David Aguilar

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Community Health Workers Impacting Health and Wellness of Filipino Americans

ABSTRACT Background/Significance: The effectiveness of Community Health Worker (CHW) programs are... more ABSTRACT Background/Significance: The effectiveness of Community Health Worker (CHW) programs are enhanced when driven, owned by and firmly embedded in communities themselves. Through a community-university partnership funded by a multi-year federal grant, Project AsPIRE utilizes culturally-appropriate CHW interventions to improve health access and cardiovascular health status for Filipino Americans. This population exhibits higher rates of hypertension compared to other communities. Methods: Utilizing a randomized control design, baseline and follow up surveys were conducted with study participants to identify changes in clinical measures, support systems, health behaviors and self efficacy. Surveys also measured participants&#39; views of the CHW&#39;s role in impacting these factors. Quarterly in-depth interviews conducted with AsPIRE&#39;s 4 CHWs also produced findings on key successes and challenges of a CHW program. With its community-based participatory research framework, study findings and strategic partnerships provide opportunities for further sustainability. Results and Discussion: CHWs will develop and conduct a presentation about: 1) CHWs&#39; impact on the health and wellness of underserved Filipino immigrants, empowering community members to adopt healthy behaviors across their lifespan, 2) Challenges and facilitators of implementing a CHW program (i.e. community development strategies to leverage existing community resources and garner local support to sustain CHW efforts), 3) Dissemination and advocacy strategies to raise visibility of CHWs&#39; impact, thereby ensuring the translation of research to policy and practice. These strategies can be adapted for other ethnic minority communities which can result in building community self-reliance and enhancing quality of life of community members served.

Proceso de formación de los jóvenes investigadores en orientación

Análisis, desarrollo e implementación de un sistema web para el control y registro de la información de los predios del Ejido Tierra Blanca

Revista Iberoamericana De Produccion Academica Y Gestion Educativa, Jan 16, 2015

Actualmente en el las Oficinas del Ejido Tierra Blanca, Veracruz se tiene la problemática de la a... more Actualmente en el las Oficinas del Ejido Tierra Blanca, Veracruz se tiene la problemática de la administración de las parcelas y los lotes que posee cada persona, se invierte demasiado tiempo para la elaboración de los documentos que se generan, además de que no se tiene un padrón actualizado de las personas que conforman la asociación de ejidatarios.

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Gold(III) iminophosphorane complexes as catalysts in C–C and C–O bond formations

Journal of Organometallic Chemistry, Feb 15, 2009

The catalytic functionalizations of CH bonds under mild conditions are an example of atom econom... more

El aprendizaje de la competencia de trabajo en equipo en la formación de los maestros del grado de infantil

Evaluación del cuestionario para el análisis de necesidades de información y orientación del alumnado de la Facultad de Educación

Tutoría Universitaria Inclusiva: Guía de buenas prácticas para la orientación de estudiantes con necesidades educativas específicas

ABSTRACT INCLUSIVE UNIVERSITY TUTORING. Guide of good practices for the orientation of students w... more ABSTRACT INCLUSIVE UNIVERSITY TUTORING. Guide of good practices for the orientation of students with specific educational needs. Attention to diversity in higher education not only relates to quality, but is a normative demand which needs a response and a social commitment for justice, equality of opportunity and respect to the right to the education of all the people. Starting from the needs of students and faculty to give an educational answer adapted to diversity, this book proposes guidelines, strategies and resources designed from an inclusive angle to improve the access and the adaptation of students with specific educational needs to higher education. It is a book to know about and to know how to undertake university tutoring from an inclusive angle. A book not only for reflection, but to help teaching professionals carry out guiding action that contributes to academic integration and social inclusion of such students who should not have less opportunities merely because they are different

Predictors of Awareness, Treatment and Control of Hypertension among Filipino Americans in New York and New Jersey

ABSTRACT Background/Significance Filipino Americans have been shown to have one of the highest ra... more ABSTRACT Background/Significance Filipino Americans have been shown to have one of the highest rates of hypertension in the US, with a rate of 27% on the 2004-2006 National Health Interview Survey. Yet, few studies have examined awareness, treatment, and control of hypertension among FAs. AsPIRE (Asian American Partnerships in Research and Empowerment) is a community-based participatory research project to improve health access and cardiovascular health status for Filipinos in New York City (NYC) and Jersey City (JC), New Jersey. Methods: The study sample was drawn from community-based screenings conducted in NYC and JC from 2006-2010. Analyses were performed on 1005 FAs who self-reported a physician-diagnosed HTN, were taking antihypertensive medication, and/or presented with high blood pressure measurements. Chi-square tests assessed group differences, and logistic regression determined significant predictors of HTN awareness, treatment and control. Results: 66% were identified as aware of their HTN status due to self-reported HTN diagnosis and/or current antihypertensive medication use. 34% presented with high blood pressure readings with no previous HTN diagnosis and no use of antihypertensive medication. Among individuals aware of their HTN, 79% reported currently taking antihypertensive medication and among those on medication, 68% had uncontrolled HTN. This presentation highlights significant predictors and factors associated with HTN awareness, treatment, and control. Conclusions: These findings suggest the need for increased efforts to improve awareness, treatment, and control for populations burdened with HTN. Community-based screenings, behavioral, and clinical interventions such as community health workers can address the variables that influence HTN awareness, treatment, and control for hypertensive individuals.

Insulinresistenz des Herzens: a considered opinion

Clin Res Cardiol, 2006

Trophectoderm in Control of Murine Embryonal Carcinoma

Cancer Research, Sep 1, 1984

It has been shown previously that the intact blastocyst of the mouse can regulate tumor formation... more It has been shown previously that the intact blastocyst of the mouse can regulate tumor formation and colony formation of murine embryonal carcinoma. This effect is consistent with the close histogenetic correspondence between embryonal carci noma and the inner cell mass of the blastocyst. The ability of inner cell mass, blastocele fluid, and inner and outer surfaces of trophectoderm to abrogate colony formation of a variety of malignant tumors has now been tested. Direct contact of the embryonal carcinoma cells with the blastocele surface of tro phectoderm proved to be necessary for abrogation of colony formation of embryonal carcinoma. This effect was not seen with any of the other tumors tested. Some tumors, which lack a normal cellular counterpart in the blastocyst, grew poorly in the blastocele unless a fistula was made in the wall of the blastocyst. Colony formation of the embryonal carcinoma was regulated in blastocysts with fistulas, but the other tumors were not regulated under these conditions. It is concluded that colony formation of embryonal carcinoma cells is regulated by direct contact with the trophectoderm of its corresponding embryonic field in an unknown but specific manner.

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Management of type 2 diabetes in patients with heart failure

Current Treatment Options in Cardiovascular Medicine, Nov 22, 2008

Diabetes mellitus and heart failure (HF) commonly coexist, and together these conditions are asso... more Diabetes mellitus and heart failure (HF) commonly coexist, and together these conditions are associated with increased morbidity and mortality compared with either condition alone. Although the optimal treatment strategy to achieve glucose control in HF patients with type 2 diabetes has not been well studied, given the common coexistence of these conditions and the need to adequately treat hyperglycemia to prevent microvascular complications, it is important for clinicians to understand the potential implications of diabetic therapy in patients with established HF. Until recently, metformin was contraindicated in patients with HF because of the potential risk of lactic acidosis; however, recent retrospective studies of metformin use in HF patients have shown that this medication may be used safely and indeed may be beneficial in patients with stable HF. The association between thiazolidinediones (TZDs) and HF remains controversial, but recent prospective randomized trials of TZD use in HF patients suggest that worsening volume retention associated with these agents may lead to worsening of HF symptoms. The recently developed incretin-based therapies, such as exenatide and sitagliptin, also have not been extensively studied in HF populations; however, small pilot studies of glucagon-like peptide-1 have shown potential promise in the treatment of diabetic patients with HF. Although they may be difficult to perform, future randomized controlled trials are needed to establish optimal treatment goals and strategies in this population.

Un recorrido de los avances realizados por los jóvenes investigadores de la Red Interuniversitaria de Profesorado de Orientación

Diabetes, left ventricular systolic dysfunction, and chronic heart failure

Eur Heart J, 2007

Chronic heart failure (HF) and diabetes mellitus (DM) commonly coexist. Each condition increases ... more Chronic heart failure (HF) and diabetes mellitus (DM) commonly coexist. Each condition increases the likelihood of developing the other, and when they occur together in the same patient the risk of morbidity and mortality increases markedly. We discuss the epidemiological overlap and consider the complex patho-physiological pathways linking the two diseases. The treatment of each condition is made more problematic by the presence of the other. We review the evidence-based treatment strategies and discuss the common problems faced by physicians when treating patients with both conditions. This article forms a comprehensive overview of a fascinating intersection between two common diseases.

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Los sistemas de orientación al estudiante en procesos de transición universitaria

Community Health Workers: Mobilizing to address Filipino heart health and health access in New York City and New Jersey

ABSTRACT Background: Interventions using cultural leverage show tremendous promise in reducing he... more ABSTRACT Background: Interventions using cultural leverage show tremendous promise in reducing health disparities. Community Health Workers (CHWs) in particular are widely used to provide care for a broad range of health issues. Project AsPIRE, an NIH-sponsored program, provides culturally- and linguistically-appropriate CHW interventions to reduce the risk of cardiovascular disease (CVD) and improve health access for Filipino Americans, who exhibit higher rates of hypertension compared to other communities. Methods: CHWs in this project utilized cultural leverage to carry out several types of interventions including a.) individual-level interventions which targeted individual behavior change through culturally appropriate health education, monitoring and follow up, b.) access interventions which sought to bridge the community to the healthcare system via screening programs with 1100 community members, advocacy efforts, and patient navigation, and c.) health care interventions wherein CHWs are part of a patient&#39;s clinical management team to bring about improvements in blood pressure control. These interventions in turn help address several broad determinants of health, including improving access to healthcare and building social cohesion by developing networks among churches, community-based organizations, businesses and health providers to work together in addressing the community&#39;s health. Results and Discussion: Project AsPIRE CHWs will develop and conduct a presentation about 1) Strategies in mobilizing multiple sectors to address CVD and health access for this community 2) Advocacy strategies applied to both the individual and systems level 3) Various CHW roles in health care delivery related to improving cardiovascular health outcomes, self-management skills, patient education and counseling for hypertensive Filipinos.

El e-portafolio en la tutoría académica de estudiantes deportistas de alto nivel: valoraciones desde la perspectiva del profesor-tutor

University education and training for work: An analysis from the opinion of the students

Paradigma, Dec 1, 2009

Reducing hypertension among Filipino Americans through Project Aspire community health worker intervention

ABSTRACT Background/Significance: Filipino Americans (FAs) have one of the highest rates of hyper... more ABSTRACT Background/Significance: Filipino Americans (FAs) have one of the highest rates of hypertension in the United States, yet few interventions address this population. Objective/Purpose: To highlight findings from a community-based 8-month randomized controlled community health worker (CHW) intervention (Project AsPIRE - Asian American Partnerships in Research and Empowerment) aimed at improving hypertension control among FAs in New York City. Methods: Measures, including clinical outcomes and behaviors related to hypertension management, were collected at baseline, 4-months, and 8-months. Preliminary analyses were performed on 62 treatment participants and 78 control participants who had completed 8-month surveys. The intervention is currently ongoing and will be complete in March of 2013. A total of 237 individuals have been randomized into the study. Results: Compared to baseline, at 8-months the treatment group had a mean change in systolic blood pressure of -27.0mmHg and diastolic blood pressure of -10.9mmHg (p&lt;0.001) while the control group had a mean change in systolic blood pressure of -9.2mmHg (p&lt;0.001) and diastolic blood pressure of -3.5mmHg (p&lt;0.01); blood pressure reduction was significantly greater for the treatment group (p&lt;0.001). The treatment group was also more likely to exhibit controlled blood pressure at 8 months (90.5% vs. 56.4%, p&lt;0.001). Adapted Hill-bone compliance scales for appointment keeping and medication adherence were assessed. The treatment group displayed greater medication adherence at 8-months (p&lt;0.01), while the control group did not display a significant change. Both groups demonstrated improved appointment keeping at 8-months; change was more significant in the treatment group (p&lt;0.01 vs. p&lt;0.05). Further findings to be presented include analyses adjusting for repeated measures using linear mixed models. Discussion/Conclusions: Positive changes in hypertension management and associated behaviors were seen in this preliminary analysis of Project AsPIRE. CHWs are an integral part of the health care team, and this model can be sustained within a community-based setting.

HAMARTOMATOUS SOLITARY POLYP WITH MALIGNANT PROGRESSION IN THE JEJUNUM. A Histochemical and Immunohistochemical Study by Light and Electron Microscopy

Pathol Int, 1988

A case of solitary hamartomatous jejunal polyp with adenomatous and carcinomatous changes in a 16... more A case of solitary hamartomatous jejunal polyp with adenomatous and carcinomatous changes in a 16-year-old girl is reported. In the hamartomatous polyp, neutral and acid non-sulfate mucosubstance was detected, principally in goblet cells; carcinoembryonic antigen was demonstrated on the surfaces of the microvilli and luminal border of the crypts and glands; absorptive columnar, goblet, argentaffin, argyrophil and Paneth cells were evident. The adenomatous and, mainly, the carcinomatous areas revealed a decreased amount of mucosubstance and a variable degree of positive intracytoplasmic staining for carcinoembryonic antigen. With electron microscopy, the adenomatous areas showed columnar absorptive cells and mucus-secreting goblet cells; also immature columnar cells were observed in the dysplastic zones. To our knowledge, this is the first study to document the histochemical, immunohistochemical and ultrastructural features of a hamartomatous polyp with neoplastic transformation.

Academic tutorship and planning of the career of university sports students of high level

David Aguilar

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