Redes locales de salud pública. A propósito de una experiencia / Local public health networks. Apropos of an experience

La acción en salud pública sobre un territorio es compleja y requiere la intervención de numerosos actores, que no siempre lo harán coordinadamente. La estructuración en redes de organizaciones que incluyan al conjunto de los actores implicados en el ámbito local es una alternativa adecuada para generar sinergias y posibilitar una mayor efectividad y eficiencia de las actuaciones realizadas en un mismo territorio. Presentamos la experiencia de 3 años de cuatro Comisiones de Salud Pública en una Región Sanitaria de Cataluña, formadas por los principales actores en salud pública del territorio. Cada una de las comisiones se organiza en plenarios y grupos de trabajo sobre temas surgidos del diagnóstico de salud del territorio, y coincidentes con el Plan de Salud de la Región Sanitaria. La coordinación en ningún caso presupone la pérdida ni la dilución del protagonismo del actor generador de la iniciativa de intervención en el terreno de la salud pública, sino su potenciación y la colaboración por parte del resto de los actores. En conclusión, se valora positivamente la generación de una cultura de colaboración y sinergias entre las diversas organizaciones implicadas. Se constata una falta de concreción en el establecimiento de los objetivos operativos, así como la necesidad de una mayor coordinación e implicación de los componentes de los diversos grupos de trabajo (AU)

Public health action on a territory is complex and requires the involvement of multiple actors, who do not always act coordinately. Networks of organizations structures including the whole of the local actors facilitate the generation of synergies and enable greater effectiveness and efficiency of the joint action from the different actors on a same landscape. We present 3 years experience of four Public Health Committees in a region of Catalonia (Spain), composed by the main actors in public health planning. Each of the committees is organized on a plenary and working groups on issues arising from the regional health diagnosis, and coincident with the Health Plan of the Region. Coordination in no case implies the loss or dilution of the firm of the actor generator of intervention initiative in public health, but their empowerment and collaboration by the other actors. In conclusion welcomes the creation of a culture of collaboration and synergies between the different organizations concerned. Lack of specificity is observed in establishing operational objectives, and the need for greater coordination and involvement of the components of the various working groups (AU)

[Local public health networks. Apropos of an experience]. / Redes locales de salud pública. A propósito de una experiencia.

Public health action on a territory is complex and requires the involvement of multiple actors, who do not always act coordinately. Networks of organizations structures including the whole of the local actors facilitate the generation of synergies and enable greater effectiveness and efficiency of the joint action from the different actors on a same landscape. We present 3 years experience of four Public Health Committees in a region of Catalonia (Spain), composed by the main actors in public health planning. Each of the committees is organized on a plenary and working groups on issues arising from the regional health diagnosis, and coincident with the Health Plan of the Region. Coordination in no case implies the loss or dilution of the firm of the actor generator of intervention initiative in public health, but their empowerment and collaboration by the other actors. In conclusion welcomes the creation of a culture of collaboration and synergies between the different organizations concerned. Lack of specificity is observed in establishing operational objectives, and the need for greater coordination and involvement of the components of the various working groups.

Determining Position Inside Non-industrial Buildings Using Ultrasound Transducers.

The position determination inside a building where no GPS signal is beingreceived can be ascertained using laser transmitters in industrial situations where there areno people or using triangulation of the signal strength, normally electro-magnetic signals,if the required accuracy is more than a metre. Our solution is aimed at situations wherepeople are present and where the required accuracy is less than 30 cm, such as in shoppingprecincts or supermarkets. To achieve this, a network of ultrasonic transmitters is fittedinto the ceiling which receives a synchronised time signal. Each transmitter has a uniqueidentifier code and emits its code with a delay with respect to the common time signalwhich is proportional to its code number with an ASK modulation over the ultrasonic bandcentred on 40 KHz. The receivers circulating beneath the transmitters receive the codes ofthose within their detection range, translate the time delays into distances and then obtaintheir position by triangulation since the receivers know the position of every transmitter.Since the receivers are not synchronised with the common time signal or the actual speedof the sound, whose value varies appreciably with temperature, relative humidity andatmospheric pressure, a consecutive approximation algorithm has been introduced. This isbased on the fact that the Z coordinator of the receiver is known and constant and thus it is possible, with only three different identifiers received, to deduce the phase of the common time signal and estimate the speed of the sound with a fourth identifier.

Tactile Fabric Panel in an Eight Zones Structure.

By introducing a percentage of conductive material during the manufacture ofsewing thread, it is possible to obtain a fabric which is able to detect variations in pressurein certain areas. In previous experiments the existence of resistance variations has beendemonstrated, although some constrains of cause and effect were found in the fabric. Theresearch has been concentrated in obtaining a fabric that allows electronic detection of itsshape changes. Additionally, and because a causal behavior is needed, it is necessary thatthe fabric recovers its original shape when the external forces cease. The structure of thefabric varies with the type of deformation applied. Two kinds of deformation aredescribed: those caused by stretching and those caused by pressure. This last type ofdeformation gives different responses depending on the conductivity of the object used tocause the pressure. This effect is related to the type of thread used to manufacture thefabric. So, if the pressure is caused by a finger the response is different compared to theresponse caused by a conductive object. Another fact that has to be mentioned is that apressure in a specific point of the fabric can affect other detection points depending on theforce applied. This effect is related to the fabric structure. The goals of this article arevalidating the structure of the fabric used, as well as the study of the two types ofdeformation mentioned before.