Proceedings of a Workshop to Promote Community Health Worker Interventions in Nephrology.

ABSTRACT: Latinx populations face a higher burden of kidney failure and associated negative outcomes compared with non-Latinx White populations, despite sharing a similar prevalence of CKD. Community health worker (CHW) interventions have been shown to improve outcomes for Latinx individuals, but they are largely underutilized in kidney disease. We convened a workshop of four ongoing kidney disease CHW programs to identify successes, challenges, potential solutions, and needed research to promote CHW programs for Latinx individuals with kidney disease. Key points from the workshop and recommendations for intervention and research are highlighted. Facilitators of program success included prioritizing trust-building with participants, enabling participants to determine what aspects of the intervention were needed, providing participants with tools to help themselves and others after the intervention, and taking a trauma-informed approach to relationships. Challenges included persistent systemic barriers despite successful care navigation and low recruitment and retention. Research is needed to capture the effect of CHW interventions on outcomes and to determine how to implement CHW interventions for people with kidney disease nationwide.

[The medical care in the practice of football. its early process of institucionalization in Córdoba in the first decades of the 20th century]. / Los cuidados médicos en la práctica del fútbol. su temprano proceso de institucionalización en Córdoba en las primeras décadas del siglo XX.

The article examines the initial advances in the process of medicalización of the practice of football in the sports associations of Córdoba in the first decades of the 20th century. The objective is to investigate how, in the interaction between the players and these entities, there was becoming institutionalized the access of the sportsmen to medical care. In the research we analyze the development of football as a factor of health and hygiene, the evolution of the medical attention to the players and his process of decentralization as result of its spatial anchorage in the sports entities.