerance and physical activity in middle-aged nondiabetic residents of Mauritius using a more extensive physical activity questionnaire (the Modifiable Activity Questionnaire). Excluding individuals with NIDDM, a statistically significant (P < 0.05) inverse relationship between physical activity and 2-h post-load glucose concentration was found for both males (rho = -0.14) and females (rho = -0.11). Stratifying by ethnic group, similar inverse correlations were observed in Hindu, Creole, and Chinese males, and in Hindu females (P < 0.05), as well as weaker relationships in Muslim males and Creole females (P < 0.10). Total physical activity remained an independent predictor of 2-h post-load glucose concentration after controlling for body mass index, waist-hip ratio, age, and family history of NIDDM. These data are supportive of a potentially important role of physical activity in the prevention of NIDDM in middle-aged inhabitants of Mauritius.