ABSTRACT
Contexto: En Ecuador, el síndrome metabólico (SM) en adultos tuvo para el 2012 una prevalencia de 27 % a nivel nacional, según criterios de la International Diabetes Federation(IDF)y se asocia a obesidad y sedentarismo. Objetivo: Determinar la relación entre SM con actividad física e índice de masa corporal (IMC). studio transversal, descriptivo-observacional. Lugar y sujetos: 326 trabajadores universitarios de Loja, Ecuador, con edad promedio de 39,6 años (DS 8,58). Mediciones principales: variables antropométricas y parámetros séricos para diagnóstico de SM y de IMC. El International Physical Activity Questionnaire(IPAQ) se empleó para medir actividad física. Resultados: La prevalencia global de SM fue 16,9 %, según criterios NCEP/ATP III(National Cholesterol Education Program Ìs Adults Treatment Panel III) y de 27,3 % por los de IDF. El SM fue más frecuente en obesos, en mujeres y en el grupo etario mayor a 50 años. Los parámetros más frecuentes de SM fueron colesterol-HDL(c-HDL) disminuido e hipertrigliceridemia. 2/19Revista científica digital INSPILIP Código ISSN 2588-0551DOI: 10.31790/inspilip.v3i1.80.g149Revista científica INSPILIP. Disponible en: http://www.inspilip.gob.ec/Junio de 2019Los hombres tuvieron valores significativamente (p<0,001) más elevados de todos los parámetros de SM, excepto glicemia. Se encontró asociación (p<0,001) entre SM e IMC, pero no con nivel de actividad física. Conclusión: La prevalencia de SM en trabajadores universitarios de Loja, Ecuador, es similar a la prevalencia nacional. El sobrepeso y la obesidadestán asociados a SM, acompañado principalmente de dislipidemia, a pesar de un nivel de actividad física entre moderada e intensa, todo lo cual destaca la importancia de implementar medidas de prevención, destacando los aspectos nutricional.
Context: In Ecuador, the metabolic syndrome (MS) in adults, had a prevalence of 27% nationwide by 2012 according to criteria of the International Diabetes Federation (IDF) and is associated with obesity and sedentary lifestyle. Objective:To determine the relationship between SM with physical activity and body mass index (BMI). Design:Cross-sectional, descriptive-observational study. Place and subjects: 326 university workers from Loja, Ecuador, with an average age of 36.6 years (SD 8.58). Main measurements:anthropometric measurements and serum parameters for diagnosis of MS and BMI. The International Physical Activity Questionnaire (IPAQ) was used to measure physical activity. Results:The global prevalence of MS was 16.9% according to NCEP / ATP III criteria (National Cholesterol Education Program's Adults Treatment Panel III) and 27.3% by IDF. The SM was more frequent in obese, in women and in the age group over 50 years. The most frequent parameters of MS were decreased HDL-Cholesterol and hypertriglyceridemia. Men had significantly higher values (p <0.001) of all SM parameters, except glycaemia. Association was found (p <0.001) between SM and BMI, but not with physical activity level. Conclusion:the prevalence of MS among university workers in Loja, Ecuador, is similar to the national prevalence. Overweight and obesity are associated with MS, mainly accompanied by dyslipidemia, despite a moderate to intense level of physical activity, all of which highlights the importance of implementing preventive measures, highlighting the nutritional aspects.
Subject(s)
Risk Factors , Diagnosis , Obesity , Environmental ChemistryABSTRACT
BACKGROUND: Children's Hospital Los Angeles (CHLA), a metropolitan academic medical center, recognized limitations in how the professional interpreters from the Diversity Services Department were used to support effective patient-provider communication across the organization. Given the importance of mitigating language and communication barriers, CHLA sought to minimize clinical and structural barriers to health care for limited English proficiency populations through a comprehensive restructuring of the Diversity Services Department. This approach entailed a new delivery model for hospital language assistance and cultural consultancy resources. METHODS: The intervention focused on restructuring the Diversity Services Department, redefining priorities, reallocating resources, and redefining the roles of the language staff positions in the department. The language staff role was redesigned to fit a four-level professional career ladder modeled after the professional career ladders commonly used in hospitals for the RN role and other professional disciplines. The approach involved creating new levels of language specialist, each with progressive requirements for performance, leadership, and accountability for patient care outcomes. Language staff in the inpatient, clinic, and emergency department settings worked alongside nurses, physicians, and other disciplines to care for a specific set of patients. RESULTS: The result of this work was a positive culture change resulting in service efficiencies, care improvements, and improved access to language services. CONCLUSIONS: A professional career ladder for language staff contributed to improving the quality and access of language services and advancing the interpreting profession by incorporating care coordination support, vital document translation, and cultural consultancy.
Subject(s)
Communication Barriers , Quality Improvement , Translating , Academic Medical Centers , Cultural Competency , Hospitals, Pediatric , Humans , Los Angeles , Professional-Patient RelationsSubject(s)
Career Mobility , Hospital Administrators , Mentors , Interprofessional Relations , SocietiesABSTRACT
Healthcare disparities are a major challenge for hospital and healthcare system leadership. Leaders must possess vision, visibility, and ability to drive organizational change toward an environment that fosters diversity and cultural competence. As challenging economic conditions force management to make difficult budgetary decisions, the integration of equity into the organization's core mission and strategic process is essential for sustainability. Building organizational capacity requires systematic actions including workforce composition, training and development, and policy advocacy. This article offers perspectives on the current state of diversity in hospitals, exemplars from pediatric hospitals, and considerations for the future. Healthcare leaders are influential in shaping the future of the organization through strategic planning and resource allocation to those efforts that enhance services, programs, and processes that support a culture of diversity and equity.
