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Los educadores de pares pueden trabajar de la mano con educadores profesionales en la imparticiуn de los programas symptoms 8dpo discount lamictal 50 mg line. La educaciуn entre pares puede ser especialmente ъtil: Monitoreo · Incorpore procesos de monitoreo y evaluaciуn continuos: Los contenidos del programa deben revisarse y actualizarse de manera regular con base en la experiencia derivada de su ejecuciуn y la retroalimentaciуn de los participantes symptoms zinc poisoning cheap 25mg lamictal fast delivery. Desde un principio deberбn existir mecanismos continuos para el monitoreo y la evaluaciуn de sus insumos treatment diarrhea discount lamictal 100mg otc, procesos y productos medicine reminder alarm purchase lamictal 50 mg without prescription, de forma tal que los implementadores puedan continuar moldeando y adaptando el programa en funciуn de los cambios a nivel comunitario o nacional. Diversos estudios han encontrado que la educaciуn entre pares permite aumentar el conocimiento y, en algunos casos, modificar actitudes e intenciones, aunque no se ha encontrado que tenga un efecto importante en conductas como el uso del condуn y otras formas de anticoncepciуn (Kim et al. Los impactos de la educaciуn entre pares en poblaciones clave, como aquellas de personas que se inyectan drogas y trabajadoras o trabajadores sexuales, son un poco mayores, lo cual sugiere que la educaciуn entre pares puede ser un enfoque mбs efectivo para trabajar con poblaciones marginadas u ocultas. Aъn hace falta investigaciуn mбs rigurosa acerca de quй es lo que hace que algunos programas de educaciуn entre pares sean mбs eficaces que otros, lo mismo que investigaciуn para comparar el impacto y la efectividad de diferentes tipos de facilitadores, incluyendo educadores en sexualidad adultos bien capacitados (Tolli, 2012; Villa-Torres y Svanemyr, 2015). Ellos pueden requerir mбs apoyo que los facilitadores adultos (incluyendo servicios de salud y consejerнa), particularmente si estбn expuestos a historias traumбticas. Aparte de supervisiуn regular y grupos de apoyo, deberбn tener acceso a apoyo profesional en caso de requerirlo, incluyendo en casos de emergencia. Esa supervisiуn deberб identificar, alentar y reforzar fortalezas; evidenciar las habilidades o conocimientos que requieren fortalecimiento; ofrecer retroalimentaciуn para ayudar a los educadores de pares a ser mбs hбbiles y eficaces; y ofrecer motivaciуn y apoyo continuos para ayudar a mantener su compromiso (Simba y Kakoko, 2009). Tambiйn se puede invitar a los participantes del programa a proporcionar retroalimentaciуn acerca de los educadores de pares. Retenciуn y sustituciуn · Defina expectativas claras respetando las capacidades y la experiencia de los educadores de pares: Asegъrese de que el volumen de trabajo sea manejable y use acuerdos contractuales. Asigne a los educadores de pares responsabilidades y deles el poder de tomar decisiones durante la planeaciуn, implementaciуn y evaluaciуn del programa. Como mнnimo, se les deberбn reembolsar los gastos relacionados con su trabajo, tales como transportaciуn. Sin embargo, otros pagos no deberбn ser tan grandes como para generar una distancia social entre ellos y sus pares. Otras maneras de motivar a los educadores de pares incluyen ofrecerles oportunidades de crecimiento personal y profesional. En aquellos casos en los que los educadores de pares sean voluntarios, ademбs de asegurarse de que reciban el reconocimiento adecuado, deberб tenerse cuidado de no explotar su trabajo gratuito. Las entrevistas de salida pueden ayudar a los implementadores a entender si el educador de pares estб dejando el programa por razones personales o programбticas y a evaluar su experiencia en general con el mismo. Involucrar a los educadores de pares actuales en el reclutamiento y la capacitaciуn de los nuevos educadores de pares los empoderarб y ayudarб a desarrollar nuevas habilidades. Deberбn ser lнderes de opiniуn carismбticos y respetados con buenas habilidades de comunicaciуn y credibilidad. El proceso de selecciуn deberб ser transparente y justo, y los niсos y los jуvenes de la poblaciуn objetivo deberбn participar en la selecciуn de aquellas personas a las que ven como lнderes y modelos a seguir. Capacitaciуn y supervisiуn · Ofrezca capacitaciуn: Para que la capacitaciуn sea efectiva, deberб tener un amplio componente de desarrollo de habilidades, incluyendo la facilitaciуn de su prбctica en la comunidad, y estar sujeta a una evaluaciуn de competencias inicial y continua. Es importante ayudar a los padres y tutores, especialmente aquellos de los grupos especнficos de niсas, niсos y jуvenes abordados por estas Orientaciones, de modo que entiendan las vulnerabilidades, necesidades y derechos relacionados con la sexualidad de sus hijos. En aquellos lugares en los que no se ofrece educaciуn en sexualidad en las escuelas o esta no es integral, los padres o tutores y las familias son los que cargan con la mayor parte de la responsabilidad de ofrecerla a sus hijos (Pop y Rusu, 2015), y a menudo prefieren ser su fuente de informaciуn acerca de la sexualidad. A pesar de ello, los padres o tutores a menudo carecen de las competencias necesarias para proporcionar educaciуn en sexualidad basada en evidencia y adecuada a las diferentes edades de sus hijos. Estos enfoques incluyen una educaciуn en sexualidad que: Mйtodos de enseсanza y aprendizaje · Concientice a los padres/tutores acerca de la importancia de las actitudes y las normas de gйnero equitativas: Los padres/tutores son fundamentales en la formaciуn de las normas de gйnero y las actitudes de los jуvenes adolescentes. A menudo desean que sus hijos se apeguen a las normas de gйnero predominantes (que por lo general son desiguales), y refuerzan las mismas a travйs de la instrucciуn, motivaciуn, recompensas, llamados de atenciуn y disciplina (Chandra-Mouli et al. Por lo tanto, los programas deben ayudar a los padres/tutores a modelar actitudes y normas de gйnero mбs equitativas. Por lo tanto, aquellas intervenciones que involucren a los padres/tutores deben centrarse en mejorar sus habilidades para monitorear y regular el comportamiento de sus hijos; ayudar a los padres/tutores a comunicar sus valores acerca de las relaciones sexuales; y alentarlos a modelar los comportamientos que quieren que sus hijos sigan (Wight et al. Planeaciуn y desarrollo del programa Los siguientes son algunos elementos en comъn de las intervenciones eficaces: Currнculos y documentos clave · Creating Connections (Melbourne Graduate School of Education) · sesiones conjuntas para padres/tutores y sus hijos · promociуn de la participaciуn de los padres/la familia · educaciуn en sexualidad especнficamente dirigida a los padres/tutores y oportunidades para que practiquen nuevas habilidades de comunicaciуn con sus hijos. En aquellos casos en los que los niсos y los jуvenes tienen acceso a Internet y redes sociales, estas a menudo ya son una importante fuente de informaciуn acerca de la sexualidad y las relaciones. Tambiйn se puede aprovechar la tecnologнa para ofrecer programas o componentes de programas estructurados. Debe verse como una herramienta ъtil, mas no como un sustituto de las interacciones con aquellos adultos que les den su apoyo.
The department shall treatment qt prolongation generic 25 mg lamictal otc, meet cancer registry goals established by a nationally recognized central cancer registry organization unless any such goal is contrary to any provision of law medicine 750 dollars buy 50 mg lamictal mastercard. Where a cancer reporting facility fails to comply with the provisions of this section medicine 503 generic lamictal 200mg online, the department may elect to perform registry services for such facility symptoms week by week lamictal 50mg low cost. Such cancer reporting facility shall reimburse the department for actual expenses incurred. A physician, dentist, laboratory, cancer reporting facility or other health care provider which violates any provision of this section shall be subject to a civil penalty as provided in section twelve of this chapter. The notices required by this section shall be upon forms supplied by the commissioner and shall contain such information as shall be required by the commissioner. For the purpose of this section, a "cancer reporting facility" means a hospital as defined in article twenty-eight of this chapter, clinic or any organization certified pursuant to article forty-four of this chapter, or other similar public or private institution. The commissioner shall have the power to promulgate any such rules and regulations as shall be necessary and proper to effectuate the purposes of this section. The commissioner shall, submit an annual report to the governor, the temporary president of the senate and the speaker of the assembly. The commissioner shall submit a quarterly report to the governor, the temporary president of the senate and the speaker of the assembly. The quarterly report shall include an evaluation of whether the registry is achieving cancer registry goals established by a nationally recognized central cancer registry organization, including numerical goals concerning timeliness, quality and completeness. The department shall annually submit a written report to the governor and the legislature on the incidence of skin cancer in the state of New York, by type and as a percentage of the overall number of reported cases of all types of cancer, as well as the associated causes of each type of skin cancer, if such causes are readily ascertainable. Such report shall be generated based on data gathered and reviewed pursuant to this title, and shall provide information which is as current as practicable; provided, however, a retrospective of the past ten years of information collected pursuant to this title and predominant trends associated with such information, as concerns skin cancer and its associated causes, shall be a component of such report and each report submitted thereafter. At the discretion of the commissioner, such reports may provide additional information other than the information required by this subdivision. The first report created pursuant to this subdivision shall be submitted one year after the effective date of this subdivision. The reports of cancer cases made pursuant to the provisions of this article shall not be divulged or made public so as to disclose the identity of any person to whom they relate, by any person, except in so far as may be authorized in the sanitary code. Please note that federal regulations permit reasonable reliance given attendant circumstances regarding requests for information made by public officials for stated purposes. The requested information is needed to conduct public health surveillance and will remain confidential. The central cancer registry has a reportable list that identifies which cancers are reportable and all reportable cancers should be reported, as required by state law. What, if any, are the consequences of not reporting new cancer case information to the New York State Cancer Registry? Penalties for failing to comply with state reporting are specified in the state law. A fine may be levied up to $2,000 per violation and if violation is willful, imprisonment of up to one year is possible. Advise females to use effective contraception and not to breastfeed, due to the potential for serious adverse reactions in breastfed infants, during treatment and for at least 20 months after the last dose. Males: Advise males to use condoms, even after a vasectomy, and to not donate semen during treatment and for at least 8 months after the last dose to avoid potential drug exposure in pregnant females or females of reproductive potential. If this information is not received with the healthcare provider section of this application, there may be a delay in processing for your patient. Providing complete and accurate information will ensure a timely response to your request. For patients with government insurance, eligibility reverification occurs at the start of the calendar year (January 1). Uninsured patients and commercially insured patients must have eligibility reverified 12 months after the original date of the application. Sun Pharma reserves the right to change, rescind, or revoke its Patient Assistance Program at any time. 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