WorldWideScience

Sample records for america embrace health

  1. Family health program user: knowledge and satisfaction about user embracement

    Directory of Open Access Journals (Sweden)

    Saulo Lacerda Borges de Sá

    2012-06-01

    Full Text Available Objective: To assess the knowledge and satisfaction of users of a Basic Health Unit about the strategy of embracement. Methods: Descriptive study with qualitative approach, carried out in a Basic Health Unit, Fortaleza, Brazil, where practical activities of the Education Program of Work for Health of the University of Fortaleza were performed. Fifty eight service users were involved, following inclusion criteria: being present during the data collection, age over 18, regardless of sex, and voluntary participation. Data collection occurred in December 2009, through semi-structured interview. The data associated with the identification of users were processed in Microsoft Office Excel 2007, being organizedstatistically in table. Data related to qualitative aspects were analyzed according to the technique of content analysis. Results: 56 (97% were women, with ages ranging between 21 and 40 years, 34 (59% were married and 53 (91% are literate. On family income, 55 (95%received less than two minimum salaries per month. In order to facilitate understanding the speech of users, these were evaluated from the perspective of two categories: knowledge about embracement and satisfaction with embracement. Conclusion: Users have a limited view of the significance and magnitude of the embracement to provide the care. Although satisfied with the service, respondents report as negative aspects: the shortage of professionals, the professional relationship with user impaired due to constant delays of the professional, and the dehumanization of care.

  2. On the Solar Quiet Variation Measured in Latin America by the Embrace Magnetometer Network

    Science.gov (United States)

    Denardini, Clezio Marcos; Moro, Juliano; Araujo Resende, Laysa Cristina; Chen, Sony Su

    2016-07-01

    The present work show the first results of the study about the seasonal variation of the Solar quiet (Sq) Earth's magnetic field based on magnetic measurements from the Embrace Magnetic Network (MagNet) at several latitudes in South America, covering the equatorial and low latitudinal region. For this study, we used data covering the period from September 2010 to December 2015, during the ascending phase of the solar cycle 24. Before analyzing the magnetic data collected from the Embrace Magnet, we compared the magnetic data collected by the Embrace variometer installed at Vassouras-RJ, in Brazil, with the same data collected by the absolute magnetometer installed by the Intermagnet at the same observatory. We show that our data is in pretty good agreement to the absolute values. With respect to the seasonal variation, we show clear seasonal modulation in all components, irrespective the latitude. The H component analysis revealed to have a seasonal dependence in both aspects: the duration of positive excursion along the day and the maximum amplitude. And the other components have also shown remarkable regional characteristic of the variation of the Sq. Finally, we take these results as the first steps towards developing a Sq model to be superimposed to International Geomagnetic Reference Field (IGRF) model as a useful tool for space weather forecast.

  3. Latitudinal and temporal distribution of geomagnetic pulsation occurrences registered in South America by the Embrace Magnetometer Network during 2014

    Science.gov (United States)

    Marchezi, José Paulo; Mendes, Odim, Jr.; Marcos Denardini, Clezio; Schuch, Nelson Jorge; Oliveira Domingues, Margarete

    2016-04-01

    In the present study we show the distribution of occurrence of magnetic pulsation PC2, 3, 4 and 5 according to the magnetic latitude and local time over the South American continent during 2014. The pulsations were obtained from the geomagnetic data collected by the Embrace Magnetometer Network currently installed over Brazil and Argentina covering most of the eastern portion of the South America. Therefore, it covers regions under influence of the Equatorial Electrojet (EEJ) and the South American Magnetic Anomaly (SAMA). A wavelet based method of analysis was developed and applied to filter the magnetic data and to provide the dynamic spactra of the magnetic pulsation in order to allow the analysis of non-stationary signals. Among the results we observed that the PC5 and PC3 have agreed with the current literature with higher occurrence rates ath higher latitutes and arounf local noon.

  4. Health of America's newcomers.

    Science.gov (United States)

    Smith, L S

    2001-01-01

    Newcomer health and health care are policy issues with major outcomes of cost shifting and enormous consequences for newcomers and the community health nurses who promise them care. Newcomers are persons entering U.S. borders who could be asylees, refugees, immigrants, legal or illegal aliens, migrants, international adoptees, and others. Described in this article are the role federalism has played on the interplay among policymakers regarding newcomer health. Also addressed is newcomer health policy, including immigration policies, and newcomer health issues such as infectious diseases and questionable health care. Additional newcomer health issues such as newcomers at high risk for health problems, issues of access to care for newcomers, and welfare reform policies are discussed. Newcomer health and special interest group activities such as those from medicine and nursing are also addressed. Finally, meaningful options and possible solutions for newcomer health care concerns are identified and shared.

  5. Family health program user: knowledge and satisfaction about user embracement - doi: 10.5020/18061230.2012.s96

    Directory of Open Access Journals (Sweden)

    Saulo Lacerda Borges de Sá

    2012-11-01

    Full Text Available Objective: To assess the knowledge and satisfaction of users of a Basic Health Unit about the strategy of embracement. Methods: Descriptive study with qualitative approach, carried out in a Basic Health Unit, Fortaleza, Brazil, where practical activities of the Education Program of Work for Health of the University of Fortaleza were performed. Fifty eight service users were involved, following inclusion criteria: being present during the data collection, age over 18, regardless of sex, and voluntary participation. Data collection occurred in December 2009, through semi-structured interview. The data associated with the identification of users were processed in Microsoft Office Excel 2007, being organized statistically in table. Data related to qualitative aspects were analyzed according to the technique of content analysis. Results: 56 (97% were women, with ages ranging between 21 and 40 years, 34 (59% were married and 53 (91% are literate. On family income, 55 (95% received less than two minimum salaries per month. In order to facilitate understanding the speech of users, these were evaluated from the perspective of two categories: knowledge about embracement and satisfaction with embracement. Conclusion: Users have a limited view of the significance and magnitude of the embracement to provide the care. Although satisfied with the service, respondents report as negative aspects: the shortage of professionals, the professional relationship with user impaired due to constant delays of the professional, and the dehumanization of care.

  6. Forest health conditions in North America

    Energy Technology Data Exchange (ETDEWEB)

    Tkacz, Borys [USDA Forest Service, Forest Health Protection, 1601 North Kent Street, RPC7-FHP, Arlington, VA 22209 (United States)], E-mail: btkacz@fs.fed.us; Moody, Ben [Canadian Forest Service, Ottawa, ON (Canada); Castillo, Jaime Villa [Comision Nacional Forestal, Zapopan, Jalisco (Mexico); Fenn, Mark E. [USDA Forest Service, Pacific Southwest Research Station, Riverside, CA (United States)

    2008-10-15

    Some of the greatest forest health impacts in North America are caused by invasive forest insects and pathogens (e.g., emerald ash borer and sudden oak death in the US), by severe outbreaks of native pests (e.g., mountain pine beetle in Canada), and fires exacerbated by changing climate. Ozone and N and S pollutants continue to impact the health of forests in several regions of North America. Long-term monitoring of forest health indicators has facilitated the assessment of forest health and sustainability in North America. By linking a nationwide network of forest health plots with the more extensive forest inventory, forest health experts in the US have evaluated current trends for major forest health indicators and developed assessments of future risks. Canada and Mexico currently lack nationwide networks of forest health plots. Development and expansion of these networks is critical to effective assessment of future forest health impacts. - The forests of North America continue to face many biotic and abiotic stressors including fragmentation, fires, native and invasive pests, and air pollution.

  7. Embracing risk

    Directory of Open Access Journals (Sweden)

    Ross Cagan

    2015-08-01

    Full Text Available I entered the science field because I imagined that scientists were society's “professional risk takers”, that they like surfing out on the edge. I understood that a lot of science – perhaps even most science – has to be a solid exploration of partly understood phenomena. But any science that confronts a difficult problem has to start with risk. Most people are at least a bit suspicious of risk, and scientists such as myself are no exception. Recently, risk-taking has been under attack financially, but this Editorial is not about that. I am writing about the long view and the messages we send to our trainees. I am Senior Associate Dean of the graduate school at Mount Sinai and have had the privilege to discuss these issues with the next generation of scientists, for whom I care very deeply. Are we preparing you to embrace risk?

  8. [Renewing primary health care in the Americas].

    Science.gov (United States)

    Macinko, James; Montenegro, Hernán; Nebot Adell, Carme; Etienne, Carissa

    2007-01-01

    At the 2003 meeting of the Directing Council of the Pan American Health Organization (PAHO), the PAHO Member States issued a mandate to strengthen primary health care (Resolution CD44. R6). The mandate led in 2005 to the document "Renewing Primary Health Care in the Americas. A Position Paper of the Pan American Health Organization/WHO [World Health Organization]," and it culminated in the Declaration of Montevideo, an agreement among the governments of the Region of the Americas to renew their commitment to primary health care (PHC). Scientific data have shown that PHC, regarded as the basis of all the health systems in the Region, is a key component of effective health systems and can be adapted to the range of diverse social, cultural, and economic conditions that exist. The new, global health paradigm has given rise to changes in the population's health care needs. Health services and systems must adapt to address these changes. Building on the legacy of the International Conference on Primary Health Care, held in 1978 in Alma-Ata (Kazakhstan, Union of Soviet Socialist Republics), PAHO proposes a group of strategies critical to adopting PHC-based health care systems based on the principles of equity, solidarity, and the right to the highest possible standard of health. The main objective of the strategies is to develop and/or strengthen PHC-based health systems in the entire Region of the Americas. A substantial effort will be required on the part of health professionals, citizens, governments, associations, and agencies. This document explains the strategies that must be employed at the national, subregional, Regional, and global levels.

  9. Public health nutrition in Latin America.

    Science.gov (United States)

    Solomons, Noel W

    2003-01-01

    An inquiry into options for Masters-level training and into attitudes and perceptions among a convenience sample of nutrition students and professionals from 11 countries suggests that the term, "Public Health Nutrition", as such, is poorly represented and poorly understood in the Latin American region. At least six countries (Brazil, Chile, Cuba, Mexico, Peru, Puerto Rico) at seven sites have Masters programs to provide training for nutrition in a public health context or public health with an emphasis in nutrition. Exploring alliances from the Americas with the formal PHN discipline emerging in Europe should enrich the mutual perspective on curriculum design. However, the form and context of postgraduate training in Latin America must consider first and foremost its own job-markets, diverse public health needs, and resource allocations in building or transforming training programs.

  10. Forest Health Status in North America

    Directory of Open Access Journals (Sweden)

    Borys Tkacz

    2007-01-01

    Full Text Available The forests of North America provide a variety of benefits including water, recreation, wildlife habitat, timber, and other forest products. However, they continue to face many biotic and abiotic stressors including fires, native and invasive pests, fragmentation, and air pollution. Forest health specialists have been monitoring the health of forests for many years. This paper highlights some of the most damaging forest stressors affecting North American forests in recent years and provides some projections of future risks.

  11. Embracing Our "Otherness": A Mutually Transformative Journey in Delivering an Indigenous Heart Health Promotion Project.

    Science.gov (United States)

    Prodan-Bhalla, Natasha; Middagh, Diane; Jinkerson-Brass, Sharon; Ziabakhsh, Shabnam; Pederson, Ann; King, Charlene

    2016-04-19

    Theories on the importance of holistic and spiritual healing within nonconventional models of care are vast, yet there is little written about the practical, clinical-level interventions required to deliver such practices in collaborative cross-cultural settings. This article describes the learning experiences and transformative journeys of non-Indigenous nurse practitioners working with a Cultural Lead from an Indigenous community in British Columbia, Canada. The goal of theSeven Sisters Healthy Heart Projectwas to improve heart health promotion in an Indigenous community through a model of knowledge translation. The article describes the development of a bridge between two cultures in an attempt to deliver culturally responsive programming. Our journeys are represented in a phenomenological approach regarding relationships, pedagogy, and expertise. We were able to find ways to balance two worlds-the medical health services model and Indigenous holistic models of healing. The key to building the bridge was our willingness to be vulnerable, to trust in each other's way of teaching and learning, and allowing diverse viewpoints and knowledge sources to be present. Our work has vast implications for health promotion in Indigenous communities, as it closes the gap between theory and practice by demonstrating how Indigenous models can be integrated into mainstream health promotion practices.

  12. Skin Diseases Take Big Slice Out of America's Health, Economy

    Science.gov (United States)

    ... Diseases Take Big Slice Out of America's Health, Economy The sometimes deadly conditions cost $75 billion in ... a major impact on Americans and the U.S. economy, a new report finds. "The impact of skin ...

  13. IAI Training in Climate and Health in the Americas

    Science.gov (United States)

    Aron, J. L.

    2007-05-01

    The Inter-American Institute for Global Change Research (IAI) has addressed training in climate and health in the Americas in two major ways. First, IAI supports students to engage in research training. A multi-country health activity funded by IAI was the collaborative research network (CRN) on Diagnostics and Prediction of Human Health Impacts in the Tropical Americas, which focused principally on the effect of El Nino/Southern Oscillation and other aspects of climate variability on mosquito-borne diseases malaria and dengue. The CRN involved students in Brazil, Mexico, Venezuela, Colombia and Jamaica. The CRN was also linked to other climate and health projects that used a similar approach. Second, IAI organizes training institutes to expand the network of global change research scientists and facilitate the transfer of global change research into practice. The IAI Training Institute on Climate and Health in the Americas was held on November 7 - 18, 2005 at the University of the West Indies in Kingston, Jamaica, engaging participants from the CRN and other programs in the Americas. The Training Institute's central objective was to help strengthen local and regional capacity to address the impacts of climate variability and climate change on human health in the populations of the Americas, particularly Latin America and the Caribbean. The Training Institute had three core components: Science; Applications; and Proposal Development for Seed Grants. Recommendations for future Training Institutes included incorporating new technologies and communicating with policy-makers to develop more proactive societal strategies to manage risks.

  14. [Health system reforms in South America: an opportunity for UNASUR].

    Science.gov (United States)

    Gomes-Temporão, José; Faria, Mariana

    2014-01-01

    Health systems in South America still support segmentation, privatization and fragmentation. Health reforms of the structural adjustment programs in the 1980s and 1990s in South America followed different purposes and strategies ranging from privatization, commodification and state intervention for the implementation of a national public health service with universal access as a right of the citizens. Since the 2000s, many countries have expanded social policies, reduced poverty and social inequalities, and improved access to healthcare. This article proposes to discuss the health systems in South America from historical and political backgrounds, and the progress from the reforms in the last three decades. It also presents the three paradigmatic models of reform and their evolution, as well as the contrasts between universal coverage and universal systems. Finally, it presents current strengths and weaknesses of the twelve South American health systems as well as current opportunities and challenges in health for UNASUR.

  15. The Societal Importance of Embracing Counterintuitive Thought in Science: Assisted Exercise in Preterm Infants for Long-term Health Outcomes.

    Science.gov (United States)

    Olshansky, Ellen; Vaughan, Jessica; Sando, Kelsi; Rich, Julia; Lakes, Kimberley; Cooper, Daniel

    For research to lead to progressive change, scientists and society must embrace what may seem counterintuitive. While there is often resistance to changing views of what we presume to already understand, we must be open to evolving knowledge and evidence. Our research is examining the effect of a novel intervention designed to increase physical activity of premature babies in their first year of life on: (1) body composition, (2) associated biochemical and cellular mechanisms of growth and inflammation, and (3) quality of maternal care. This study is novel because it is counterintuitive to prevailing knowledge of the care and treatment of infants born prematurely. Traditionally, we swaddle infants and restrict their movement in order to minimize energy expenditure. We are proposing the opposite: to increase energy expenditure in a systematic, controlled way in order to increase muscle mass and bone density, with the ultimate goal of preventing diseases associated with lack of muscle mass or bone density. Our research actively engages the mothers in the study by learning about their perceptions and their experiences of doing the exercise with their infants because the mothers, too, are aware of the prevailing views that are counter to what they are being asked to do. The mothers have taught us, however, that they are willing to participate in this exercise study, while paradoxically also viewing their infants as "fragile" and are fearful of hurting their infants. Our thesis in this research-based paper is that science and society must work in tandem to be effective.

  16. Recent Developments in Public Health Nursing in the Americas

    Directory of Open Access Journals (Sweden)

    Jose Arturo Ruiz-Larios

    2010-02-01

    Full Text Available This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Americas. There are significant regional differences in the levels and types of training of nurses working in public health areas and an increasing number of nurses are pursuing training in public health at the master’s and doctoral levels. Many nurses carry out some or all of the essential functions of public health, but are not considered to be public health nurses. Generally, auxiliary and technical nurses have a broader presence in public health areas than professional nurses. In the future, regional health systems reforms should support increased recruitment and training of public health nurses, as well as stronger roles in public health research and health care at the individual, community, and population levels.

  17. Adolescent Substance Use: America's #1 Public Health Problem

    Science.gov (United States)

    National Center on Addiction and Substance Abuse at Columbia University, 2011

    2011-01-01

    This report finds that adolescent smoking, drinking, misusing prescription drugs and using illegal drugs is, by any measure, a public health problem of epidemic proportion, presenting clear and present danger to millions of America's teenagers and severe and expensive long-range consequences for the entire population. This report is a wake-up call…

  18. Containing health costs in the Americas.

    Science.gov (United States)

    Márquez, P

    1990-01-01

    In recent years, a series of policy measures affecting both demand and supply components of health care have been adopted in different Latin American and Caribbean countries, as well as in Canada and the United States. In applying these measures various objectives have been pursued, among them: to mobilize additional resources to increase operating budgets; to reduce unnecessary utilization of health services and consumption of pharmaceuticals; to control increasing production costs; and to contain the escalation of health care expenditures. In terms of demand management, some countries have established cost-recovery programmes in an attempt to offset declining revenues. These measures have the potential to generate additional operating income in public facilities, particularly if charges are levied on hospital care. However, only scant information is available on the effects of user charges on demand, utilization, or unit costs. In terms of supply management, corrective measures have concentrated on limiting the quantity and the relative prices of different inputs and outputs. Hiring freezes, salary caps, limitations on new construction and equipment, use of drug lists, bulk procurement of medicines and vaccines, and budget ceilings are among the measures utilized to control production costs in the health sector. To moderate health care expenditures, various approaches have been followed to subject providers to 'financial discipline'. Among them, new reimbursement modalities such as prospective payment systems offer an array of incentives to modify medical practice. Cost-containment efforts have also spawned innovations in the organization and delivery of health services. Group plans have been established on the basis of prepaid premiums to provide directly much or all health care needs of affiliates and their families. The issue of intrasectorial co-ordination, particularly between ministries of health and social security institutions, has much relevance for cost

  19. From the sidelines to the frontline: how the Substance Abuse and Mental Health Services Administration embraced smoking cessation.

    Science.gov (United States)

    Santhosh, Lekshmi; Meriwether, Margaret; Saucedo, Catherine; Reyes, Reason; Cheng, Christine; Clark, Brian; Tipperman, Doug; Schroeder, Steven A

    2014-05-01

    Smoking is a major contributor to premature mortality among people with mental illness and substance abuse. Historically, the Substance Abuse and Mental Health Services Administration (SAMHSA) did not include smoking cessation in its mission. We describe the development of a unique partnership between SAMHSA and the University of California, San Francisco's Smoking Cessation Leadership Center. Starting with an educational summit in Virginia in 2007, it progressed to a jointly sponsored "100 Pioneers for Smoking Cessation" campaign that provided grants and technical assistance to organizations promoting cessation. By 2013, the partnership established 7 "Leadership Academies," state-level multidisciplinary collaboratives of organizations focused on cessation. This academic-public partnership increased tobacco quit attempts, improved collaboration across multiple agencies, and raised awareness about tobacco use in vulnerable populations.

  20. Health expenditures in Latin America and the Caribbean.

    Science.gov (United States)

    Govindaraj, R; Chellaraj, G; Murray, C J

    1997-01-01

    This paper presents the results of a study commissioned by the Latin American and Caribbean Technical Department of the World Bank to document and analyze health expenditures in Latin America and the Caribbean. In 1990, the countries of this region spent US$ 69 billion on health, with an average per capita health expenditure of US$ 162. On average, the countries spent 6.2% of their GDP on health, with the expenditures divided about equally between the public and private sectors. In both the public and private sectors, per capita health expenditures were positively and significantly correlated with per capita income. However, this relationship holds only for the public sector, when health expenditures are measured as a proportion of GDP. While several poorer countries were dependent on external assistance, with increasing income, the countries relied more on public expenditures to finance health care. Based on the limited time series data, it is evident that there was a considerable variation among countries regarding the proportion spent on capital investments, primary health care, and drugs, but not on salaries. Looking ahead, with increasing economic development, the proportion of GDP spent on health, along with public health expenditure as a proportion of total health expenditure, is likely to increase rapidly, while aid dependency is likely to decline.

  1. One Health training, research, and outreach in North America

    Directory of Open Access Journals (Sweden)

    Cheryl Stroud

    2016-11-01

    Full Text Available Background: The One Health (OH concept, formerly referred to as ‘One Medicine’ in the later part of the 20th century, has gained exceptional popularity in the early 21st century, and numerous academic and non-academic institutions have developed One Health programs. Objectives: To summarize One Health training, research, and outreach activities originating in North America. Methods: We used data from extensive electronic records maintained by the One Health Commission (OHC (www.onehealthcommission.org/ and the One Health Initiative (www.onehealthinitiative.com/ and from web-based searches, combined with the corporate knowledge of the authors and their professional contacts. Finally, a call was released to members of the OHC's Global One Health Community listserv, asking that they populate a Google document with information on One Health training, research, and outreach activities in North American academic and non-academic institutions. Results: A current snapshot of North American One Health training, research, and outreach activities as of August 2016 has evolved. Conclusions: It is clear that the One Health concept has gained considerable recognition during the first decade of the 21st century, with numerous current training and research activities carried out among North American academic, non-academic, government, corporate, and non-profit entities.

  2. America’s Health: Recent Trends in Health Care.

    Science.gov (United States)

    1995-11-01

    1994: 1-6 [32] Charles Helbing, Judith Sangl, and Herbert Silverman. "Home Health Agency Benefit." Health Care Financing Review, 1992:125-148 [33...Cynthia G. Tudor. "Medicaid Expenditures and State Responses." Health Care Financing Review 16(3), 1995: 1-10 [41] John Holahan et al. "Understanding...John Holahan . Medicaid Since 1980: Costs, Coverage, and the Shifling Alliance Between the Federal Government and the States. Washington, DC: The

  3. International health, the early cold war and Latin America.

    Science.gov (United States)

    Cueto, Marcos

    2008-01-01

    This article offers a panoramic vision of the development of international health in Latin America during the late 1940s and the 1950s, when a series of bilateral and multilateral institutions, such as the World Health Organization and UNICEF, were founded and reshaped. The language, policies, and activities of these new institutional actors were heavily influenced by the context of the early Cold War between the era's superpowers: the United States and the Soviet Union. Vertical campaigns against yaws and malaria--implemented under the leadership of Fred L. Soper, director of the Pan American Sanitary Bureau--symbolized international health's technical orientation, as well as its contribution to the modernization of the countries of the region. The Cold War period has received little attention by historians of medicine, though it bears certain similarities to historiographical discussions of the relationship between tropical medicine and imperialism in the early 20th century.

  4. Alcohol, diabetes, and public health in the Americas.

    Science.gov (United States)

    Babor, Thomas; Rehm, Jurgen; Jernigan, David; Vaeth, Patrice; Monteiro, Maristela; Lehman, Hallie

    2012-08-01

    This article describes epidemiological evidence on the association between alcohol use and diabetes, and the implications for clinical management and public health policies in the Americas. Heavy alcohol use is a risk factor for both diabetes and poor treatment adherence, despite evidence that moderate drinking can protect against type 2 diabetes under some circumstances. The burden of disease from diabetes associated with excessive alcohol consumption warrants both clinical and public health measures. On the clinical level, research on early interventions to prevent hazardous drinking shows that new screening, brief intervention, and referral techniques are effective ways to manage hazardous drinking in primary care settings. On the population level, restrictions on alcohol marketing and other alcohol control policies reduce the frequency and intensity of alcohol consumption in at-risk populations. These policy actions are recommended within the context of the World Health Organization's global strategy to reduce the harmful use of alcohol.

  5. Children's environment and health in Latin America: the Ecuadorian case.

    Science.gov (United States)

    Harari, Raul; Harari, Homero

    2006-09-01

    Environmental health problems of children in Latin America and Ecuador are complex due to the close relationship that exists between social and environmental factors. Extended poverty and basic problems, such as the lack of drinking water and sanitation, are common. Infectious diseases are the greatest cause of morbidity and mortality among children. Development in industry and the introduction of chemical substances in agriculture add new risks including pesticide use, heavy metal exposure, and air pollution. Major problems can be divided into (a) lack of basic infrastructure, (b) poor living conditions, (c) specific environmental problems, and (d) child labor. Reproductive health disorders are frequent in developing countries like Ecuador. Issues related to children's health should consider new approaches, creative methodologies, and the search for independent predictors to separate environmental from social problems. Only with knowledge of the specific contribution of each factor, can it be possible to develop a strategy for prevention.

  6. Maternal and Child Health Data Book: The Health of America's Children.

    Science.gov (United States)

    Hughes, Dana; And Others

    This databook describes the status of maternal and child health in America; the nation's progress in reducing infant mortality, low birthweight babies, and the percentage of pregnant women who receive late or no prenatal care; patterns of teenage and out-of-wedlock childbearing; and the extent to which certain safety net programs, such as Aid to…

  7. Exploring Female Sexuality: Embracing the Whole Narrative.

    Science.gov (United States)

    Bass, Tanya M

    Sexuality is inseparable from sexual health and can refer to sex, gender identities, orientation, pleasure, intimacy, expression, and reproduction. While each element of human sexuality is important, all of these components interconnect to make us complete sexual beings. Educators and other human service providers thus require professional preparation to ensure they can meet the needs of their learners, effectively manage programming, and successfully implement strategies that allow individuals to embrace or manage their sexual existence. An inclusive approach to sexual health is best to meet the sexual health needs of all women, while ensuring their agency and control of their own bodies.

  8. The arts, health, and aging in america: 2005-2015.

    Science.gov (United States)

    Hanna, Gay Powell; Noelker, Linda S; Bienvenu, Beth

    2015-04-01

    In advance of the White House Conference on Aging (WHCoA) in 1981, 1995, and 2005, the arts and aging communities held mini-conferences to ensure that arts, culture, and livability were part of larger public policy discussions. This article takes a historical look at recommendations from the 2005 WHCoA Mini-Conference on Creativity and Aging in America, including arts in health care, lifelong learning, and livability through universal design. Overarching recommendations in 2005 requested investments in research, including cost-benefit analyses; identification of best practices and model programs; program dissemination to broaden the availability of arts programs. The "Arts" is a broad term encompassing all forms of arts including music, theater, dance, visual arts, literature, multimedia and design, folk, and traditional arts to engage the participation of all older Americans; promotion of innovative public and private partnerships to support arts program development, including workforce development (e.g., artists, social workers, and health care providers); and public awareness of the importance of arts participation to healthy aging. Through the leadership of the National Endowment for the Arts and U.S. Department of Health and Human Services, thinking about the arts and aging has broadened to include greater emphasis on a whole-person approach to the health and well-being of older adults. This approach engages older adults in arts participation not only as audience members, but as vital members of their community through creative expression focusing on life stories for intergenerational as well as interprofessional collaboration. This article reviews progress made to date and identifies critical gaps in services for future consideration at a 2015 Mini-Conference on Creativity and Aging related to the WCHoA area of emphasis on healthy aging.

  9. Health-Related Quality of Life in Locally Advanced Cervical Cancer Patients After Definitive Chemoradiation Therapy Including Image Guided Adaptive Brachytherapy: An Analysis From the EMBRACE Study

    DEFF Research Database (Denmark)

    Kirchheiner, Kathrin; Pötter, Richard; Tanderup, Kari

    2016-01-01

    Purpose This study analyzed functioning and symptom scores for longitudinal quality of life (QoL) from patients with locally advanced cervical cancer who underwent definitive chemoradiation therapy with image guided adaptive brachytherapy in the EMBRACE study. Methods and Materials In total, 744...... patients at a median follow-up of 21 months were included. QoL was prospectively assessed using European Organization for Research and Treatment of Cancer Quality of Life core module 30 (EORTC QLQ-C30) and EORTC cervical cancer module 24 (CX24) questionnaires at baseline, then every 3 months during...

  10. [Regional cooperation and integration in health in South America: the contribution of Unasur-Health].

    Science.gov (United States)

    Buss, Paulo Marchiori; Ferreira, José Roberto

    2011-06-01

    The scope of this study is to discuss the process of integration of South America in the domain of health, from the constitution of the Union of South American Nations (Unasur), in May 2008, through to the emergence of the Unasur Council of Health, in 2009, and its ongoing development in the past year (2009-2010). This study is descriptive in nature and the medium of investigation was the case study. The authors present the main constituent elements of the South-American Health Agenda, with particular emphasis on the area of development and management of human resources in health, which was coordinated by Brazil in the past year. The authors conclude that this interchange will contribute to minimization of the asymmetries amongst the countries, collaborating to improve the quality of life and health conditions in the region.

  11. UNASUR Health: A quiet revolution in health diplomacy in South America.

    Science.gov (United States)

    Herrero, María Belén; Tussie, Diana

    2015-12-01

    Since the creation of Union of South American Nations (UNASUR), health policies became a strategic factor in South America to collectively balance the legacy of neoliberal policies in the region. The aim of this article is first to describe the social, political, and economic processes that explain the emergence of UNASUR and its focus on social policy through healthcare. We then analyze how by virtue of UNASUR's Health Council, healthcare became the spearhead of cooperation giving way to novel forms of diplomacy. In so doing, this article contributes to a broader understanding of the regional health diplomacy and the process of unasurization of health policies as the process of building a new health framework.

  12. Dengue: an escalating public health problem in Latin America.

    Science.gov (United States)

    Tapia-Conyer, Roberto; Betancourt-Cravioto, Miguel; Méndez-Galván, Jorge

    2012-05-01

    Dengue infection is a significant and escalating public health problem in Latin America. Its re-emergence and subsequent rise in the region over the past 50 years has largely been caused by a combination of a lack of political will, the radical growth of urban populations, migration flow and insufficient financial resources. Its increased incidence has been compounded by climate change, poor sanitation and extreme poverty, which lead to more breeding sites of the mosquito vector Aedes aegypti. In order to control dengue effectively, an integrated approach incorporating vector management and environmental and social solutions is required. To achieve success, these programmes require commitment and responses at both national and community level. The development of a vaccine is a vital tool in the fight against dengue. For successful introduction, those implementing vaccination need to be educated on the value of such a strategy. Effective political leadership, innovative financial mechanisms and co-operation across all disciplines, sectors and national borders are essential to eradication of the disease.

  13. Embracing the convenient care concept.

    Science.gov (United States)

    Ferris, Allison H; McAndrew, Thomas M; Shearer, Debra; Donnelly, Gloria F; Miller, Howard A

    2010-01-01

    The landscape of primary care medicine is rapidly changing. The decline in interest, both in primary care fields and students choosing these career paths, has left a vacuum in the health care system that must be filled. One of the recent developments has been the birth of "convenient care centers," also known as "retail clinics." This form of health care delivery has mostly been entrepreneurial and based in retail organizations, such as drug stores. These walk-in clinics provide basic medical care for minor common medical conditions, such as sore throat, urinary tract infection, the common cold, and ear infections. Much of this care is provided not by physicians, but by nurse practitioners or physician assistants. After seeing the success of the earliest of these clinics, MinuteClinic by CVS, many other businesses joined the venture, and retail clinics popped up in Wal-Mart, Target, and many local grocery stores. Gradually, hospital systems, physician groups, and managed care companies have also entered the market, sometimes partnering with retail outlets, such as the local grocery store or Wal-Mart, and less often, starting a stand-alone facility. Only 12% of retail clinics are owned by hospital systems or physician groups, while 73% are owned by CVS, Walgreens, or Target. There is even a national nonprofit organization called the Convenient Care Association, started in 2006, and based in Philadelphia, PA. This new trend in delivering health care has been mostly, if not totally, ignored by the medical school practice plans, with the exception of the Mayo Clinic in Minnesota, which has developed several "express care" clinics as stand-alone facilities. As a medical school practice plan and a division of general internal medicine, we could continue to keep a blind eye toward this new trend in primary care medicine or embrace the concept. We aim to develop a new convenient care model integrating our College of Medicine practice plan in partnership with our College of

  14. Globalizing the history of disease, medicine, and public health in Latin America.

    Science.gov (United States)

    Espinosa, Mariola

    2013-12-01

    The history of Latin America, the history of disease, medicine, and public health, and global history are deeply intertwined, but the intersection of these three fields has not yet attracted sustained attention from historians. Recent developments in the historiography of disease, medicine, and public health in Latin America suggest, however, that a distinctive, global approach to the topic is beginning to emerge. This essay identifies the distinguishing characteristic of this approach as an attentiveness to transfers of contagions, cures, and medical knowledge from Latin America to the rest of the world and then summarizes a few episodes that demonstrate its promise. While national as well as colonial and neocolonial histories of Latin America have made important contributions to our understanding, works taking the global approach have the potential to contribute more directly to the decentering of the global history of disease, medicine, and public health.

  15. Providing primary health care through integrated microfinance and health services in Latin America.

    Science.gov (United States)

    Geissler, Kimberley H; Leatherman, Sheila

    2015-05-01

    The simultaneous burdens of communicable and chronic non-communicable diseases cause significant morbidity and mortality in middle-income countries. The poor are at particular risk, with lower access to health care and higher rates of avoidable mortality. Integrating health-related services with microfinance has been shown to improve health knowledge, behaviors, and access to appropriate health care. However, limited evidence is available on effects of fully integrating clinical health service delivery alongside microfinance services through large scale and sustained long-term programs. Using a conceptual model of health services access, we examine supply- and demand-side factors in a microfinance client population receiving integrated services. We conduct a case study using data from 2010 to 2012 of the design of a universal screening program and primary care services provided in conjunction with microfinance loans by Pro Mujer, a women's development organization in Latin America. The program operates in Argentina, Bolivia, Mexico, Nicaragua, and Peru. We analyze descriptive reports and administrative data for measures related to improving access to primary health services and management of chronic diseases. We find provision of preventive care is substantial, with an average of 13% of Pro Mujer clients being screened for cervical cancer each year, 21% receiving breast exams, 16% having a blood glucose measurement, 39% receiving a blood pressure measurement, and 46% having their body mass index calculated. This population, with more than half of those screened being overweight or obese and 9% of those screened having elevated glucose measures, has major risk factors for diabetes, high blood pressure, and cardiovascular disease without intervention. The components of the Pro Mujer health program address four dimensions of healthcare access: geographic accessibility, availability, affordability, and acceptability. Significant progress has been made to meet basic

  16. Changing patterns of migration in Latin America: how can research develop intelligence for public health?

    Science.gov (United States)

    Cabieses, Baltica; Tunstall, Helena; Pickett, Kate E; Gideon, Jasmine

    2013-07-01

    Migration patterns in Latin America have changed significantly in recent decades, particularly since the onset of global recession in 2007. These recent economic changes have highlighted and exacerbated the weakness of evidence from Latin America regarding migration-a crucial determinant of health. Migration patterns are constantly evolving in Latin America, but research on migration has not developed at the same speed. This article focuses on the need for better understanding of the living conditions and health of migrant populations in Latin America within the context of the recent global recession. The authors explain how new data on migrant well-being could be obtained through improved evidence from censuses and ongoing research surveys to 1) better inform policy-makers about the needs of migrant populations in Latin America and 2) help determine better ways of reaching undocumented immigrants. Longitudinal studies on immigrants in Latin America are essential for generating a better representation of migrant living conditions and health needs during the initial stages of immigration and over time. To help meet this need, the authors support the promotion of sustainable sources of data and evidence on the complex relationship between migration and health.

  17. Reforming America's health system through innovation and entrepreneurship.

    Science.gov (United States)

    Reece, Richard L

    2005-01-01

    America's attempts for healthcare reform are gridlocked. Healthcare special interests are reluctant to abandon profitable activities, and American culture-distrust of centralized federal power, belief in self-improvement, desire for choice, and belief in equal access to medical technologies-is slow to change. Physician entrepreneurship and innovation, coupled with consumer-driven healthcare and public-private partnerships, may break the present gridlock.

  18. Mobilizing Black America: Solutions to Black Health Problems

    Science.gov (United States)

    1993-04-01

    the most obese ethnic group in America. Too many black children are overweight because black adults feed them a steady diet of fatty and salty foods...start and elementary school children in the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. EPSDT has been instrumental in...blood cholesterol, obesity , unhealthy diets, and smoking are the leading causes (major risk factors) of these killers. The underlying problems associated

  19. Issues with e-learning in nursing and health education in the UK: Are new technologies being embraced in the teaching and learning environments?

    OpenAIRE

    2010-01-01

    In this paper we present aspects of a study that scoped e-learning implementation in nursing and health science disciplines throughout the UK and explored the factors affecting use. Data related to the use of technologies are presented here. While there are many drivers for the use of elearning, the current scope of engagement in nursing and health science disciplines is unknown and variations in adoption have not been explored. A postal questionnaire sent to a purposive sample of 93 Higher E...

  20. Arsenic exposure in Latin America: biomarkers, risk assessments and related health effects.

    Science.gov (United States)

    McClintock, Tyler R; Chen, Yu; Bundschuh, Jochen; Oliver, John T; Navoni, Julio; Olmos, Valentina; Lepori, Edda Villaamil; Ahsan, Habibul; Parvez, Faruque

    2012-07-01

    In Latin America, several regions have a long history of widespread arsenic (As) contamination from both natural and anthropological sources. Yet, relatively little is known about the extent of As exposure from drinking water and its related health consequences in these countries. It has been estimated that at least 4.5 million people in Latin America are chronically exposed to high levels of As (>50 μg/L), some to as high as 2000 μg/L--200 times higher than the World Health Organization (WHO) provisional standard for drinking water. We conducted a systematic review of 82 peer reviewed papers and reports to fully explore the current understanding of As exposure and its health effects, as well as the influence of genetic factors that modulate those effects in the populations of Latin America. Despite some methodological limitations, these studies suggested important links between the high levels of chronic As exposure and elevated risks of numerous adverse health outcomes in Latin America--including internal and external cancers, reproductive outcomes, and childhood cognitive function. Several studies demonstrated genetic polymorphisms that influence susceptibility to these and other disease states through their modulation of As metabolism, with As methyltransferase (AS3MT), glutathione S-transferase (GST), and genes of one-carbon metabolism being specifically implicated. While the full extent and nature of the health burden are yet to be known in Latin America, these studies have significantly enriched knowledge of As toxicity and led to subsequent research. Targeted future studies will not only yield a better understanding of the public health impact of As in Latin America populations, but also allow for effective and timely mitigation efforts.

  1. Gaps of maritime health research in Latin America – a literature review

    DEFF Research Database (Denmark)

    Jensen, Olaf Chresten; Andrioti, Despena; Canals, M. Luisa

    Background So far the maritime health and safety research for seafarers and fishermen mainly comes from the industrial developed countries with sparse contributions from the developing countries. The aim was to give an overview of the peer reviewed research in Latin America to point out the needs...... for research in this part of the world. Materials and Methods PubMed, Google Scholar, SciELO - Scientific Electronic Library Online, Pan American Journal of Public Health, Medicina Maritima and other relevant journals in Latin America in the Spanish and English languages were searched. Results 57 peer-reviewed...

  2. [Equity and health systems reform in Latin America].

    Science.gov (United States)

    Vargas, Ingrid; Vazquez, Maria Luisa; Jane, Elisabet

    2002-01-01

    The aim of any health care system is to help improve the people's health, and to do so as efficiently as possible. In order to improve the efficiency and equity of health services provision, many countries around the world have implemented reforms, including several Latin American nations. However similar the objectives may appear, the various ways societies implement such reforms reflect different values and concepts. This article analyzes the egalitarian and neoliberal values underlying different concepts of equity in health care. The authors develop criteria to interpret selected health services funding and provision strategies in Latin American health system reforms. These criteria are then applied to health care financing and delivery policies under the reforms currently being implemented in Colombia and Costa Rica.

  3. Natural disasters and communicable diseases in the Americas: contribution of veterinary public health.

    Science.gov (United States)

    Schneider, Maria Cristina; Tirado, Maria Cristina; Rereddy, Shruthi; Dugas, Raymond; Borda, Maria Isabel; Peralta, Eduardo Alvarez; Aldighieri, Sylvain; Cosivi, Ottorino

    2012-01-01

    The consequences of natural disasters on the people living in the Americas are often amplified by socio-economic conditions. This risk may be increased by climate-related changes. The public health consequences of natural disasters include fatalities as well as an increased risk of communicable diseases. Many of these diseases are zoonotic and foodborne diseases. The aim of this article is to provide an overview of the importance of natural disasters for the Americas and to emphasise the contribution of veterinary public health (VPH) to the management of zoonotic and foodborne disease risks. An analysis was conducted of natural disasters that occurred in the Americas between 2004 and 2008. Five cases studies illustrating the contributions of VPH in situations of disaster are presented. The data shows that natural disasters, particularly storms and floods, can create very important public health problems. Central America and the Caribbean, particularly Haiti, presented a higher risk than the other areas of the Americas. Two priority areas of technical cooperation are recommended for this region, namely: reducing the risk of leptospirosis and other vector-borne disease outbreaks related to floods and hurricanes and improving food safety. The contribution of different disciplines and sectors in disaster preparedness and response is of paramount importance to minimise morbidity and mortality.

  4. Natural disasters and communicable diseases in the Americas: contribution of veterinary public health

    Directory of Open Access Journals (Sweden)

    Maria Cristina Schneider

    2012-06-01

    Full Text Available The consequences of natural disasters on the people living in the Americas are often amplified by socio-economic conditions. This risk may be increased by climate-related changes. The public health consequences of natural disasters include fatalities as well as an increased risk of communicable diseases. Many of these diseases are zoonotic and foodborne diseases. The aim of this article is to provide an overview of the importance of natural disasters for the Americas and to emphasise the contribution of veterinary public health (VPH to the management of zoonotic and foodborne disease risks. An analysis was conducted of natural disasters that occurred in the Americas between 2004 and 2008. Five cases studies illustrating the contributions of VPH in situations of disaster are presented. The data shows that natural disasters, particularly storms and floods, can create very important public health problems. Central America and the Caribbean, particularly Haiti, presented a higher risk than the other areas of the Americas. Two priority areas of technical cooperation are recommended for this region, namely: reducing the risk of leptospirosis and other vector-borne disease outbreaks related to floods and hurricanes and improving food safety. The contribution of different disciplines and sectors in disaster preparedness and response is of paramount importance to minimise morbidity and mortality.

  5. Improving America's health care system by investing in information technology.

    Science.gov (United States)

    Coye, Molly Joel; Bernstein, William S

    2003-01-01

    Large-scale investment in health care information technology (IT) infrastructure will not take place without leadership by the federal government. But how the federal government supports the financing of health care IT is critical. Health care IT development has multiple aspects, but it is fundamentally a problem of community infrastructure development. A policy approach that has had consistent success in financing our country's essential physical infrastructure in transportation and environmental protection will be well suited to fostering health care IT infrastructure as well. We propose the creation of a health care IT revolving loan fund program to invest public dollars in health care IT infrastructure projects through community-level nonprofit lending agencies.

  6. Sandia National Laboratories embraces ISDN

    Energy Technology Data Exchange (ETDEWEB)

    Tolendino, L.F.; Eldridge, J.M.

    1994-08-01

    Sandia National Laboratories (Sandia), a multidisciplinary research and development laboratory located on Kirtland Air Force Base, has embraced Integrated Services Digital Network technology as an integral part of its communication network. Sandia and the Department of Energy`s Albuquerque Operations Office have recently completed the installation of a modernized and expanded telephone system based, on the AT&T 5ESS telephone switch. Sandia is committed to ISDN as an integral part of data communication services, and it views ISDN as one part of a continuum of services -- services that range from ISDN`s asynchronous and limited bandwidth Ethernet (250--1000 Kbps) through full bandwidth Ethernet, FDDI, and ATM at Sonet rates. Sandia has demonstrated this commitment through its use of ISDN data features to support critical progmmmatic services such as access to corporate data base systems. In the future, ISDN will provide enhanced voice, data communication, and video services.

  7. The EMBRACE web service collection.

    Science.gov (United States)

    Pettifer, Steve; Ison, Jon; Kalas, Matús; Thorne, Dave; McDermott, Philip; Jonassen, Inge; Liaquat, Ali; Fernández, José M; Rodriguez, Jose M; Pisano, David G; Blanchet, Christophe; Uludag, Mahmut; Rice, Peter; Bartaseviciute, Edita; Rapacki, Kristoffer; Hekkelman, Maarten; Sand, Olivier; Stockinger, Heinz; Clegg, Andrew B; Bongcam-Rudloff, Erik; Salzemann, Jean; Breton, Vincent; Attwood, Teresa K; Cameron, Graham; Vriend, Gert

    2010-07-01

    The EMBRACE (European Model for Bioinformatics Research and Community Education) web service collection is the culmination of a 5-year project that set out to investigate issues involved in developing and deploying web services for use in the life sciences. The project concluded that in order for web services to achieve widespread adoption, standards must be defined for the choice of web service technology, for semantically annotating both service function and the data exchanged, and a mechanism for discovering services must be provided. Building on this, the project developed: EDAM, an ontology for describing life science web services; BioXSD, a schema for exchanging data between services; and a centralized registry (http://www.embraceregistry.net) that collects together around 1000 services developed by the consortium partners. This article presents the current status of the collection and its associated recommendations and standards definitions.

  8. The EMBRACE web service collection

    DEFF Research Database (Denmark)

    Pettifer, S.; Ison, J.; Kalas, M.

    2010-01-01

    The EMBRACE (European Model for Bioinformatics Research and Community Education) web service collection is the culmination of a 5-year project that set out to investigate issues involved in developing and deploying web services for use in the life sciences. The project concluded that in order...... for web services to achieve widespread adoption, standards must be defined for the choice of web service technology, for semantically annotating both service function and the data exchanged, and a mechanism for discovering services must be provided. Building on this, the project developed: EDAM......, an ontology for describing life science web services; BioXSD, a schema for exchanging data between services; and a centralized registry (http://www.embraceregistry.net) that collects together around 1000 services developed by the consortium partners. This article presents the current status of the collection...

  9. Embracing Creativity in Occupational Therapy

    Directory of Open Access Journals (Sweden)

    Lydia Royeen, MOT, OTR/L

    2015-01-01

    Full Text Available Jen Gash, an occupational therapist and creativity coach living in the UK, provided the cover art for the winter 2015 issue of The Open Journal of Occupational Therapy. The picture is titled “Over the Exe.” Jen uses her inspiration of the Kawa River model in this painting. The painting is of her husband and daughter standing where the river meets the sea. This is a metaphoric representation of rejoining the greater collective. In addition, Jen has a passion for occupational therapists to encompass creativity. A core aspect of occupational therapy is the multi-dimensional concept of occupations; it allows for occupational therapists to incorporate creativity into daily practice. Jen’s goal is for occupational therapy to embrace its creative theoretical roots.

  10. [Electronic health strategies in The Americas: current situation and perspectives].

    Science.gov (United States)

    D Agostino, Marcelo

    2015-01-01

    The main objective of the Strategy and Plan of Action on eHealth (2012-2017) is to contribute to sustainable development of health systems of member states. Its adoption aims to improve quality and access to health services through the use of information and communication technologies (ICT), the implementation of digital literacy programs and access to quality information to advance towards more informed, equitable, competitive and democratic societies. PAHO/WHO considers that in society, free and equal access to health information should be a fundamental right of individuals. Access to information, knowledge sharing and use of information and communication technology in the health sector continues to grow and is driving significant changes in the way people interact with health services and among themselves in social networks and through the use of mobile devices (mHealth). This hyper-connected society, or information society, brings new challenges and opportunities related to the use of massive data (Big Data) that forces us to rethink our relationship with reality and the traditional ways of managing health information.

  11. International trends in health science librarianship. Part 5 Latin America and the Caribbean.

    Science.gov (United States)

    Berry, Beverley; Rodrííguez-Jiménez, Teresa M

    2013-03-01

    This is the 5th in a series of articles exploring international trends in health science librarianship in Latin America and the Caribbean in the first decade of the 21st century. The invited authors are from Argentina, Bermuda and Mexico. Future issues will track trends in Central Europe and the Middle East. JM.

  12. Improving adolescent sexual and reproductive health in Latin America: reflections from an International Congress

    NARCIS (Netherlands)

    Córdova Pozo, K.; Chandra-Mouli, V.; Decat, P.; Nelson, E.; de Meyer, S.; Jaruseviciene, L.; Vega, B.; Segura, Z.; Auquilla, N.; Hagens, A.; van Braeckel, D.; Michielsen, K.

    2015-01-01

    In February 2014, an international congress on Promoting Adolescent Sexual and Reproductive Health (ASRH) took place in Cuenca, Ecuador. Its objective was to share evidence on effective ASRH intervention projects and programs in Latin America, and to link this evidence to ASRH policy and program dev

  13. Interdisciplinary Collaboration in Gerontology and Geriatrics in Latin America: Conceptual Approaches and Health Care Teams

    Science.gov (United States)

    Gomez, Fernando; Curcio, Carmen Lucia

    2013-01-01

    The underlying rationale to support interdisciplinary collaboration in geriatrics and gerontology is based on the complexity of elderly care. The most important characteristic about interdisciplinary health care teams for older people in Latin America is their subjective-basis framework. In other regions, teams are organized according to a…

  14. Gaps of maritime health research in Latin America – a literature review

    DEFF Research Database (Denmark)

    Jensen, Olaf Chresten

    Background So far the maritime health and safety research for seafarers and fishermen mainly comes from the industrial developed countries with sparse contributions from the developing countries. The aim was to give an overview of the peer reviewed research in Latin America to point out the needs...... for research in this part of the world. Materials and Methods PubMed, Google Scholar, SciELO - Scientific Electronic Library Online, Pan American Journal of Public Health, Medicina Maritima and other relevant journals in Latin America in the Spanish and English languages were searched. Results 57 peer-reviewed......-sectional studies include especially ergonomic problems and environmental pollution. Studies on fatal accidents are absent in fishing and seafaring as well. Conclusions Most of the studies are concern with health problems, like in other parts of the world, while some health problems are specifically related...

  15. 促进社会包容——美国社群信息学研究述评^*%Embracing Social Inclusion:An Introduction to Community Infor- matics in America

    Institute of Scientific and Technical Information of China (English)

    李刚; 孙建军; 傅丽萍

    2012-01-01

    After a review of the background and development of community informatics(CI) in America, this paper ex- pounds the orientation and conception of CI as an emerging field and a social reform factor. Then the paper analyzes some heated discussion among CI researchers including “How to use Information and Communication Technology(ICT) to enable community processes and the achievement of community objectives”, “Which model is best for community inquiry and com- munity development”, “What are critical factors for the sustainability of CI initiatives”, “Can social inclusion be achieved via ICT projects”. Along with these issues, the paper briefly introduces some typical cases like Technology Opportunities Program, The Community Informatics Initiative, The Community Networking Initiative and Community Technology Center. It concludes that CI theory and practice is of great significance to Social Welfare Policy in contemporary China. 2 tabs. 31 refs.%随着社会结构中虚拟社区对传统社区的拓展和图书馆社区信息服务活动的延伸,社群信息学(CI)逐渐成为LIS研究的热点。CI产生于信息通讯技术(ICT)的应用实践,强调ICT与社群的互动与平衡,特别是利用ICT使一般社群、弱势群体、边缘化社群增强能力和获取权利,以缩小数字鸿沟,实现社会信息公平。CI研究的主要内容包括ICT有效使用和社区能力、CI行动的可持续发展和CI的社会包容性等。美国的CI实践形成了政府、地方、社区、学界四方合力、相互补充的发展模式,其典型的案例分别是技术机遇项目、社群信息学行动、社区技术中心和社区网络化行动。美国CI的理论与实践对我国社会管理创新和包容性增长具有借鉴意义。CI研究不仅能成为学科发展的增长点,也能为中国社区问题的解决提供一种切实可行的行动方案。表2。参考文献31。

  16. Methods and challenges for the health impact assessment of vaccination programs in Latin America

    Directory of Open Access Journals (Sweden)

    Ana Marli Christovam Sartori

    2015-01-01

    Full Text Available ABSTRACT OBJECTIVE To describe methods and challenges faced in the health impact assessment of vaccination programs, focusing on the pneumococcal conjugate and rotavirus vaccines in Latin America and the Caribbean. METHODS For this narrative review, we searched for the terms "rotavirus", "pneumococcal", "conjugate vaccine", "vaccination", "program", and "impact" in the databases Medline and LILACS. The search was extended to the grey literature in Google Scholar. No limits were defined for publication year. Original articles on the health impact assessment of pneumococcal and rotavirus vaccination programs in Latin America and the Caribbean in English, Spanish or Portuguese were included. RESULTS We identified 207 articles. After removing duplicates and assessing eligibility, we reviewed 33 studies, 25 focusing on rotavirus and eight on pneumococcal vaccination programs. The most frequent studies were ecological, with time series analysis or comparing pre- and post-vaccination periods. The main data sources were: health information systems; population-, sentinel- or laboratory-based surveillance systems; statistics reports; and medical records from one or few health care services. Few studies used primary data. Hospitalization and death were the main outcomes assessed. CONCLUSIONS Over the last years, a significant number of health impact assessments of pneumococcal and rotavirus vaccination programs have been conducted in Latin America and the Caribbean. These studies were carried out few years after the programs were implemented, meet the basic methodological requirements and suggest positive health impact. Future assessments should consider methodological issues and challenges arisen in these first studies conducted in the region.

  17. Recent Activities on the Embrace Space Weather Regional Warning Center: the New Space Weather Data Center

    Science.gov (United States)

    Denardini, Clezio Marcos; Dal Lago, Alisson; Mendes, Odim; Batista, Inez S.; SantAnna, Nilson; Gatto, Rubens; Takahashi, Hisao; Costa, D. Joaquim; Banik Padua, Marcelo; Campos Velho, Haroldo

    2016-07-01

    the ionospheric profiles in two equatorial sites and in two low latitude sites; (b) several solar radio telescopes to monitor solar activity (under development); (c) the matrix of the GNSS TEC map over South America; (d) the Embrace Airglow All-sky Imagers Network (Embrace GlowNet); and (d) the Embrace Magnetometer Network (Embrace Magnet), all of them in South America. Also, the system allows subscription to space weather alerts and reports. Contacting Author: C. M. Denardini (clezio.denardin@inpe.br)

  18. Sick Schools 2009: America's Continuing Environmental Health Crisis for Children

    Science.gov (United States)

    Healthy Schools Network, Inc., 2010

    2010-01-01

    Everybody knows that healthy school buildings contribute to student learning, reduce health and operating costs, and ultimately, increase school quality and competitiveness. However, 55 million of the nation's children attend public and private K-12 schools where poor air quality, hazardous chemicals and other unhealthy conditions make students…

  19. Envisioning an America without sexual orientation inequities in adolescent health.

    Science.gov (United States)

    Mustanski, Brian; Birkett, Michelle; Greene, George J; Hatzenbuehler, Mark L; Newcomb, Michael E

    2014-02-01

    This article explicates a vision for social change throughout multiple levels of society necessary to eliminate sexual orientation health disparities in youths. We utilized the framework of Bronfenbrenner's ecological theory of development, a multisystemic model of development that considers direct and indirect influences of multiple levels of the environment. Within this multisystem model we discuss societal and political influences, educational systems, neighborhoods and communities, romantic relationships, families, and individuals. We stress that continued change toward equity in the treatment of lesbian, gay, and bisexual youths across these levels will break down the barriers for these youths to achieve healthy development on par with their heterosexual peers.

  20. Disabling health care? Medicaid managed care and people with disabilities in America

    DEFF Research Database (Denmark)

    Hiranandani, Vanmala Sunder

    2011-01-01

    Medicaid, America's largest government-funded health insurance program, plays a pivotal role in providing health services to eight million adults with disabilities. Since the mid-1990s, many Medicaid programs have aggressively introduced managed care, which reconfigures service delivery using...... business principles. Most states have insufficient experience in developing managed care plans for Medicaid beneficiaries with disabilities. Middle-aged adults with physical disabilities present their own constellation of health care issues that is not readily appreciated in health and social services....... The purpose of the study was to understand their experiences in accessing physical health care services and to ascertain the effects of managed care on their health and well-being. This study found beneficiaries encounter numerous barriers in accessing preventative, treatment, and acute care services. Overall...

  1. SALTRA: a regional program for workers' health and sustainable development in Central America.

    Science.gov (United States)

    Wesseling, Catharina; Aragón, Aurora; Elgstrand, Kaj; Flores, Reinaldo; Hogstedt, Christer; Partanen, Timo

    2011-01-01

    In 2003, the university-based Program on Work and Health in Central America, SALTRA, was launched to build national and regional capacities in occupational safety and health with the goal of preventing and reducing poverty in Central America. SALTRA has implemented 20 projects including action projects in priority sectors (e.g., construction, sugarcane, hospitals, migrant coffee workers); strengthening of surveillance (occupational health profiles, carcinogenic exposures, fatal injuries and pesticides); a participatory model for training and risk monitoring by workers; building occupational health capacity for professionals, employers, and workers, with collaborating networks between the countries; strengthening of universities in work, environment, and health; studies of serious occupational and environmental situations; communication channels; and continued efforts to raise political awareness. SALTRA has placed issues of workers' health on political, business, and academic agendas throughout the region and has laid the foundations for achieving substantial future improvements in health conditions of all workers in the region. External evaluators envisioned SALTRA as an innovative development model.

  2. Mercury cycling and human health concerns in remote ecosystems in the Americas

    OpenAIRE

    Canuel, René; LUCOTTE,Marc; Grosbois, Sylvie Boucher de

    2009-01-01

    Fish constitutes a praised—and sometimes irreplaceable—component of the daily diet for numerous communities throughout the Americas. These populations can be exposed to mercury (Hg)—ubiquitous in fish flesh—to levels potentially harmful to their health. Mercury is subjected to various chemical transformations once released to the environment. From diffuse loading on land and waters to accumulation in the aquatic food web, this paper draws a general picture of the main processes influencing th...

  3. The implications of trade liberalization for diet and health: a case study from Central America

    Directory of Open Access Journals (Sweden)

    Hawkes Corinna

    2009-07-01

    Full Text Available Abstract Background Central America has undergone extensive trade liberalization over the past two decades, and has recently signed a Free Trade Agreement with the United States. The region is also experiencing a dual burden of malnutrition with the growth of dietary patterns associated with the global 'nutrition transition'. This study describes the relationship between trade liberalization policies and food imports and availability, and draws implications for diet and health, using Central America as a case study region. Methods Changes in tariff and non-tariff barriers for each country were documented, and compared with time-series graphs of import, production and availability data to show the outcome of changes in trade policy in relation to food imports and food availability. Results Changes in trade policy in Central America have directly affected food imports and availability via three avenues. First, the lowering of trade barriers has promoted availability by facilitating higher imports of a wide range of foods. Second, trade liberalization has affected food availability through promoting domestic meat production. Third, reductions in barriers to investment appear to be critical in expansion of processed food markets. This suggests that changes in trade policies have facilitated rising availability and consumption of meat, dairy products, processed foods and temperate (imported fruits in Central America. Conclusion This study indicates that the policies of trade liberalization in Central American countries over the past two decades, particularly in relation to the United States, have implications for health in the region. Specifically, they have been a factor in facilitating the "nutrition transition", which is associated with rising rates of obesity and chronic diseases such as cardiovascular disease and cancer. Given the significant cost of chronic disease for the health care system, individuals and the wider community, it is critical

  4. Recommendations to increase the impact of maternal and childbirth health systematic reviews in the Americas.

    Science.gov (United States)

    Jacquérioz, Frédérique A; Belizán, José M; Buekens, Pierre

    2008-01-01

    This paper summarises the discussions and the recommendations formulated during a meeting in March 2007 on the challenges and strategies to increase the impact of maternal and childbirth health systematic reviews in the Americas. The discussions addressed three specific themes: (1) performing systematic reviews (2) updating existing reviews, and (3) diffusing and implementing evidence into practice. Practical recommendations were devised for each theme in small group discussions.

  5. How the Embrace of MOOC's Could Hurt Middle America

    Science.gov (United States)

    Graham, Greg

    2012-01-01

    Sebastian Thrun gave up tenure at Stanford University after 160,000 students signed up for his free online version of the course "Introduction to Artificial Intelligence." The experience completely changed his perspective on education, he said, so he ditched teaching at Stanford and launched the private Web site Udacity, which offers online…

  6. How the Embrace of MOOC's Could Hurt Middle America

    Science.gov (United States)

    Graham, Greg

    2012-01-01

    Sebastian Thrun gave up tenure at Stanford University after 160,000 students signed up for his free online version of the course "Introduction to Artificial Intelligence." The experience completely changed his perspective on education, he said, so he ditched teaching at Stanford and launched the private Web site Udacity, which offers…

  7. Sharing regulatory data as tools for strengthening health systems in the Region of the Americas.

    Science.gov (United States)

    Sousa, Varley Dias; Ramalho, Pedro I; Silveira, Dâmaris

    2016-05-01

    Regulatory transparency is an imperative characteristic of a reliable National Regulatory Authority. In the region of the Americas, the process of building an open government is still fragile and fragmented across various Health Regulatory Agencies (HRAs) and Regional Reference Authorities (RRAs). This study assessed the transparency status of RRAs, focusing on various medicine life-cycle documents (the Medicine Dossier, Clinical Trial Report, and Inspection Report) as tools for strengthening health systems. Based on a narrative (nonsystematic) review of RRA regulatory transparency, transparency status was classified as one of two types: public disclosure of information (intra-agency data) and data- and work-sharing (inter-agency data). The risks/benefits of public disclosure of medicine-related information were assessed, taking into account 1) the involvement and roles of multiple stakeholders (health care professionals, regulators, industry, community, and academics) and 2) the protection of commercial and personal confidential data. Inter-agency data- and work-sharing was evaluated in the context of harmonization and cooperation projects that focus on regulatory convergence. Technical and practical steps for establishing an openness directive for the pharmaceutical regulatory environment are proposed to improve and strengthen health systems in the Americas. Addressing these challenges requires leadership from entities such as the Pan American Health Organization to steer and support collaborative regional alliances that advance the development and establishment of a trustworthy regulatory environment and a sustainable public health system in the Americas, using international successful initiatives as reference and taking into account the domestic characteristics and experiences of each individual country.

  8. Future challenges for parasitology: vector control and one health in the Americas.

    Science.gov (United States)

    Little, Susan E

    2013-08-01

    "One Health" is a term that encapsulates and underscores the inherent interrelatedness of the health of people, animals, and the environment. Vector-borne infections are central in one health. Many arthropod vectors readily feed on humans and other animals, serving as an ideal conduit to move pathogens between a wide spectrum of potential hosts. As ecological niches flux, opportunities arise for vectors to interact with novel species, allowing infectious agents to broaden both geographic and host ranges. Habitat change has been linked to the emergence of novel human and veterinary disease agents, and can dramatically facilitate expansion opportunities by allowing existing vector populations to flourish and by supporting the establishment of new pathogen maintenance systems. At the same time, control efforts can be hindered by the development of parasiticide and pesticide resistance, foiling efforts to meet these challenges. Using examples drawn from representative diseases important in one health in the Americas, including rickettsial infections, Lyme borreliosis, Chagas disease, and West Nile virus, this paper reviews key aspects of vector-borne disease maintenance cycles that present challenges for one health in the Americas, including emergence of vector-borne disease agents, the impact of habitat change on vector-borne disease transmission, and the complexities faced in developing effective control programs. Novel strategies will be required to effectively combat these infections in the future if we are to succeed in the goal of fostering an environment which supports healthy animals and healthy people.

  9. Descrição e análise do acolhimento: uma contribuição para o Programa de Saúde da Família Descripción y analisis del acogimiento: una contribuición para el Programa de Salud de la Familia Description and analysis of embracement: a contribution to Family Health Program

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    Lislaine Aparecida Fracolli

    2004-06-01

    Full Text Available O Programa de Saúde da Família prevê ações de saúde humanizadas, tecnicamente competentes e intersetorialmente articuladas, tornando fundamental "acolher". Este estudo objetivou identificar como se processa o "acolhimento" em Unidades de Saúde da Família, em São Paulo. Os sujeitos foram profissionais de saúde que realizavam "acolhimento" e os dados foram coletados através de observações e entrevistas. Os resultados apontaram que o "acolhimento" realiza uma escuta clínica, focalizada na queixa, com uma intervenção pontual, pouco resolutiva e não construtora de vínculo. É necessário repensar o "acolhimento", nos seus aspectos teóricos e práticos, para que este possa efetivamente se constituir em uma prática capaz de instaurar um modelo de saúde de "porta aberta" consoante com as diretrizes do SUS.El Programa de Salud de la Familia requiere atención humanizada y técnicamente competente, lo que hace fundamental "acoger". Este estudio tuvo como objetivo identificar el proceso de "acogimiento" en Unidades de Salud de la Familia en São Paulo, SP, Brasil. Los sujetos fueron profesionales que hacen el "acogimiento" y los datos fueron recolectados por medio de observaciones y entrevistas. Los resultados mostraron que el "acogimiento" realiza escucha clínica enfocada en la queja, con intervención limitada, poco resolutiva y que no construye vínculos. Es necesario repensar el "acogimiento", en sus aspectos teóricos y prácticos, para viabilizar el modelo de "puertas abiertas" como proponen las directrices del Sistema Único de Salud.The humanist and efficient healthcare required by the Family Health Program makes the "embracement" essential. This study aimed to identify how the "embracement" was developed at Family Healthcare Services in Sao Paulo, SP. Brazil. The authors observed several "embracement" links and interviewed healthcare professionals. The results pointed out the clinical and biological focuses of the

  10. [Neoliberal health sector reforms in Latin America: unprepared managers and unhappy workers].

    Science.gov (United States)

    Ugalde, Antonio; Homedes, Nuria

    2005-03-01

    This work analyzes the neoliberal health sector reforms that have taken place in Latin America, the preparation of health care workers for the reforms, the reforms' impacts on the workers, and the consequences that the reforms have had on efficiency and quality in the health sector. The piece also looks at the process of formulating and implementing the reforms. The piece utilizes secondary sources and in-depth interviews with health sector managers in Bolivia, Colombia, Costa Rica, the Dominican Republic, Ecuador, El Salvador, and Mexico. Neoliberal reforms have not solved the human resources problems that health sector evaluations and academic studies had identified as the leading causes of health system inefficiency and low-quality services that existed before the reforms. The reforms worsened the situation by putting new pressures on health personnel, in terms of both the lack of necessary training to face the challenges that came with the reforms and efforts to take away from workers the rights and benefits that they had gained during years of struggles by unions, and to replace them with temporary contracts, reduced job security, and lower benefits. The secrecy with which the reforms were developed and applied made workers even more unified. In response, unions opposed the reforms, and in some countries they were able to delay the reforms. The neoliberal reforms have not improved the efficiency or quality of health systems in Latin America despite the resources that have been invested. Nor have the neoliberal reforms supported specific changes that have been applied in the public sector and that have demonstrated their ability to solve important health problems. These specific changes have produced better results than the neoliberal reforms, and at a lower cost.

  11. Health care privatization in Latin America: comparing divergent privatization approaches in Chile, Colombia, and Mexico.

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    Bustamante, Arturo Vargas; Méndez, Claudio A

    2014-08-01

    The public-private mix in Chile, Colombia, and Mexico was very similar until the early 1980s when Chile undertook health care privatization as part of comprehensive health care reform. Since then, health care privatization policies have diverged in these countries. In this study we characterize health care privatization in Latin America and identify the main factors that promoted and hindered privatization by comparing the experiences of these countries. We argue that policy elites took advantage of specific policy environments and the diffusion of privatization policies to promote health care privatization while political mobilization against privatization, competing policy priorities, weak market and government institutions, and efforts to reach universal health insurance hindered privatization. The privatization approaches of Chile and Colombia were classified as "big-bang," since these countries implemented health care privatization more rapidly and with a wider scope compared with the case of Mexico, which was classified as gradualist, since the privatization path followed by this country adopted a slower pace and became more limited and focalized over time. We conclude that the emphasis on policy-driven privatization diminished in the 1990s and 2000s because of increased public health care financing and a shift in health care reform priorities. Health care privatization in the region, however, continued as a consequence of demand-driven privatization.

  12. Asian Indians in America: The influence of values and culture on mental health.

    Science.gov (United States)

    Chandra, Rohit M; Arora, Lily; Mehta, Urvakhsh M; Asnaani, Anu; Radhakrishnan, Rajiv

    2016-08-01

    Asian Indians represent a significant portion of the largest growing race of Asians in the past decade in the United States. This selective review examines major cultural themes related to first- and second-generation Asian Indians living in the United States as they impact psychological and psychiatric dysfunction in this population. Specifically, we review the impact of Asian Indian culture on mental health, discuss the impact of acculturation and ethnic identity development on the mental health of Indian-Americans, and focus on typical mental health problems of Asian Indian adolescents, women and elderly in America. Finally, we provide a brief overview of empirically-supported treatment approaches and cultural considerations for additional treatments relevant to this population. This review is intended to provide an important foundation for more systematic empirically-driven investigation into better understanding how Asian Indian cultural themes impact mental health for Indian-Americans, and how to develop effective treatments for these issues in this cultural group.

  13. Qualitative Description of Global Health Nursing Competencies by Nursing Faculty in Africa and the Americas

    Science.gov (United States)

    Wilson, Lynda; Moran, Laura; Zarate, Rosa; Warren, Nicole; Ventura, Carla Aparecida Arena; Tamí-Maury, Irene; Mendes, Isabel Amélia Costa

    2016-01-01

    Abstract Objective: to analyze qualitative comments from four surveys asking nursing faculty to rate the importance of 30 global health competencies for undergraduate nursing programs. Method: qualitative descriptive study that included 591 individuals who responded to the survey in English (49 from Africa and 542 from the Americas), 163 who responded to the survey in Spanish (all from Latin America), and 222 Brazilian faculty who responded to the survey in Portuguese. Qualitative comments were recorded at the end of the surveys by 175 respondents to the English survey, 75 to the Spanish survey, and 70 to the Portuguese survey. Qualitative description and a committee approach guided data analysis. Results: ten new categories of global health competencies emerged from the analysis. Faculty also demonstrated concern about how and when these competencies could be integrated into nursing curricula. Conclusion: the additional categories should be considered for addition to the previously identified global health competencies. These, in addition to the guidance about integration into existing curricula, can be used to guide refinement of the original list of global health competencies. Further research is needed to seek consensus about these competencies and to develop recommendations and standards to guide nursing curriculum development. PMID:27276020

  14. [Health, globalization and interculturalism: an anthropological approach to the situation of indigenous peoples in South America].

    Science.gov (United States)

    Hita, Susana Ramírez

    2014-10-01

    This article reflects upon the impact of globalization and interculturalism on the living conditions of indigenous peoples in South America. Through two examples - Bolivia and Argentina - it is seen how health interculturalism has transformed into a discourse and a practice that both global organizations and most Latin American countries have used to assimilate and attract indigenous communities. Traditional medicine is respected and valued without proposing changes to improve the living conditions of these population groups. This is especially true in those areas where land is being expropriated or contaminated with the extraction of gas, oil, minerals and the construction of dams, along with indiscriminate deforestation of the rainforest. Health/illness cannot be separated from the territorial conditions of these peoples since environmental health is critical for their survival.

  15. Health promoting schools in Latin America: A review of the period 1996-2009

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    Carmelinda Monteiro Costa Afonso

    2013-03-01

    Full Text Available Objective: To identify and discuss the scientific production on Health-Promoting Schools in Latin America published in indexed databases, by understanding the scope of the health education initiatives reported in the programs or interventions. Methods: This was a scientific literature review study, performed in LILACS, MEDLINE and SCOPUS databases, using as the main search term ‘Health Promoting School’, followed by ‘Latin America’. It covered the period from 1996 to 2009, situating the start point ten years after the publication of the Ottawa Charter and one year after the official launch of the Health-Promoting Schools Regional Initiative (Iniciativa Regional de Escolas Promotoras de Saúde - IREPS by the Pan-American Health Organization (PAHO. Inclusion criteria were defined, articles were retrieved in English, Portuguese and Spanish, and data was processed in three arrays of analysis. Results: The application of search keys led to 2,429 documents, reduced to 28 after applying the filter for Latin America, on which the inclusion criteria were applied, resulting in eight articles. Most of them stressed the importance of effectiveness studies, and half focused on the reduction of some specific morbidity, without prioritization of the conceptual axes contained in the Ottawa Charter. Conclusion: The publications addressed mainly the effectiveness of the interventions, conceptual coherence between the interventions and the health promotion principles, and the education process of the actors involved. Qualitative approaches, including documentary analysis, semi-structured interviews, focal group and participant observation, were the predominant methodological procedures. Intersectorial coordination was pointed out as the main strategy for sustainability of the experiences.

  16. Prioritizing Zoonotic Diseases: Differences in Perspectives Between Human and Animal Health Professionals in North America.

    Science.gov (United States)

    Ng, V; Sargeant, J M

    2016-05-01

    Zoonoses pose a significant burden of illness in North America. Zoonoses represent an additional threat to public health because the natural reservoirs are often animals, particularly wildlife, thus eluding control efforts such as quarantine, vaccination and social distancing. As there are limited resources available, it is necessary to prioritize diseases in order to allocate resources to those posing the greatest public health threat. Many studies have attempted to prioritize zoonoses, but challenges exist. This study uses a quantitative approach, conjoint analysis (CA), to overcome some limitations of traditional disease prioritization exercises. We used CA to conduct a zoonoses prioritization study involving a range of human and animal health professionals across North America; these included epidemiologists, public health practitioners, research scientists, physicians, veterinarians, laboratory technicians and nurses. A total of 699 human health professionals (HHP) and 585 animal health professionals (AHP) participated in this study. We used CA to prioritize 62 zoonotic diseases using 21 criteria. Our findings suggest CA can be used to produce reasonable criteria scores for disease prioritization. The fitted models were satisfactory for both groups with a slightly better fit for AHP compared to HHP (84.4% certainty fit versus 83.6%). Human-related criteria were more influential for HHP in their decision to prioritize zoonoses, while animal-related criteria were more influential for AHP resulting in different disease priority lists. While the differences were not statistically significant, a difference of one or two ranks could be considered important for some individuals. A potential solution to address the varying opinions is discussed. The scientific framework for disease prioritization presented can be revised on a regular basis by updating disease criteria to reflect diseases as they evolve over time; such a framework is of value allowing diseases of

  17. Health promoting schools in Latin America: A review of the period 1996-2009

    Directory of Open Access Journals (Sweden)

    Carmelinda Monteiro Costa Afonso

    2013-08-01

    Full Text Available Objective: To identify and discuss the scientific production on Health-Promoting Schools in Latin America published in indexed databases, by understanding the scope of the health education initiatives reported in the programs or interventions. Methods: This was a scientific literature review study, performed in LILACS, MEDLINE and SCOPUS databases, using as the main search term ‘Health Promoting School’, followed by ‘Latin America’. It covered the period from 1996 to 2009, situating the start point ten years after the publication of the Ottawa Charter and one year after the official launch of the Health-Promoting Schools Regional Initiative (Iniciativa Regional de Escolas Promotoras de Saúde - IREPS by the Pan-American Health Organization (PAHO. Inclusion criteria were defined, articles were retrieved in English, Portuguese and Spanish, and data was processed in three arrays of analysis. Results: The application of search keys led to 2,429 documents, reduced to 28 after applying the filter for Latin America, on which the inclusion criteria were applied, resulting in eight articles. Most of them stressed the importance of effectiveness studies, and half focused on the reduction of some specific morbidity, without prioritization of the conceptual axes contained in the Ottawa Charter. Conclusion: The publications addressed mainly the effectiveness of the interventions, conceptual coherence between the interventions and the health promotion principles, and the education process of the actors involved. Qualitative approaches, including documentary analysis, semi-structured interviews, focal group and participant observation, were the predominant methodological procedures. Intersectorial coordination was pointed out as the main strategy for sustainability of the experiences.

  18. Health outcomes among HIV-positive Latinos initiating antiretroviral therapy in North America versus Central and South America

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    Carina Cesar

    2016-03-01

    Full Text Available Introduction: Latinos living with HIV in the Americas share a common ethnic and cultural heritage. In North America, Latinos have a relatively high rate of new HIV infections but lower rates of engagement at all stages of the care continuum, whereas in Latin America antiretroviral therapy (ART services continue to expand to meet treatment needs. In this analysis, we compare HIV treatment outcomes between Latinos receiving ART in North America versus Latin America. Methods: HIV-positive adults initiating ART at Caribbean, Central and South America Network for HIV (CCASAnet sites were compared to Latino patients (based on country of origin or ethnic identity starting treatment at North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD sites in the United States and Canada between 2000 and 2011. Cox proportional hazards models compared mortality, treatment interruption, antiretroviral regimen change, virologic failure and loss to follow-up between cohorts. Results: The study included 8400 CCASAnet and 2786 NA-ACCORD patients initiating ART. CCASAnet patients were younger (median 35 vs. 37 years, more likely to be female (27% vs. 20% and had lower nadir CD4 count (median 148 vs. 195 cells/µL, p<0.001 for all. In multivariable analyses, CCASAnet patients had a higher risk of mortality after ART initiation (adjusted hazard ratio (AHR 1.61; 95% confidence interval (CI: 1.32 to 1.96, particularly during the first year, but a lower hazard of treatment interruption (AHR: 0.46; 95% CI: 0.42 to 0.50, change to second-line ART (AHR: 0.56; 95% CI: 0.51 to 0.62 and virologic failure (AHR: 0.52; 95% CI: 0.48 to 0.57. Conclusions: HIV-positive Latinos initiating ART in Latin America have greater continuity of treatment but are at higher risk of death than Latinos in North America. Factors underlying these differences, such as HIV testing, linkage and access to care, warrant further investigation.

  19. Health outcomes among HIV-positive Latinos initiating antiretroviral therapy in North America versus Central and South America

    Science.gov (United States)

    Cesar, Carina; Koethe, John R; Giganti, Mark J; Rebeiro, Peter; Althoff, Keri N; Napravnik, Sonia; Mayor, Angel; Grinsztejn, Beatriz; Wolff, Marcelo; Padgett, Denis; Sierra-Madero, Juan; Gotuzzo, Eduardo; Sterling, Timothy R; Willig, James; Levison, Julie; Kitahata, Mari; Rodriguez-Barradas, Maria C; Moore, Richard D; McGowan, Catherine; Shepherd, Bryan E; Cahn, Pedro

    2016-01-01

    Introduction Latinos living with HIV in the Americas share a common ethnic and cultural heritage. In North America, Latinos have a relatively high rate of new HIV infections but lower rates of engagement at all stages of the care continuum, whereas in Latin America antiretroviral therapy (ART) services continue to expand to meet treatment needs. In this analysis, we compare HIV treatment outcomes between Latinos receiving ART in North America versus Latin America. Methods HIV-positive adults initiating ART at Caribbean, Central and South America Network for HIV (CCASAnet) sites were compared to Latino patients (based on country of origin or ethnic identity) starting treatment at North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) sites in the United States and Canada between 2000 and 2011. Cox proportional hazards models compared mortality, treatment interruption, antiretroviral regimen change, virologic failure and loss to follow-up between cohorts. Results The study included 8400 CCASAnet and 2786 NA-ACCORD patients initiating ART. CCASAnet patients were younger (median 35 vs. 37 years), more likely to be female (27% vs. 20%) and had lower nadir CD4 count (median 148 vs. 195 cells/µL, p<0.001 for all). In multivariable analyses, CCASAnet patients had a higher risk of mortality after ART initiation (adjusted hazard ratio (AHR) 1.61; 95% confidence interval (CI): 1.32 to 1.96), particularly during the first year, but a lower hazard of treatment interruption (AHR: 0.46; 95% CI: 0.42 to 0.50), change to second-line ART (AHR: 0.56; 95% CI: 0.51 to 0.62) and virologic failure (AHR: 0.52; 95% CI: 0.48 to 0.57). Conclusions HIV-positive Latinos initiating ART in Latin America have greater continuity of treatment but are at higher risk of death than Latinos in North America. Factors underlying these differences, such as HIV testing, linkage and access to care, warrant further investigation. PMID:26996992

  20. Postneoliberal Public Health Care Reforms: Neoliberalism, Social Medicine, and Persistent Health Inequalities in Latin America.

    Science.gov (United States)

    Hartmann, Christopher

    2016-12-01

    Several Latin American countries are implementing a suite of so-called "postneoliberal" social and political economic policies to counter neoliberal models that emerged in the 1980s. This article considers the influence of postneoliberalism on public health discourses, policies, institutions, and practices in Bolivia, Ecuador, and Venezuela. Social medicine and neoliberal public health models are antecedents of postneoliberal public health care models. Postneoliberal public health governance models neither fully incorporate social medicine nor completely reject neoliberal models. Postneoliberal reforms may provide an alternative means of reducing health inequalities and improving population health.

  1. Measuring the job performance of district health managers in Latin America.

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    Díaz-Monsalve, S J

    2003-04-01

    In resource-poor countries, district health managers (DHM) have gained importance as health systems have become decentralized. Although the roles and key functions of DHM have been described in the literature, there appears to have been no analysis of what they are really doing. In this context, the knowledge and job performance of 218 DHM from nine Latin American countries were investigated. The study was based on 12 performance indicators, two self-administered questionnaires (which included internal consistency tests), formal and informal, check interviews in the work place, and direct observations of the DHM. The DHM investigated were found to be particularly weak in systems management (community involvement and intersectoral co-operation), monitoring activities and the systematic organization of meetings. They were rarely involved in the identification of priority health problems or of high-risk groups, and failed to use health-service indicators sufficiently for the analysis of the district health system. The managers were stronger in relation to the organization of technical meetings and the development and implementation of local health plans. Factors associated with good management performance were a favourable organizational structure (including written job descriptions and support from the authorities), 'decision power' (i.e. the ability to select and appoint new staff ) and a good knowledge of the local situation. In Latin America, at least, DHM need to be better prepared, supervised and supported.

  2. Reaching Out to America's Immigrants: Community Health Advisors and Health Communication

    Science.gov (United States)

    Elder, John P.

    2003-01-01

    Purpose: To describe clinical services and health communication needs for recent immigrants. Methods: A review of relevant health behavior and policy research published in the past 20 years was conducted. Results: Health coverage for primary care, prenatal and safety net services needs to be continued for all immigrants. Legislative bodies should…

  3. Redesigning Higher Education: Embracing a New Paradigm

    Science.gov (United States)

    Watson, William R.; Watson, Sunnie Lee

    2014-01-01

    Higher education is under enormous pressure to transform itself and embrace a new paradigm. Operating under an outdated model that no longer aligns with the realities of modern society, institutions of higher education are recognizing the need to drastically remake themselves or possibly cease to exist. This article explores the current landscape…

  4. Viral hepatitis in Latin America and the Caribbean: a public health challenge.

    Science.gov (United States)

    Díez-Padrisa, Núria; Castellanos, Luis Gerardo

    2013-10-01

    Viral hepatitis (VH) is an emergent concern in public health agendas worldwide. More than one million people die annually from hepatitis and 57% and 78% of global cirrhosis and hepatocellular carcinoma cases, respectively, are caused by VH. The burden of disease caused by hepatitis in Latin America and the Caribbean (LAC) is high. Data on hepatitis has been collected in several countries, but more accurate and comparable studies are needed. Hepatitis B vaccination and screening of donated blood are routine practices in the region. However, integrated policies covering prevention and control of disease caused by all types of hepatitis viruses are scarce. Existing preventive measures need to be reinforced. Attention must be paid to at-risk populations, awareness campaigns, and water and food safety. Affordable access to diagnosis and treatment, population screening, referral to health services and monitoring of positive cases are among the main challenges currently posed by VH in LAC. The World Health Organization framework and Pan American Health Organization regional strategy, defined in response to resolution WHA63.18 of the World Health Assembly, may help to overcome these difficulties. Successful experiences in the fight against hepatitis in some LAC countries may also provide very interesting solutions for the region.

  5. Human resources: the Cinderella of health sector reform in Latin America

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    Ugalde Antonio

    2005-01-01

    Full Text Available Abstract Human resources are the most important assets of any health system, and health workforce problems have for decades limited the efficiency and quality of Latin America health systems. World Bank-led reforms aimed at increasing equity, efficiency, quality of care and user satisfaction did not attempt to resolve the human resources problems that had been identified in multiple health sector assessments. However, the two most important reform policies – decentralization and privatization – have had a negative impact on the conditions of employment and prompted opposition from organized professionals and unions. In several countries of the region, the workforce became the most important obstacle to successful reform. This article is based on fieldwork and a review of the literature. It discusses the reasons that led health workers to oppose reform; the institutional and legal constraints to implementing reform as originally designed; the mismatch between the types of personnel needed for reform and the availability of professionals; the deficiencies of the reform implementation process; and the regulatory weaknesses of the region. The discussion presents workforce strategies that the reforms could have included to achieve the intended goals, and the need to take into account the values and political realities of the countries. The authors suggest that autochthonous solutions are more likely to succeed than solutions imported from the outside.

  6. Measles elimination: the Americas receive boost during World Health Day 1995.

    Science.gov (United States)

    1995-04-01

    The US celebrated World Health Day on April 7, 1995, under the auspices of the American Association for World Health (AAWH). Richard Wittenberg, President of the AAWH, presided over the festivities held at Pan American Health Organization (PAHO) headquarters in Washington, DC, to celebrate a world without polio. Awards were given to people and organizations which played key roles in mobilizing diverse groups in the immunization effort. Recipients of the national and international awards are listed. The final award was presented to First Lady Hilary Rodham Clinton in recognition of her many years of dedicated concern for the health, education, and sustained well-being of children. Mrs. Clinton, along with the other speakers, congratulated the efforts made by all who participated in the campaign against polio, and helped to realize the goal of eradicating polio in the Americas. The elimination of polio in the region was the result of a concerted effort by health care workers, governments, and nongovernmental organizations, who succeeded in forming a partnership for mobilizing large sectors of their societies. As part of launching the Measles Elimination Effort, Mrs. Clinton said that the US through the US Agency for International Development will contribute US$8 million directly to PAHO's Expanded Program on Immunization.

  7. Meeting health and family planning needs in Latin America and the Caribbean.

    Science.gov (United States)

    1995-06-01

    The operations research and technical assistance (OR/TA) project in The Population Council has concentrated on fertility and infant mortality issues in Latin American and the Caribbean for more than a decade through INOPAL. INOPAL is an acronym for Investigacion Operacional en Planificacion Familiar y Atencion Materno-Infantil para America Latina y el Caribe (Operations Research in Family Planning and Maternal-Child Health in Latin America and the Caribbean). In March 1995, the project entered its third phase, INOPAL III, with the renewal of its contract from the United States Agency for International Development (USAID). To facilitate communication between INOPAL, collaborating agencies, and USAID, INOPAL Director James Foreit moved from Peru to a Council office in Washington, D.C. INOPAL has six objectives: 1) to test the integration of family planning and reproductive health services; 2) to increase access to family planning; 3) to develop strategies to reach special populations; 4) to improve the sustainability of family planning programs; 5) to improve service quality; and 6) to institutionalize operations research capability in the region. INOPAL II conducted 61 subprojects in 12 countries in collaboration with 24 USAID cooperating agencies and other international organizations. The project established new services for postpartum women, adolescents, and rural women; improved program quality and financial sustainability; increased vasectomy promotion and the range of available contraceptives; and developed new modes of service delivery. A key finding of INOPAL II operations research was the importance of increasing cost-effectiveness to ensure program sustainability. INOPAL III will work toward all six objectives, with an emphasis on integrating reproductive health and family planning services. Operations research and technical assistance (OR/TA) subprojects will focus on the prevention and treatment of sexually transmitted diseases, perinatal and postpartum

  8. WHO Global Survey on Maternal and Perinatal Health in Latin America: classifying caesarean sections

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    Faúndes Anibal

    2009-10-01

    Full Text Available Abstract Background Caesarean section rates continue to increase worldwide with uncertain medical consequences. Auditing and analysing caesarean section rates and other perinatal outcomes in a reliable and continuous manner is critical for understanding reasons caesarean section changes over time. Methods We analyzed data on 97,095 women delivering in 120 facilities in 8 countries, collected as part of the 2004-2005 Global Survey on Maternal and Perinatal Health in Latin America. The objective of this analysis was to test if the "10-group" or "Robson" classification could help identify which groups of women are contributing most to the high caesarean section rates in Latin America, and if it could provide information useful for health care providers in monitoring and planning effective actions to reduce these rates. Results The overall rate of caesarean section was 35.4%. Women with single cephalic pregnancy at term without previous caesarean section who entered into labour spontaneously (groups 1 and 3 represented 60% of the total obstetric population. Although women with a term singleton cephalic pregnancy with a previous caesarean section (group 5 represented only 11.4% of the obstetric population, this group was the largest contributor to the overall caesarean section rate (26.7% of all the caesarean sections. The second and third largest contributors to the overall caesarean section rate were nulliparous women with single cephalic pregnancy at term either in spontaneous labour (group 1 or induced or delivered by caesarean section before labour (group 2, which were responsible for 18.3% and 15.3% of all caesarean deliveries, respectively. Conclusion The 10-group classification could be easily applied to a multicountry dataset without problems of inconsistencies or misclassification. Specific groups of women were clearly identified as the main contributors to the overall caesarean section rate. This classification could help health care

  9. Multinational corporations and health care in the United States and Latin America: strategies, actions, and effects.

    Science.gov (United States)

    Jasso-Aguilar, Rebeca; Waitzkin, Howard; Landwehr, Angela

    2004-01-01

    In this article we analyze the corporate dominance of health care in the United States and the dynamics that have motivated the international expansion of multinational health care corporations, especially to Latin America. We identify the strategies, actions, and effects of multinational corporations in health care delivery and public health policies. Our methods have included systematic bibliographical research and in-depth interviews in the United States, Mexico, and Brazil. Influenced by public policy makers in the United States, such organizations as the World Bank, International Monetary Fund, and World Trade Organization have advocated policies that encourage reduction and privatization of health care and public health services previously provided in the public sector. Multinational managed care organizations have entered managed care markets in several Latin American countries at the same time as they were withdrawing from managed care activities in Medicaid and Medicare within the United States. Corporate strategies have culminated in a marked expansion of corporations' access to social security and related public sector funds for the support of privatized health services. International financial institutions and multinational corporations have influenced reforms that, while favorable to corporate interests, have worsened access to needed services and have strained the remaining public sector institutions. A theoretical approach to these problems emphasizes the falling rate of profit as an economic motivation of corporate actions, silent reform, and the subordination of polity to economy. Praxis to address these problems involves opposition to policies that enhance corporate interests while reducing public sector services, as well as alternative models that emphasize a strengthened public sector

  10. Managed care in Latin America: the new common sense in health policy reform.

    Science.gov (United States)

    Iriart, C; Merhy, E E; Waitzkin, H

    2001-04-01

    This article presents the results of the comparative research project, "Managed Care in Latin America: Its Role in Health System Reform." Conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States, the study focused on the exportation of managed care, especially from the United States, and its adoption in Latin American countries. Our research methods included qualitative and quantitative techniques. The adoption of managed care reflects the process of transnationalization in the health sector. Our findings demonstrate the entrance of the main multinational corporations of finance capital into the private sector of insurance and health services, and these corporations' intention to assume administrative responsibilities for state institutions and to secure access to medical social security funds. International lending agencies, especially the World Bank, support the corporatization and privatization of health care services, as a condition of further loans to Latin American countries. We conclude that this process of change, which involves the gradual adoption of managed care as an officially favored policy, reflects ideologically based discourses that accept the inexorable nature of managed care reforms.

  11. The tide to come: elderly health in Latin America and the Caribbean.

    Science.gov (United States)

    Palloni, Alberto; McEniry, Mary; Wong, Rebeca; Peláez, Martha

    2006-04-01

    This article introduces a conjecture and reviews partial evidence about peculiarities in the aging of populations in Latin America and the Caribbean (LAC) that may impact future elderly health status. Using Survey on Health and Well-Being of Elders data (SABE; n = 10,902), the authors estimated effects of early childhood conditions on adult diabetes and heart disease. Using Waaler-type surfaces, the authors obtained expected mortality risks for SABE and also U.S. elderly (Health and Retirement System, n = 12,527). Expected mortality risks using Waaler-type surfaces among elderly in LAC reflected excesses supporting our conjecture. There was partial evidence of a relation between various indicators of early childhood nutritional status (knee height, waist-to-hip ratio) and diabetes and even stronger evidence of a relation between rheumatic fever and adult heart disease. There is some evidence, albeit weak, to suggest that the conjecture regarding elderly health status' connection to early conditions has some merit.

  12. All-Embracing Manufacturing Roadmap System

    CERN Document Server

    Halevi, Gideon

    2012-01-01

    All-embracing manufacturing is a system that aims to dissolve the complexity of the manufacturing process and restore the inherent simplicity. It claims that production is very simple and flexible by nature. However, the complexity is a result of the production system approach which makes it rigid and therefore complex. All-embracing manufacturing introduces flexibility to production planning, it eliminates constraints, bottlenecks, and disruptions automatically while it restores the simplicity. No decision is made ahead of time, but only at the time of execution. It introduces technology as dominant part of manufacturing. It is a computer oriented system that imitates human behavior i.e. practically as any of us behave in daily personal life.

  13. Respiratory health in Latin America: number of specialists and human resources training.

    Science.gov (United States)

    Vázquez-García, Juan-Carlos; Salas-Hernández, Jorge; Pérez Padilla, Rogelio; Montes de Oca, María

    2014-01-01

    Latin America is made up of a number of developing countries. Demographic changes are occurring in the close to 600 million inhabitants, in whom a significant growth in population is combined with the progressive ageing of the population. This part of the world poses great challenges for general and respiratory health. Most of the countries have significant, or even greater, rates of chronic respiratory diseases or exposure to risk. Human resources in healthcare are not readily available, particularly in the area of respiratory disease specialists. Academic training centers are few and even non-existent in the majority of the countries. The detailed analysis of these conditions provides a basis for reflection on the main challenges and proposals for the management and training of better human resources in this specialist area.

  14. [Conditions for universal access to health in Latin America: social rights, social protection and financial and political constraints].

    Science.gov (United States)

    Sojo, Ana

    2011-06-01

    After a brief review of the concept of health equity and its social and sectoral determinants, some macroeconomic aspects of health expenditure in Latin America are considered. Given the significant contemporary tensions with regard to social rights and the definition of health benefits, three emblematic experiences are analyzed in very different health systems, namely those of Chile, Colombia and Mexico. They cover different aspects, such as the guarantee of health benefits, the reduction of forms of implicit rationing and/or barriers to admission, and also aspects related to the quality of services.

  15. [Alternatives for the financing of health care in Latin America and the Caribbean].

    Science.gov (United States)

    Campino, A C

    1995-06-01

    Latin America and the Caribbean (LAC) countries are experiencing both an economic crisis and a crisis in the public sector. As a result it is impossible to increase the amount of resources available to the health sector, unless there is a drastic restructuring of the way in which financing occurs. The measures so far referred to in the economic debate - user fees, cost recovery, privatization - at best represent partial solutions. Given the magnitude of health problem in LAC countries, they are unable to generate the amount of money needed to cover the deficit of financial resources for medical treatment. The central idea behind this article is that in order to cover the deficit of resources for medical it is necessary to utilize fiscal resources. It is shown that it is possible to increase the amount of financial resources available for medical treatment either through increases in taxes and/or through an increase in the proportion of the government budget dedicated to medical treatment. Increases in taxes collected provide a feasible alternative. In some of the poor countries of Latin America and the Caribbean, the proportion of the Gross National Product that goes for the payment of taxes is well below the figure for that proportion found in developed countries. To increase the proportion of the government budget dedicated to medical treatment is a political decision that depends solely upon the discretion of the governments concerned. The potential of Social Emergency Funds and debt swaps to finance innovations in the production of medical treatment services, thus maintaining the current level to activity in the sector, is discussed.

  16. The forsaken mental health of the Indigenous Peoples - a moral case of outrageous exclusion in Latin America

    Directory of Open Access Journals (Sweden)

    Maldonado-Bouchard Sioui

    2009-10-01

    Full Text Available Abstract Background Mental health is neglected in most parts of the world. For the Indigenous Peoples of Latin America, the plight is even more severe as there are no specific mental health services designed for them altogether. Given the high importance of mental health for general health, the status quo is unacceptable. Lack of research on the subject of Indigenous Peoples' mental health means that statistics are virtually unavailable. To illustrate their mental health status, one can nonetheless point to the high rates of poverty and extreme poverty in their communities, overcrowded housing, illiteracy, and lack of basic sanitary services such as water, electricity and sewage. At the dawn of the XXI century, they remain poor, powerless, and voiceless. They remain severely excluded from mainstream society despite being the first inhabitants of this continent and being an estimated of 48 million people. This paper comments, specifically, on the limited impact of the Pan American Health Organization's mental health initiative on the Indigenous Peoples of Latin America. Discussion The Pan American Health Organization's sponsored workshop "Programas y Servicios de Salud Mental en Communidades Indígenas" [Mental Health Programs and Services for the Indigenous Communities] in the city of Santa Cruz, Bolivia on July16 - 18, 1998, appeared promising. However, eleven years later, no specific mental health program has been designed nor developed for the Indigenous Peoples in Latin America. This paper makes four specific recommendations for improvements in the approach of the Pan American Health Organization: (1 focus activities on what can be done; (2 build partnerships with the Indigenous Peoples; (3 consider traditional healers as essential partners in any mental health effort; and (4 conduct basic research on the mental health status of the Indigenous Peoples prior to the programming of any mental health service. Summary The persistent neglect of

  17. Implementing smart growth strategies in rural America: development patterns that support public health goals.

    Science.gov (United States)

    Dalbey, Matthew

    2008-01-01

    Recent studies on obesity rates show alarming increases across the entire population. Some of these studies indicate higher rates of obesity in rural populations than urban and suburban populations. Obesity in children in rural places also outpaces their suburban and urban counterparts. Although a number of factors account for these differences, public health professionals and researchers have begun to recognize that conventional development patterns and land use policies in rural areas are playing an important role in the trend. Smart growth alternatives to current rural development patterns also support broad public health goals. Rural communities across America face a number of challenges, yet many are using smart growth development strategies to turn the challenges into opportunities. These strategies are structured in a way that builds on broadly held values in rural communities, ones that build upon the traditional development pattern and support multiple community goals. Public health professionals, managers, and academics will benefit from this discussion because it will explain the strategies that rural decision makers, planners, and citizens are adopting to create places that support multiple community goals including a built environment that sustains and promotes active living.

  18. The Roots of North America's First Comprehensive Public Health Insurance System

    Directory of Open Access Journals (Sweden)

    Ostry, Aleck

    2001-06-01

    Full Text Available The Canadian province of Saskatchewan in 1944 it inherited a long tradition of "socialized" medicine in many rural regions. However, urban medicine was based on fee-for-service payment of physicians and no private health insurance. In crafting North America's first public health insurance system, the government built on the rural medical infrastructure already in place by expanding a rural salaried system of physician payment and successfully promoted a regional comprehensive insurance system piloted in a southern region of the province. However, major demographic shifts from countryside to city during the 1950s, burgeoning physician supply, increased immigration of physicians into the provinces' cities, and aggressive expansion of urban-based private insurance for physician services into rural regions, shifted the balance of medical power away from rural towards urban centers in the province. The increasing resistance, by the medical profession, to health-care reform in Saskatchewan in the 1950s must be considered within a geographic framework as rural regions of the province became the major battleground between government and insurance third party payers. While historical comparisons should not be overstated, re-visiting this struggle may be useful in the current era in which the pressure for privatization of the medical system in Canada appear to be growing.

  19. Health and social security reforms in Latin America: the convergence of the World Health Organization, the World Bank, and transnational corporations.

    Science.gov (United States)

    Armada, F; Muntaner, C; Navarro, V

    2001-01-01

    International financial institutions have played an increasing role in the formation of social policy in Latin American countries over the last two decades, particularly in health and pension programs. World Bank loans and their attached policy conditions have promoted several social security reforms within a neoliberal framework that privileges the role of the market in the provision of health and pensions. Moreover, by endorsing the privatization of health services in Latin America, the World Health Organization has converged with these policies. The privatization of social security has benefited international corporations that become partners with local business elites. Thus the World Health Organization, international financial institutions, and transnational corporations have converged in the neoliberal reforms of social security in Latin America. Overall, the process represents a mechanism of resource transfer from labor to capital and sheds light on one of the ways in which neoliberalism may affect the health of Latin American populations.

  20. Community embedded reproductive health interventions for adolescents in Latin America: development and evaluation of a complex multi-centre intervention

    NARCIS (Netherlands)

    Decat, P.; Nelson, E.; de Meyer, S.; Jaruseviciene, L.; Orozco, M.; Segura, Z.; Gorter, A.; Vega, B.; Cordova, K.; Maes, L.; Temmerman, M.; Leye, E.; Degomme, O.

    2013-01-01

    Background Adolescents in Latin America are at high risk for unwanted and unplanned pregnancies, which often result in unsafe abortions or poor maternal health outcomes. Both young men and women in the region face an increased risk of sexually transmitted infections due to inadequate sexual and repr

  1. Towards the construction of health workforce metrics for Latin America and the Caribbean

    Directory of Open Access Journals (Sweden)

    Carrasco Victor V

    2011-10-01

    Full Text Available Abstract Introduction One of the components of the Health Observatory for Latin American and the Caribbean (HO-LAC is the design and implementation of metrics for human resources for health. Under the HO-LAC initiative, researchers from nine countries in the region formed the Collaborative Community on Human Resources for Health in Latin America and the Caribbean to identify common metrics applicable to the field of human resources for health (HRH. Case description The case description comprises three stages: a the origins of an initiative in which a non-governmental organization brings together researchers involved in HRH policy in LAC, b a literature search to identify initiatives to develop methods and metrics to assess the HRH field in the region, and c subsequent discussions held by the group of researchers regarding the possibilities of identifying an appropriate set of metrics and indicators to assess HRH throughout the region. Discussion and evaluation A total of 101 documents produced between 1985 and 2008 in the LAC region were identified. Thirty-three of the papers included a variety of measurements comprising counts, percentages, proportions, indicators, averages and metrics, but only 13 were able to fully describe the methods used to identify these metrics and indicators. Of the 33 articles with measurements, 47% addressed labor market issues, 25% were about working conditions, 23% were on HRH training and 5% addressed regulations. Based on these results, through iterative discussions, metrics were defined into three broad categories (training, labor market and working conditions and available sources of information for their estimation were proposed. While only three of the countries have data on working conditions, all countries have sufficient data to measure at least one aspect of HRH training and the HRH labor market. Conclusions Information gleaned from HRH metrics makes it possible to carry out comparisons on a determined

  2. [The report of the Commission on Macroeconomics and Health: its relevance to the countries of Latin America and the Caribbean].

    Science.gov (United States)

    2002-09-01

    The Commission on Macroeconomics and Health (CMH) was established by the Director-General of the World Health Organization (WHO) to evaluate the role of health in economic development. On 20 December 2001 the CMH submitted its report to the WHO Director-General. Entitled Macroeconomics and Health: Investing in Health for Economic Development, the CMH report affirms that in order to reduce poverty; and achieve economic development, it is essential to improve the health of the poor; to accomplish this, it is necessary to expand the access that the poor have to essential health services. The Commission believes that more financial resources are needed, that the health expenditures of less-developed and low-income countries are insufficient for the challenges that these countries face, and that high-income countries must increase their financial assistance in order to help solve the main health problems of less-developed and low-income countries. This piece summarizes a report that was prepared by the Program on Public Policy and Health of the Division of Health and Human Development of the Pan American Health Organization (PAHO). The PAHO document analyzes the importance of the CMH report for the countries of Latin America and the Caribbean, focusing on some of the central arguments put forth in the CMH report as they relate to achieving better health conditions in the Americas. These arguments have been organized around three major themes in the CMH report: a) the relationships between health and economic growth, b) the principal health problems that affect the poor in low-income and low-middle-income#10; countries, and c) the gap between the funding needed to address the principal problems that affect these countries and the actual spending levels. #10;

  3. The Challenge of Universal Eye Health in Latin America: distributive inequality of ophthalmologists in 14 countries

    Science.gov (United States)

    Hong, Hannah; Mújica, Oscar J; Anaya, José; Lansingh, Van C; López, Ellery; Silva, Juan Carlos

    2016-01-01

    Background No comprehensive study currently exists on the supply of ophthalmologists across Latin America. We explored sociogeographic inequalities in the availability and distribution of ophthalmologists across 14 Latin American countries. Methods The National Ophthalmologic Societies of Argentina, Bolivia, Brazil, Colombia, Costa Rica, Chile, the Dominican Republic, Ecuador, Guatemala, Mexico, Paraguay, Peru, Uruguay and Venezuela provided data on affiliated ophthalmologists by first-order subnational divisions in 2013. Human Development Index (HDI) estimates at the corresponding subnational division were used as equity stratifiers. Distributional inequality of ophthalmologists within each country was assessed by the health concentration index (HCI) and the index of dissimilarity (ID), along with the mean level of ophthalmologists per population. Results Across all countries studied, there were 5.2 ophthalmologists per 100 000 population on average (95% CI 5.0 to 5.4) in 2013, with a mean HCI of 0.26 (0.16 to 0.37) and a mean relative ID of 22.7% (20.9% to 24.7%). There was wide inequality in ophthalmologist availability between countries, ranging from 1.2 (1.1 to 1.4) in Ecuador to 8.6 (8.5 to 8.8) in Brazil. All countries had positive (ie, pro-rich) HCI values ranging from 0.68 (0.66 to 0.71) in Guatemala to 0.02 (−0.11 to 0.14) in Venezuela. Correspondingly, redistributive potential to achieve equity was closest in Venezuela (ID: 1.5%) and farthest in Guatemala (ID: 60.3%). Benchmarked against regional averages, most countries had a lower availability of ophthalmologists and higher relative inequality. Conclusions There is high inequality in the level and distribution of ophthalmologists between and within countries in Latin America, with a disproportionate number concentrated in more developed, socially advantaged areas. More equitable access to ophthalmologists could be achieved by implementing incentivised human resources redistribution programmes and

  4. Toward a Culturally Responsive Model of Mental Health Literacy: Facilitating Help-Seeking Among East Asian Immigrants to North America.

    Science.gov (United States)

    Na, Sumin; Ryder, Andrew G; Kirmayer, Laurence J

    2016-09-01

    Studies have consistently found that East Asian immigrants in North America are less likely to use mental health services even when they experience levels of distress comparable to Euro-Americans. Although cultural factors that may prevent East Asian immigrants from seeking mental health care have been identified, few studies have explored ways to foster appropriate help-seeking and use of mental health services. Recent work on mental health literacy provides a potential framework for strategies to increase appropriate help-seeking and use of services. This paper reviews the literature on help-seeking for mental health problems among East Asian immigrants living in Western countries to critically assess the relevance of the mental health literacy approach as a framework for interventions to improve appropriate use of services. Modifications needed to develop a culturally responsive framework for mental health literacy are identified.

  5. [User embracement and attachment in the humanization of nursing care for people with diabetes mellitus].

    Science.gov (United States)

    Arruda, Cecilia; Silva, Denise Maria Guerreiro Vieira da

    2012-01-01

    It is a qualitative research, which aimed to evaluate the user embracement and attachment in the humanization of nursing care for people with Diabetes Mellitus in a public specialized outpatient service. The theoretical support was the National Policy of Humanization of the Health Ministry / Brazil. Data was collected through semi-structured interviews with twenty people with type 1 or type 2 diabetes, between 2010 March and May. The analysis resulted in four categories that explore listening and dialogue, relationships, problem solving and access. People with diabetes recognize the user embracement and attachment as part of humanized attention given, which is highlighted by the appreciation of the patients' subjective dimension.

  6. Building a culture of health: A new framework and measures for health and health care in America.

    Science.gov (United States)

    Trujillo, Matthew D; Plough, Alonzo

    2016-09-01

    For generations, Americans' health has been unequally influenced by income, education, ethnicity, and geography. Health care systems have operated largely apart from each other and from community life. The definition of health has been the "absence of illness," rather than the recognition that all aspects of our lives should support health. Today, a growing number of communities, regions, and states are working to redefine what it means to get and stay healthy by addressing the multiple determinants of health. The requirements of federal health care reform are changing who has access to care, how care is paid for and delivered, and how patients and providers interact. Coordinated efforts to promote wellness and prevent diseases are proliferating among a diverse set of stakeholders. These developments in health and in society present a window of opportunity for real societal transformation-a chance to catalyze a national movement that demands and supports a widely shared, multifaceted vision for a Culture of Health. To address this challenge, the Robert Wood Johnson Foundation has embarked on a strategic direction to use the tools of a large national philanthropy to catalyze a social movement which we are calling Building a Culture of Health. This article presents the Foundation's new model for a Culture of Health, the trans-disciplinary research that developed a set of metrics that tie to the model, and the community engagement activities undertaken in the development of both the model and metrics. The model and associated metrics and extensive communication, in addition to partnership, and grant funding strategies, represent a culture change strategy being implemented over 20 years. Addressing underlying inequities in health affirming life conditions and improving social cohesion across diverse groups to take action to improve theses condition lay at the heart of this strategy.

  7. Barriers to generalizability of health economic evaluations in Latin America and the Caribbean region.

    Science.gov (United States)

    Augustovski, Federico; Iglesias, Cynthia; Manca, Andrea; Drummond, Michael; Rubinstein, Adolfo; Martí, Sebastián García

    2009-01-01

    Use and acceptance of health economic evaluations (HEEs) has been much greater in developed than in developing nations. Nevertheless, while developing countries lag behind in the development of HEE methods, they could benefit from the progress made in other countries and concentrate on ways in which existing methods can be used or would need to be modified to fulfill their specific needs. HEEs, as context-specific tools, are not easily generalizable from setting to setting. Existing studies regarding generalizability and transferability of HEEs have primarily been conducted in developed countries. Therefore, a legitimate question for policy makers in Latin America and the Caribbean region (LAC) is to what extent HEEs conducted in industrialized economies and in LAC are generalizable to LAC (trans-regional) and to other LAC countries (intra-regional), respectively. We conducted a systematic review, searching the NHS Economic Evaluation Database (NHS EED), Office of Health Economics Health Economic Evaluation Database (HEED), LILACS (Latin America health bibliographic database) and NEVALAT (Latin American Network on HEE) to identify HEEs published between 1980 and 2004. We included individual patient- and model-based HEEs (cost-effectiveness, cost-utility, cost-benefit and cost-consequences analyses) that involved at least one LAC country. Data were extracted by three independent reviewers using a checklist validated by regional and international experts. From 521 studies retrieved, 72 were full HEEs (39% randomized controlled trials [RCTs], 32% models, 17% non-randomized studies and 12% mixed trial-modeling approach). Over one-third of identified studies did not specifically report the type of HEE. Cost-effectiveness and cost-consequence analyses accounted for almost 80% of the studies. The three Latin American countries with the highest participation in HEE studies were Brazil, Argentina and Mexico. While we found relatively good standards of reporting the study

  8. A Pan American Health Organization strategy for cervical cancer prevention and control in Latin America and the Caribbean.

    Science.gov (United States)

    Luciani, Silvana; Andrus, Jon Kim

    2008-11-01

    Cervical cancer is the leading cause of cancer deaths among women in Latin America and the Caribbean, and disproportionately affects poorer women. Mortality rates in the region are seven times greater than in North America. In light of the significant public health burden, the Pan American Health Organization has drafted a Regional Strategy for Cervical Cancer Prevention and Control. The Strategy calls for increased action to strengthen programmes through an integrated package of services: health information and education; screening and pre-cancer treatment; invasive cervical cancer treatment and palliative care; and evidence-based policy decisions on whether and how to introduce human papillomavirus (HPV) vaccines. It calls for a seven-point plan of action: conduct a situation analysis; intensify information, education and counselling; scale up screening and link to pre-cancer treatment; strengthen information systems and cancer registries; improve access to and quality of cancer treatment and palliative care; generate evidence to facilitate decision-making regarding HPV vaccine introduction; and advocate for equitable access and affordable HPV vaccines. This proposed strategy, approved by the PAHO Directing Council on 1 October 2008, has the possibility of stimulating and accelerating the introduction of new screening technology and HPV vaccines into programmes throughout Latin America and the Caribbean.

  9. Examining the relationship between health-related quality of life in individuals with spinal cord injury and the mental health of their caregivers in Colombia, South America.

    Science.gov (United States)

    Coleman, Jennifer A; Harper, Leia A; Perrin, Paul B; Olivera, Silvia L; Perdomo, Jose L; Arango, Jose A; Arango-Lasprilla, Juan C

    2013-12-01

    Although considerable research has been carried out on family caregivers of individuals with various types of disabilities, spinal cord injury (SCI) caregivers have received considerably less attention in terms of research, especially in regions such as Latin America. This study examined the relationship between health-related quality of life (HRQOL) in individuals with SCI and their family caregiver's mental health in Neiva, Colombia. Thirty-four individuals with SCI and their primary caregivers (34 dyads; n=68) from the Foundation for the Integral Development of People with Disabilities in Neiva, Colombia, were included in this study. Individuals with SCI completed eight subscales of the SF-36 that assessed HRQOL. Five aspects of caregiver mental health were assessed, including burden (Zarit Burden Interview), satisfaction with life (Satisfaction with Life Scale), depression (Patient Health Questionnaire-9), self-esteem (Rosenberg Self-Esteem Scale), and anxiety (State Trait Anxiety Inventory). A series of multiple regressions uncovered strong associations among the HRQOL of individuals with SCI and various aspects of caregiver mental health. In these regressions, patient physical functioning and pain were independently related to caregiver burden; patient pain and general health were independently related to caregiver satisfaction with life; and patient pain was independently related to caregiver anxiety. HRQOL in individuals with SCI was robustly related to their caregiver's mental health, suggesting that the two sets of variables are closely linked. These findings suggest that caregiver mental health should be a central part of SCI rehabilitation interventions, especially in Latin America.

  10. Book review of Introduction to U.S. Health Policy: The Organization, Financing and Delivery of Health Care in America by Donald A. Barr

    Directory of Open Access Journals (Sweden)

    Chapman Audrey R

    2008-03-01

    Full Text Available Abstract Donald A. Barr's Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America (second edition, 2007 offers a lucid and informative overview of the U.S. health system and the dilemmas policy makers currently face. Barr has provided a balanced introduction to the way health care is organized, financed, and delivered in the United States. The thirteen chapters of the book are quite comprehensive in the topics they cover. Even those knowledgeable about the U.S. health care system are likely to find much to stimulate their thinking in the text. The book can also appropriately serve as a basic text for a health policy course or in the medical or nursing school curriculum.

  11. Critical role of lay health cultural brokers in promoting the health of immigrants and refugees: A case study in the United States of America

    Directory of Open Access Journals (Sweden)

    Jerono P. Rotich

    2014-02-01

    Full Text Available The United States of America, a home to immigrants and refugees from various cultures and corners of the world continues to encounter waves of mass immigration. Some immigrated due to well-founded fears of persecution (i.e. religious, political, race, or social group or economic hardships. Others immigrated to, reunite with family members, seek economic and education opportunities, and better standards of living. Notwithstanding their channels of admission or entry and their pivotal role in enriching the culture and the economy of the United States of America, many confront several health and lifestyle related challenges as they acculturate and integrate into the mainstream of American life and culture. Although many individuals and organizations have created numerous programs and activities to help ease these difficulties, minimal documentation is available on the involvement and engagement of the non-traditional work force, such as the lay health cultural brokers.

  12. The Infectious Diseases Society of America emerging infections network: bridging the gap between clinical infectious diseases and public health.

    Science.gov (United States)

    Pillai, Satish K; Beekmann, Susan E; Santibanez, Scott; Polgreen, Philip M

    2014-04-01

    In 1995, the Centers for Disease Control and Prevention granted a Cooperative Agreement Program award to the Infectious Diseases Society of America to develop a provider-based emerging infections sentinel network, the Emerging Infections Network (EIN). Over the past 17 years, the EIN has evolved into a flexible, nationwide network with membership representing a broad cross-section of infectious disease physicians. The EIN has an active electronic mail conference (listserv) that facilitates communication among infectious disease providers and the public health community, and also sends members periodic queries (short surveys on infectious disease topics) that have addressed numerous topics relevant to both clinical infectious diseases and public health practice. The article reviews how the various functions of EIN contribute to clinical care and public health, identifies opportunities to further link clinical medicine and public health, and describes future directions for the EIN.

  13. Embracing the complexity of educational programmes

    Directory of Open Access Journals (Sweden)

    Elly Govers

    2016-12-01

    Full Text Available Systems of monitoring and control have left many educators and organisations in the field of post-compulsory education struggling to find ways to meet the needs of an increasingly diverse society. Education is complex. Many educators would agree that it is influenced by many, often contradictory, voices and power structures. Based on the findings of a case study involving multiple programmes in a post-compulsory education institution in Aotearoa/New Zealand, this paper aims to unravel this complexity for the case of educational programmes. It describes how programmes can be seen as complex systems, created by people and directed by discourses in society, some of which are more influential than others. If programmes are seen as complex systems, the experience of struggle as referred to above can be understood as a consequence of the attempt to control the complexity rather than work with it. This control limits the possibilities for development and innovation. Alternatively, as this paper will explain, acknowledging and embracing the complexity of programmes helps open up spaces for innovation that would otherwise remain hidden. It is argued that the ultimate space for change is educators’ personal and collective responsibility for the discourses in society they choose to follow.

  14. Fort Bragg Embraces Groundbreaking Heat Pump Technology

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-03-01

    The U.S. Army’s Fort Bragg partnered with the Department of Energy (DOE) to develop and implement solutions to build new, low-energy buildings that are at least 50% below Standard 90.1-2007 of the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE), the American National Standards Institute (ANSI), and the Illuminating Engineering Society of North America (IESNA) as part of DOE’s Commercial Building Partnerships (CBP) Program.

  15. Embrace Reality and Shape the Future

    Science.gov (United States)

    2008-01-01

    kinetic capability sets and its ability to perform effective ESCO . The Marine Corps should create MAGTFs specifically designed to conduct ESCO ; increase...Engagement and Security Cooperation Operations ( ESCO ), most notably Exercise UNITAS in South America. This is the U.S. Navy’s longest running multi-lateral... ESCO only reinforce. Each year the MEF participates in i h Fleet’s Exercise LANDING FORCE (LF) COMBINED ARMS AND 6 ,,, READINESS AFLOAT TRArNlNG (CARAT

  16. Dr. Louis Sullivan: Treating America's Most Critical Health and Human Services Ills.

    Science.gov (United States)

    Cox, William E,; Matthews, Frank L.

    1989-01-01

    Interview with Dr. Louis Sullivan, Secretary of Health and Human Services. Discusses his views on health education, budget, access to health care, minority health, abortion, infant mortality, drugs, the Head Start Program, federal planning effects, and family influences. (JS)

  17. Color studio in crisis: embracing change

    Science.gov (United States)

    Smith, Dianne

    2002-06-01

    Teaching color to students of architecture and design within the higher education sector is becoming more of a luxury than of core business. With increasing financial demands, reduced resources, and increasing student numbers, educators are required to think laterally to cater for change without sacrificing learning objectives. This paper raises some of the issues involved in the educative climate within one Australian university setting. Using a reflective narrative, educational objectives are defined, the implementation of new modes of 'teaching' as a means of coping with higher student numbers and reduced staffing and technical resources are described, and the outcomes in terms of student learning over an eight year period are critiqued. Institutional management policy is forcing the educator to re-evaluate the value of the traditional studio, and the intensive 'hands- on' interactive approach that traditionally is integral to such an approach. As curriculum development involves not only theory and project work, the classroom culture, the physical environment and the University and School context need to be addressed. Generic skills, in association with professional knowledge and skills, should be addressed, and therefore, opportunities for teaching a traditionally studio-based subject on-line as a computer based unit would appear to be limited. This discussion aims to pose questions, as well as reflecting upon successes and failures in this area of education within the University context. There is a need to embrace the contextual demands while ensuring that the student knowledge of color , and the joy of discovering its characteristics in practice, are not sacrificed but enhanced.

  18. The Epidemic of Youth Violence in America: Using Public Health Prevention Strategies to Prevent Violence.

    Science.gov (United States)

    Prothrow-Stith, Deborah B.

    1995-01-01

    Argues that there is no single strategy, institution, or discipline that can create the changes needed to reduce violence in America. Preventing violence requires long-term commitments, a comprehensive set of strategies, and new partnerships combined and focused on prevention of, not responses to, youth violence. (GR)

  19. Surveillance for leptospirosis in the Americas, 1996–2005: a review of data from ministries of health

    Science.gov (United States)

    Costa, Federico; Martinez-Silveira, Martha Silvia; Hagan, José E.; Hartskeerl, Rudy A.; dos Reis, Mitermayer Galvão; Ko, Albert Icksang

    2014-01-01

    Objective To characterize current leptospirosis reporting practices in the Americas. Methods Information was collected from the official websites of national ministries of health from the Americas region and two international organizations; personal communications; and three international morbidity databases. For all sources other than the morbidity databases, the review was limited to official reports citing clinically suspected and laboratory confirmed leptospirosis cases or deaths during the period 1996–2005. Results A total of 73 out of 1 644 reports met the selection criteria and were included in the analysis. Published leptospirosis data were available from half of the countries/sovereign territories (24 out of 48), and 18 of them had mandatory notification policies for leptospirosis. The sum of the median number of leptospirosis cases notified annually by the 24 countries/territories was 4 713.5, but just three countries (Brazil, Costa Rica, and Cuba) accounted for 83.1% (3 920 cases) of the notifications. Eight (16.7%) countries reported deaths due to leptospirosis. The sum of the median number of deaths reported annually for the eight countries was 380, but 349 (91.8%) were reported by Brazil. Conclusions Notification practices in the Americas for leptospirosis are limited. Therefore, the numbers of cases and deaths reported are not representative for the region. The lack of leptospirosis data for many countries/territories may reflect weaknesses in certain aspects of national surveillance systems, including mandatory reporting policies, clinical laboratory infrastructure for performing case confirmation, and capacity to collect reported cases. Improved surveillance of leptospirosis cases and deaths in the Americas is needed to allow monitoring of regional epidemiological patterns and to estimate the burden of this important disease. PMID:23183556

  20. Arguing for Rural Health in Medicare: A Progressive Rhetoric for Rural America

    Science.gov (United States)

    Ricketts, Thomas C.

    2004-01-01

    Rural health policy is the laws, regulations, rules, and interpretations that benefit or affect health and health care for rural populations. This paper examines how rural health policy is viewed in the broader field of public policy, discusses the role of advocacy in developing rural health policy, and suggests ways to make that advocacy more…

  1. The Impact of Socioeconomic Development and Ecological Change on Health and Nutrition in Latin America. Cornell International Nutrition Monograph Series, Number 9 (1981).

    Science.gov (United States)

    Solimano, Giorgio R.; Chapin, Georganne

    This monograph presents an examination of patterns which emerge from the interrelationship between development, environment, and health and nutrition in Latin America. First, the authors consider the components of this interrelationship, discussing the inseparability of health problems such as malnutrition, fecally-borne and parasitic diseases,…

  2. Health care providers and human trafficking: what do they know, what do they need to know? Findings from the middle East, the Caribbean, and central america

    NARCIS (Netherlands)

    Viergever, R.F.; West, H.; Borland, R.; Zimmerman, C.

    2015-01-01

    BACKGROUND: Human trafficking is a crime that commonly results in acute and chronic physical and psychological harm. To foster more informed health sector responses to human trafficking, training sessions for health care providers were developed and pilot-tested in the Middle East, Central America,

  3. Current challenges and future perspectives of the role of governments in the psychiatric/mental health systems of Latin America.

    Science.gov (United States)

    Maass, Juan; Mella, Cesar; Risco, Luis

    2010-01-01

    The practices and systems of mental health in Latin America and the Caribbean are heterogeneous and are connected to dissociation between national macro systems and the complex quotidian that occurs in the daily attention of mental pathologies. The health care experiences in mental health are diverse and go back to the 1960s; these took a boost with the Caracas Declaration of 1990. The Health Care Reform has had several stages, lately focused in the strength that derives from a growing psychiatric epidemiology "base". In addition, it notes that the majority of countries have a National Plan of Mental Health, but they do not seem purposely deployed in local developmental plans or in other sectors. It is proposed the existence of a willing to discuss psychiatry, critical and bold; trans and intrasectoral face to the national and communal developments. Governments need to prioritize strategies in mental health as an integral part of another national project with regard for quality of life and productivity of citizens. The communication poses challenges for the next 15 years, with what is complete the first quarter of this century, proposing a series of measures even basic, but valid for this part of the continent.

  4. Latin America and the Caribbean: Assessment of the Advances in Public Health for the Achievement of the Millennium Development Goals

    Directory of Open Access Journals (Sweden)

    Amal K. Mitra

    2010-05-01

    Full Text Available To improve health and economy of the world population, the United Nations has set up eight international goals, known as Millennium Development Goals (MDGs, that 192 United Nations member states and at least 23 international organizations have agreed to achieve by the year 2015. The goals include: (1 eradicating extreme poverty and hunger; (2 achieving universal primary education; (3 promoting gender equality; (4 reducing child mortality; (5 improving maternal health; (6 combating HIV/AIDS, malaria and other diseases; (7 ensuring environmental sustainability; and (8 developing a global partnership for development. Having been in the midway from the 2015 deadline, the UN Secretary-General urges countries to engage constructively to review progress towards the MDGs. This paper aims to evaluate advances in public health, with special reference to gender inequalities in health, health sector reform, global burden of disease, neglected tropical diseases, vaccination, antibiotic use, sanitation and safe water, nutrition, tobacco and alcohol use, indicators of health, and disease prevention in Latin America and the Caribbean region (LAC. The paper also identifies areas of deficits for the achievement of MDGs in LAC.

  5. Epidemiological and financial indicators of hypertension in older adults in Mexico: challenges for health planning and management in Latin America.

    Science.gov (United States)

    Arredondo, Armando; Duarte, Maria Beatriz; Cuadra, Silvia Magali

    2016-05-30

    This study estimated the epidemiological and financial indicators of hypertension in order to identify challenges in strategic planning and management for health systems in Latin America. This is a longitudinal study with a population base of 187 326 reported cases of older adults with hypertension, diagnosed at public health institutions in Mexico. The cost-evaluation method that was used was based on the instrumentation and consensus techniques. To estimate the epidemiological changes and financial consequences for 2015-2017, time series analyses and probabilistic models were constructed according to the Box-Jenkins technique. Regarding epidemiological changes for 2015 versus 2017, an increase of 8-12% is expected (p financial requirements. The total amount estimated for hypertension in 2015 (in US dollars) was $1 575 671 330. It included $747 527 259 as direct costs and $829 144 071 as indirect costs. If the risk factors and the different healthcare services for older adults remain as they are currently, the financial consequences of epidemiological changes in older adults will have a major impact on the users' pockets, following in order of importance, on social security providers and on public assistance providers. The challenges and implications of our findings in the context of universal coverage reforms in Latin America reinforce the urgent need to develop more and better strategic planning for the prevention of chronic diseases. Copyright © 2016 John Wiley & Sons, Ltd.

  6. [The Caribbean origins of the National Public Health System in the USA: a global approach to the history of medicine and public health in Latin America].

    Science.gov (United States)

    Espinosa, Mariola

    2015-01-01

    This article defines global history in relation to the history of medicine and public health. It argues that a global approach to history opens up a space for examining the reverberations transmitted from the geographic periphery towards western regions, which have traditionally dominated modern historiography. It analyzes two medical interventions in the Caribbean in the late nineteenth and early twentieth century, showing how these events had profound consequences in the USA. The successes achieved in the Caribbean in terms of yellow fever and ancylostoma control, as well as providing a model for health campaigns in the southern USA, inspired the centralization of public health in North America under the centralizing control of the federal government.

  7. Structural Vulnerability among Migrating Women and Children Fleeing Central America and Mexico:The Public Health Impact of Humanitarian Parole

    Directory of Open Access Journals (Sweden)

    Elizabeth Salerno Valdez

    2015-06-01

    Full Text Available Since October 2013, US Customs and Border Patrol (USCBP has apprehended 15,979 families on the Southwest Border of the United States. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project Helping Hands (PHH utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency.These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US-Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before, and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing

  8. Structural Vulnerability Among Migrating Women and Children Fleeing Central America and Mexico: The Public Health Impact of "Humanitarian Parole".

    Science.gov (United States)

    Valdez, Elizabeth Salerno; Valdez, Luis A; Sabo, Samantha

    2015-01-01

    Since October 2013, US Customs and Border Patrol has apprehended 15,979 families on the Southwest Border of the US. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project helping hands (PHHs) utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here, we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency. These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US-Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing population.

  9. How many schools adopt interviews during the student admission process across the health professions in the United States of America?

    Directory of Open Access Journals (Sweden)

    Greer Glazer

    2016-02-01

    Full Text Available Health profession schools use interviews during the admissions process to identify certain non-cognitive skills that are needed for success in diverse, inter-professional settings. This study aimed to assess the use of interviews during the student admissions process across health disciplines at schools in the United States of America in 2014. The type and frequency of non-cognitive skills assessed were also evaluated. Descriptive methods were used to analyze a sample of interview rubrics collected as part of a national survey on admissions in the health professions, which surveyed 228 schools of medicine, dentistry, pharmacy, nursing, and public health. Of the 228 schools, 130 used interviews. The most desirable non-cognitive skills from 34 schools were identified as follows: communication skills (30, motivation (22, readiness for the profession (17, service (12, and problem-solving (12. Ten schools reported using the multiple mini-interview format, which may indicate potential for expanding this practice. Disparities in the use of interviewing across health professions should be verified to help schools adopt interviews during student admissions processes.

  10. How many schools adopt interviews during the student admission process across the health professions in the United States of America?

    Science.gov (United States)

    Glazer, Greer; Startsman, Laura F; Bankston, Karen; Michaels, Julia; Danek, Jennifer C; Fair, Malika

    2016-01-01

    Health profession schools use interviews during the admissions process to identify certain non-cognitive skills that are needed for success in diverse, inter-professional settings. This study aimed to assess the use of interviews during the student admissions process across health disciplines at schools in the United States of America in 2014. The type and frequency of non-cognitive skills assessed were also evaluated. Descriptive methods were used to analyze a sample of interview rubrics collected as part of a national survey on admissions in the health professions, which surveyed 228 schools of medicine, dentistry, pharmacy, nursing, and public health. Of the 228 schools, 130 used interviews. The most desirable non-cognitive skills from 34 schools were identified as follows: communication skills (30), motivation (22), readiness for the profession (17), service (12), and problem-solving (12). Ten schools reported using the multiple mini-interview format, which may indicate potential for expanding this practice. Disparities in the use of interviewing across health professions should be verified to help schools adopt interviews during student admissions processes.

  11. Health Communications in Rural America: Lessons Learned from an Arthritis Campaign in Rural Arkansas

    Science.gov (United States)

    Balamurugan, Appathurai; Rivera, Mark; Sutphin, Kim; Campbell, Debbie

    2007-01-01

    Context: Lack of awareness about diseases and associated risk factors could partially account for some rural health disparities. Health communications campaigns can be an effective means of increasing awareness in these areas. Purpose: To review findings and lessons learned from a rural health communications campaign. Methods: The health…

  12. Running free: embracing a healthy lifestyle through distance running.

    Science.gov (United States)

    Shipway, Richard; Holloway, Immy

    2010-11-01

    Sport and leisure activity contribute to both health and quality of life. There is a dearth of qualitative studies on the lived experiences of active people, so the aim of this paper is to develop a deeper understanding of the experiences of one particular group of active leisure participants, distance runners, and to highlight the associated health and well-being benefits that result from participating in this increasingly popular form of active leisure. In doing so, this paper will briefly explore the potential opportunities and implications for sport and leisure policy and provision, and highlight examples of how distance running could positively contribute towards government objectives linked to tackling obesity levels, healthy living and physical well-being. It is suggested that similar benefits also exist across other forms of physical activity, exercise and sport. Qualitative methods of enquiry were adopted to understand the nature of the social world of long distance runners through interviews and observations, which were thematically analyzed. One of the key themes emerging from the data was the desire to embrace a healthy lifestyle, which then led to the emergence of four main sub-themes. The first was linked to the importance of seeking self-esteem and confirmation through running; second, an investigation of a selection of negative aspects associated with exercise addiction; third, the need to exercise among sport and leisure participants; and finally, an understanding of the concept of the 'running body'. Cautionary notes also identified negative aspects associated with exercise and physical activity. The findings highlight the potential role that distance running can play as an easily accessible and enjoyable leisure activity, one that can help facilitate increased participation in exercise and physical activity as an integral part of an active and healthy lifestyle.

  13. Is wealthier always healthier? The impact of national income level, inequality, and poverty on public health in Latin America.

    Science.gov (United States)

    Biggs, Brian; King, Lawrence; Basu, Sanjay; Stuckler, David

    2010-07-01

    Despite findings indicating that both national income level and income inequality are each determinants of public health, few have studied how national income level, poverty and inequality interact with each other to influence public health outcomes. We analyzed the relationship between gross domestic product (GDP) per capita in purchasing power parity, extreme poverty rates, the gini coefficient for personal income and three common measures of public health: life expectancy, infant mortality rates, and tuberculosis (TB) mortality rates. Introducing poverty and inequality as modifying factors, we then assessed whether the relationship between GDP and health differed during times of increasing, decreasing, and decreasing or constant poverty and inequality. Data were taken from twenty-two Latin American countries from 1960 to 2007 from the December 2008 World Bank World Development Indicators, World Health Organization Global Tuberculosis Database 2008, and the Socio-Economic Database for Latin America and the Caribbean. Consistent with previous studies, we found increases in GDP have a sizable positive impact on population health. However, the strength of the relationship is powerfully influenced by changing levels of poverty and inequality. When poverty was increasing, greater GDP had no significant effect on life expectancy or TB mortality, and only led to a small reduction in infant mortality rates. When inequality was rising, greater GDP had only a modest effect on life expectancy and infant mortality rates, and no effect on TB mortality rates. In sharp contrast, during times of decreasing or constant poverty and inequality, there was a very strong relationship between increasing GDP and higher life expectancy and lower TB and infant mortality rates. Finally, inequality and poverty were found to exert independent, substantial effects on the relationship between national income level and health. Wealthier is indeed healthier, but how much healthier depends on how

  14. Current epidemiological trends for Chagas disease in Latin America and future challenges in epidemiology, surveillance and health policy

    Directory of Open Access Journals (Sweden)

    Álvaro Moncayo

    2009-07-01

    Full Text Available Chagas disease, named after Carlos Chagas, who first described it in 1909, exists only on the American Continent. It is caused by a parasite, Trypanosoma cruzi, which is transmitted to humans by blood-sucking triatomine bugs and via blood transfusion. Chagas disease has two successive phases: acute and chronic. The acute phase lasts six-eight weeks. Several years after entering the chronic phase, 20-35% of infected individuals, depending on the geographical area, will develop irreversible lesions of the autonomous nervous system in the heart, oesophagus and colon, and of the peripheral nervous system. Data on the prevalence and distribution of Chagas disease improved in quality during the 1980s as a result of the demographically representative cross-sectional studies in countries where accurate information was not previously available. A group of experts met in Brasilia in 1979 and devised standard protocols to carry out countrywide prevalence studies on human T. cruzi infection and triatomine house infestation. Thanks to a coordinated multi-country programme in the Southern Cone countries, the transmission of Chagas disease by vectors and via blood transfusion was interrupted in Uruguay in 1997, in Chile in 1999 and in Brazil in 2006; thus, the incidence of new infections by T. cruzi across the South American continent has decreased by 70%. Similar multi-country initiatives have been launched in the Andean countries and in Central America and rapid progress has been reported towards the goal of interrupting the transmission of Chagas disease, as requested by a 1998 Resolution of the World Health Assembly. The cost-benefit analysis of investment in the vector control programme in Brazil indicates that there are savings of US$17 in medical care and disabilities for each dollar spent on prevention, showing that the programme is a health investment with very high return. Many well-known research institutions in Latin America were key elements of a

  15. Regular-Fat Dairy and Human Health: A Synopsis of Symposia Presented in Europe and North America (2014-2015).

    Science.gov (United States)

    Astrup, Arne; Rice Bradley, Beth H; Brenna, J Thomas; Delplanque, Bernadette; Ferry, Monique; Torres-Gonzalez, Moises

    2016-07-29

    In recent history, some dietary recommendations have treated dairy fat as an unnecessary source of calories and saturated fat in the human diet. These assumptions, however, have recently been brought into question by current research on regular fat dairy products and human health. In an effort to disseminate, explore and discuss the state of the science on the relationship between regular fat dairy products and health, symposia were programmed by dairy industry organizations in Europe and North America at The Eurofed Lipids Congress (2014) in France, The Dairy Nutrition Annual Symposium (2014) in Canada, The American Society for Nutrition Annual Meeting held in conjunction with Experimental Biology (2015) in the United States, and The Federation of European Nutrition Societies (2015) in Germany. This synopsis of these symposia describes the complexity of dairy fat and the effects regular-fat dairy foods have on human health. The emerging scientific evidence indicates that the consumption of regular fat dairy foods is not associated with an increased risk of cardiovascular disease and inversely associated with weight gain and the risk of obesity. Dairy foods, including regular-fat milk, cheese and yogurt, can be important components of an overall healthy dietary pattern. Systematic examination of the effects of dietary patterns that include regular-fat milk, cheese and yogurt on human health is warranted.

  16. Regular-Fat Dairy and Human Health: A Synopsis of Symposia Presented in Europe and North America (2014–2015)

    Science.gov (United States)

    Astrup, Arne; Rice Bradley, Beth H.; Brenna, J. Thomas; Delplanque, Bernadette; Ferry, Monique; Torres-Gonzalez, Moises

    2016-01-01

    In recent history, some dietary recommendations have treated dairy fat as an unnecessary source of calories and saturated fat in the human diet. These assumptions, however, have recently been brought into question by current research on regular fat dairy products and human health. In an effort to disseminate, explore and discuss the state of the science on the relationship between regular fat dairy products and health, symposia were programmed by dairy industry organizations in Europe and North America at The Eurofed Lipids Congress (2014) in France, The Dairy Nutrition Annual Symposium (2014) in Canada, The American Society for Nutrition Annual Meeting held in conjunction with Experimental Biology (2015) in the United States, and The Federation of European Nutrition Societies (2015) in Germany. This synopsis of these symposia describes the complexity of dairy fat and the effects regular-fat dairy foods have on human health. The emerging scientific evidence indicates that the consumption of regular fat dairy foods is not associated with an increased risk of cardiovascular disease and inversely associated with weight gain and the risk of obesity. Dairy foods, including regular-fat milk, cheese and yogurt, can be important components of an overall healthy dietary pattern. Systematic examination of the effects of dietary patterns that include regular-fat milk, cheese and yogurt on human health is warranted. PMID:27483308

  17. Public health programs as surrogates for social action in Suriname, South America.

    Science.gov (United States)

    Peplow, Daniel; Augustine, Sarah

    2015-01-01

    This paper addresses the merits of public health activism that advocates for social change in which health is the outcome of interest. We acknowledge that while efforts at the individual level are important, social network models consider the underlying mechanisms that lie outside the public health sector. This paper considers the inequitable health of Indigenous people who bear a disproportionate share of the negative health consequences due to economic development programs that follow an assimilation model. This paper discusses a combination of theoretical constructs to understand and solve the problems at hand. It concludes that while the attention paid to technological and behavioral solutions at the individual level yields important health outcomes, attention should also be paid to structural causes that address social, political and economic barriers to prevent disease, disability and premature death.

  18. Understanding the Health Literacy of America Results of the National Assessment of Adult Literacy

    OpenAIRE

    Cutilli, Carolyn Crane; Bennett, Ian M.

    2009-01-01

    Health literacy refers to an individual’s ability to understand healthcare information to make appropriate decisions (S. C Ratzen & R. M. Parker, 2000). Healthcare professionals are obligated to make sure that patients understand information to maximize the benefits of healthcare. The National Assessment of Adult Literacy (NAAL) provides information on the literacy/health literacy levels of the U.S. adult population. The NAAL is the only large-scale survey of health literacy. The results of t...

  19. SHARES OF HEALTH PROMOTION FOR THE ELDERLY IN BRAZIL AND LATIN AMERICA: AN INTEGRATIVE LITERATURE REVIEW

    OpenAIRE

    Mariana dos Santos Ribeiro; Andréa Mathes Faustino

    2013-01-01

    Introduction: Health promotion in the elderly is approaching the concept of active aging, in which the individual preserves capabilities and development potential. Objective: Identify the Brazilian literature and Latin American studies which reflect actions and practices to promote health among older adults. Method: This is an integrative literature review, the main question was: 'what are the issues addressed in the literature on the promotion of health among the elderly in Brazil and Latin ...

  20. eHealth strategy for the Americas region: current situation and perspectives

    OpenAIRE

    D’Agostino, Marcelo; Organización Panamericana de la Salud, Organización Mundial de la Salud.

    2015-01-01

    The main objective of the Strategy and Plan of Action on eHealth (2012-2017) is to contribute to sustainable developmentof health systems of member states. Its adoption aims to improve quality and access to health services through the use ofinformation and communication technologies (ICT), the implementation of digital literacy programs and access to qualityinformation to advance towards more informed, equitable, competitive and democratic societies. PAHO/WHO considers thatin society, free an...

  1. [Gender equity in health sector reform policies in Latin America and the Caribbean].

    Science.gov (United States)

    Gómez, Elsa Gómez

    2002-01-01

    Gender equity is increasingly being acknowledged as an essential aspect of sustainable development and more specifically, of health development. The Pan American Health Organization's Program for Women, Health, and Development has been piloting for a year now a project known as Equidad de género en las políticas de reforma del sector de salud, whose objective is to promote gender equity in the health sector reform efforts in the Region. The first stage of the project is being conducted in Chile and Peru, along with some activities throughout the Region. The core of the project is the production and use of information as a tool for introducing changes geared toward achieving greater gender equity in health, particularly in connection with malefemale disparities that are unnecessary, avoidable, and unfair in health status, access to health care, and participation in decision-making within the health system. We expect that in three years the project will have brought about changes in the production of information and knowledge, advocacy, and information dissemination, as well as in the development, appropriation, and identification of intersectoral mechanisms that will make it possible for key figures in government and civil society to work together in setting and surveying policy on gender equity in health.

  2. Influence of PAHO publications on scientific production in the health field in Latin America and the Caribbean.

    Science.gov (United States)

    Cruz, A

    1996-06-01

    The influence and impact of PAHO publications on scientific production in the field of health in Latin America and the Caribbean was the subject of a study based on a sample of 45 biomedical journals published between 1985 and 1992 in 17 countries of the Region. A total of 8644 works (mostly articles), containing 82,143 citations, were studied. Of these, 3,806 citations were found to refer to works published by PAHO Headquarters in Washington, D.C.-the Boletín de la Oficina Sanitaria Panamericana receiving 1,444 (38% of the total), the English-language Bulletin of PAHO receiving 222 (6%), works in PAHO's Scientific Publications Series receiving 1064 (28%), and works in other PAHO publications receiving 1076 (28%). Overall, PAHO publications appeared to account for a significant share of the citations studied.

  3. Improving the quality of cancer care in America through health information technology.

    Science.gov (United States)

    Feeley, Thomas W; Sledge, George W; Levit, Laura; Ganz, Patricia A

    2014-01-01

    A recent report from the Institute of Medicine titled Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis, identifies improvement in information technology (IT) as essential to improving the quality of cancer care in America. The report calls for implementation of a learning healthcare IT system: a system that supports patient-clinician interactions by providing patients and clinicians with the information and tools necessary to make well informed medical decisions and to support quality measurement and improvement. While some elements needed for a learning healthcare system are already in place for cancer, they are incompletely implemented, have functional deficiencies, and are not integrated in a way that creates a true learning healthcare system. To achieve the goal of a learning cancer care delivery system, clinicians, professional organizations, government, and the IT industry will have to partner, develop, and incentivize participation.

  4. [The "culture of survival" and international public health in Latin America: the Cold War and the eradication of diseases in the mid-twentieth century].

    Science.gov (United States)

    Cueto, Marcos

    2015-01-01

    This article analyzes the main campaigns run by international agencies and national health bodies to eradicate infectious diseases in rural Latin America in the 1940s and 1950s. The political dimensions of the period have been studied but there has been little attention as yet to the health dimensions. This article proposes the concept of a "culture of survival" to explain the official public health problems of states with limited social policies that did not allow the exercise of citizenship. Public health, as part of this culture of survival, sought a temporary solution without confronting the social problems that led to infections and left a public health legacy in the region.

  5. Achieving the Promise: The Significant Role of Schools in Transforming Children's Mental Health in America

    Science.gov (United States)

    Lechtenberger, DeAnn; Mullins, Frank Edward; Greenword, Dale

    2008-01-01

    Teacher preparation programs can play an essential role in disseminating information on children's mental health and design curricula that teach the skills necessary for promoting good mental health in schools to preservice and inservice professionals from diverse backgrounds and disciplines. The strategies presented in this article will provide…

  6. Implementation of virtual patients in the training for occupational health in Latin America.

    Science.gov (United States)

    Radon, Katja; Carvalho, Denise; Calvo, Maria Julia; Struempell, Stephanie; Herrera, Veronica; Wengenroth, Laura; Kausel, Gudrun; Marchetti, Nella; Rojas, Daniel Segura; Russ, Paul; Hege, Inga

    2011-01-01

    Health professionals trained in occupational health are essential to reduce the burden of occupational accidents and diseases. However, training resources are limited globally. We aimed to promote occupational health and safety (OHS) using virtual patients (VPs) in Brazil, Chile, and Germany. Virtual patients were created in three Latin-American health centers. So-called "partner VPs" comparing the distinct health care systems were designed. Translation, adaptation to different medical and legal systems, expert review, implementation into under- and postgraduate teaching, and user evaluation were performed. Twelve VPs covering traditional and contemporary OHS issues are available in Spanish, Portuguese, and English. Overall, 2371 students used the VPs. The number of Latin American users who evaluated VP content and relevance for their professional career was statistically significantly higher than the number of German students. VPs are a feasible learning method for OHS in middle-income countries. Partner VPs seem to be useful for teaching global aspects.

  7. [The reform process and social participation in health in Latin America].

    Science.gov (United States)

    Vázquez, M L; Siqueira, E; Kruze, I; Da Silva, A; Leite, I C

    2002-01-01

    Currently, many countries throughout the world are reforming their health services. Even though these reforms differ according to the country's characteristics, they share many policies, one of which is the promotion of social participation in health-related matters. This policy, however, is not new in the field of health service organization. Throughout the last century, individual or collective collaboration between the population and health services has been promoted by several philosophies and concepts with different aims: from the search for collaboration with the general public to broaden public health system coverage to the promotion of the creation of mechanisms that would allow society to exercise control over these services' performance. Nevertheless, for the public to be involved with these services, several factors concerning both the services themselves and the population, need to converge. Although the theoretical frameworks that have encouraged social participation throughout the history of the development of health systems differ considerably, their practical implementation shares many common elements in all periods, from participation as a means of obtaining certain objectives to being an end in itself, as a democratic process. This can also be applied to the current promotion of social participation policies in the context of health care reforms, which are analyzed using Colombia and Brazil as examples.

  8. Best practices in intercultural health: five case studies in Latin America

    Science.gov (United States)

    Mignone, Javier; Bartlett, Judith; O'Neil, John; Orchard, Treena

    2007-01-01

    The practice of integrating western and traditional indigenous medicine is fast becoming an accepted and more widely used approach in health care systems throughout the world. However, debates about intercultural health approaches have raised significant concerns. This paper reports findings of five case studies on intercultural health in Chile, Colombia, Ecuador, Guatemala, and Suriname. It presents summary information on each case study, comparatively analyzes the initiatives following four main analytical themes, and examines the case studies against a series of the best practice criteria. PMID:17803820

  9. Poverty in America: how public health practice can make a difference.

    Science.gov (United States)

    Erwin, Paul Campbell

    2008-09-01

    Health inequities linked to poverty remain entrenched in certain subgroups in the United States, despite public health efforts to the contrary. My experiences in working with the poor in Nepal and Pakistan informed my later approach to addressing health and poverty in the Appalachians of eastern Tennessee. Three aspects of this approach include enhancing community power through participation in local decisionmaking about health, educating students within the actual context of poverty, and increasing local opportunity by employing people from the communities of concern to serve as a means to reach those communities. Empowerment, education, and opportunity can serve as ways to ameliorate poverty and may serve to modulate the persistent underlying conditions that create and sustain poverty.

  10. Can nursing epistemology embrace p-values?

    Science.gov (United States)

    Ou, Christine H K; Hall, Wendy A; Thorne, Sally E

    2017-02-15

    The use of correlational probability values (p-values) as a means of evaluating evidence in nursing and health care has largely been accepted uncritically. There are reasons to be concerned about an uncritical adherence to the use of significance testing, which has been located in the natural science paradigm. p-values have served in hypothesis and statistical testing, such as in randomized controlled trials and meta-analyses to support what has been portrayed as the highest levels of evidence in the framework of evidence-based practice. Nursing has been minimally involved in the rich debate about the controversies of treating significance testing as evidentiary in the health and social sciences. In this paper, we join the dialogue by examining how and why this statistical mechanism has become entrenched as the gold standard for determining what constitutes legitimate scientific knowledge in the postpositivistic paradigm. We argue that nursing needs to critically reflect on the limitations associated with this tool of the evidence-based movement, given the complexities and contextual factors that are inherent to nursing epistemology. Such reflection will inform our thinking about what constitutes substantive knowledge for the nursing discipline.

  11. Redefining climate regions in the United States of America using satellite remote sensing and machine learning for public health applications

    Directory of Open Access Journals (Sweden)

    Alexander Liss

    2014-12-01

    Full Text Available Existing climate classification has not been designed for an efficient handling of public health scenarios. This work aims to design an objective spatial climate regionalization method for assessing health risks in response to extreme weather. Specific climate regions for the conterminous United States of America (USA were defined using satellite remote sensing (RS data and compared with the conventional Köppen-Geiger (KG divisions. Using the nationwide database of hospitalisations among the elderly (≥65 year olds, we examined the utility of a RS-based climate regionalization to assess public health risk due to extreme weather, by comparing the rate of hospitalisations in response to thermal extremes across climatic regions. Satellite image composites from 2002-2012 were aggregated, masked and compiled into a multi-dimensional dataset. The conterminous USA was classified into 8 distinct regions using a stepwise regionalization approach to limit noise and collinearity (LKN, which exhibited a high degree of consistency with the KG regions and a well-defined regional delineation by annual and seasonal temperature and precipitation values. The most populous was a temperate wet region (10.9 million, while the highest rate of hospitalisations due to exposure to heat and cold (9.6 and 17.7 cases per 100,000 persons at risk, respectively was observed in the relatively warm and humid south-eastern region. RS-based regionalization demonstrates strong potential for assessing the adverse effects of severe weather on human health and for decision support. Its utility in forecasting and mitigating these effects has to be further explored.

  12. A mapping of information security in health Information Systems in Latin America and Brazil.

    Science.gov (United States)

    Pereira, Samáris Ramiro; Fernandes, João Carlos Lopes; Labrada, Luis; Bandiera-Paiva, Paulo

    2013-01-01

    In health, Information Systems are patient records, hospital administration or other, have advantages such as cost, availability and integration. However, for these benefits to be fully met, it is necessary to guarantee the security of information maintained and provided by the systems. The lack of security can lead to serious consequences such as lawsuits and induction to medical errors. The management of information security is complex and is used in various fields of knowledge. Often, it is left in the background for not being the ultimate goal of a computer system, causing huge financial losses to corporations. This paper by systematic review methodologies, presented a mapping in the literature, in order to identify the most relevant aspects that are addressed by security researchers of health information, as to the development of computerized systems. They conclude through the results, some important aspects, for which the managers of computerized health systems should remain alert.

  13. Towards Healthy Schools 2015: Progress on America's Environmental Health Crisis for Children

    Science.gov (United States)

    Healthy Schools Network, Inc., 2013

    2013-01-01

    States compel children to attend school; in fact, 98% of all school-age children attend schools--irrespective of conditions. Yet the environmental conditions of decayed facilities or facilities close to hazards can damage children's health and ability to learn. At the same time, it is well documented that healthy school facilities can help…

  14. America's Adolescents: How Healthy Are They? Volume 1. Profiles of Adolescent Health Series.

    Science.gov (United States)

    Gans, Janet E.; And Others

    Many adolescent health problems are linked with educational performance, family relationships, poverty, and the general lifestyles that adolescents experience in their communities. Although serious, chronic medical and psychiatric disorders affect about 6 percent of the adolescent population, many more adolescents are at risk for death and for…

  15. Islam, medicine, and Arab-Muslim refugee health in America after 9/11.

    Science.gov (United States)

    Inhorn, Marcia C; Serour, Gamal I

    2011-09-03

    Islam is the world's second largest religion, representing nearly a quarter of the global population. Here, we assess how Islam as a religious system shapes medical practice, and how Muslims view and experience medical care. Islam has generally encouraged the use of science and biomedicine for the alleviation of suffering, with Islamic authorities having a crucial supportive role. Muslim patients are encouraged to seek medical solutions to their health problems. For example, Muslim couples who are infertile throughout the world are permitted to use assisted reproductive technologies. We focus on the USA, assessing how Islamic attitudes toward medicine influence Muslims' engagement with the US health-care system. Nowadays, the Arab-Muslim population is one of the fastest growing ethnic-minority populations in the USA. However, since Sept 11, 2001, Arab-Muslim patients--and particularly the growing Iraqi refugee population--face huge challenges in seeking and receiving medical care, including care that is judged to be religiously appropriate. We assess some of the barriers to care--ie, poverty, language, and discrimination. Arab-Muslim patients' religious concerns also suggest the need for cultural competence and sensitivity on the part of health-care practitioners. Here, we emphasise how Islamic conventions might affect clinical care, and make recommendations to improve health-care access and services for Arab-Muslim refugees and immigrants, and Muslim patients in general.

  16. Farming for Health. Green-care farming across Europe and the United States of America

    NARCIS (Netherlands)

    Hassink, J.; Dijk, van M.

    2006-01-01

    The utilization of agricultural farms as a base for promoting human mental and physical health and social well-being is a new promising development. On farms, the animals, the plants, the garden, the forest and the landscape are used in recreational or work-related activities for psychiatric patient

  17. [Rethinking social protection in health in Latin America and the Caribbean].

    Science.gov (United States)

    Rosenberg, H; Andersson, B

    2000-01-01

    Despite what is written in the constitutions and other basic document mandates of the countries of the Region, exclusion from social protection in health (SPH) affects an important proportion of the population (at least 20%, which represents, in absolute figures, between 80 and 200 million people). These estimates are obtained through a series of theoretical (social security coverage) and practical indicators that encompass structural indicators (poverty, ethnicity, and geographical barriers) as well as process indicators (non-institutional births, compliance with vaccination schedules, and access to basic sanitation). Exclusion levels in a society are affected by the degree of segmentation of the health system. Traditionally, most countries of the Region have had a public, a social security and a private subsystem in health. Lack of attention to the problem has resulted in the formation of a community-based subsystem. The coexistence of many subsystems, along with poor regulation on the part of health authorities, has resulted in high levels of exclusion and inefficient resource allocation within the sector. The organization of social dialogue processes focusing on SPH within the context of health sector reform initiatives in each country is recommended. The process, which should be participatory, should include a full diagnosis of the situation (how many are excluded, who are they, and why, and what mechanisms are the most appropriate for tackling the issue in each country). It should also provide a political and technical feasibility analysis of the most suitable options for each society, and a determination of whether or not conventional subsystems have exhausted their potential. The process should culminate in a program for implementing the specific proposals made in each society, in an effort to maximize SPH.

  18. 'Disease is unrhythmical': jazz, health, and disability in 1920s America.

    Science.gov (United States)

    Johnson, Russell L

    2011-01-01

    The 1920s in the United States are commonly remembered as the Jazz Age. Although historians have focused on the African American origins of the music, another theme was also prominent in the public discourse surrounding jazz: disability. Critics saw jazz and its associated dances as defective, causing both mental and physical impairments in their devotees. In other words, jazz music and dance were disabled and disabling. Proponents of jazz responded in kind, asserting that jazz did not cause impairments, it cured them; similarly, jazz was not defective music or dance, but a revitalisation of the art forms. On the one hand, these reactions might have been expected, given the long history of belief in a relationship between music and health. However, the importance of health issues such as eugenics and rehabilitation in the 1920s also clearly influenced the responses of opinion leaders, politicians, academics, music professionals, and others to jazz music and dance.

  19. Hispanic Latin America, Spain and the Spanish-speaking Caribbean: a rich source of reference material for public health, epidemiology and tropical medicine.

    Science.gov (United States)

    Williams, John R; Bórquez, Annick; Basáñez, María-Gloria

    2008-09-30

    There is a multiplicity of journals originating in Spain and the Spanish-speaking countries of Latin America and the Caribbean (SSLAC) in the health sciences of relevance to the fields of epidemiology and public health. While the subject matter of epidemiology in Spain shares many features with its neighbours in Western Europe, many aspects of epidemiology in Latin America are particular to that region. There are also distinctive theoretical and philosophical approaches to the study of epidemiology and public health arising from traditions such as the Latin American social medicine movement, of which there may be limited awareness. A number of online bibliographic databases are available which focus primarily on health sciences literature arising in Spain and Latin America, the most prominent being Literatura Latinoamericana en Ciencias de la Salud (LILACS) and LATINDEX. Some such as LILACS also extensively index grey literature. As well as in Spanish, interfaces are provided in English and Portuguese. Abstracts of articles may also be provided in English with an increasing number of journals beginning to publish entire articles written in English. Free full text articles are becoming accessible, one of the most comprehensive sources being the Scientific Electronic Library Online (SciELO). There is thus an extensive range of literature originating in Spain and SSLAC freely identifiable and often accessible online, and with the potential to provide useful inputs to the study of epidemiology and public health provided that any reluctance to explore these resources can be overcome. In this article we provide an introduction to such resources.

  20. Causes of mortality and development: Evidence from large health shocks in 20th century America

    DEFF Research Database (Denmark)

    Worm Hansen, Casper

    Exploiting pre-intervention variation in flu/pneumonia, tuberculosis and maternal mortality, together with time variation arising from medical breakthroughs starting in the late 1930s, this paper studies the aggregate impact of large health shocks across US states. The analysis demonstrates...... that the shocks influenced income per capita in different ways. While the shock to flu/pneumonia mortality has been conductive for development, the large reduction in the incidence of tuberculosis deaths has been a negative force in the development of US states over the second-half of 20th century. In addition...

  1. Improving epidemiologic surveillance and health promoter training in rural Latin America through information and communication technologies.

    Science.gov (United States)

    Martínez, Andrés; López, Diego M; Sáez, Alberto; Seoane, Joaquín; Rendón, Alvaro; Shoemaker, Richard; Fernández, Ignacio

    2005-08-01

    This paper presents two technological developments oriented to increase the efficiency of the epidemiologic surveillance system and to improve the diagnostic and therapeutic capabilities of the rural establishments with only e-mail connectivity through wireless systems. The Telematics Department of the University of Cauca has developed a computerized epidemiologic surveillance system for the collecting, sending, processing, visualization, and feedback of epidemiologic information at national level. The use of the system in a pilot area has solved the problems of subregister, increasing the volume of data collection in 15%. The complete epidemiologic system is currently being implemented in 22 health care establishments in the Department of Cauca in Colombia. Likewise, the Technical University and Carlos III University of Madrid have developed a distance training system with a high-usability interface both for students and teachers. The system includes authoring, distribution, tracking, and visualization of courses synchronized through electronic mail messages in a clear way for the user. Both systems use a creative combination of e-mail and XML (eXtensible Markup Language)-based technologies, ready to be used through slow, intermittent, and asynchronous communication systems.

  2. A call to the Church: Embrace children with disabilities

    Directory of Open Access Journals (Sweden)

    Natalie Ann Flickner

    2015-01-01

    Full Text Available Children with Disabilities are one of the groups of children most in need globally. The author uses her personal story of growing up as a child with mild cerebral palsy to express her solidarity and highlight the multiple needs of children with disabilities around the world. These children should no longer be stigmatized by the world wide church but instead be embraced and ministered to in the name of Jesus.

  3. United States of America Department of Health and Human Services support for advancing influenza vaccine manufacturing in the developing world.

    Science.gov (United States)

    Perdue, Michael L; Bright, Rick A

    2011-07-01

    Since 2005, the Government of the United States of America has provided more than US$ 50 million to advance influenza vaccine development in low-resourced countries. This programme has provided a unique opportunity for the US Government to develop a comprehensive view of, and to understand better the challenges and future needs for influenza vaccines in the developing world. The funding for this programme has been primarily through a cooperative agreement with the World Health Organization (WHO) to support directly its capacity-building grants to government-owned or -supported vaccine manufacturers in developing countries. A second cooperative agreement with the Program for Appropriate Technologies in Health (PATH) was initiated to accelerate the completion of a current Good Manufacturing Practice cGMP production facility, along with supporting facilities to obtain a reliable source of eggs, and to conduct clinical trials of influenza vaccine manufactured in Vietnam. This mechanism of utilizing cooperative agreements to support capacity-building for vaccine development in low-resourced settings has been novel and unique and has yielded fruitful returns on minimal investment. The information derived from this programme helps to clarify not only the development challenges for influenza vaccines and how the United States may assist in meeting those challenges, but also other vaccine development issues common to manufacturers in developing countries. While building the initial capacity to produce influenza vaccines can be a straightforward exercise, the sustainability of the enterprise and expansion of subsequent markets will be the key to future usefulness. There is hope for expansion of the global influenza vaccine market. Ongoing burden of disease studies are elucidating the impact of influenza infections, particularly in children, and more countries will take note and respond accordingly, since respiratory diseases are now the number one killer of children under

  4. Countering war or embracing peace? Dialogues between regionalism and multilateralism in Latin America (1945-1954

    Directory of Open Access Journals (Sweden)

    Moreli Rocha, Alexandre L.

    2015-06-01

    Full Text Available Still an open debate, definitions about the beginning of the Cold War were even more ambiguous to actors at the time concerned with development and exit strategies for the Second World War. That was precisely the scenario to several Latin American leaders who, far from the Iron Curtain, were debating the rise of the UN system and of parliamentary diplomacy. Focusing on a multilateral strategy of action for the post-war international order, our work tries to put together the Pan-Latin, Pan-American and UN policies of Latin Americans since the Chapultepec Conference of February 1945 until the 1954 Conferences of Caracas, which fashioned the Organization of American States’ Cold War status, and of Madrid, which failed to consolidate the Latin Union.Todavía un debate en abierto en la historiografía, la definición sobre los marcos del principio de la Guerra Fría fue aún más ambigua para los actores involucrados en el conflicto bélico precedente y preocupados con el desarrollo y las salidas estratégicas posibles de la Segunda Guerra Mundial. Esta fue la realidad para varios líderes latinoamericanos que, lejos de la Cortina de Hierro, quedaban mucho más preocupados con el surgimiento del sistema de las Naciones Unidas y la diplomacia parlamentaria. Centrándose sobre las estrategias multilaterales para la orden internacional de la posguerra, nuestro trabajo pretende analizar las políticas Pan-Latinas, Pan Americanas y para las Naciones Unidas de la América Latina desde la Conferencia de Chapultepec, en febrero de 1945, hasta las Conferencias de 1954 de Caracas, que consolidó la Organización de los Estados Americanos en un contexto de Guerra Fría, y de Madrid, que no logró consolidar la Unión Latina.

  5. Characterization of fruit development and potential health benefits of arrayan (Luma apiculata), a native berry of South America.

    Science.gov (United States)

    Fuentes, Lida; Valdenegro, Mónika; Gómez, María-Graciela; Ayala-Raso, Aníbal; Quiroga, Evelyn; Martínez, Juan-Pablo; Vinet, Raúl; Caballero, Eduardo; Figueroa, Carlos R

    2016-04-01

    The arrayan berry (Luma apiculata) is a native fruit from South America that belongs to the Myrtaceae family. To elucidate and characterize the developmental process and the potential health benefits of this edible fruit, quality and physiological parameters, along with antioxidant capacity, were evaluated during four clearly defined developmental stages of the fruit in two seasons. Fruit firmness slowly decreases during fruit development, whereas the solid soluble content/titratable acidity ratio (SSC/TA) increases significantly in the final stages of development. The measurement of low respiration rates and low ethylene production during growth and ripening suggested that the arrayan berry should be classified as a non-climacteric fruit. Arrayan berries show a significant increase in their antioxidant capacity from small green to black ripe fruit. FRAP and TEAC assays showed high correlations with total polyphenolic content (TPC) during ripening and high antioxidant capacity at all fruit stages, showing greater values in ripe fruit (FRAP: 24 ± 2 and 28 ± 3 μM FeSO4/gFW; TEAC: 18 ± 2 and 20 ± 1 Eq. Trolox/gFW for each season, respectively) than those observed in the blueberry (FRAP: 10 ± 2 and 19 ± 3 μM FeSO4/gFW; TEAC: 10 ± 2 and 17 ± 3). In addition, bioactive assays using ripe fruit extracts show presence of flavonol and anthocyanins, a high ORAC value (62,500 ± 7000 μmol/gDW) and a concentration-dependent vascular protection under high glucose conditions. The results obtained show that these endemic berry fruits have a promising potential as functional food.

  6. Hispanic Latin America, Spain and the Spanish-speaking Caribbean: A rich source of reference material for public health, epidemiology and tropical medicine

    Directory of Open Access Journals (Sweden)

    Basáñez María-Gloria

    2008-09-01

    Full Text Available Abstract There is a multiplicity of journals originating in Spain and the Spanish-speaking countries of Latin America and the Caribbean (SSLAC in the health sciences of relevance to the fields of epidemiology and public health. While the subject matter of epidemiology in Spain shares many features with its neighbours in Western Europe, many aspects of epidemiology in Latin America are particular to that region. There are also distinctive theoretical and philosophical approaches to the study of epidemiology and public health arising from traditions such as the Latin American social medicine movement, of which there may be limited awareness. A number of online bibliographic databases are available which focus primarily on health sciences literature arising in Spain and Latin America, the most prominent being Literatura Latinoamericana en Ciencias de la Salud (LILACS and LATINDEX. Some such as LILACS also extensively index grey literature. As well as in Spanish, interfaces are provided in English and Portuguese. Abstracts of articles may also be provided in English with an increasing number of journals beginning to publish entire articles written in English. Free full text articles are becoming accessible, one of the most comprehensive sources being the Scientific Electronic Library Online (SciELO. There is thus an extensive range of literature originating in Spain and SSLAC freely identifiable and often accessible online, and with the potential to provide useful inputs to the study of epidemiology and public health provided that any reluctance to explore these resources can be overcome. In this article we provide an introduction to such resources.

  7. Embracing "Soft Skill" Diversity in the Workplace (Invited)

    Science.gov (United States)

    Thomas, T.

    2010-12-01

    Embracing "Soft Skill" Diversity in the Workplace Terri Thomas, Sr. Director Global Customer Support ShoreTel INRODUCTION Truly successful diversity programs go beyond gender, age, ethnicity, race, sexual orientation and spiritual practice. They include diversity of thought, style, leadership and communication styles, the so called “soft skills”. The increasing need for global workforces is stronger than ever and high performance teams have fully embraced, successfully harnessed and put into practice robust diversity programs than include a “soft skill” focus. Managing diversity presents significant organizational challenges, and is not an easy task, particularly in organizations that are heavily weighted with highly technical professionals such as engineers, accountants etc.. The focus of this presentation is on leveraging the “Soft Skills” diversity in technical work environments to create high performance and highly productive teams. WHY DIVERSITY and WHY NOW? Due to increasing changes in the U.S. population, in order to stay competitive, companies need to focus on diversity and look for ways to become inclusive organizations because diversity has the potential of yielding greater productivity and competitive advantages . Managing and valuing diversity is a key component of effective people management, which can improve workplace productivity (Black Enterprise, 2001). Changing demographics, from organizational restructuring, women in the workplace, equal opportunity legislation and other legal issues, are forcing organizations to become more aggressive in implementing robust diversity practices. However, YOU do not need to wait for your organization to introduce a formal “Diversity” program. There are steps you can take to introduce diversity into your own workgroups. There is no “one single answer” to solve this issue, however this discussion will provide thought provoking ideas, examples of success and failure and a starting point for you

  8. Rapid Spread of Zika Virus in The Americas--Implications for Public Health Preparedness for Mass Gatherings at the 2016 Brazil Olympic Games.

    Science.gov (United States)

    Petersen, Eskild; Wilson, Mary E; Touch, Sok; McCloskey, Brian; Mwaba, Peter; Bates, Matthew; Dar, Osman; Mattes, Frank; Kidd, Mike; Ippolito, Giuseppe; Azhar, Esam I; Zumla, Alimuddin

    2016-03-01

    Mass gatherings at major international sporting events put millions of international travelers and local host-country residents at risk of acquiring infectious diseases, including locally endemic infectious diseases. The mosquito-borne Zika virus (ZIKV) has recently aroused global attention due to its rapid spread since its first detection in May 2015 in Brazil to 22 other countries and other territories in the Americas. The ZIKV outbreak in Brazil, has also been associated with a significant rise in the number of babies born with microcephaly and neurological disorders, and has been declared a 'Global Emergency by the World Health Organization. This explosive spread of ZIKV in Brazil poses challenges for public health preparedness and surveillance for the Olympics and Paralympics which are due to be held in Rio De Janeiro in August, 2016. We review the epidemiology and clinical features of the current ZIKV outbreak in Brazil, highlight knowledge gaps, and review the public health implications of the current ZIKV outbreak in the Americas. We highlight the urgent need for a coordinated collaborative response for prevention and spread of infectious diseases with epidemic potential at mass gatherings events.

  9. Rapid Spread of Zika Virus in The Americas - Implications for Public Health Preparedness for Mass Gatherings at the 2016 Brazil Olympic Games

    Directory of Open Access Journals (Sweden)

    Eskild Petersen

    2016-03-01

    Full Text Available Mass gatherings at major international sporting events put millions of international travelers and local host-country residents at risk of acquiring infectious diseases, including locally endemic infectious diseases. The mosquito-borne Zika virus (ZIKV has recently aroused global attention due to its rapid spread since its first detection in May 2015 in Brazil to 22 other countries and other territories in the Americas. The ZIKV outbreak in Brazil, has also been associated with a significant rise in the number of babies born with microcephaly and neurological disorders, and has been declared a ‘Global Emergency by the World Health Organization. This explosive spread of ZIKV in Brazil poses challenges for public health preparedness and surveillance for the Olympics and Paralympics which are due to be held in Rio De Janeiro in August, 2016. We review the epidemiology and clinical features of the current ZIKV outbreak in Brazil, highlight knowledge gaps, and review the public health implications of the current ZIKV outbreak in the Americas. We highlight the urgent need for a coordinated collaborative response for prevention and spread of infectious diseases with epidemic potential at mass gatherings events.

  10. Capital social y promoción de la salud en América Latina Social capital and health promotion in Latin America

    Directory of Open Access Journals (Sweden)

    Jaime C Sapag

    2007-02-01

    Full Text Available América Latina enfrenta problemáticas de desarrollo y salud comunes. La equidad y la superación de la pobreza son cruciales en la búsqueda de soluciones integrales y de alto impacto. El artículo analiza el concepto de capital social, su relación con salud, sus limitaciones y potencialidades, desde una perspectiva de desarrollo comunitario y promoción de salud en América Latina. También, se identifican desafíos prioritarios, como la medición y fortalecimiento del capital social. Se discute cómo y por qué el capital social pudiera ser crítico en una estrategia global de promoción de la salud, donde el empoderamiento y la participación comunitaria, el trabajo interdisciplinario e intersectorial permitirían avanzar en los objetivos de salud pública y en la concreción de un cambio social sustentable. Igualmente, se identifican algunas de las potenciales limitaciones del concepto de capital social en el contexto de promoción de la salud en América Latina.Latin America faces common development and health problems and equity and overcoming poverty are crucial in the search for comprehensive and high impact solutions. The article analyzes the definition of social capital, its relationship with health, its limitations and potentialities from a perspective of community development and health promotion in Latin America. High-priority challenges are also identified as well as possible ways to better measure and to strengthen social capital. Particularly, it is discussed how and why social capital may be critical in a global health promotion strategy, where empowerment and community participation, interdisciplinary and intersectorial work would help to achieve Public Health aims and a sustainable positive change for the global development. Also, some potential limitations of the social capital concept in the context of health promotion in Latin America are identified.

  11. Status and progress of family health in Latin America and the Caribbean: the Ibero-American Confederation of Family Medicine (ICPM perspective

    Directory of Open Access Journals (Sweden)

    María Inez Padula Anderson

    2013-01-01

    Full Text Available In the XXI century, much of humanity does not have access to comprehensive health care, or even basic equitable health care. If studies show that countries with organized health systems based on a qualified and inclusive model of Primary Health Care (PHC and family physicians as permanent staff are achieving unquestionable results, why a large part of the countries with lower socio-economic development have not committed strongly to implement an efficient reform of their health systems based on PHC and family medicine (FM? These issues are at the core of the Latin American Confederation of Family Medicine’s concerns, an international non-profit organization composed of national associations of countries of FM from Latin America, Spain and Portugal. Its primary mission is to drive the implementation of a proper PHC system in all countries of the region and to ensure that family medicine, as a specialty, is considered critical to health systems, thereby transforming it into a public policy.

  12. The reality of the management of mental health services in Latin America, reflexions from the perspective of a vision of strategic planning.

    Science.gov (United States)

    Robles, Enrique Camarena; Belfort, Edgard G

    2010-01-01

    The history of mental health services in Latin America, has been influenced by public policies derived from governments in turn, in each one of the countries of the region. As much in the definition of these public policies, as in the resource allocation, the rule has been inconsistency and indifference. The few results have been dependent on the decision of one or just a few people who were able to make decisions in local and regional Latin American governments. A brief analysis regarding the role and transformation of psychiatric hospitals can be found in this article, also of the workers attitudes and ideology, as well as the importance of developing better mental health professionals with knowledge of public administration and particularly in well-known strategies such as strategic planning.

  13. The Pan American Health Organization's role and perspectives on the mapping and modeling of the neglected tropical diseases in Latin America and the Caribbean: an overview.

    Science.gov (United States)

    Ault, Steven K; Nicholls, Ruben Santiago; Saboya, Martha IdaIí

    2012-09-01

    The Pan American Health Organization (PAHO), which functions as the regional office for the Americas of the World Health Organization, is committed to provide technical cooperation to countries to update the epidemiological information available for mapping and modelling of the neglected tropical diseases (NTDs), a set of diseases mainly caused by parasites affecting people living in low socioeconomic and favourable environmental conditions. This communication discusses PAHO's role and perspectives in the use of mapping and modelling of these diseases with a view to promote its use in the development and implementation of integrated, inter-programmatic and inter-sectoral plans for the prevention, control or elimination of the NTDs and other infectious diseases related to poverty.

  14. The Pan American Health Organization’s role and perspectives on the mapping and modeling of the neglected tropical diseases in Latin America and the Caribbean: an overview

    Directory of Open Access Journals (Sweden)

    Steven K. Ault

    2012-09-01

    Full Text Available The Pan American Health Organization (PAHO, which functions as the regional office for the Americas of the World Health Organization, is committed to provide technical cooperation to countries to update the epidemiological information available for mapping and modelling of the neglected tropical diseases (NTDs, a set of diseases mainly caused by parasites affecting people living in low socioeconomic and favourable environmental conditions. This communication discusses PAHO’s role and perspectives in the use of mapping and modelling of these diseases with a view to promote its use in the development and implementation of integrated, inter-programmatic and inter-sectoral plans for the prevention, control or elimination of the NTDs and other infectious diseases related to poverty.

  15. Structural Vulnerability Among Migrating Women and Children Fleeing Central America and Mexico: The Public Health Impact of “Humanitarian Parole”

    Science.gov (United States)

    Valdez, Elizabeth Salerno; Valdez, Luis A.; Sabo, Samantha

    2015-01-01

    Since October 2013, US Customs and Border Patrol has apprehended 15,979 families on the Southwest Border of the US. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project helping hands (PHHs) utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here, we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency. These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US–Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing population. PMID:26157791

  16. Challenges faced in Latin America for the implementation of an ideal health-care model for rheumatoid arthritis patients: are we ready?

    Science.gov (United States)

    Rodríguez Jaillier, Juan Carlos; Posada Arango, Ana María; Martínez Pérez, David Antonio

    2015-03-01

    Rheumatoid arthritis (RA) is a chronic, inflammatory, progressive disease characterized by inflammation of the synovial tissue. It results in the severe functional deterioration of the joints involved and the incapacity to work. Our main aim is to determine the characteristics of the current health-care models used in treating rheumatoid arthritis patients in Latin America. We want to analyze the details, using them as the foundation to create an ideal health-care model that is focused on the patient. We have revised documents, including guides to clinical practice, monitoring models and health-care models according to the current policies and resources available in various Latin American countries. Based on this information, the qualities and deficiencies of the current models will be analyzed, in order to use this as a basis on which to construct a proposed health-care model that covers the specific needs of rheumatoid arthritis patients, considering the resources of each population. Despite the collapse seen in many health systems throughout history, we can learn from them and should develop a new model starting from the path pursued, capitalizing on our experiences, teachings, and errors committed. However, in most cases, the obstacles to the success of the systems do not lie in the fundamental structure or the "spirit of the legislator" but rather in the day-to-day development within the community and the special interest of each agent in a system.

  17. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg

    2010-12-31

    IBACOS researched the constructability and viability issues of using high performance windows as one component of a larger approach to building houses that achieve the Building America 70% energy savings target.

  18. Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications

    Directory of Open Access Journals (Sweden)

    Rory Johnston

    2016-11-01

    Full Text Available Background: Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector. Objective: To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications. Design: In-depth, semi-structured interviews were conducted in Mexico, Guatemala, and Barbados with 150 health system stakeholders. Participants were recruited from private and public sectors working in various fields: trade and economic development, health services delivery, training and administration, and civil society. Transcribed interviews were coded using qualitative data management software, and thematic analysis was used to identify cross-cutting issues regarding the drivers and inhibitors of medical tourism development. Results: Four common drivers of medical tourism development were identified: 1 unused capacity in existing private hospitals, 2 international portability of health insurance, vis-a-vis international hospital accreditation, 3 internationally trained physicians as both marketable assets and industry entrepreneurs, and 4 promotion of medical tourism by public export development corporations. Three common inhibitors for the development of the sector were also identified: 1 the high expense of market entry, 2 poor sector-wide planning, and 3 structural socio-economic issues such as insecurity or relatively high business costs and financial risks. Conclusion: There are shared factors shaping the development of medical tourism in Central America and the Caribbean that help explain why it is being pursued by many hospitals and governments in the region. Development of the sector is primarily being driven by public

  19. Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications

    Science.gov (United States)

    Johnston, Rory; Crooks, Valorie A.; Cerón, Alejandro; Labonté, Ronald; Snyder, Jeremy; Núñez, Emanuel O.; Flores, Walter G.

    2016-01-01

    Background Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector. Objective To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications. Design In-depth, semi-structured interviews were conducted in Mexico, Guatemala, and Barbados with 150 health system stakeholders. Participants were recruited from private and public sectors working in various fields: trade and economic development, health services delivery, training and administration, and civil society. Transcribed interviews were coded using qualitative data management software, and thematic analysis was used to identify cross-cutting issues regarding the drivers and inhibitors of medical tourism development. Results Four common drivers of medical tourism development were identified: 1) unused capacity in existing private hospitals, 2) international portability of health insurance, vis-a-vis international hospital accreditation, 3) internationally trained physicians as both marketable assets and industry entrepreneurs, and 4) promotion of medical tourism by public export development corporations. Three common inhibitors for the development of the sector were also identified: 1) the high expense of market entry, 2) poor sector-wide planning, and 3) structural socio-economic issues such as insecurity or relatively high business costs and financial risks. Conclusion There are shared factors shaping the development of medical tourism in Central America and the Caribbean that help explain why it is being pursued by many hospitals and governments in the region. Development of the sector is primarily being driven by public investment promotion

  20. Health and Ethical Consequences of Outsourcing Pivotal Clinical Trials to Latin America: A Cross-Sectional, Descriptive Study

    Science.gov (United States)

    Homedes, Núria; Ugalde, Antonio

    2016-01-01

    Introduction The implications of conducting clinical trials in low and middle income countries on the financial accessibility and safety of the pharmaceutical products available in those markets have not been studied. Regulatory practices and ethical declarations lead to the commercialization of the new products, referred to as New Molecular Entities (NMEs), in the countries where tested as soon as they are approved in high surveillance countries. Patients and patients’ associations use the Latin American courts to access new and expensive treatments, regardless of their safety profile and therapeutic value. Design and Objectives Cross-sectional, descriptive study. To determine the therapeutic value and safety profile of the NMEs approved by the Food and Drug Administration (FDA) in 2011 and 2012 that had been tested in Latin America, and the implications of their market approval for the pharmaceutical budgets in the countries where tested. Setting Latin America. Measures To assess the therapeutic value and safety of the NMEs commercialized in the different countries we used f independent drug bulletins. The prices of the NMEs for the consumers were obtained from the pharmaceutical price observatories of the countries were the medicines had been tested. If the price was not available in the observatories, it was obtained from pharmaceutical distributors. We used the countries’ minimum wage and per capita income to calculate the financial accessibility of a course of treatment with the NMEs. Results We found that 33 NMEs approved by the FDA in 2011 and 2012 have been tested in Latin America. Of these, 26 had been evaluated by independent drug bulletins and only five were found to add some value to a subset of patients and had significant side-effects. The pharmaceutical prices were very high, varied widely across countries and were unrelated to the countries’ income per capita or minimum wage. Conclusion The implementation of clinical trials in Latin America

  1. Prevention, control, and elimination of neglected diseases in the Americas: Pathways to integrated, inter-programmatic, inter-sectoral action for health and development

    Directory of Open Access Journals (Sweden)

    Genovese Miguel A

    2007-01-01

    Full Text Available Abstract Background In the Latin America and Caribbean region over 210 million people live below the poverty line. These impoverished and marginalized populations are heavily burdened with neglected communicable diseases. These diseases continue to enact a toll, not only on families and communities, but on the economically constrained countries themselves. Discussion As national public health priorities, neglected communicable diseases typically maintain a low profile and are often left out when public health agendas are formulated. While many of the neglected diseases do not directly cause high rates of mortality, they contribute to an enormous rate of morbidity and a drastic reduction in income for the most poverty-stricken families and communities. The persistence of this "vicious cycle" between poverty and poor health demonstrates the importance of linking the activities of the health sector with those of other sectors such as education, housing, water and sanitation, labor, public works, transportation, agriculture, industry, and economic development. Summary The purpose of this paper is three fold. First, it focuses on a need for integrated "pro-poor" approaches and policies to be developed in order to more adequately address the multi-faceted nature of neglected diseases. This represents a move away from traditional disease-centered approaches to a holistic approach that looks at the overarching causes and mechanisms that influence the health and well being of communities. The second objective of the paper outlines the need for a specific strategy for addressing these diseases and offers several programmatic entry points in the context of broad public health measures involving multiple sectors. Finally, the paper presents several current Pan American Health Organization and other institutional initiatives that already document the importance of integrated, inter-programmatic, and inter-sectoral approaches. They provide the framework for a

  2. Genero y politicas de salud de la mujer en america latina: caso Perú (Parte I Gender and woman's health politics in Latino America: the case of the Peru

    Directory of Open Access Journals (Sweden)

    Marina Violeta Estrada Pérez de Martos

    1996-04-01

    Full Text Available En este estudio se hace una presentación y análisis de la problemática de la mujer, considerando su condición social, de acuerdo a la ideologia androcentrista en la sociedad. Se hace una breve evolución histórica de la mujer bajo el recorte analítico de género. De otro lado, se analiza las políticas públicas y de salud de la mujer en América Latina, especialmente en el Perú, desde el Incanato, explicando las, razones de la formulación e implantación del Programa de Planificación Familiar y del Programa de Atención Materno Infantil.This study includes a presentation and analysis about the woman's problematic. It considers the woman social condition concording to the androgynors ideology of the society. Briefly it presents a historical evolution of the woman in accord with the gender analysis. On the other hand, it presents too, an analysis of the health and the public politics in relation to the woman in Latin America, mainly in Peru, since the Incanato period, justifying the motives of the formulation and implementation of the Family Planning Program, the Responsable Paternity Program and Child and Mother Atention Program.

  3. Genero y politicas de salud de la mujer en America Latina: caso Perú (parte II Gender and woman's health politics in Latino America: the case of the Peru

    Directory of Open Access Journals (Sweden)

    Marina Violeta Estrada Pérez de Martos

    1996-08-01

    Full Text Available En este estudio se hace una presentación y análisis de la problemática de la mujer, considerando su condición social, de acuerdo a la ideologia androcentrista en la sociedad. Se hace una breve evolución histórica de la mujer bafo el recorte analítico de género. Se analiza las políticas públicas y de salud de la mujer en América Latina, especialmente en el Perú, desde el Incanato, explicando las razones de la formulación e implantación del Programa de Planificación Familiar y del Programa de Atención Materno Infantil.Finalmente, se resalta la importancia de considerar proyectos, programas y políticas de salud que no sean excluyentes y que no se refieran solamente al aspecto reproductivo biológico de la mujer.This study includes a presentation and analysis about the woman's problematic. It considers the woman social condition concording to the androgynors ideology of the society. Briefly it presents a historical evolution of the woman in accord with the gender analysis. It presents too, an analysis of the health and the public politics in relation to the woman in Latin America, mainly in Peru, since the Incanato period, justifying the motives of the formulation and implementation of the Family Planning Program, the Responsable Paternity Program and Child and Mother Atention Program. Finally, this study considers the importance of integral projects, programs and health politics and not only considering the women's reproduction.

  4. Mental health in sexual minorities: recent indicators, trends, and their relationships to place in North America and Europe.

    Science.gov (United States)

    Lewis, Nathaniel M

    2009-12-01

    This meta-analysis featuring 12 national adult studies and 16 state/regional youth studies of sexuality and mental health finds that sexual minorities--as a likely consequence of place-contingent minority stress--experience mental health outcomes such as depression, anxiety, and suicide ideation much more frequently than their heterosexual counterparts. By interrogating the geographic variations in the findings, such as high rates of poor mental health outcomes in the United Kingdom, large gay-heterosexual disparities in the Netherlands, and lower and improving rates of both outcomes and risk factors in Vermont and British Columbia, this study asserts that policy regimes, health programming, and the ways in which sexual minorities are constructed in places all contribute to their mental health.

  5. An overview of cancer survival in Africa, Asia, the Caribbean and Central America: the case for investment in cancer health services.

    Science.gov (United States)

    Sankaranarayanan, R; Swaminathan, R; Jayant, K; Brenner, H

    2011-01-01

    Population-based cancer survival data, a key indicator for monitoring progress against cancer, are reported from 27 population-based cancer registries in 14 countries in Africa, Asia, the Caribbean and Central America. In China, Singapore, the Republic of Korea, and Turkey, the 5-year age-standardized relative survival ranged from 76-82% for breast, 63-79% for cervical, 71-78% for bladder, and 44-60% for large-bowel cancer. Survival did not exceed 22% for any cancer site in The Gambia, or 13% for any cancer site except breast (46%) in Uganda. For localized cancers of the breast, large bowel, larynx, ovary, urinary bladder and for regional diseases at all sites, higher survival rates were observed in countries with more rather than less developed health services. Inter- and intra-country variations in survival imply that the levels of development of health services and their efficiency to provide early diagnosis, treatment and clinical follow-up care have a profound impact on survival from cancer. These are reliable baseline summary estimates to evaluate improvements in cancer control and emphasise the need for urgent investment to improve awareness, population-based cancer registration, early detection programmes, health-services infrastructure, and human resources in these countries in the future.

  6. Health problems awareness during travel among faculty members of a large university in Latin America: preliminary report

    Directory of Open Access Journals (Sweden)

    Ana Cristina Nakamura Tome

    2013-02-01

    Full Text Available Health safety during trips is based on previous counseling, vaccination and prevention of infections, previous diseases or specific problems related to the destination. Our aim was to assess two aspects, incidence of health problems related to travel and the traveler's awareness of health safety. To this end we phone-interviewed faculty members of a large public University, randomly selected from humanities, engineering and health schools. Out of 520 attempts, we were able to contact 67 (12.9% and 46 (68.6% agreed to participate in the study. There was a large male proportion (37/44, 84.1%, mature adults mostly in their forties and fifties (32/44, 72.7%, all of them with higher education, as you would expect of faculty members. Most described themselves as being sedentary or as taking occasional exercise, with only 15.9% (7/44 taking regular exercise. Preexisting diseases were reported by 15 travelers. Most trips lasted usually one week or less. Duration of the travel was related to the destination, with (12h or longer trips being taken by 68.2% (30/44 of travelers, and the others taking shorter (3h domestic trips. Most travelling was made by air (41/44 and only 31.8% (14/44 of the trips were motivated by leisure. Field research trips were not reported. Specific health counseling previous to travel was reported only by two (4.5%. Twenty seven of them (61.4% reported updated immunization, but 11/30 reported unchecked immunizations. 30% (9/30 reported travel without any health insurance coverage. As a whole group, 6 (13.6% travelers reported at least one health problem attributed to the trip. All of them were males travelling abroad. Five presented respiratory infections, such as influenza and common cold, one neurological, one orthopedic, one social and one hypertension. There were no gender differences regarding age groups, destination, type of transport, previous health counseling, leisure travel motivation or pre-existing diseases

  7. Health problems awareness during travel among faculty members of a large university in Latin America: preliminary report.

    Science.gov (United States)

    Tome, Ana Cristina Nakamura; Canello, Thaís Brandi; Luna, Expedito José de Albuquerque; Andrade Junior, Heitor Franco de

    2013-01-01

    Health safety during trips is based on previous counseling, vaccination and prevention of infections, previous diseases or specific problems related to the destination. Our aim was to assess two aspects, incidence of health problems related to travel and the traveler's awareness of health safety. To this end we phone-interviewed faculty members of a large public University, randomly selected from humanities, engineering and health schools. Out of 520 attempts, we were able to contact 67 (12.9%) and 46 (68.6%) agreed to participate in the study. There was a large male proportion (37/44, 84.1%), mature adults mostly in their forties and fifties (32/44, 72.7%), all of them with higher education, as you would expect of faculty members. Most described themselves as being sedentary or as taking occasional exercise, with only 15.9% (7/44) taking regular exercise. Preexisting diseases were reported by 15 travelers. Most trips lasted usually one week or less. Duration of the travel was related to the destination, with (12h) or longer trips being taken by 68.2% (30/44) of travelers, and the others taking shorter (3h) domestic trips. Most travelling was made by air (41/44) and only 31.8% (14/44) of the trips were motivated by leisure. Field research trips were not reported. Specific health counseling previous to travel was reported only by two (4.5%). Twenty seven of them (61.4%) reported updated immunization, but 11/30 reported unchecked immunizations. 30% (9/30) reported travel without any health insurance coverage. As a whole group, 6 (13.6%) travelers reported at least one health problem attributed to the trip. All of them were males travelling abroad. Five presented respiratory infections, such as influenza and common cold, one neurological, one orthopedic, one social and one hypertension. There were no gender differences regarding age groups, destination, type of transport, previous health counseling, leisure travel motivation or pre-existing diseases. Interestingly

  8. Scream-embrace displays in wild black-horned capuchin monkeys.

    Science.gov (United States)

    Lynch Alfaro, Jessica

    2008-06-01

    Reintroduction of capuchin monkeys (Cebus apella) into their social group in captivity can elicit sirena screams and embraces. Captive scream-embrace displays are male biased, and females never perform sirena screams. One hypothesis is that scream-embrace displays serve a tension-reduction or reconciliatory function between males with conflicting interests. Alternatively, these displays may function to maintain strong affiliative bonds between friendly male dyads. Scream and/or embrace displays in wild Brazilian black-horned capuchins were analyzed for social and ecological contexts, behavioral components, and individuals involved. Seventy-two displays were observed during the 199-day study period. Among the 66 displays for which both members could be identified by sex, there were 42 occurrences of male-male dyads, 17 of male-female dyads, and seven of female-female dyads. Scream-embrace dyads were male-male pairs significantly more often than expected from group membership, and the alpha male was the only male to engage in scream-embrace displays with females. Female-female pairs did embrace, but never emitted sirena screams. Displays most commonly occurred in "reunion" contexts, primarily the reuniting of subgroups after hours or days out of contact, but also after intergroup encounters, and across groups in "intergroup" displays. Displays were rare, but socially contagious, and subgroup reunions could elicit multiple displays in rapid succession. Although the occurrence of screams and embraces was positively correlated, both behaviors also occurred independently, and their functions may be different. Male sirena screams may be honest advertisements of united alliances, directed toward a third party, whereas the embrace may be a risky affiliative signal, directed primarily within the dyad.

  9. Textbook America.

    Science.gov (United States)

    Karp, Walter

    1980-01-01

    Focuses on how political attitudes have been influenced by American history textbooks at various times throughout history. Excerpts from traditional and revisionist textbooks are presented, with emphasis on "America Revised" by Frances FitzGerald. Journal available from Harper's Magazine Co., 2 Park Ave., New York, NY 10016. (DB)

  10. Health-hazard evaluation report HETA 86-273-1928, Mid-America Dairymen, Inc. , Monett, Missouri

    Energy Technology Data Exchange (ETDEWEB)

    Burr, G.A.; Cantor, F.L.; Anastas, M.Y.

    1988-09-01

    In response to a request from management at Mid-America Dairymen, Inc., located in Monett, Missouri, an evaluation was made of possible hazardous working conditions at this site. Five workers had become ill with respiratory complaints between August of 1985 and March of 1986. Symptoms included dry cough, chest tightness, fatigue, shortness of breath, and weight loss. Of six full-time employees in the electrodialysis (ED) stack maintenance department, four were diagnosed with hypersensitivity pneumonitis (HP). One worker among 12 in the cheese finishing department was diagnosed with asthma. The two-story facility employs about 75 workers in the production of cheese curd, whey protein, and powdered milk. The study was not able to identify a specific agent or antigen responsible for the illnesses; however, there was a clear association in time and place between cleaning stacks of electrodialysis membranes and the HP in four workers diagnosed with the disease. Stacks of ED membranes waiting to be cleaned can provide an ideal growth medium for microbiological species. The authors recommend that engineering and work practice changes be introduced.

  11. Geografía y salud: temas y perspectivas en América Latina Geography and health: themes and perspectives in Latin America

    Directory of Open Access Journals (Sweden)

    Luisa Iñiguez Rojas

    1998-10-01

    Full Text Available Las relaciones entre la geografía y la salud fueron reconocidas desde la Antiguedad. Esfuerzos aislados e inconstantes caracterizan la investigación de estas relaciones. El presente artículo tiene como objetivo una exploración de las potencialidades de articulación del referencial teórico y metodológico de la geografía en el conocimiento y la interpretación de la salud de la población. Aborda los antecedentes de la geografía médica o de la salud, la utilización del marco teórico-metodológico del espacio geográfico, e identifica las alternativas para su operacionalización. Por último son colocadas algunas reflexiones acerca del desarrollo actual de las relaciones entre la geografía y la salud en América Latina, así como las alternativas de su desarrollo.Relations between geography and health have been recognized since ancient times. Investigation of such relations has been characterized by isolated and scant efforts. This article aims to explore potential links between geography's theoretical and methodological frame of reference and knowledge and interpretation of the population's health. It approaches the antecedents of medical or health-related geography and the use of the theoretical and methodological framework of geographic space, as well as identifying alternatives for its implementation. Finally, it raises several points relating to current development in the relations between geography and health in Latin America, as well as alternatives for such development.

  12. Health-information needs of HIV-positive adults in Latin America and the Caribbean: an integrative review of the literature.

    Science.gov (United States)

    Stonbraker, Samantha; Larson, Elaine

    2016-10-01

    An assessment of information needs is essential for care planning for patients living with chronic diseases such as human immunodeficiency virus (HIV). The extent to which these assessments have been conducted in Latin America and the Caribbean (LAC) is unknown. The purpose of this study was, therefore, to identify, evaluate, and summarize what research has been conducted to examine patient perceptions of their health-information needs among adults living with HIV in LAC. Using an integrative review methodology, a literature search of six databases was conducted in April and May 2015. Inclusion criteria were peer-reviewed articles published in English or Spanish that assessed the information needs of HIV-positive patients living in LAC. The quality of included articles was assessed and relevant characteristics of each article were extracted, compared, and presented. Searches returned 1885 citations, 11 of which met inclusion criteria. Studies included were conducted in 8 of 33 countries, used multiple research designs, demonstrated varying needs between populations, and found numerous unmet information needs. Information about HIV in general, methods of infection transmission, antiretroviral medications, other sexually transmitted diseases, and effective coping mechanisms were the most commonly mentioned needs. Healthcare providers were the largest and most reliable source of health information for many participants and it was emphasized that in order for health education to be effective, programs should include both individual and group components. Patients indicated that they may have difficulty processing and using information through an incorrect understanding of medications, not changing risk behaviors, and by stating that information can be overwhelming or poorly communicated. Further research on information needs is warranted so that healthcare providers and organizations may provide the information patients need to appropriately manage their health.

  13. Should we stop looking for common grounds and start embracing our differences?

    DEFF Research Database (Denmark)

    Thomassen, Mette Lindahl

    2015-01-01

    Should we stop looking for common grounds and start embracing our differences? - Entrepreneurship education in an Engineering context Questions we care about: The paper is centered around the question “Should we stop looking for common grounds and start embracing our differences? “. It is fundame......Should we stop looking for common grounds and start embracing our differences? - Entrepreneurship education in an Engineering context Questions we care about: The paper is centered around the question “Should we stop looking for common grounds and start embracing our differences...... the research 3 questions rises: 1:”What do educators need to customize, the pedagogy, didactics and/or methods of entrepreneurship education?” 2: “How can the learning process be truly mean driven when the course is graded? “3: “Is there a gap between the didactic methodologies applied in the generic...

  14. Comparison of dental education and professional development between mainland China and North America.

    Science.gov (United States)

    Wu, Z Y; Zhang, Z Y; Jiang, X Q; Guo, L

    2010-05-01

    Different educational and professional developments within the dental field create different sets of missions, norms, and practices regarding dental diseases and their appropriate treatment. This review has addressed differences in dental education and professional development between mainland China and North America. Many factors influence the choice of model and it is very difficult to predict which model will become predominant. However, there is growing sentiment that the independent faculty model in North America is logical and superior to the model, which 'integrates' dental and medical education in mainland China. Many North America dental schools place a high priority on preclinical and clinical training in the curriculum in order to expose students to patient oral health needs and systemic dental problems much earlier than in mainland China. North America dental schools promote and embrace students self-learning skills by the use of PBL, CRL, and TRAD education methodologies and new e-based technologies and approaches whereby students learn rather than are taught. In mainland China, the traditional lecture-based format is still employed in the majority of dental schools; however, strategies to enhance students self-learning skills is increasingly utilised in most well-known Chinese dental schools. The Chinese dental education model, which treats dentistry as a sub-specialty of medicine, has brought about fundamental differences, with the dentist functioning essentially as a stomatologist. For example, China has built up a large oral and maxillofacial surgery society, and craniofacial surgery is performed to a much broader extent by Chinese dentists than by most North American counterparts. In North America, dentists engage in full-time work, attend continuing training/education programmes, belong to an association, gain legal status, and construct a code of ethics emphasising the quality of care delivered to the public. Currently, continuing dental

  15. Postdoctoral Education in Dentistry: Preparing Dental Practitioners To Meet the Oral Health Needs of America in the 21st Century.

    Science.gov (United States)

    Glassman, Paul; Meyerowitz, Cyril

    1999-01-01

    Reviews the history of postdoctoral programs in dentistry and medicine, focusing on postdoctoral general dentistry education, and describes the changing health-care environment in which future dental professionals will practice, relating the dental postdoctoral experience to that in medicine. A strategy is presented to prepare dental practitioners…

  16. Costs and health effects of breast cancer interventions in epidemiologically different regions of Africa, North America, and Asia.

    NARCIS (Netherlands)

    Groot, M.T.; Baltussen, R.M.P.M.; Groot, C.A. de; Anderson, B.O.; Hortobagyi, G.N.

    2006-01-01

    We estimated the costs and health effects of treating stage I, II, III, and IV breast cancer individually, of treating all stages, and of introducing an extensive cancer control program (treating all stages plus early stage diagnosis) in three epidemiologically different world regions--Africa, North

  17. "This is How We Live, This is How We Die:" Social Stratification, Aging, and Health in Urban America

    OpenAIRE

    Abramson, Corey Michael

    2012-01-01

    From our first breath in the hospital to the day we die, we live in a society characterized by unequal opportunities for maintaining health and taking care of ourselves when ill. These disparities reflect persistent racial, socio-economic, and gender-based inequalities and contribute to their persistence over time. Social scientists have established that gaps in access to information, uneven material resources, unequal treatment in medical institutions, and differences in interpersonal networ...

  18. Sustaining and expanding systems of care to provide mental health services for children, youth and families across America.

    Science.gov (United States)

    Miller, Bethany D; Blau, Gary M; Christopher, Okori T; Jordan, Phillip E

    2012-06-01

    The Substance Abuse and Mental Health Services Administration has been instrumental in supporting the development and implementation of systems of care to provide services to children and youth with serious mental health conditions and their families. Since 1993, 173 grants have been awarded to communities in all 50 states, Puerto Rico, Guam, the District of Columbia, and 21 American Indian/Alaska Native communities. The system of care principles of creating comprehensive, individualized services, family-driven and youth-guided care and cultural and linguistic competence, supported by a well-trained and competent workforce, have been successful in transforming the field of children's mental health and facilitating the integration of child-serving systems. This approach has achieved positive outcomes at the child and family, practice and system levels, and numerous articles have been published using data collected from system of care communities, demonstrating the effectiveness of this framework. This article will describe lessons learned from implementing the system of care approach, and will discuss the importance of expanding and sustaining systems of care across the country.

  19. Rupture, resilience, and risk: relationships between mental health and migration among gay-identified men in North America.

    Science.gov (United States)

    Lewis, Nathaniel M

    2014-05-01

    An established body of research in psychology, psychiatry and epidemiology links social stigma and stress with poor mental and sexual health outcomes among gay-identified men. Less work considers how these linkages are mediated by place and almost none considers the role of movement across places. This qualitative study, based on the migration narratives of 48 gay-identified men living in Ottawa, Ontario, Canada, and Washington, D.C., U.S.A. gives more careful consideration to the ways in which mental and emotional health issues (e.g., anxiety, depression, substance use) in this population both precipitate migration and stem from migration. The narratives show that decisions to migrate often emerge from men׳s experiences of place-based minority stress and associated health outcomes. At the same time, moving to urban gay communities, when coupled with other life circumstances, can create or reinforce physical and emotional insecurities that lead to low self-esteem, substance use and sexual risk-taking.

  20. Neglected diseases of neglected populations: Thinking to reshape the determinants of health in Latin America and the Caribbean

    Directory of Open Access Journals (Sweden)

    Ault Steven K

    2005-11-01

    Full Text Available Abstract Background People living in poverty throughout the developing world are heavily burdened with neglected communicable diseases and often marginalized by the health sector. These diseases are currently referred to as Neglected Diseases of Neglected Populations. The neglected diseases create social and financial burdens to the individual, the family, the community, and the nation. Discussion Numerous studies of successful individual interventions to manage communicable disease determinants in various types of communities have been published, but few have applied multiple interventions in an integrated, coordinated manner. We have identified a series of successful interventions and developed three hypothetical scenarios where such interventions could be applied in an integrated, multi-disease, inter-programmatic, and/or inter-sectoral approach for prevention and control of neglected diseases in three different populations: a slum, an indigenous community, and a city with a mix of populations. Summary The objective of this paper is to identify new opportunities to address neglected diseases, improve community health and promote sustainable development in neglected populations by highlighting examples of key risk and protective factors for neglected diseases which can be managed and implemented through multi-disease-based, integrated, inter-programmatic, and/or inter-sectoral approaches. Based on a literature review, analysis and development of scenarios we visualize how multiple interventions could manage multiple disease problems and propose these as possible strategies to be tested. We seek to stimulate intra- and inter-sectoral dialogue which will help in the construction of new strategies for neglected diseases (particularly for the parasitic diseases which could benefit the poor and marginalized based on the principle of sustainability and understanding of key determinants of health, and lead to the establishment of pilot projects and

  1. Role of PAHO/WHO in eHealth Capacity Building in the Americas: Analysis of the 2011-2015 period.

    Science.gov (United States)

    Novillo-Ortiz, David; D'Agostino, Marcelo; Becerra-Posada, Francisco

    2016-08-01

    Political will and adoption of measures toward the use of eHealth have been steadily increasing, facilitating mobilization of resources necessary to adopt and implement digital services that will make it possible to improve access, expand coverage, and increase financial efficiency of health care systems. Adoption of the Strategy and Plan of Action on eHealth of the Pan American Health Organization (PAHO) in 2011 by all Member States in the Region of the Americas has led the Region to major progress in this regard, including the following: creation of knowledge networks and development of information sources, establishment of eHealth sustainability models, support for development of electronic health records, promotion of standards on health data and related technologies that ensure exchange of information, use of mobile devices to improve health, and improvement in quality of care through telemedicine. This article details the main actions carried out by PAHO with regard to eHealth, specifically by the office of Knowledge Management, Bioethics, and Research in the 2011-2015 period (first period of implementation of the PAHO eHealth strategy and plan of action), which include research and capacity-building activities, development of technical guidelines, and formation of knowledge networks. RESUMEN La voluntad política y la adopción de medidas en relación con el uso de la eSalud han ido en aumento de forma constante, favoreciendo la movilización de los recursos necesarios a fin de adoptar y poner en marcha servicios digitales que permitan mejorar el acceso, ampliar la cobertura y aumentar la eficiencia financiera de los sistemas de atención de salud. Con la aprobación de la Estrategia y Plan de Acción de eSalud de la Organización Panamericana de la Salud (OPS) en 2011 por todos los Estados Miembros de la Región de las Américas, se han realizado importantes avances a este respecto en la Región, entre los que se destacan: la creación de redes de

  2. Embracing a Full Spectrum Definition of Art Therapy

    Science.gov (United States)

    Spooner, Heather

    2016-01-01

    In this viewpoint the author makes a case for developing a clear and concise definition of art therapy that can easily be adopted by art therapists working across a spectrum of theoretical frameworks. The reader is asked to widen the lens through which art therapy is defined by considering its influence on society, the mind, health, and behavior.…

  3. Improving the quality of health care in the United States of America: the need for a multi-level approach.

    Science.gov (United States)

    Mechanic, David

    2002-07-01

    Serious efforts to address quality require coordinated, multi-faceted, multi-level strategies that address the organisational environments and cultures that affect how care is provided. Most efforts over the past 50 years to improve the care provided by physicians and other clinicians have been individually rather than system based. Such individual interventions to modify physician behaviour typically have only modest effects whether considering the recognition and treatment of depression in primary care, following established practice guidelines, carrying out preventive interventions, monitoring and managing chronic illness appropriately, or managing pain and end-of-life care. It is increasingly recognised that quality of care is a property of health systems. Internal efforts to shape clinical routines, such as performance incentives and disease-management approaches, and external inducements and constraints that shape how clinical contexts are organised and function are equally relevant. Internal factors include the skills training of clinical personnel, organisational procedures and mechanisms to coordinate care and prevent errors, implementation of best practices, effective use of informational technologies and appropriate incentives. External factors include broader financial and reimbursement mechanisms, regulatory arrangements that protect access and patient rights in situations of vulnerability and performance-based contracts. The mobilisation of effective advocacy, independent and non-profit statutory watchdog organisations, and good consumer information can facilitate and reinforce quality efforts. System integration is admittedly difficult, and always incomplete, but movement toward this goal is an essential strategic objective.

  4. Medical Family Therapists in Action: Embracing Multiple Roles.

    Science.gov (United States)

    Falke, Stephanie I; D'Arrigo-Patrick, Elizabeth

    2015-10-01

    Medical family therapy (MedFT) is a growing area of interest within the field of marriage and family therapy. Its practice necessitates a shift from conventional family therapy practices to include diverse ways of providing care. Literature highlights approaches for patients with specific illnesses and for particular healthcare contexts. Less is understood about frameworks for treating patients with different illnesses across settings. Contributing to the growing discourse surrounding MedFT, we present a role-based practice framework that identifies six consistent roles, Therapist, Brief Interventionist, Health Coach, Patient Advocate, Consultant to Health Professionals, and Trainer specific tasks associated with each. We describe the skills needed to perform each role and describe how we move fluidly between roles to provide comprehensive care.

  5. Texas passes first law for safe patient handling in America: landmark legislation protects health-care workers and patients from injury related to manual patient lifting.

    Science.gov (United States)

    Hudson, Mary Anne

    2005-01-01

    On June 17,2005, Texas Governor Rick Perry (R) signed into law Senate Bill 1525, making Texas the first state in the nation to require hospitals and nursing homes to implement safe patient handling and movement programs. Governor Perry is to be commended for this heroic first stand for safe patient handling in America. The landmark legislation will take effect January 1, 2006, requiring the establishment of policy to identify, assess, and develop methods of controlling the risk of injury to patients and nurses associated with lifting, transferring, repositioning, and movement of patients; evaluation of alternative methods from manual lifting to reduce the risk of injury from patient lifting, including equipment and patient care environment; restricting, to the extent feasible with existing equipment, manual handling of all or most of a patient's weight to emergency, life-threatening, or exceptional circumstances; and provision for refusal to perform patient handling tasks believed to involve unacceptable risks of injury to a patient or nurse. Manually lifting patients has been called deplorable, inefficient, dangerous to nurses, and painful and brutal to patients; manual lifting can cause needless suffering and injury to patients, with dangers including pain, bruising, skin tears, abrasions, tube dislodgement, dislocations, fractures, and being dropped by nursing staff during attempts to manually lift. Use of safe, secure, mechanical lift equipment and gentle friction-reducing devices for patient maneuvering tasks could eliminate such needless brutality. Research has proven that manual patient lifting is extremely hazardous to health-care workers, creating substantial risk of low-back injury, whether with one or two patient handlers. Studies on the use of mechanical patient lift equipment, by either nursing staff or lift teams, have proven repeatedly that most nursing staff back injury is preventable, leading to substantial savings to employers on medical and

  6. Value-based insurance design: embracing value over cost alone.

    Science.gov (United States)

    Fendrick, A Mark; Chernew, Michael E; Levi, Gary W

    2009-12-01

    The US healthcare system is in crisis, with documented gaps in quality, safety, access, and affordability. Many believe the solution to unsustainable cost increases is increased patient cost-sharing. From an overall cost perspective, reduced consumption of certain essential services may yield short-term savings but lead to worse health and markedly higher costs down the road--in complications, hospitalizations, and increased utilization. Value-based insurance design (VBID) can help plug the inherent shortfalls in "across-the-board" patient cost-sharing. Instead of focusing on cost or quality alone, VBID focuses on value, aligning the financial and nonfinancial incentives of the various stakeholders and complementing other current initiatives to improve quality and subdue costs, such as high-deductible consumer-directed health plans, pay-for-performance programs, and disease management. Mounting evidence, both peer-reviewed and empirical, indicates not only that VBID can be implemented, but also leads to desired changes in behavior. For all its documented successes and recognized promise, VBID is in its infancy and is not a panacea for the current healthcare crisis. However, the available research and documented experiences indicate that as an overall approach, and in its fully evolved and widely adopted form, VBID will promote a healthier population and therefore support cost-containment efforts by producing better health at any price point.

  7. A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care

    Science.gov (United States)

    Flys, Tamara; González, Rosalba; Sued, Omar; Suarez Conejero, Juana; Kestler, Edgar; Sosa, Nestor; McKenzie-White, Jane; Monzón, Irma Irene; Torres, Carmen-Rosa; Page, Kathleen

    2012-01-01

    Background Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. Methods The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. Results Of 258 initially active participants, 225 (225/258 = 87.2%) successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200 = 85%) attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001). The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001). A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. Conclusion This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills acquired

  8. A novel educational strategy targeting health care workers in underserved communities in Central America to integrate HIV into primary medical care.

    Directory of Open Access Journals (Sweden)

    Tamara Flys

    Full Text Available BACKGROUND: Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs. We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. METHODS: The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. RESULTS: Of 258 initially active participants, 225 (225/258=87.2% successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200=85% attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001. The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001. A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. CONCLUSION: This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills

  9. America's Nomads.

    Science.gov (United States)

    Zimmerman, Diana

    1981-01-01

    Examines economic, housing, nutrition, and health conditions faced by migrant workers in the United States. Reveals migrant workers to be living in conditions similar to the poor in underdeveloped, third world countries. (DA)

  10. American Congress of Rehabilitation Medicine in 2006: embracing the future.

    Science.gov (United States)

    Rosenthal, Mitchell

    2007-04-01

    The American Congress of Rehabilitation Medicine (ACRM) modified its mission and structure in 1997 to become an organization focused on medical rehabilitation research. Initially, this transformation accelerated an already diminishing membership, a weakened financial condition, and some level of dysfunction within the organizational structure. In recent years, with the advent of evidence-based practice and the expectation that empirical research is critical to the survival of clinical specialties such as rehabilitation medicine, ACRM has become re-energized. New initiatives have been spawned that have led to stabilization and an influx of new members, a measurable improvement in the quality of scientific presentations at, and participation in, the annual meetings, efforts directed toward increasing the visibility and involvement of ACRM on an international level, programming directed toward early career scientists, strong public policy advocacy, and renewed and expanded inter-organizational partnerships. In addition, the financial position of ACRM has improved markedly and prospects toward long-term fiscal health and growth are "the new reality." ACRM has now moved significantly beyond the "survival" step of the Maslow hierarchy toward the goal of self-actualization.

  11. Embracing the Future: Embedding Digital Repositories in Higher Education Institutions. Research Brief

    Science.gov (United States)

    Hoorens, Stijn; van Dijk, Lidia Villalba; van Stolk, Christian

    2009-01-01

    This briefing paper captures the key findings and recommendations of a study commissioned by the Joint Information Systems Committee on aspects of the strategic commitment of institutions to repository sustainability. This project, labelled EMBRACE (EMBedding Repositories And Consortial Enhancement), is aimed at enhancing the functionality,…

  12. Investigation Effects of Narrowing Rotor Pole Embrace to Efficiency and Cogging Torque at PM BLDC Motor

    Directory of Open Access Journals (Sweden)

    Cemil Ocak

    2016-02-01

    Full Text Available Engineers think that pole embrace size of a PM BLDC motor affects directly the efficiency and the torque. Dealing with theexperimental research, in the studywe have investigated the effects of narrowing rotor pole embrace step by step by changing sizes parametrically. By doing so, high efficiency and low cogging torque would have been obtained for a 20 W PM BLDC motor. In order to do this,pole arc to pole pitch ratio of magnets at the rotor poles has been changed parametrically (0.5 to 1 by genetic algorithm methodfirst. Then the electromagnetic field dispersions, output parameters of the motor, new rotor constructions have been obtained; and new pole embrace has been derived from the variation of pole arc to pole pitch ratio. We have also calculatedthe magnetic flux distribution, output power, torque, cogging torque and efficiency values analytically and the effects of new pole embrace to motor efficiency and torque have been simulated. The developed 18 slots, 6 poles, surface mounted inner runner configuration rotor machine is proposed as to be used insmall dentistry apparatus.

  13. Literacy Learning in a Digitally Rich Humanities Classroom: Embracing Multiple, Collaborative, and Simultaneous Texts

    Science.gov (United States)

    Buckley-Marudas, Mary Frances

    2016-01-01

    Understanding what happens when teachers embrace digital media for literacy learning is critical to realizing the potential of learning in the digital era. This article examines some of the ways that a high school teacher and his students leverage digital technologies for literacy learning in their humanities classrooms. The author introduces the…

  14. Beyond the Narrative Mode in the Composition Classroom: Embracing a Return to the Personal Essay

    Science.gov (United States)

    Haugen, Hayley Mitchell

    2013-01-01

    Knoblauch and Brannon might suggest I pry loose the grip that ancient rhetorical tradition has on my modern classroom, but I'm not convinced I can so easily abandon the ancient rhetoricians. Learning to embrace the different, more creative, and less frequently acknowledged elements of this tradition may be the way for me to go instead. The ancient…

  15. Embracing Change

    Science.gov (United States)

    Lehmusto, Kirsti

    2012-01-01

    Most universities face similar challenges, so it is with good reason that universities often look to peer institutions to benchmark their branding efforts. Whether across town or around the world, other institutions' brands can inspire ideas. But why not go further? What could universities learn about branding from companies and brands such as…

  16. Embracing Urbanization

    Institute of Scientific and Technical Information of China (English)

    LIU XINLIAN

    2010-01-01

    @@ The labor force shortage in China's southeast coastal cities had many factory managers and owners wound tight with anticipation prior to the Chinese New Year,with many hopeful for an influx of migrant workers later in February.But when the Spring Festival that fell on February 14 this year concluded,enterprises and factories in the advanced coastal region did not experience the large inflow of migrant workers that had been expected.

  17. Embracing Potter

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    For Chinese lovers of Harry Potter, July 21 will be a day for them to rejoice with fans around the world as the seventh and final in the series of adventures rolls off the presses. In the novel, the hero Harry Potter struggles with the wicked

  18. Little People of America

    Science.gov (United States)

    ... information. World Dwarf Games 2017 Welcome to Little People of America Little People of America (LPA) is a nonprofit organization that provides support and information to people of short stature and their families. LPA is ...

  19. Time for a shift in crop production: embracing complexity through diversity at all levels

    OpenAIRE

    Østergård, H; M. R. Finckh; Fontaine, L; Goldringer, I; Hoad, S P; K. Kristensen; Lammerts van Bueren, E. T.; Mascher, F; Munk, L.; Wolfe, M. S.

    2009-01-01

    A radical shift in our approach to crop production is needed to ensure food security and to address the problems of soil degradation, loss of biodiversity, polluted and restricted water supplies, coupled with a future of fossil fuel limitations and increasingly variable climatic conditions. An interdisciplinary network of European scientists put forward visions for future crop production embracing the complexity of our socio-ecological system by applying the principle of diversity at all leve...

  20. Smoking in Latin America: a major public health problem Tabagismo na América Latina: problema prioritário de saúde pública

    Directory of Open Access Journals (Sweden)

    Vera Luiza da Costa e Silva

    1998-01-01

    Full Text Available Smoking has become a major public health problem in Latin America, and its scope varies from country to country. Despite difficulties in obtaining methodologically consistent data for the region, we analyzed the results from prevalence surveys in 14 Latin American countries. Smoking prevalence among men varied from 24.1% (Paraguay to 66.3% (Dominican Republic and among women from 5.5% (Paraguay to 26,6% (Uruguay. By applying point prevalence data to the stage model of the tobacco epidemic in developed countries, we concluded that the Latin American countries are in stage 2, i.e., with a clearly rising prevalence among men, a prevalence for women that is beginning to increase, and mortality attributable to smoking among men still not reflecting peak prevalence. None of the countries analyzed appeared to have reached stage 3, in which one observes a downward trend in prevalence of smoking among men and peak prevalence among women, with broad impact on tobacco-related mortality. The only exception appears to be Paraguay, which is still emerging from stage 1, i.e., with low prevalence rates among men, too. Nevertheless, high lung cancer mortality rates in Uruguay and Argentina are comparable to those of the developed countries.O tabagismo já é um problema de saúde pública na América Latina, com dimensões variáveis de país para país. Foram analisados os resultados de inquéritos de prevalência em 14 países latino-americanos. A prevalência entre homens varia de 24,1% (Paraguai a 66,3% (República Dominicana e, entre as mulheres, de 5,5% (Paraguai a 26,6% (Uruguai. Aplicando-se dados pontuais de prevalência ao modelo de estágios da epidemia tabagística em países desenvolvidos, pode-se supor que todos os países latino-americanos estariam no estágio 2, ou seja, com a prevalência entre homens em franca elevação, prevalência entre mulheres iniciando crescimento e mortalidade atribuível ao tabagismo entre homens ainda não refletindo

  1. 8 ways to cut health care costs

    Science.gov (United States)

    ... health care provider if you can switch to generic medicines. They have the same active ingredient, but ... Trust for America's Health. A Healthy America 2013: Strategies to Move From Sick Care to Health Care ...

  2. The limits of the Buddhist embrace of science. Commentary on "Compassion, ethics, and neuroscience: neuroethics through Buddhist eyes".

    Science.gov (United States)

    Cho, Francisca

    2012-09-01

    The readiness of Buddhists to dialogue with and embrace modern science has caused some to worry that this encounter will deform Buddhist traditions for the sake of acceptance by the West. But their strong tradition of epistemological skepticism and intellectual pluralism makes it unlikely that Buddhists will embrace scientific positivism. Given the tensions between religion and science in contemporary western society, it is perhaps this feature of Buddhism that can make the most fruitful contribution in its dialogue with science.

  3. The history of European public health education accreditation in perspective

    Directory of Open Access Journals (Sweden)

    Julien D. Goodman

    2015-12-01

    Full Text Available Aim: The aim of this paper is to investigate the history of accreditation of academic public health education and understand why there is a 65 year gap between the first system in America and the uptake of accreditation in Europe. The paper intends to search for parallels and dissimilarities between the development in America and Europe and then consider if any parallels could be used for determining the future role of accreditation in Europe. Methods: The paper draws heavily upon a literature review and analysis and the examination and interpretation of primary and secondary sources. Firstly there is an exploration of the American development which is complemented by an evaluation of the developments in Europe. Results: The paper demonstrates that there are two key features required for the development of accreditation: interstate collaboration and a liberalisation or opening up of the education market. Conclusions: Since the Second World War, Europe has embraced interstate collaboration which has led to a liberalisation of certain economic markets. The future for sector based accreditation of public health education will be determined by the extent Europe pursues liberalisation and whether a competitive environment will bring into question the transparency and trust in state sponsored accreditation agencies.

  4. [Inequities in cardiovascular diseases in Latin America].

    Science.gov (United States)

    Fleischer, Nancy L; Diez Roux, Ana V

    2013-01-01

    In high-income countries, social inequalities in cardiovascular disease (CVD) risk are well-documented. Although Latin America has a rich history of theory and conceptual discussion regarding social inequalities in health, empirical research has been more limited. In this commentary we summarize recent empirical work on social inequalities in CVD risk in Latin America, and highlight key research needs as well as implications for prevention. Although much remains unknown about the social patterning of CVD in Latin America, the limited studies to date indicate that inequalities in CVD risk vary across populations and markers of socioeconomic position, as well as disease risk marker. The strongest social inequalities are seen among women, and in urban areas, with regards to obesity, diabetes, and diet. Few studies, though, have been conducted in some parts of Latin America, including the countries of Central America and northern South America. Vital registration systems and nationally-representative risk factor surveys can be important sources of data, as long as information on socioeconomic indicators is collected. Longitudinal studies will also be important for investigating factors driving social inequalities. As policies and prevention strategies are put into place to reduce CVD in Latin America, they must also address factors generating social inequalities in CVD risk.

  5. Cutting it both ways and eating it too: Embracing the uncertainty cake

    Science.gov (United States)

    Risbey, J.; Lewandowsky, S.

    2012-12-01

    Uncertainties are an inevitable component of climatology. A full embrace of uncertainty would show that the problem and consequences could be much worse than generally perceived, yet uncertainties are generally downplayed. The climate contrarian community downplays uncertainty by restricting attention to uncertainties pointing to the low consequence tail. The climate mainstream addresses some uncertainties, but does not have sufficient tools to address high consequence uncertainty issues or regional details of climate change projections. The failure to grasp these less quantifiable aspects of climate change uncertainty biases perceptions of consequences towards more moderate outcomes and diminishes the sense of agency to reduce emissions.

  6. 英、美、澳卫生管理专业应用型人才培养模式及启示%The Models and Enlightenment of Cultivating Applied Health Administration Talents in Britain, America and Australia

    Institute of Scientific and Technical Information of China (English)

    张赟; 张翔

    2011-01-01

    Britain, America and Australia each has already established its own health administration teaching system according to years of experience of developing. Their education models based on the need of society of Cultivating Applied Health Administration Talents, which has clear positioning, colorful courses, timely communicate and extensive social support network have a certain reference for health administration education in our country, which is worth to the new exploration and cultivating of health administration talents in our country.%英、美、澳的卫生管理教育经多年发展,自成体系.3国的卫生管理教育立足于社会需求,其应用型人才培养模式定位明确,课程形式多样,交流反馈及时,且有广泛的社会支持网络,其经验值得我国的卫生管理教育和卫生管理专业人才培养工作学习与借鉴.

  7. Gangs in Central America

    Science.gov (United States)

    2008-10-17

    Citizen Security held in July 2008 indicated that Guatemala now has the second highest murder rate in Central America (roughly 45 per 100,000 people...training regional security forces.48 In recent years, the U.S. Southern Command has taken a leading role in discussing the problem of citizen security in...the results CRS-19 51 “Memo: The Merida Initiative and Citizen Security in Mexico and Central America,” Washington Office on Latin America, March 2008

  8. Commissioning services and Primary Health Networks.

    Science.gov (United States)

    Booth, Mark; Boxall, Anne-Marie

    2016-01-01

    Commissioning is set to become a stronger feature in the Australian health system as Primary Health Networks embrace it as a tool for improving population health outcomes. International experience shows that developing into a commissioning organisation is not always easy. Drawing on international experiences of commissioning, as well as those from the Australian hospital sector, will help smooth the path for Primary Health Networks.

  9. Iniciativas de salud en Latinoamérica: de la Oficina Sanitaria Panamericana a la Iniciativa Mesoamericana de Salud Pública Health Initiatives in Latin America: a historical assessment from the inception of the Pan American Sanitary Bureau to the Mesoamerican Health Initiative

    Directory of Open Access Journals (Sweden)

    José Ignacio Santos Preciado

    2011-01-01

    Full Text Available Históricamente, la salud pública en Latinoamérica ha atravesado por diferentes etapas influidas por eventos regionales o globales, por instituciones públicas como la Organización Panamericana de la Salud, o por iniciativas de fundaciones filantrópicas u organizaciones internacionales bilaterales o multinacionales. Estas diferentes iniciativas han resultado en mejoras significativas en la salud pública en las diferentes regiones de América Latina. En general, ha habido un aumento en los índices de desarrollo humano y en la salud; sin embargo, estos éxitos no son compartidos por todos en América Latina. En la región Mesoamericana, que abarca desde el sur de México hasta Panamá, ha existido una transición epidemiológica inversa a pesar de esfuerzos regionales y nacionales. El determinante fundamental es la inequidad social prevalente en Mesoamérica y su focalización en poblaciones indígenas y en aquellas de origen afroamericano que viven en zonas urbanas, periurbanas y rurales. La Iniciativa Mesoamericana de Salud Pública (IMSP es una asociación público-privada que pretende cambiar el rumbo de la salud pública de las poblaciones más desprotegidas y, de esta forma, promover acciones que contribuyan a mejorar las desigualdades de salud y cumplir con los objetivos del milenio en la región.Latin America has undergone gradual transformations in public health influenced by historical events locally or at a global level. These epidemiologic transitions have also occurred through the implementation of interventions by public institutions such as the Pan-American Health Organization, by philanthropic foundations, non-governmental organizations, and bilateral or multilateral international donor organizations. These public health initiatives have produced substantial improvements in the heath status of many populations in Latin America. Overall, human development and health have advanced over the past century. However, these public

  10. Breast health global initiative (BHGI outline for program development in Latin America Breast health global initiative (BHGI planeamiento para el desarrollo de programas en América latina

    Directory of Open Access Journals (Sweden)

    Benjamin O. Anderson

    2009-01-01

    Full Text Available The Breast Health Global Initiative (BHGI applied an evidence-based consensus review process to develop guidelines for breast cancer early detection, diagnosis, and treatment in low- and middle-income countries (LMCs including those in Latin America. Breast cancer outcomes correlate with the degree to which 1 cancers are detected early, 2 cancers can be diagnosed correctly, and 3 proper multimodality treatment can be provided in a timely fashion. Cancer prevention through health behavior modification may influence breast cancer incidence in LMCs. Diagnosing breast cancer at earlier stages will reduce breast cancer mortality. Programs to promote breast self-awareness and clinical breast examination and resource-adapted mammographic screening are important early detection steps. Screening mammography has been shown to reduce breast cancer mortality, but is cost prohibitive in some settings. Breast imaging, initially with ultrasound and, at higher resource levels with diagnostic mammography, improves preoperative diagnostic assessment and permits image-guided needle sampling. Multimodality therapy includes surgery, radiation, and systemic therapies.La Iniciativa Global para la Salud de la Mama (BGHI ha aplicado un proceso de revisión de consenso, basado en la evidencia, a fin de desarrollar guías para la detección precoz del cáncer de mama, diagnóstico y tratamiento, en países de bajos y medianos ingresos (PBMI incluyendo aquellos en América latina. La evolución del cáncer de mama se correlaciona con el grado al cual 1 los cánceres son detectados tempranamente 2los cánceres pueden ser diagnosticados correctamente, y 3el adecuado tratamiento multimodal suministrado a tiempo. La prevención del cáncer a través de modificaciones de las conductas de salud puede modificar la incidencia del cáncer de mama en PBMI. El diagnóstico del cáncer de mama en estadios iniciales reduce la mortalidad por cáncer de mama. Los programas que promueven

  11. Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications

    OpenAIRE

    2016-01-01

    Background: Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector.Objective: To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equit...

  12. T.R. Reid, The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care, New York, The Penguin Press, 2009, 277p

    Directory of Open Access Journals (Sweden)

    Eveline Thévenard

    2010-02-01

    Full Text Available The U.S. Interstate Highway System was inspired by Germany’s. Sushi and pizza have become some of America’s favorite foods. So why not borrow from foreign models to reform the most expensive and inequitable health care system in the developed world? U.S. researchers’ interest in cross-national comparative studies has increased in recent years, and scholarly journals such as Health Affairs and the Journal of Health Politics Policy and Law regularly devote space to analyses of health care fina...

  13. Notes on health care planning in Latin America and the Caribbean Notas sobre planejamento de assistência médica na América Latina e no Caribe

    Directory of Open Access Journals (Sweden)

    José Maria Pacheco de Souza

    1977-06-01

    Full Text Available Attention is called to the fact that the efforts to improve health of populations in Latin America have generally failed. The inequality in the distribution of ill-health is great. The authors accept the fact that the lack of resources available to the health sector may be a restriction towards the improvement of the situation, but they argue that a much more important issue is the misuse of such resources and their maldistribution within the health sector. The lack of integration and coordination between the health services, the conflict of public and private health systems, the under-utilization of existing services and the gap between planning and real implementation are discussed.Chama-se a atenção para o fato de que os esforços para a melhoria da saúde das populações da América Latina, geralmente têm falhado. A desigualdade na distribuição de saúde é grande. Aceita-se o fato de que a falta de recursos disponíveis para o setor saúde pode ser empecilho para a melhoria da situação, mas argumenta-se que um fator muito mais importante é o uso indevido de tais recursos e sua má distribuição dentro do setor saúde. São discutidas as faltas de integração e coordenação dos serviços de saúde, o conflito entre sistemas público e privado de saúde, a sub-utilização dos serviços existentes, o distanciamento entre o planejamento e a sua real implementação.

  14. The sexual and reproductive health of young people in Latin America: evidence from WHO case studies La salud sexual y reproductiva de los jóvenes en América Latina: evidencia derivada de estudios de la OMS

    Directory of Open Access Journals (Sweden)

    Kate Kostrzewa

    2008-02-01

    Full Text Available This original article addresses the sexual and reproductive health needs of young people aged 15 to 24 in Latin America. It introduces five articles from original research projects in three countries: Argentina, Brazil, and Peru. These projects were funded by the World Health Organization. This article explains the importance of studies that address the sexual and reproductive health of young people in developing countries. It provides an overview of sexual and reproductive health issues in Latin America and a discussion these issues in the three study countries. The five articles deal with difficult and challenging issues, including: knowledge of STIs and HIV/AIDS; pregnancy related practices; quality of care; the role of young men in couple formation, pregnancy and adoption of contraceptive practice; and, the role of obstetricians and gynecologists in public policy debate about family planning and abortion. The four articles in this special section help to improve our understanding of the factors that contribute to risky sexual behavior and negative reproductive health outcomes among youth in Latin America. The findings are useful to help inform and improve health care interventions in various contexts.Este artículo original trata de las necesidades de salud sexual y reproductiva de jóvenes entre 15 y 24 años de edad en América Latina. Se presentan cuatro artículos derivados de investigaciones originales en tres países: Argentina, Brasil y Perú. Estos proyectos fueron patrocinados por la Organización Mundial de la Salud. Este artículo elucida la importancia de los estudios que tratan de la salud sexual y reproductiva de jóvenes en países en desarollo. Se ilustra el panorama general en cuestiones de salud sexual y reproductiva en América Latina y una discusión de estas cuestiones en los tres países de donde provienen los estudios. Los cinco artículos discuten cuestiones difíciles y controversiales, como los conocimientos sobre

  15. America's Children and the Environment

    Science.gov (United States)

    ... Protection Agency Search Search America's Children and the Environment (ACE) Share Facebook Twitter Google+ Pinterest Contact Us ... of updates to ACE . America's Children and the Environment (ACE) America's Children and the Environment (ACE) is ...

  16. Explaining health differences between men and women in later life: a cross-city comparison in Latin America and the Caribbean.

    Science.gov (United States)

    Zunzunegui, Maria-Victoria; Alvarado, Beatriz-Eugenia; Béland, François; Vissandjee, Bilkis

    2009-01-01

    This paper describes differences in health and functional status among older men and women and attempts to anchor the explanations for these differences within a lifecourse perspective. Seven health outcomes for men and women 60 years and older from seven Latin American and Caribbean cities are examined, using data from the 2000 SABE survey (Salud, Bienestar y Envejecimiento-n=10,587). Age-adjusted as well as city- and sex-specific prevalence was estimated for poor self-rated health, comorbidity, mobility limitations, cognitive impairment, depressive symptoms and disability in basic and instrumental activities of daily living. Logistic regressions were fitted to determine if the differences between men and women in each outcome could be explained by differential exposures in childhood (hunger, poverty), adulthood (education, occupation) and old age (income) and/or by differential vulnerability of men and women to these exposures. Sao Paulo, Santiago and Mexico, cities in countries with a high level of income inequalities, presented the highest prevalence of disability, functional limitations and poor physical health for both women and men. Women showed poorer health outcomes as compared with men for all health indicators and in all cities. Controlling for lifecourse exposures in childhood, adulthood and old age did not attenuate these differences. Women's unadjusted and adjusted odds of reporting poor self-rated health, cognitive impairment and basic activities of daily living disability were approximately 50% higher than for men, twice as high for number of comorbidities, depressive symptoms and instrumental activities of daily living disability, and almost three times as high for mobility limitations. Higher vulnerability to lifecourse exposures in women as compared with men was not found, meaning that lifecourse exposures have similar odds of poor health outcomes for men and women. A more integrated understanding of how sex and gender act together to influence

  17. Quality assurance in MR image guided adaptive brachytherapy for cervical cancer: Final results of the EMBRACE study dummy run

    DEFF Research Database (Denmark)

    Kirisits, Christian; Federico, Mario; Nkiwane, Karen;

    2015-01-01

    aspects of image guided adaptive brachytherapy (IGABT). METHODS AND MATERIALS: EMBRACE is a prospective multicenter trial aiming to assess the impact of (MRI)-based IGABT in locally advanced cervical cancer. An EMBRACE dummy run was designed to identify sources and magnitude of uncertainties and errors...... considered important for the evaluation of clinical, and dosimetric parameters and their relation to outcome. Contouring, treatment planning and dose reporting was evaluated and scored with a categorical scale of 1-10. Active feedback to centers was provided to improve protocol compliance and reporting...... and BT. Centers with experience in IGABT (>30 cases) had better performance as compared to centers with limited experience. CONCLUSION: The comprehensive dummy run designed for the EMBRACE trial has been a feasible tool for QA in IGABT of cervix cancer. It should be considered for future IGABT trials...

  18. Time for a shift in crop production: embracing complexity through diversity at all levels

    DEFF Research Database (Denmark)

    Østergård, Hanne; Finckh, M.R.; Fontaine, Laurence

    2009-01-01

    A radical shift in our approach to crop production is needed to ensure food security and to address the problems of soil degradation, loss of biodiversity, polluted and restricted water supplies, coupled with a future of fossil fuel limitations and increasingly variable climatic conditions....... An interdisciplinary network of European scientists put forward visions for future crop production embracing the complexity of our socio-ecological system by applying the principle of diversity at all levels from soil micro-organisms to plant varieties and cropping systems. This approach, integrated with careful...... of nutrients and sustainable use of other natural and physical resources, (ii) enhancing biological diversity by breeding of crops resilient to climate change and (iii) reconnecting all stakeholders in crop production. Finally, we emphasise some of the changes in agricultural and environmental regulation...

  19. EMBRACE@Nancay: An Ultra Wide Field of View Prototype for the SKA

    CERN Document Server

    Torchinsky, S A; Censier, B; Karastergiou, A; Serylak, M; Renaud, P; Taffoureau, C

    2015-01-01

    A revolution in radio receiving technology is underway with the development of densely packed phased arrays for radio astronomy. This technology can provide an exceptionally large field of view, while at the same time sampling the sky with high angular resolution. Such an instrument, with a field of view of over 100 square degrees, is ideal for performing fast, all-sky, surveys, such as the "intensity mapping" experiment to measure the signature of Baryonic Acoustic Oscillations in the HI mass distribution at cosmological redshifts. The SKA, built with this technology, will be able to do a billion galaxy survey. I will present a very brief introduction to radio interferometry, as well as an overview of the Square Kilometre Array project. This will be followed by a description of the EMBRACE prototype and a discussion of results and future plans.

  20. EMBRACING GREEN TECHNOLOGY INNOVATION THROUGH STRATEGIC HUMAN RESOURCE MANAGEMENT: A CASE OF AN AUTOMOTIVE COMPANY

    Directory of Open Access Journals (Sweden)

    Reihaneh Montazeri Shatouri

    2013-01-01

    Full Text Available What makes a technological innovation successful for an industry? This study examines how green technology innovation is impacted by strategic management of the human resource in firms. The value of this study lies in its intention to explain the needs to effectively blend people matters first before endeavouring technologies. We focus on Malaysia’s leading automobile manufacturer, Proton which currently embarks on smart green initiatives in its product development. The quantitative survey identifies potential challenges of Proton’s human resource management that may infringe green technology process. Our findings confirm the effects of strategic human resource management system on adopting the green technology innovation. The most important factors affecting the implementation of green technology include knowledge application, team development, knowledge sharing, performance-based reward and training of before and during the process of embracing the new technology.

  1. Embracing and resisting climate identities in the Australian press: Sceptics, scientists and politics

    Science.gov (United States)

    Jaspal, Rusi; Nerlich, Brigitte; van Vuuren, Kitty

    2015-01-01

    This article charts the development of a label that appeared early on in Australian debates on climate change, namely ‘greenhouse sceptics’. We explore who uses the label, for what purposes and with which effects, and how this label may contribute to the development of social representations in the climate debate. Our findings show that over the last 25 years, ‘greenhouse sceptic’ has been used by journalists and climate scientists to negativize those criticizing mainstream climate science, but that it has also been used, even embraced, by Australian climate sceptics to label themselves in order to construct a positive identity modelled on celebrity sceptics in the United States. We found that the label was grounded in religious metaphors that frame mainstream science as a catastrophist and alarmist religious cult. Overall, this article provides detailed insights into the genealogy of climate scepticism in a particular cultural and historical context. PMID:25957297

  2. Embracing and resisting climate identities in the Australian press: Sceptics, scientists and politics.

    Science.gov (United States)

    Jaspal, Rusi; Nerlich, Brigitte; van Vuuren, Kitty

    2016-10-01

    This article charts the development of a label that appeared early on in Australian debates on climate change, namely 'greenhouse sceptics'. We explore who uses the label, for what purposes and with which effects, and how this label may contribute to the development of social representations in the climate debate. Our findings show that over the last 25 years, 'greenhouse sceptic' has been used by journalists and climate scientists to negativize those criticizing mainstream climate science, but that it has also been used, even embraced, by Australian climate sceptics to label themselves in order to construct a positive identity modelled on celebrity sceptics in the United States. We found that the label was grounded in religious metaphors that frame mainstream science as a catastrophist and alarmist religious cult. Overall, this article provides detailed insights into the genealogy of climate scepticism in a particular cultural and historical context.

  3. Equidad y reformas de los sistemas de salud en Latinoamérica Equity and health systems reform in Latin America

    Directory of Open Access Journals (Sweden)

    Ingrid Vargas

    2002-08-01

    Full Text Available El fin último de cualquier sistema de salud es contribuir a la mejora de la salud de la población y hacerlo de la manera más eficiente posible. Buscando mejorar las condiciones de eficiencia y equidad en que se prestan los servicios de salud, numerosos países en todo el mundo, incluyendo los latinoamericanos, han implementado reformas. A pesar de la aparente coincidencia en los objetivos de las reformas, la forma en que se implementan responden a conceptos y valores diferentes. En este artículo analizamos los valores, igualitarios y neoliberales, subyacentes en los distintos conceptos de equidad. A partir de ellos desarrollamos criterios que nos permitan interpretar algunas de las estrategias, financiamiento y prestación de los servicios de salud aplicados por las reformas de los sistemas de salud en Latinoamérica. Estos criterios son aplicados a las políticas de financiamiento y prestaciones de las reformas aplicadas en los sistemas de salud de Colombia y Costa Rica.The aim of any health care system is to help improve the people's health, and to do so as efficiently as possible. In order to improve the efficiency and equity of health services provision, many countries around the world have implemented reforms, including several Latin American nations. However similar the objectives may appear, the various ways societies implement such reforms reflect different values and concepts. This article analyzes the egalitarian and neoliberal values underlying different concepts of equity in health care. The authors develop criteria to interpret selected health services funding and provision strategies in Latin American health system reforms. These criteria are then applied to health care financing and delivery policies under the reforms currently being implemented in Colombia and Costa Rica.

  4. The Distancing-Embracing model of the enjoyment of negative emotions in art reception.

    Science.gov (United States)

    Menninghaus, Winfried; Wagner, Valentin; Hanich, Julian; Wassiliwizky, Eugen; Jacobsen, Thomas; Koelsch, Stefan

    2017-02-20

    Why are negative emotions so central in art reception far beyond tragedy? Revisiting classical aesthetics in light of recent psychological research, we present a novel model to explain this much-discussed (apparent) paradox. We argue that negative emotions are an important resource for the arts in general rather than a special license for exceptional art forms only. The underlying rationale is that negative emotions have been shown to be particularly powerful in securing attention, intense emotional involvement, and high memorability-and hence precisely in what artworks strive for. Two groups of processing mechanisms are identified that conjointly adopt the particular powers of negative emotions for art's purposes. The first group consists of psychological distancing mechanisms that are activated along with the cognitive schemata of art, representation, and fiction. These schemata imply personal safety and control over continuing or discontinuing exposure to artworks, thereby preventing negative emotions from becoming outright incompatible with expectations of enjoyment. This distancing sets the stage for a second group of processing components that allow art recipients to positively embrace the experiencing of negative emotions, thereby rendering art reception more intense, more interesting, more emotionally moving, more profound, and occasionally even more beautiful. These components include compositional interplays of positive and negative emotions, the effects of aesthetic virtues of using the media of (re)presentation (musical sound, words/language, color, shapes) on emotion perception, and meaning-making efforts. Moreover, our Distancing-Embracing model proposes that concomitant mixed emotions often help to integrate negative emotions into altogether pleasurable trajectories.

  5. Climate change and health in the United States of America: impacts, adaptations, and research; Changement climatique et santeaux Etats-Unis: impacts, adaptations et recherche

    Energy Technology Data Exchange (ETDEWEB)

    Jouan, R.; Magaud, M

    2009-11-15

    After a description of the various impacts of climate change on human health, this report describes and comments the impacts of climate change on health in the USA: impacts of heat waves, of air quality degradation, of extreme climate events, of climate change on infectious diseases and allergies, regional impacts of climate change. In a second part, it describes the strategies of adaptation to the 'climate change and health' issue in the USA: mitigation and adaptation to climate change, adaptation challenges, insufficiently prepared public health system, adaptation to heat waves, adaptation to air quality degradation, adaptation to extreme climate events, adaptation to food- and water-based diseases and to vector-based diseases, examples of proactive adaptation. The last part describes the organisation of research on 'climate change and health' in the USA: nowadays and in the future, role of federal agencies, priority research axes. The 'United States Global Change Research Program' is presented in appendix, as well as the most important research centres (mostly in universities)

  6. Review of health research on indigenous populations in Latin America, 1995-2004 Revisión de la investigación en salud en poblaciones indígenas de Latinoamérica, 1995-2004

    Directory of Open Access Journals (Sweden)

    Miguel San Sebastián

    2007-08-01

    Full Text Available OBJECTIVE: To review health research conducted among indigenous populations in Latin America during the period 1995-2004. Material and methods. The search strategy was purposely broad to ensure the identification of all relevant studies indexed in the PubMed and Lilacs databases. RESULTS: Six-hundred ninety citations were included. One hundred fifty-nine (23.0% papers dealt with indigenous populations in Central America and 509 (73.8% papers with South American populations. Three hundred two (43.8% of the studies were quantitative, 39 (5.7% qualitative, 259 (37.5% mainly based on laboratory work and 24 (3.5% dealt with policy analyses. The most common researched theme was human biology with 200 (29.0 % papers, followed by communicable diseases (150 papers, 21.7 %. CONCLUSIONS: There is a special need for policy studies in the field of indigenous health. An increased commitment to resources and capacity building will be the real challenge for indigenous health research in the nearest future.OBJETIVO: Revisar la investigación en salud realizada en poblaciones indígenas de Latinoamérica, de 1995 a 2004. MATERIAL Y MÉTODOS: La estrategia de búsqueda fue amplia para asegurar la identificación de todos aquellos estudios relevantes catalogados en las bases de datos PubMed y Lilacs. RESULTADOS: Se incluyeron 690 citaciones; de ellas, 509 (73.8% artículos trataron sobre poblaciones indígenas sudamericanas y 159 (23.0% sobre poblaciones indígenas de Centroamérica. Trescientos dos (43.8% de los estudios fueron cuantitativos, 39 (5.7% cualitativos, 259 (37.5% basados principalmente en trabajo de laboratorio y 24 (3.5% trataron sobre análisis de políticas de salud. El tema de investigación más estudiado fue el de biología humana con 200 artículos (29.0%, seguido de enfermedades transmisibles (150 artículos, 21.7%. CONCLUSIONES: Existe una necesidad especial de estudios de políticas de salud en el campo de la salud indígena. Un mayor

  7. Evaluaciones económicas de tecnologías sanitarias: una perspectiva global para su aplicación en América Latina Economic evaluations of health technologies: a global perspective for their implementation in Latin America

    Directory of Open Access Journals (Sweden)

    Manuel Espinoza

    2011-09-01

    Full Text Available Fenómenos como el aumento progresivo del gasto en salud y el envejecimiento poblacional han obligado a los distintos países a considerar metodologías económicas que permitan obtener un mayor beneficio sanitario dentro de un contexto de recursos limitados. El presente artículo describe los componentes básicos a considerar en una evaluación de tecnología sanitaria, analiza el proceso de toma de decisión en un análisis de costo efectividad y reporta como dicha metodología ha sido implementada en América Latina y en el resto de mundo.Phenomena as the progressive increase of health expenditure and the population aging have lead many countries to consider economic methodologies in order to obtain bigger sanitary benefits in contexts of limited resources. This article describes the basic components to consider in a health technology assessment , it analyses the process of decision making with cost-effectiveness analysis and reports how this methodology has been widely implemented in Latin America and the rest of the world.

  8. Oral Health in Rural Communities

    Science.gov (United States)

    ... Guide Rural Health Topics & States Topics View more Oral Health in Rural Communities Adequate access to oral healthcare ... about oral health programs in my area? What oral health disparities are present in rural America? According to ...

  9. The health and economic impact of dengue in Latin America El impacto sanitario y económico del dengue en Latinoamérica

    Directory of Open Access Journals (Sweden)

    Jaime R. Torres

    2007-01-01

    Full Text Available In the last two decades, all countries in the tropical regions of Latin America have experienced marked increases in the incidence of both classic dengue and dengue hemorrhagic fever. Major risk factors for the occurrence of dengue in the region, as well as some regional peculiarities in its clinical expression, such as the extensive involvement of older age groups, have been defined. While little information exists on the economic impact of dengue in the region in terms of disease burden, the estimated loss associated with the disease is on the same order of magnitude as tuberculosis, sexually transmitted diseases (excluding HIV/AIDS, Chagas disease, leishmaniasis, or intestinal helminths. Therefore, similar priority should be given in the allocation of resources for dengue research and control. Data on cost-efficacy and cost-benefit analysis of dengue control programs in Latin America are scarce; however, the cost per DALY averted by control programs during endemic periods appears low, as compared to other mosquito-borne diseases like yellow fever, leishmaniasis, or malaria. Additionally, the cost-benefit ratio of the control programs has proven to be positive.En las últimas dos décadas, todos los países de las regiones tropicales de Latinoamérica han registrado un fuerte aumento en la incidencia de dengue clásica y dengue hemorrágica. Ya fueron identificados los principales factores de riesgo para la ocurrencia de dengue en la región, así como algunas peculiaridades regionales en su expresión clínica, como el comprometimiento frecuente de grupos de la tercera edad. Pese a la falta de información sobre el impacto económico del dengue en la región en términos de gastos por la enfermedad, las pérdidas estimadas asociadas con la misma son del mismo orden de magnitud que los de la tuberculosis, enfermedades sexualmente transmisibles (excluyendo VIH/SIDA, enfermedad de Chagas, leishmaniasis o parasitosis intestinales. Por tanto, la

  10. America in the Eyes of America Watchers:

    DEFF Research Database (Denmark)

    Feng, Huiyun; He, Kai

    2015-01-01

    that almost half of the survey participants thought that America would remain the global hegemon in the next ten years. Meanwhile, a large majority was also optimistic that China is a rising great power, especially in the economic sense, in the world. More than half of the respondents saw Asian military......Based on an original survey conducted in the summer of 2012 in Beijing, we examine how China's America watchers—IR scholars who work on US-China relations—have viewed China's power status in the international system, US-China relations and some specific US policies in Asia. Our survey shows...... issues, such as the South China Sea issue, as the most difficult problem between China and the US....

  11. Health Care in Rural America: January 1979 - September 1991. Quick Bibliography Series: QB 92-13. Updates QB 90-87.

    Science.gov (United States)

    John, Patricia La Caille

    This bibliography contains 352 entries related to the provision of health care services in rural areas. The entries were derived from the AGRICOLA database produced by the National Agricultural Library and include journal articles, government reports, conference papers, Congressional hearings, and books. Entries cover such topics as rural health…

  12. Health Care in Rural America: January 1988 - September 1993. Quick Bibliography Series: QB 94-08. Updates QB 92-13.

    Science.gov (United States)

    John, Patricia La Caille

    This bibliography contains 323 entries related to the provision of health care services in rural areas. The entries were derived form the AGRICOLA database produced by the National Agricultural Library and include journal articles, government reports, conference papers, Congressional hearings, and books. Entries cover such topics as community…

  13. Can a comprehensive voucher programme prompt changes in doctors' knowledge, attitudes and practices related to sexual and reproductive health care for adolescents? A case study from Latin America.

    NARCIS (Netherlands)

    Meuwissen, L.E.; Gorter, A.C.; Kester, A.D.M.; Knottnerus, J.A.

    2006-01-01

    OBJECTIVES: To evaluate whether participation in a competitive voucher programme designed to improve access to and quality of sexual and reproductive health care (SRH-care), prompted changes in doctors' knowledge, attitudes and practices. METHODS: The voucher programme provided free access to SRH-ca

  14. Lupus Foundation of America

    Science.gov (United States)

    ... and Testing New Treatments Learn More About the Lupus Foundation of America We are devoted to solving ... Spam Control Text: Please leave this field empty Lupus FAQ What is lupus? What are the common ...

  15. Prevent Child Abuse America

    Science.gov (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  16. A Systematic Review of Changes in Marine Mammal Health in North America, 1972-2012: The Need for a Novel Integrated Approach.

    Directory of Open Access Journals (Sweden)

    Claire A Simeone

    Full Text Available Marine mammals are often cited as "sentinels of ocean health" yet accessible, synthesized data on their health changes that could effectively warn of ocean health changes are rare. The objectives of this study were to 1 perform a systematic review of published cases of marine mammal disease to determine spatial and temporal trends in disease from 1972-2012, including changes in regions and taxa affected and specific causes; and 2 compare numbers of published cases of neoplasia with known, hospital-based neoplasia records to explore the causes of discrepancy between numbers of published cases and true disease trends. Peer-reviewed literature was compiled, and data were collected from The Marine Mammal Center database in Sausalito, California for comparison of numbers of neoplasia cases. Toxicoses from harmful algal blooms appear to be increasing. Viral epidemics are most common along the Atlantic U.S. coastline, while bacterial epidemics, especially leptospirosis, are most common along the Pacific coast. Certain protozoal and fungal zoonoses appear to be emerging, such as Toxoplasma gondii in southern sea otters in California, and Cryptococcus gattii in cetaceans in the Pacific Northwest. Disease reports were most common from California where pinniped populations are large, but increased effort also occurs. Anthropogenic trauma remains a large threat to marine mammal health, through direct mortality and indirect chronic disease. Neoplasia cases were under-reported from 2003-2012 when compared to true number of cases, and over-reported in several years due to case duplication. Peer-reviewed literature greatly underestimates the true magnitude of disease in marine mammals as it focuses on novel findings, fails to reflect etiology of multifactorial diseases, rarely reports prevalence rather than simple numbers of cases, and is typically presented years after a disease first occurs. Thus literature cannot guide management actions adequately, nor

  17. A Systematic Review of Changes in Marine Mammal Health in North America, 1972-2012: The Need for a Novel Integrated Approach.

    Science.gov (United States)

    Simeone, Claire A; Gulland, Frances M D; Norris, Tenaya; Rowles, Teresa K

    2015-01-01

    Marine mammals are often cited as "sentinels of ocean health" yet accessible, synthesized data on their health changes that could effectively warn of ocean health changes are rare. The objectives of this study were to 1) perform a systematic review of published cases of marine mammal disease to determine spatial and temporal trends in disease from 1972-2012, including changes in regions and taxa affected and specific causes; and 2) compare numbers of published cases of neoplasia with known, hospital-based neoplasia records to explore the causes of discrepancy between numbers of published cases and true disease trends. Peer-reviewed literature was compiled, and data were collected from The Marine Mammal Center database in Sausalito, California for comparison of numbers of neoplasia cases. Toxicoses from harmful algal blooms appear to be increasing. Viral epidemics are most common along the Atlantic U.S. coastline, while bacterial epidemics, especially leptospirosis, are most common along the Pacific coast. Certain protozoal and fungal zoonoses appear to be emerging, such as Toxoplasma gondii in southern sea otters in California, and Cryptococcus gattii in cetaceans in the Pacific Northwest. Disease reports were most common from California where pinniped populations are large, but increased effort also occurs. Anthropogenic trauma remains a large threat to marine mammal health, through direct mortality and indirect chronic disease. Neoplasia cases were under-reported from 2003-2012 when compared to true number of cases, and over-reported in several years due to case duplication. Peer-reviewed literature greatly underestimates the true magnitude of disease in marine mammals as it focuses on novel findings, fails to reflect etiology of multifactorial diseases, rarely reports prevalence rather than simple numbers of cases, and is typically presented years after a disease first occurs. Thus literature cannot guide management actions adequately, nor inform indices of

  18. Integrated Care for Older Adults Improves Perceived Quality of Care : Results of a Randomized Controlled Trial of Embrace

    NARCIS (Netherlands)

    Uittenbroek, Ronald J; Kremer, Hubertus P H; Spoorenberg, Sophie L W; Reijneveld, Sijmen A; Wynia, Klaske

    2016-01-01

    BACKGROUND: All community-living older adults might benefit from integrated care, but evidence is lacking on the effectiveness of such services for perceived quality of care. OBJECTIVE: To examine the impact of Embrace, a community-based integrated primary care service, on perceived quality of care.

  19. A comparative analysis of chiropractic and general practitioner patients in North America: Findings from the joint Canada/United States survey of health, 2002–03

    Directory of Open Access Journals (Sweden)

    Chiang Lu-May

    2006-04-01

    Full Text Available Abstract Background Scientifically rigorous general population-based studies comparing chiropractic with primary-care medical patients within and between countries have not been published. The objective of this study is to compare care seekers of doctors of chiropractic (DCs and general practitioners (GPs in the United States and Canada on a comprehensive set of sociodemographic, quality of life, and health-related variables. Methods Data are from the Joint Canada/U.S. Survey of Health (JCUSH, 2002–03, a random sample of adults in Canada (N = 3505 and the U.S. (N = 5183. Respondents were categorized according to their pattern of health-care use in the past year. Distributions, percentages, and estimates (adjusted odds ratios weighted to reflect the complex survey design were produced. Results Nearly 80% of respondents sought care from GPs; 12% sought DC care. Compared with GP only patients, DC patients in both countries tend to be under 65 and white, with arthritis and disabling back or neck pain. U.S. DC patients are more likely than GP only patients to be obese and to lack a regular doctor; Canadian DC patients are more likely than GP only patients to be college educated, to have higher incomes, and dissatisfied with MD care. Compared with seekers of both GP and DC care, DC only patients in both countries have fewer chronic conditions, take fewer drugs, and have no regular doctor. U.S. DC only patients are more likely than GP+DC patients to be uninsured and dissatisfied with health care; Canadian DC only patients are more likely than GP+DC patients to be under 45, male, less educated, smokers, and not obese, without disabling back or neck pain, on fewer drugs, and lacking a regular doctor. Conclusion Chiropractic and GP patients are dissimilar in both Canada and the U.S., with key differences between countries and between DC patients who do and do not seek care from GPs. Such variation has broad and potentially far-reaching health policy and

  20. Promoting Individual Health Using Information Technology: Trends in the US Health System

    Science.gov (United States)

    Nimkar, Swateja

    2016-01-01

    Objectives: Advances in electronics, the Internet and telecommunication have pushed the field of health care to embrace information technology (IT). However, the purposeful use of technology is relatively new to the field of health promotion. The primary objective of this paper is to review various applications of health IT, with a focus on its…

  1. Eqüidade e reforma setorial na América Latina: um debate necessário Equity and health sector reform in Latin America: a necessary debate

    Directory of Open Access Journals (Sweden)

    Celia Almeida

    2002-01-01

    Full Text Available Reforma e eqüidade são termos que têm freqüentado os discursos políticos, documentos técnicos e discussões conceituais nas últimas décadas em distintas propostas com diferentes referenciais ideológicos. Entender a importância e centralidade desses temas no debate contemporâneo na América Latina pressupõe aprofundar a reflexão sobre a política de saúde no âmbito das políticas sociais, qualificar de que reformas estamos falando e o lugar que a eqüidade ocupa nessa discussão. Na primeira parte deste ensaio, discutem-se os conceitos de reforma e eqüidade; a seguir, faz-se um repasse sobre política de saúde como política social; e por fim, são discutidos os elementos centrais da agenda de reforma de sistemas de saúde na região. Conclui-se que a situação é dramática, as reformas recentes exacerbaram as desigualdades e criaram novos problemas, ao substituir valores de solidariedade e igualdade de oportunidade pelos de um "individualismo utilitarista radical"; e o princípio de "necessidades de saúde" pelo de "risco", monetarizado e definido segundo a posição social e econômica do indivíduo. Faz-se necessário retomar a discussão das políticas sociais e de saúde como a matriz de princípios que justificam o ordenamento de quaisquer outras políticas.Reform and equity are terms that have frequented political discourse, technical documents, and conceptual discussions in recent decades in different proposals with different ideological references. To understand the importance and centrality of these themes in the contemporary debate in Latin America implies a more in-depth reflection on health policy in the sphere of social policies and to define which reforms were are discussing and the place equity occupies in this discussion. The first part of this essay discusses the concepts of reform and equity, followed by a review of health policy as a social policy. The article ends by discussing the central elements on the

  2. Research on Health Inequalities in Latin America and the Caribbean: Bibliometric Analysis (1971–2000) and Descriptive Content Analysis (1971–1995)

    Science.gov (United States)

    Almeida-Filho, Naomar; Kawachi, Ichiro; Filho, Alberto Pellegrini; Dachs, J. Norberto W.

    2003-01-01

    We conducted a bibliometric and content analysis of research on health inequalities produced in Latin American and Caribbean countries. In our bibliometric analysis (n = 576), we used indexed material published between 1971 and 2000. The content analysis (n = 269) covered the period 1971 to 1995 and included unpublished material. We found recent rapid growth in overall output. Brazil, Chile, and Mexico contributed mostly empirical research, while Ecuador and Argentina produced more conceptual studies. We found, in the literature reviewed, a relative neglect of gender, race, and ethnicity issues. We also found remarkable diversity in research designs, however, along with strong consideration of ecological and ethnographic methods absent in other research traditions. PMID:14652329

  3. Research on health inequalities in Latin America and the Caribbean: bibliometric analysis (1971-2000) and descriptive content analysis (1971-1995).

    Science.gov (United States)

    Almeida-Filho, Naomar; Kawachi, Ichiro; Filho, Alberto Pellegrini; Dachs, J Norberto W

    2003-12-01

    We conducted a bibliometric and content analysis of research on health inequalities produced in Latin American and Caribbean countries. In our bibliometric analysis (n = 576), we used indexed material published between 1971 and 2000. The content analysis (n = 269) covered the period 1971 to 1995 and included unpublished material. We found recent rapid growth in overall output. Brazil, Chile, and Mexico contributed mostly empirical research, while Ecuador and Argentina produced more conceptual studies. We found, in the literature reviewed, a relative neglect of gender, race, and ethnicity issues. We also found remarkable diversity in research designs, however, along with strong consideration of ecological and ethnographic methods absent in other research traditions.

  4. America's top model. As the health information exchange market heats up--with vendors jockeying for position and funds being allocated--one state is paving the way.

    Science.gov (United States)

    Gamble, Kate Huvane

    2010-07-01

    As states move forward in establishing health information exchanges (HIEs), many are looking to New York State for guidance. New York, which got an early start in building a data exchange program, has been successful in securing private investments to supplement its public funds. It has also established a credible infrastructure, governance and policy framework for a statewide HIE network. However, significant hurdles to successful HIE implementation remain. One industry report cautions that policy, security, patient consent, lack of data standards and physician acceptance still need to be addressed.

  5. Healthy Municipios in Latin America.

    Science.gov (United States)

    Restrepo, H E; Llanos, G; Contreras, A; Rocabado, F; Gross, S; Suárez, J; González, J

    1995-09-01

    This article describes the Healthy Municipios movement in Latin America and gives examples of some PAHO projects that could become demonstration projects. The Healthy Municipios movement was established in the early 1990s. The movement aims to promote healthy municipalities according to objectives set forth in the 1987 Ottawa Charter on Health Promotion, the 1992 Declaration of Bogota, and the 1993 Caribbean Health Promotion Charter. The movement is a joint effort of government, the health sector, and the community in promoting health locally. Key features of the movement are its creativity, variety, political strength, and adaptation to local conditions. Technical cooperation serves the purpose of facilitating information exchange and promotes the use of modern techniques of analysis and scientific and technical information. All projects shared the following common features: initiation by the local community with strong political commitment, intersectoral organizational structure, widespread community mobilization and participation, problem solving activities, and a recognizable leader. Pioneering projects include the Comprehensive Project for Cienfuegos, Cuba; the Health Manizales, Colombia; the Network in Mexico; Baruta and El Hatillo, Venezuela; Valdivia, Chile; and San Carlos Canton, Costa Rica. It is concluded that these projects and most others aim to assure equity. These efforts are important for placing health on the political agenda and implementing healthy policies. The Valdivia project, for example, serves a population of about 120,000 in the urban city of Valdivia, the semi-urban area, and rural areas. The project was officially sanctioned by the President of Chile on World Health Day in 1993. Progress was reported in mass communication and school-based programs. Attention was directed also to prevention of risk factors for noncommunicable diseases and to the problem of traffic accidents.

  6. Individualizing Opioid Use Disorder (OUD Treatment: Time to Fully Embrace a Chronic Disease Model

    Directory of Open Access Journals (Sweden)

    Richard Gustin

    2015-02-01

    Full Text Available The current opioid epidemic in the United States is changing our perceptions of the face of addiction. Opioid Use Disorder (OUD has become pervasive and is affecting all ethnicities, races, socioeconomic classes, the young and the old. In 2015, 46 people will lose their life each day to a chronic brain disease that is going unnoticed and undertreated. Over the last five decades, numerous scientific and clinical breakthroughs have allowed for a better understanding of the mechanisms underlying addiction, and the development of medications that can help support a patient’s long-term recovery. All of those that have contributed to these advancements have aided in redefining addiction as a primary, chronic disease of the brain reward, motivation, memory and related circuitry; however, our treatment strategies have not necessarily advanced to the same extent as our current understanding of the disease. This commentary will explore how personal philosophies can bias treatments strategies and definitions of treatment success, and prevent adoption of chronic disease treatment models that would significantly improve the quality of life of those suffering with OUD. This is a challenge to consider how our views and stigma can impact a patient’s recovery. We are currently losing a battle with a disease that is taking the lives of 46 individuals daily; it is time to fully embrace a chronic disease model which comprises an integrated pharmacopsychosocial approach for treating the biopsychosocial disorder that is addiction to reverse these trends.

  7. Embracing Complexity beyond Systems Medicine: A New Approach to Chronic Immune Disorders

    Science.gov (United States)

    te Velde, Anje A.; Bezema, Tjitske; van Kampen, Antoine H. C.; Kraneveld, Aletta D.; 't Hart, Bert A.; van Middendorp, Henriët; Hack, Erik C.; van Montfrans, Joris M.; Belzer, Clara; Jans-Beken, Lilian; Pieters, Raymond H.; Knipping, Karen; Huber, Machteld; Boots, Annemieke M. H.; Garssen, Johan; Radstake, Tim R.; Evers, Andrea W. M.; Prakken, Berent J.; Joosten, Irma

    2016-01-01

    In order to combat chronic immune disorders (CIDs), it is an absolute necessity to understand the bigger picture, one that goes beyond insights at a one-disease, molecular, cellular, and static level. To unravel this bigger picture we advocate an integral, cross-disciplinary approach capable of embracing the complexity of the field. This paper discusses the current knowledge on common pathways in CIDs including general psychosocial and lifestyle factors associated with immune functioning. We demonstrate the lack of more in-depth psychosocial and lifestyle factors in current research cohorts and most importantly the need for an all-encompassing analysis of these factors. The second part of the paper discusses the challenges of understanding immune system dynamics and effectively integrating all key perspectives on immune functioning, including the patient’s perspective itself. This paper suggests the use of techniques from complex systems science in describing and simulating healthy or deviating behavior of the immune system in its biopsychosocial surroundings. The patient’s perspective data are suggested to be generated by using specific narrative techniques. We conclude that to gain more insight into the behavior of the whole system and to acquire new ways of combatting CIDs, we need to construct and apply new techniques in the field of computational and complexity science, to an even wider variety of dynamic data than used in today’s systems medicine. PMID:28018353

  8. Has the implementation of the TRIPS Agreement in Latin America and the Caribbean produced intellectual property legislation that favours public health?

    Science.gov (United States)

    Oliveira, Maria Auxiliadora; Bermudez, Jorge Antonio Zepeda; Chaves, Gabriela Costa; Velásquez, Germán

    2004-01-01

    OBJECTIVE: The World Trade Organization's Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement establishes minimum standards for intellectual property rights, including patent protection for pharmaceuticals; therefore, it may make it difficult for developing countries to gain access to medicines, especially those countries that are the least developed. This study aims to determine whether implementation of the TRIPS Agreement in Latin American and Caribbean countries has generated patent legislation that is sensitive to public health needs. METHODS: Legislation in 11 Latin American and Caribbean countries was analysed. The variables considered in the analysis were: the term of patents issued, patentable subject matter, transition periods (that is, time until legislation was enacted), reversal of the burden of proof of patent infringement, exhaustion of rights, compulsory licensing and the early working exception (which allows a country to complete all procedures necessary to register a generic product before the original patent expires). FINDINGS: By 2000, all of the countries studied had reformed their legislation to conform to the agreement. Brazil and Argentina used the transition period until 2005 to grant patents in the pharmaceutical industry. All countries, except Panama, made use of the safeguards and flexibilities available through the agreement by including mechanisms for compulsory licensing in their legislation. Argentina; Bolivia, Colombia, Ecuador, Peru and Venezuela (countries that represented the Andean community); the Dominican Republic; and Panama included mechanisms to allow parallel importation. Mexico did not. Brazil only permits parallel importation after a compulsory licence has been issued. The early working exception is included in legislation in Brazil and the Dominican Republic. CONCLUSION: The countries in this study did not incorporate all of the mechanisms allowed for by the Agreement and are not adequately using the

  9. Gastroenterology training in Latin America

    Institute of Scientific and Technical Information of China (English)

    Henry Cohen; Roque Saenz; Luiz E de Almeida Troncon; Maribel Lizarzabal; Carolina Olano

    2011-01-01

    Latin America is characterized by ethnic, geographical, cultural, and economic diversity; therefore, training in gastroenterology in the region must be considered in this context. The continent's medical education is characterized by a lack of standards and the volume of research continues to be relatively small. There is a multiplicity of events in general gastroenterology and in sub-disciplines, both at regional and local levels, which ensure that many colleagues have access to information. Medical education programs must be based on a clinical vision and be considered in close contact with the patients. The programs should be properly supervised, appropriately defined,and evaluated on a regular basis. The disparity between the patients' needs, the scarce resources available, and the pressures exerted by the health systems on doctors are frequent cited by those complaining of poor professionalism. Teaching development can play a critical role in ensuring the quality of teaching and learning in universities.Continuing professional development programs activities must be planned on the basis of the doctors' needs, with clearly defined objectives and using proper learning methodologies designed for adults. They must be evaluated and accredited by a competent body, so that they may become the basis of a professional regulatory system. The specialty has made progress in the last decades, offering doctors various possibilities for professional development. The world gastroenterology organization has contributed to the speciality through three distinctive, but closely inter-related, programs: Training Centers, Train-the-Trainers, and Global Guidelines, in which Latin America is deeply involved.

  10. Health Effects of Environmental Pollution.

    Science.gov (United States)

    Environmental Protection Agency, Washington, DC.

    This booklet notes that for a long time the American people were willing to pay any price for progress. Now may refuse to accept an environment that menaces their health and lowers their enjoyment of life. They are embracing a new environmental consciousness, a broader vision of reality, a more profound sense of their place in nature. Among the…

  11. Descentralización del sector salud en América Latina Descentralization of the health sector in Latin America

    Directory of Open Access Journals (Sweden)

    A. Ugalde

    2002-02-01

    Full Text Available Este trabajo analiza la experiencia latinoamericana con la descentralización de servicios de salud. Los autores examinan el significado de la descentralización: geográfica, institucional y de funciones. Se identifican los objetivos que según los promotores de la descentralización la justifican y se documenta que, en general, no se han conseguido. Una revisión de la bibliografía y los estudios llevados a cabo por los autores sugieren que con frecuencia la descentralización ha producido resultados opuestos a los buscados, es decir, ha incrementado la inequidad, ha disminuido la eficiencia y calidad de los servicios, y ha aumentado los costes. Se señala que la información existente no permite determinar con seguridad si el fracaso de la descentralización se debe a la selección de políticas inadecuadas o a fallos en el proceso de implementación. Se reconoce que la descentralización es un proceso político complejo que no se puede diseñar ni imponer desde fuera y que antes de tomar la decisión de descentralizar es necesario identificar cuál de las muchas modalidades de descentralización se quiere implementar, estimar los costes, anticipar los problemas que se pueden presentar en su proceso de implementación y buscar soluciones a los mismos. Los autores concluyen sugiriendo que los bancos multilaterales han errado al forzar a los países a descentralizar de una manera improvisada sin tener en cuenta los diferentes contextos históricos, políticos y socioeconómicos.This paper analyzes the Latin American experience of decentralizing health services within the context of health reform. We examine the meaning of the term decentralization and discuss the various modalities of this concept: geographical, institutional and functional. The objectives that, in general, these objectives have not been achieved. After reviewing the literature and drawing on our own fieldwork, we conclude that in many instances the Latin American

  12. Science in Latin America.

    Science.gov (United States)

    Ayala, Francisco J.

    1995-01-01

    A brief history of science and technology in Latin America that begins with the Mayan civilization and progresses through the colonial period to the present. Compares increased scientific productivity in the Latin American and Caribbean regions to productivity in the United States and European Union. (LZ)

  13. Replacing America's Job Bank

    Science.gov (United States)

    Vollman, Jim

    2009-01-01

    The Job Central National Labor Exchange (www.jobcentral.com) has become the effective replacement for America's Job Bank with state workforce agencies and, increasingly, with community colleges throughout the country. The American Association of Community Colleges (AACC) has formed a partnership with Job Central to promote its use throughout the…

  14. Literacy in South America.

    Science.gov (United States)

    Hornberger, Nancy H.

    1991-01-01

    Literacy in South America must be understood in terms of the linguistic diversity there, where only 2 of 14 nations and territories are monolingual. Oral traditions, standardization of indigenous languages, nonstandard varieties of colonial languages, bilingual education and mother tongue literacy, literacy teaching, and politics are discussed.…

  15. Americas at Odds

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Despite lingering disputes,the United States keeps a firm grip on Latin America During his presidential campaign,Evo Morales said his election would be a "nightmare" for the United States.The Bolivian president honored his words. On September 10, Morales declared U.S.

  16. Ecodesign in Central America

    NARCIS (Netherlands)

    Crul, M.R.M.

    2003-01-01

    This PhD thesis describes and analyses the change process started by the Ecodesign project in Central America, executed between 1998 and 2002. The project started using the concept and praxis developed in Europe. Nine ecodesign projects were performed in industry, and ecodesign was introduced to cou

  17. Sarcoma Foundation of America

    Science.gov (United States)

    ... Google+ Twitter LinkedIn YouTube © 2017 Sarcoma Foundation of America | All Rights Reserved. | Terms of Use | Privacy Policy Website Design & Hosting by 270net Technologies, Inc. X - Enter Your Location - - or - Get your current location Home About Us History People Public Filings News & Media SFA in the ...

  18. An Idea Called America

    Science.gov (United States)

    Hartoonian, Michael; Van Scotter, Richard; White, William E.

    2007-01-01

    America evolved out of the principles of the eighteenth-century Enlightenment, suggesting that individuals could govern themselves and that people were "endowed" with "unalienable rights" such as life, liberty, and the pursuit of happiness. To secure these principles, Americans would continue to work on forming a more perfect Union, by…

  19. Lateinamerika oder -amerikas? Latin America or Americas?

    Directory of Open Access Journals (Sweden)

    Ana Belén García Timón

    2008-07-01

    Full Text Available Anhand interdisziplinärer und empirischer Studien wird Lateinamerika als Bühne für die Entwicklung transkultureller Phänomene präsentiert. Geschlechterverhältnisse in unterschiedlichen Kontexten stehen im Mittelpunkt der Untersuchung. Begriffe wie Macht, Rasse oder Raum werden mit dem Ziel, weg von der bisherigen Vorstellung von homogenen kulturellen Einheiten zu kommen, revidiert.Latin America is presented as a stage for the development of transcultural phenomena through the use of interdisciplinary and empirical studies. Gender relations in different contexts lie at the heart of this study. Terms such as power, race, or space are revised with the goal of moving away from current perceptions of homogenous cultural unities.

  20. Conceptions and practices of embracement to the family members in psychosocial attention in alcohol and other drugs

    Directory of Open Access Journals (Sweden)

    Gabrielle Leite Pacheco Lisbôa

    2014-06-01

    Full Text Available This is a qualitative research made from March 2012 to February 2014 to identify and to analyze conceptions and practices of embracement to the family members of the people who use drugs, from the family’s and the professionals’ perspective in a Psychosocial Attention Center specialized in Alcohol and Other Drugs in Maceió, AL, Brazil. Data collection was made by semi-structured interviews with the use of previously elaborated script. Bardin's thematic analysis and discussion approved by Merhy revealed it as an act of receiving. For professionals, it is an administrative reception, triage, and transfer of information. For the family members, it is always to be welcome. The practice, present in relations in which there is the encounter professional-user, materialized in family groups and listening. In the working process, embracement to the families expresses the need of qualified listening, constitution of bond and their co-responsibilities.

  1. Population aging, health and urban environment in Latin America. Challenges of gerontological Urbanism / Envejecimiento de la población, salud y ambiente urbano en América Latina. Retos del Urbanismo gerontológico

    Directory of Open Access Journals (Sweden)

    Sarai Merari Salas-Cardenas

    2014-09-01

    Full Text Available El estudio reflexiona sobre los desafíos del envejecimiento de la población en las zonas urbanas de América Latina, destacando la importancia de la planificación gerontológica del entorno físico y social en la salud y calidad de vida de las personas mayores. La metodología consistió en una revisión de la literatura científica, principalmente revistas indexadas a Scopus y Thomson-Reuters. Los resultados indican que en la región el crecimiento urbano agrava las condiciones ambientales y los problemas de salud de la población de edad avanzada, una situación que se ve afectada por el contexto de vulnerabilidad social (pobreza, problemas de acceso a los servicios de salud. También, algunas de las claves se discuten en la comprensión de los desafíos de la planificación gerontológica de las ciudades de América Latina, y la participación activa de las personas mayores en el diseño de entornos construidos dinámicos y estimulantes, en especial, hogares y espacios públicos. Además, en la región el avance del envejecimiento de la población urbana va a generar una fuerte demanda de los gerontólogos ambientales, especialmente arquitectos, urbanistas y profesionales de la salud ambiental, con formación gerontológica en la sensibilidad de diseños favorables para envejecer en el lugar. The study reflects on the challenges of aging populations in urban Latin America, highlighting the importance of the gerontological planning of physical and social environment on the health and quality of life of older people. The methodology consisted of a review of the scientific literature, mainly journals indexed to Scopus and Thomson-Reuters index. The results indicate that, in the region the urban growth exacerbates environmental conditions and health problems of the elderly population, a situation that is exacerbated by the context of social vulnerability (poverty, problems of access to health services.

  2. La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma Managed care in Latin America: transnationalization of the health sector in a context of reform

    Directory of Open Access Journals (Sweden)

    Celia Iriart

    2000-01-01

    Full Text Available Este artículo presenta resultados de la investigación comparativa "Atención Gerenciada en América Latina: Su Papel en la Reforma de los Sistemas de Salud", realizada por equipos de Argentina, Brasil, Chile, Ecuador y Estados Unidos. El objetivo del estudio fue analizar el proceso de exportación de la atención gerenciada, especialmente desde Estado Unidos, y su incorporación en los países latinoamericanos. Los métodos utilizados incluyeron técnicas cualitativas y cuantitativas. La adopción de la atención gerenciada muestra el proceso de transnacionalización del sector salud. Nuestros hallazgos demuestran el ingreso de los principales capitales financieros multinacionales en el sector privado de seguros y de prestadores de salud, y su intencionalidad de participar en la administración de las instituciones estatales y de los fondos de la seguridad social médica. Concluimos que este proceso de cambio sustancial, que implica la paulatina adopción de la atención gerenciada, es facilitado por las transformaciones operadas a nivel ideológico.This article presents the results of the comparative research project "Managed Care in Latin America: Its Role in Health Reform". The project was conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States. The study's objective was to analyze the process by which managed care is exported, especially from the United States, and how managed care is adopted in Latin American countries. Our research methods included qualitative and quantitative techniques. Adoption of managed care reflects transnationalization of the health sector. Our findings demonstrate the entrance of large multinational financial capital into the private insurance and health services sectors and their intention of participating in the administration of government institutions and medical/social security funds. We conclude that this basic change involving the slow adoption of managed care is facilitated by

  3. Cobertura efectiva de las intervenciones en salud de América Latina y el Caribe: métrica para evaluar los sistemas de salud Effective coverage of health interventions in Latin America and the Caribbean: metrics for the assessment of health systems performance

    Directory of Open Access Journals (Sweden)

    Sandra Martínez

    2011-01-01

    Full Text Available OBJETIVO: Medir la cobertura efectiva para once intervenciones de salud en nueve países de América Latina utilizando las encuestas de demografía y salud o registros administrativos que abarcan la salud infantil, de la mujer y el adulto. MATERIAL Y MÉTODOS: Se seleccionaron las intervenciones y se armonizaron definiciones y métodos de cálculo de acuerdo con la información disponible para lograr la comparabilidad entre países. RESULTADOS: Chile es el país con mejores indicadores de coberturas crudas y efectivas, seguido por México y Colombia, y existen brechas importantes entre regiones, departamentos o estados. CONCLUSIONES: La métrica de cobertura efectiva es un indicador sensible que relaciona la necesidad de las intervenciones en salud, su utilización y calidad, lo que permite valorar los programas de salud al aportar datos precisos de dónde y a quién deben dirigirse los recursos y esfuerzos nacionales para que los países alcancen los propósitos y metas planteados.OBJECTIVE: To measure effective coverage for ll health interventions in Latin America including the children's, women's and adult health, as part of program evaluation. MATERIAL AND METHODS: Interventions were selected; the definitions and calculation methods were harmonized according to the information available to ensure comparability between countries. RESULTS: Chile has better indicators of crude and effective coverage followed by Mexico and Colombia.There are significant gaps between regions, counties or states. CONCLUSIONS: The health metric on effective coverage is a sensitive indicator that links three important aspects: Coverage of health interventions, use of health services, and access to such services. Effective coverage is a good tool to evaluate health programs performance, and also provides data of where and to whom the system should address national efforts and resources to achieve the purposes and goals set.

  4. A luta pelo banimento do amianto nas Américas: uma questão de saúde pública The struggle to ban asbestos in the Americas: an issue of public health

    Directory of Open Access Journals (Sweden)

    Hermano Castro

    2003-01-01

    Full Text Available Este artigo tem como objetivo resgatar a luta pelo banimento do amianto ou asbesto nas Américas. Destacando-se a importância do amianto como um problema de Saúde Pública, pelo seu potencial carcinogênico reconhecido para os seres humanos, perpassando pela constituição de redes como contrapoderes em prol do banimento dessa fibra nociva, ressaltando a participação social nessa luta. O problema do amianto nas discussões das políticas públicas de saúde, trabalho e meio ambiente ainda permanece pouco claro no campo da Saúde do Trabalhador. Ao restringir a apenas um único campo de atuação, reduz-se a atuação das vigilâncias, como se estivesse apenas limitado ao ambiente de trabalho. É necessária então a discussão nos campos da Saúde Ambiental e da Saúde Publica. A ausência de políticas públicas contribui para a invisibilidade dos problemas relacionados ao amianto no Brasil. Hoje, as vítimas do amianto não têm suas doenças reconhecidas, e seus direitos são negados em várias instâncias do poder público. Conclui-se que a luta pelo fim da utilização dessa fibra e a redução das doenças provocadas pela mesma configuram-se um movimento político comprometido com a transformação social na busca por uma sociedade mais justa, igualitária e saudável.This article has the aim of rescuing the fight for the banishment of asbestos in Americas. The authors emphasize the importance of the asbestos as a problem of Public Health, due to its carcinogenic potential to human health, passing through the constitution of nets of counterpower on behalf of the banishment of the fiber, pointing out the importance of social participation in this fight. The asbestos public policy of health, work and environment is pointed out as a central problem. There are some misconceptions in the field of Worker's Health on facing the risks and damages caused by asbestos/amiantos and it is very important not to restrict the surveillance only to

  5. Beyond prejudice and pride: The human sciences in nineteenth- and twentieth-century Latin America.

    Science.gov (United States)

    Rodriguez, Julia

    2013-12-01

    Grappling with problematics of status and hierarchy, recent literature on the history of the human sciences in Latin America has gone through three overlapping phases. First, the scholarship has reflected a dialogue between Latin American scientists and their European colleagues, characterized by the "center/periphery" model of scientific diffusion. Next, scholars drew on postcolonial theory to undermine the power of the "center" and to recover the role of local agents, including both elites and subalterns. In the wake of numerous studies embracing both models, the way has been cleared to look at multiple dimensions simultaneously. Histories of the human sciences in the complex multicultural societies of Latin America provide an unusually direct path to integration. Moreover, this dynamic and multilayered approach has the potential to address ambivalences about authority and power that have characterized previous analyses of the production and application of knowledge about the human condition.

  6. Building America FY 2016 Annual Report: Building America Is Driving Real Solutions in the Race to Zero Energy Homes

    Energy Technology Data Exchange (ETDEWEB)

    Farrar, Sara [National Renewable Energy Lab. (NREL), Golden, CO (United States); Rothgeb, Stacey [National Renewable Energy Lab. (NREL), Golden, CO (United States); Polly, Ben [National Renewable Energy Lab. (NREL), Golden, CO (United States); Earle, Lleko [National Renewable Energy Lab. (NREL), Golden, CO (United States); Merrigan, Tim [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-12-01

    The U.S. Department of Energy (DOE) Building America Program enables the transformation of the U.S. housing industry to achieve energy savings through energy-efficient, high-performance homes with improved durability, comfort, and health for occupants. Building America bridges the gap between the development of emerging technologies and the adoption of codes and standards by engaging industry partners in applied research, development, and demonstration of high-performance solutions.

  7. Políticas públicas vigentes de salud mental en Suramérica: un estado del arte / Current public policies on mental health in South America: a state of the art

    Directory of Open Access Journals (Sweden)

    Silvia Henao

    2016-05-01

    Full Text Available Resumen Objetivo: presentar un Estado del Arte sobre el contenido de las políticas públicas de salud mental vigentes en Suramérica, con el propósito de establecer un panorama de los alcances y limitaciones de la normatividad sobre el tema en la región. Metodología: Estudio documental de enfoque hermenéutico mediante el cual se interpretó y explicó las relaciones entre los contenidos de las políticas públicas de salud mental y el contexto de los países suramericanos. Para el análisis se incluyeron documentos normativos de los países, tales como Acuerdos, Resoluciones y Leyes. Igualmente, se utilizaron publicaciones académicas en el periodo comprendido entre 2003 a 2013, que posibilitaron la descripción y el análisis del tema de investigación. Resultados: países como Colombia, Argentina, Paraguay, Brasil, Perú, Ecuador y Uruguay cuentan con disposiciones normativas vigentes (acuerdos, resoluciones y leyes que sustentan el contenido de las políticas públicas en materia de salud mental. Por otra parte, Chile, Bolivia y Venezuela fundamentan sus políticas en mecanismos administrativos (programas, planes y proyectos sin apelar a la norma de obligatorio cumplimiento. Conclusión: la noción de salud mental que subyace a cada Política Nacional hace énfasis en la promoción de la salud y la prevención de la enfermedad, desde una concepción positiva del bienestar que resalta el papel activo de los sujetos y poblaciones, las capacidades y libertades disponibles; sin embargo, los recursos, estrategias, acciones y metas están orientados sobre la base de un modelo biomédico que prioriza el diagnóstico y el tratamiento de trastornos mentales. / Abstract Objective: to present the state of the art regarding the content of the public mental health policies currently in force in South America in order to establish an overview of the scope and limitations of the regulations on the subject in the region. Methodology: a documentary study

  8. Serious Games for Sexual Health.

    Science.gov (United States)

    Shegog, Ross; Brown, Katherine; Bull, Sheana; Christensen, John L; Hieftje, Kimberly; Jozkowski, Kristen N; Ybarra, Michele L

    2015-04-01

    Program developers and researchers in the sexual health domain have increasingly embraced technological trends as they emerge. With the emergence of serious game applications to impact health behaviors, a natural step for research enquiry will be the investigation of serious games for sexual health education. We invited a panel of sexual health researchers who are working at the intersection of sexual health behavior change and technology applications to comment on the place of serious games in furthering the field of sexual health. The panel grappled with six questions.

  9. Electricity in Latin America

    Energy Technology Data Exchange (ETDEWEB)

    Breeze, P.

    1998-12-01

    The report provides an overview of the Latin American power market; analyses the power generation, transmission and distribution capabilities of 20 countries in central and south America; includes detailed comparative data on current capacity, shortfall and growth; investigates the existing network infrastructures and projected demand; examines the opportunities for independent power producers resulting from deregulation; assesses indigenous and imported fuel resources; and discusses the broad financial opportunities and restraints.

  10. Latin America Report.

    Science.gov (United States)

    1986-11-05

    8217Americas Watch’ Charges (THE DAILY GLEANER, 26 Sep 86) 92 - c - Briefs World Bank Loans 94 MEXICO 1985 Key Parastate Enterprise Losses Near...year later in the DIARIO DE CENTROAMERICA , on 27 December 1985. The previous pact, which had been in effect for 25 years, was the Central American... Mexico , including a sizable reduction in spreads (risk rates) collected from that country, will be the point of departure for the new round of

  11. An appraisal of the health planning method proposed by the Pan-American Health Organization for Latin America Uma apreciação do método de planejamento de saúde proposto pela Organização Panamericana da Saúde para a América Latina

    Directory of Open Access Journals (Sweden)

    José Duarte de Araújo

    1972-12-01

    Full Text Available A brief description of the main features of the health planning technique developed by the "Centro de Estudios del Desarrollo" (CENDES in Venezuela, and proposed by the Pan-American Health Organization for use in Latin America, is presented. This presentation is followed by an appraisal of the planning method which includes comments both upon its positive aspects and upon its negative points. Comments are also made referring to other recent publications of the WHO/PAHO on health planning. In conclusion, the CENDES technique is considered a health planning method of great potential for use especially in underdeveloped areas, the success of its application depending upon the hability of the health planners to introduce the necessary modifications to adapt to the local circunstamces.Foram descritos os principais aspectos da técnica de planejamento de saúde desenvolvida pelo "Centro de Estudios del Desarrollo" (CENDES na Venezuela e proposta pela Organização Panamericana da Saúde para uso na América Latina. Foi feita análise da técnica de planejamento incluindo comentários tanto sobre os seus aspectos positivos como sobre suas limitações. Foram referidas algumas publicações recentes da OMS/OPAS sobre planejamento de saúde. Conclui-se que a técnica CENDES é considerada como uma metodologia de planejamento de saúde de grande potencial para uso especialmente em regiões em desenvolvimento, dependendo o sucesso na sua aplicação sobretudo da habilidade dos planejadores, em introduzir as modificações necessárias à sua adaptação às condições locais.

  12. Building America Industrialized Housing Partnership (BAIHP)

    Energy Technology Data Exchange (ETDEWEB)

    McIlvaine, Janet; Chandra, Subrato; Barkaszi, Stephen; Beal, David; Chasar, David; Colon, Carlos; Fonorow, Ken; Gordon, Andrew; Hoak, David; Hutchinson, Stephanie; Lubliner, Mike; Martin, Eric; McCluney, Ross; McGinley, Mark; McSorley, Mike; Moyer, Neil; Mullens, Mike; Parker, Danny; Sherwin, John; Vieira, Rob; Wichers, Susan

    2006-06-30

    This final report summarizes the work conducted by the Building America Industrialized Housing Partnership (www.baihp.org) for the period 9/1/99-6/30/06. BAIHP is led by the Florida Solar Energy Center of the University of Central Florida and focuses on factory built housing. In partnership with over 50 factory and site builders, work was performed in two main areas--research and technical assistance. In the research area--through site visits in over 75 problem homes, we discovered the prime causes of moisture problems in some manufactured homes and our industry partners adopted our solutions to nearly eliminate this vexing problem. Through testing conducted in over two dozen housing factories of six factory builders we documented the value of leak free duct design and construction which was embraced by our industry partners and implemented in all the thousands of homes they built. Through laboratory test facilities and measurements in real homes we documented the merits of 'cool roof' technologies and developed an innovative night sky radiative cooling concept currently being tested. We patented an energy efficient condenser fan design, documented energy efficient home retrofit strategies after hurricane damage, developed improved specifications for federal procurement for future temporary housing, compared the Building America benchmark to HERS Index and IECC 2006, developed a toolkit for improving the accuracy and speed of benchmark calculations, monitored the field performance of over a dozen prototype homes and initiated research on the effectiveness of occupancy feedback in reducing household energy use. In the technical assistance area we provided systems engineering analysis, conducted training, testing and commissioning that have resulted in over 128,000 factory built and over 5,000 site built homes which are saving their owners over $17,000,000 annually in energy bills. These include homes built by Palm Harbor Homes, Fleetwood, Southern Energy

  13. Alternativas de financiamiento de la atención médica en América Latina y el Caribe Alternatives for the financing of health care in Latin America and the Caribbean

    Directory of Open Access Journals (Sweden)

    Antonio Carlos Coelho Campino

    1995-06-01

    Full Text Available Dada la magnitud del problema de salud en los paises de America Latina y el Caribe, el déficit de recursos financieros necesarios para proveer atención médica no se puede cubrir a través de aumentos en los precios, o adoptando medidas como pago por servicio o cobro por los costos de los servicios. Es necesario recurrir a la política fiscal. Se demuestra que es posible aumentar los recursos disponibles para la atención médica, tanto por el aumento en la recaudación de impuestos, como por la toma de decisión política de aumentar los ingresos del gobierno destinados a financiar la atención médica. Se revisa la experiencia de los Fondos de Emergencia Social y de las operaciones de cambio de deuda por salud como importantes fuentes adicionales de recursos especialmente para financiar la inversión.Dada a magnitude do problema de saúde nos países da América Latina e do Caribe, não é possível cobrir o déficit de recursos financeiros necessários para prover assistência médica através de aumentos nos preços, ou com a adoção de medidas como o pagamento por serviços ou a cobrança do custo dos serviços. Faz-se necessário recorrer à política fiscal. Foi mostrado que é possível aumentar os recursos disponíveis para assistência médica, tanto por meio do aumento na arrecadação de impostos, quanto pela tomada da decisão política de aumentar a parcela da receita do Governo, destinada a financiar a assistência médica. Foi revista a experiência dos Fundos de Emergência Social e das operações de troca de dívida por projetos na área de saúde como importantes fontes adicionais de recursos, especialmente para financiar o investimento.Latin America and the Caribbean (LAC countries are experiencing both an economic crisis and a crisis in the public sector. As a result it is impossible to increase the amount of resources available to the health sector, unless there is a drastic restructuring of the way in which financing

  14. Managing America`s solid waste

    Energy Technology Data Exchange (ETDEWEB)

    1998-03-02

    This report presents an historical overview of the federal role in municipal solid waste management from 1965 to approximately 1995. Attention is focuses on the federal role in safeguarding public health, protecting the environment, and wisely using material and energy resources. It is hoped that this report will provide important background for future municipal solid waste research and development initiatives.

  15. Empowering Workers to Rebuild America's Economy and Longer-Term Competitiveness: Green Skills Training for Workers. Hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Eleventh Congress, First Session on Examining Empowering Workers to Rebuild America's Economy and Longer-Term Competitiveness, Focusing on Green Skills Training for Workers (April 21, 2009). Senate Hearing 111-813

    Science.gov (United States)

    US Senate, 2011

    2011-01-01

    Among the topics discussed in this hearing were: what constitutes green energy, how workers can best be provided the skills to thrive in green industries, and the future of America's energy and environmental policies. Statements were presented by: Honorable Patty Murray, a U.S. Senator from the State of Washington, opening statement; Honorable…

  16. O neoliberalismo na America Latina

    OpenAIRE

    David Ibarra

    2011-01-01

    Neoliberalism in Latin America. Neoliberalism and globalization had decisive influence in shaping public policies both internal and foreign in Latin America. Less state, trade and market freedoms, social goals subordinated to economic criteria, are part and parcel of the neoliberal utopia. Price stability was erected as the main social objective; import substitution resulted replaced by exports as the main source of growth. The neoliberal net results as applied to Latin America are: less grow...

  17. An America unknown

    OpenAIRE

    2010-01-01

    If we consider that the Spanish chroniclers had gradually invented what eventually became America, as O'Gorman proposed, the Portuguese chroniclers of the first half of the 16th century were even more cautious in building an identity for the overseas territories visited by Columbus and Cabral. These sixteenth century chroniclers, focusing on Asia, only later ceased to think of this "almost other world" as a place of passage, to think of it as a place to stop. Disregarding the surprised tone o...

  18. Pensamento da America

    OpenAIRE

    2013-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas, Programa de Pós-Graduação em História, Florianópolis, 2013. Esta dissertação objetivou investigar a atividade editorial de Rui Ribeiro Couto e Renato Costa Almeida enquanto estes intelectuais estiveram à frente do Pensamento da America, uma publicação mensal vinculada ao A Manhã, jornal porta voz do Estado Novo. Este suplemento panamericano veio a público entre 1941 e 1949, no entanto a...

  19. Mosques in North America

    Directory of Open Access Journals (Sweden)

    Omar Khalidi

    2008-12-01

    Full Text Available The following article derived from an exhibit catalogue put together by Public Affairs Germany in the U.S. Embassy in Berlin and the U.S. Consulates in Frankfurt and Düsseldorf and accompanied Dr. Omar Khalidi’s photo exhibit “Mosques in America.” There are over 2,000 mosques in the United States, mostly housed in buildings originally built for other purposes. American mosques built in the last few decades, however, in the period in which Islam has begun to feel at home in the United States, are almost universally architect-designed.

  20. Eating in America

    Institute of Scientific and Technical Information of China (English)

    康海燕

    2007-01-01

    Americans are too busy to cook at home.They often eat outside.Eating culture is one of the important parts in America.There are many kinds of restaurants.Some are open for breakfast. Others are open twenty-four hours a day. A number of restaurants call themselves"family restaurants".They serve no alcohol~* and have fairly restricted~* menus.They serve steaks,hamburgers and sandwiches.Besides these,there are some special restaurants.They serve only or mainly steaks,seafood,etc.

  1. Let's Go to America!

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

      The United States and China have signed an agreement to facilitate Chinese group leisure travel to the United States. This agreement provides the necessary framework to permit group leisure travel from China to the United States. U.S. companies can now enter into business relationships with Chinese travel agencies to organize and market travel packages for group leisure travel to the United States. It also attracts more and more Chinese to go to America, as more and more convenience and comforts are coming up during the travel.……

  2. Let's Go to America!

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ The United States and China have signed an agreement to facilitate Chinese group leisure travel to the United States. This agreement provides the necessary framework to permit group leisure travel from China to the United States. U.S. companies can now enter into business relationships with Chinese travel agencies to organize and market travel packages for group leisure travel to the United States. It also attracts more and more Chinese to go to America, as more and more convenience and comforts are coming up during the travel.

  3. [An overview of telehealth initiatives in Latin America].

    Science.gov (United States)

    dos Santos, Alaneir de Fátima; D'Agostino, Marcelo; Bouskela, Maurício Simon; Fernandéz, Andrés; Messina, Luiz Ary; Alves, Humberto José

    2014-01-01

    This article aimed to systematize the views on telehealth in Latin America and to present the experience of building an instrument for monitoring the development of telehealth initiatives based on the reality of this region. A group was structured to coordinate telehealth efforts in Latin America, with members appointed by the ministries of health of 16 countries. Five thematic groups were also set up. Based on international experiences and focusing on the reality of telehealth in the continent, an instrument was created to monitor the development of telehealth in Latin America. Several countries have national telehealth projects: Brazil, Colombia, Ecuador, Mexico, Panama. Others are in the process of development and early deployment: Bolivia, Costa Rica, Cuba, El Salvador, Guatemala, Peru, Venezuela. The instrument described in the article, which is still being tested, proposes a characterization of countries according to their telehealth development stage: nonexistent, nascent, intermediate, advanced, and exemplary. Currently, important telehealth initiatives are already underway in Latin America.

  4. Wireless security in mobile health.

    Science.gov (United States)

    Osunmuyiwa, Olufolabi; Ulusoy, Ali Hakan

    2012-12-01

    Mobile health (m-health) is an extremely broad term that embraces mobile communication in the health sector and data packaging. The four broad categories of wireless networks are wireless personal area network, wireless metropolitan area network, wireless wide area network, and wireless local area network. Wireless local area network is the most notable of the wireless networking tools obtainable in the health sector. Transfer of delicate and critical information on radio frequencies should be secure, and the right to use must be meticulous. This article covers the business opportunities in m-health, threats faced by wireless networks in hospitals, and methods of mitigating these threats.

  5. Urban violence and public health in Latin America: a sociological explanatory framework Violencia urbana y salud pública en Latinoamérica: un marco sociológico explicativo

    Directory of Open Access Journals (Sweden)

    Roberto Briceño-León

    2005-12-01

    Full Text Available Interpersonal violence has become one of the main public health issues in Latin American cities. This article presents a framework for sociological interpretation that operates on three levels, expressed in the factors that originate, foment, or facilitate violence. Macro-social factors include: social inequality due to the increase in wealth versus poverty; the paradox of more schooling with fewer employment opportunities; increasing expectations and the impossibility of meeting them; changes in family structure; and loss of importance of religion in daily life. At the meso-social level the analysis highlights: increased density in poor areas and urban segregation; masculinity cult; and changes in the local drug market. The micro-social level includes: an increase in the number of firearms; alcohol consumption; and difficulties in verbal expression of feelings. The article concludes with an analysis of how violence is leading to the breakdown not only of urban life but also of citizenship as a whole in Latin America.La violencia interpersonal se ha convertido en uno de los principales problemas de salud pública de las ciudades de América Latina. El artículo presenta una interpretación sociológica de la violencia en tres niveles: (a macro-sociales ­ la desigualdad social debida al incremento de la riqueza y la pobreza; la paradoja del mayor nivel educativo de las personas, pero las menores oportunidades de empleo, el incremento de las expectativas y de la imposibilidad de satisfacerlas; los cambios en la familia y la pérdida de importancia de la religión en la vida cotidiana de las personas; (b meso-sociales ­ el incremento de la densidad en las zonas pobres y la segregación urbana, la cultura de la masculinidad y los cambios en el mercado local de la droga; (c micro-sociales ­ el incremento de las armas de fuego, el consumo de alcohol y las dificultades de expresión verbal de los sentimientos por las personas. El artículo concluye

  6. Embracing a competency-based specialty curriculum for community-based nursing roles.

    Science.gov (United States)

    Levin, Pamela F; Swider, Susan M; Breakwell, Susan; Cowell, Julia M; Reising, Virginia

    2013-01-01

    The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates across these four specialties (home health, occupational health, environmental health, and school nursing). This article details the multistep cross-mapping process, including validation with practice leaders. Results indicate strong alignment of community-based specialty competencies with Quad Council competencies. Community-based specialty-specific content that did not align well is identified, along with examples of didactic and clinical strategies to address gaps. This work indicates that a Quad Council-based curriculum is appropriate to prepare graduates in community-based specialties when attention to the specialty-specific competencies in the clinical setting is included. This work guides the development of a doctorate of nursing practice curriculum in PHN, encompassing the four additional community-based specialties.

  7. Embracing healthcare technology - What is the way forward for nurse education?

    Science.gov (United States)

    McCabe, Catherine; Timmins, Fiona

    2016-11-01

    Digital technology is regarded as increasingly important in the provision of safe, consistent and optimal health care in the future. However considerable challenges exist in relation to how it can best be used and integrated to support, transform and facilitate user engagement and provide individualised care. Many forms of digital health technology exist already that have improved diagnosis and treatment in terms of early diagnosis and treatment. That said, healthcare, and nursing in particular, remains largely at the periphery of the digital technology transformation and as a result is failing to capitalise on its potential for improving health care and services. Awareness of the level of change in terms of professional and cultural ideology is needed when introducing technology in health care. Participation in the introduction, adaptation and acceptance process by all staff using soft and hard data to create a vision, set clear goals and develop a mutually agreed implementation strategy is essential for success. A positive approach by management towards the use and benefits of digital technology for improving and transforming healthcare in conjunction with education support has been effective in some UK and US projects. Education needs to commence at undergraduate level and continue across the nursing career trajectory. This will help nurses to re-conceptualise how both patients and health care professionals can benefit and that technology can serve to enhance and support patient centred communication rather than limit it.

  8. Anaglyph, South America

    Science.gov (United States)

    2003-01-01

    This anaglyph (stereoscopic view) of South America was generated with data from the Shuttle Radar Topography Mission (SRTM). It is best viewed at or near full resolution with anaglyph glasses. For this broad view the resolution of the data was first reduced to 30 arcseconds (about 928 meters north-south but variable east-west), matching the best previously existing global digital topographic data set called GTOPO30. The data were then resampled to a Mercator projection with approximately square pixels (about one kilometer, or 0.6 miles, on each side). Even at this decreased resolution the variety of landforms comprising the South American continent is readily apparent.Topographic relief in South America is dominated by the Andes Mountains, which extend all along the Pacific Coast. These mountains are created primarily by the convergence of the Nazca and South American tectonic plates. The Nazca Plate, which underlies the eastern Pacific Ocean, slides under western South America resulting in crustal thickening, uplift, and volcanism. Another zone of plate convergence occurs along the northwestern coast of South America where the Caribbean Plate also slides under the South American Plate and forms the northeastern extension of the Andes Mountains.East of the Andes, much of northern South America drains into the Amazon River, the world's largest river in terms of both watershed area and flow volume. Topographic relief is very low in much of the Amazon Basin but SRTM data provide an excellent detailed look at the basin's three-dimensional drainage pattern, including the geologic structural trough (syncline) that hosts the eastern river channel.North of the Amazon, the Guiana Highlands commonly stand in sharp contrast to the surrounding lowlands, indeed hosting the world's tallest waterfall, Angel Falls (979 meters or 3212 feet). Folded and fractured bedrock structures are distinctive in the topographic pattern.South of the Amazon, the Brazilian Highlands show a mix of

  9. Locking in on Latin America

    Institute of Scientific and Technical Information of China (English)

    MICHAEL; RICE

    2006-01-01

    China cautious as it sets up generous investment in Latin America The United States is keeping a watchful eye as China bolsters political and economic ties with Latin America. The situation has U.S. political analysts trying to determine just how China s emerging influence

  10. GeoCorps America

    Science.gov (United States)

    Dawson, M.

    2011-12-01

    GeoCorps America, a program of the Geological Society of America's (GSA) Education and Outreach Department, provides short-term geoscience jobs in America's most amazing public lands. These jobs are hosted on federal lands managed by GeoCorps' three partner agencies: the National Park Service (NPS), the U.S. Forest Service (USFS), and the Bureau of Land Management (BLM). Agency staff submit to GSA position descriptions that help meet their geoscience needs. GSA advertises the positions online, recruits applicants from its 24,000+ members, and coordinates the placement of the candidates selected by agency staff. The typical GeoCorps position lasts for three months, pays a stipend of $2,750, and provides either free housing or a housing allowance. Some GeoCorps positions are classified as "Guest Scientist" positions, which generally last longer, involve larger payments, and require a higher level of expertise. Most GeoCorps positions occur during the spring/summer, but an increasing number of positions are being offered during the fall/winter. GeoCorps positions are open to geoscientists of all levels, from undergraduates through retired professionals. GeoCorps projects involve field and laboratory-based geoscience research, but some projects focus on developing educational programs and materials for staff, volunteers, and the public. The subject areas covered by GeoCorps projects include geology, hydrology, paleontology, mapping/GIS, soils, geo-hazards, cave/karst science, and more. GeoCorps positions have taken place at over 125 different locations nationwide, including Grand Canyon National Park, Sierra National Forest, and Craters of the Moon National Monument. In 2011, GeoCorps began offering GeoCorps Diversity Internships and GeoCorps American Indian Internships. The introduction of these programs doubled the level of diversity among GeoCorps participants. This increase in diversity is helping GSA and its partner agencies in meeting its mutual goal of

  11. South America Geologic Map (geo6ag)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — South America is part of Region 6 (Central and South America) for the World Energy Assessment. The geologic map of South America was digitized so that we could use...

  12. Cooperação e integração regional em saúde na América do Sul: a contribuição da Unasul-Saúde Regional cooperation and integration in health in South America: the contribution of Unasur-Health

    Directory of Open Access Journals (Sweden)

    Paulo Marchiori Buss

    2011-06-01

    Full Text Available O objetivo deste artigo é discutir o processo de integração da América do Sul na área da saúde, desde a constituição da União de Nações Sul-Americanas (Unasul, em maio de 2008, até o surgimento do Conselho de Saúde da Unasul, em 2009, e seu ulterior desenvolvimento no último ano (2009-2010. Este estudo é de caráter descritivo e o meio de investigação foi o estudo de caso. Apresentam-se os principais elementos constitutivos da Agenda de Saúde Sul-Americana, com especial destaque para a área de desenvolvimento e gestão de recursos humanos em saúde, que esteve sob a coordenação do Brasil no último ano. Os autores concluem que esse intercâmbio contribuirá para minimizar as assimetrias entre os países, colaborando para a melhoria das condições de vida e saúde da região.The scope of this study is to discuss the process of integration of South America in the domain of health, from the constitution of the Union of South American Nations (Unasur, in May 2008, through to the emergence of the Unasur Council of Health, in 2009, and its ongoing development in the past year (2009-2010. This study is descriptive in nature and the medium of investigation was the case study. The authors present the main constituent elements of the South-American Health Agenda, with particular emphasis on the area of development and management of human resources in health, which was coordinated by Brazil in the past year. The authors conclude that this interchange will contribute to minimization of the asymmetries amongst the countries, collaborating to improve the quality of life and health conditions in the region.

  13. [Governance and political economy of PHC policies in Latin America].

    Science.gov (United States)

    Báscolo, Ernesto

    2011-06-01

    The development of implementation processes of PHC policies in Latin America, is a challenge yet to be tackled. It is necessary to acknowledge the political economy related to the implementation processes of PHC policies in Latin America from a governance perspective, characterized by the regulatory strategies used and the political processes. The promotion of social values, organizational policies or the introduction of new financial incentives are components of different forms of governance used in health system reforms. The institutional factors of social protection systems in Latin America are considered. Their potential, redistribution limitations and the political economy disputes of the reform strategies are explained by the conflict between the economic and related interests and values of the actors involved. This dynamic of the political process influences regulatory modes inherent in the processes of implementation of PHC policies. The State's governing capacity and levels of health system segmentation impinge on the effectiveness of reform strategies for resolving the conflicts in the policies implemented.

  14. Fermilab and Latin America

    Science.gov (United States)

    Lederman, Leon M.

    2006-09-01

    As Director of Fermilab, starting in 1979, I began a series of meetings with scientists in Latin America. The motivation was to stir collaboration in the field of high energy particle physics, the central focus of Fermilab. In the next 13 years, these Pan American Symposia stirred much discussion of the use of modern physics, created several groups to do collaborative research at Fermilab, and often centralized facilities and, today, still provides the possibility for much more productive North-South collaboration in research and education. In 1992, I handed these activities over to the AAAS, as President. This would, I hoped, broaden areas of collaboration. Such collaboration is unfortunately very sensitive to political events. In a rational world, it would be the rewards, cultural and economic, of collaboration that would modulate political relations. We are not there yet.

  15. Wind Powering America Podcasts, Wind Powering America (WPA)

    Energy Technology Data Exchange (ETDEWEB)

    2012-04-01

    Wind Powering America and the National Association of Farm Broadcasters produce a series of radio interviews featuring experts discussing wind energy topics. The interviews are aimed at a rural stakeholder audience and are available as podcasts. On the Wind Powering America website, you can access past interviews on topics such as: Keys to Local Wind Energy Development Success, What to Know about Installing a Wind Energy System on Your Farm, and Wind Energy Development Can Revitalize Rural America. This postcard is a marketing piece that stakeholders can provide to interested parties; it will guide them to this online resource for podcast episodes.

  16. Social Protection Systems in Latin America and the Caribbean: Uruguay

    OpenAIRE

    Fernando Filgueira

    2014-01-01

    Uruguays welfare state can be characterised by its universal primary education system, its early and robust social security system as well as widespread health coverage and benefits. Uruguay also has one of Latin Americas highest levels of social spending in terms of Gross Domestic Product (GDP) (24.3 per cent) and as a percentage of total public spending (80.6 per cent)..(?)

  17. Dengue in the Americas: challenges for prevention and control.

    Science.gov (United States)

    Gómez-Dantés, Héctor; Willoquet, Janine Ramsey

    2009-01-01

    Dengue is the most important vector-borne disease in the Americas and threatens the lifes of millions of people in developing countries. Imprecise morbidity and mortality statistics underestimate the magnitude of dengue as a regional health problem. As a result, it is considered a low priority by the health sector with no timely steps for effective control. Dengue is perceived as a problem of 'others' (individually, collectively and institutionally), therefore responsibility for its control is passed on to others (neighbors, the community, municipality, health institutions, or other governmental agencies). With no precise risk indicators available there is little opportunity for timely diagnoses, treatment, health interventions or vector control (poor surveillance). Solutions only targeting the vector reduce the impact of interventions and there is no sustainable control. Without political commitment there are insufficient resources to face the problem. This paper discusses the challenges for prevention and control in the Americas.

  18. O neoliberalismo na America Latina

    Directory of Open Access Journals (Sweden)

    David Ibarra

    2011-06-01

    Full Text Available Neoliberalism in Latin America. Neoliberalism and globalization had decisive influence in shaping public policies both internal and foreign in Latin America. Less state, trade and market freedoms, social goals subordinated to economic criteria, are part and parcel of the neoliberal utopia. Price stability was erected as the main social objective; import substitution resulted replaced by exports as the main source of growth. The neoliberal net results as applied to Latin America are: less growth, deindustrialization, income concentration and precarious employments. Therefore, countries public policies should try to gain autonomy to use jointly markets and public intervention in a constructive and innovative fashion.

  19. "Education" from Governing America.

    Science.gov (United States)

    Califano, Joseph A., Jr.

    1983-01-01

    The former secretary of Health, Education, and Welfare discusses his opposition to the creation of a separate department of education and describes how the Carter administration pushed the legislation through Congress. (JOW)

  20. Prevent Blindness America

    Science.gov (United States)

    ... Financial Assistance Information Vision Screening and Eye Exams Zika Virus and Vision Eye Problems Eye Problems Amblyopia ( ... Eye Health Report Reports and External Resources The Cost of Vision Problems The Future of Vision Vision ...

  1. Embracing panarchy, building resilience and integrating adaptive management through a rebirth of the National Environmental Policy Act.

    Science.gov (United States)

    Benson, Melinda Harm; Garmestani, Ahjond S

    2011-05-01

    Environmental law plays a key role in shaping policy for sustainability of social-ecological systems. In particular, the types of legal instruments, institutions, and the response of law to the inherent variability in social-ecological systems are critical. Sustainability likely must occur via the institutions we have in place, combined with alterations in policy and regulation within the context of these institutions. This ecosystem management arrangement can be characterized as a panarchy, with research on sustainability specific to the scale of interest. In this manuscript we examine an opportunity for integrating these concepts through a regulatory rebirth of the National Environmental Policy Act (NEPA). NEPA currently requires federal agencies to take a "hard look" at the environmental consequences of proposed action. The original intent of NEPA, however, was more substantive and its provisions, while currently equilibrium based, may be reconfigured to embrace new understanding of the dynamics of social-ecological systems.

  2. Helioclimatology of the Americas

    Science.gov (United States)

    Nurtaev, B. S.; Yakubov, M.; Shermatov, E.

    2013-05-01

    During the last 4 billion years, the Earth's climate has changed many times. There have been periods of warming and there have been ice ages. These large-scale climatic changes are shaped by factors like the tilt of the Earth's axis and tectonic plate movement. These major changes were driven by cyclical changes in the Earth's orbit, which altered the distribution of solar energy between the seasons and across the Earth. Milankovitch cycles explain well changes in climate over periods hundreds of thousands of years and are related to ice age cycles, but these cycles cannot explain the current rapid warming. The Sun is the most driving force for causing climate change. Much of the Sun energy evaporates water and causes atmospheric convection. Solar radiation, general circulation of atmosphere, geographical location of continents, oceans and the largest forms of a relief are the primary factors influencing on climate of lands. The purpose of this study is to identify contribution of the Sun on climate variability in the two continents, North and South America during instrumental records of air temperature. There were compared air temperatures of different weather stations in dependence from solar activity during the period 1878-1996. The high correlation between averaged temperature and solar activity was found for many weather stations of Americas. Air temperature in dependence from solar activity over the period 1878-1996 can be described by following equations: In Buenos Aires: T° = 0,04W+ 15,05, r-0,9; Caracas, Venezuela: T° = 0,03W + 18,88, r-0,73; Cordoba, Argentina: T° = 0,03W + 16,16, r-0,93; New York, Central Park: T° = 0,04W + 9,86, r-0,82; Toronto, T = 0,03W+ 6,66, r-0,81; Santiago Pudahuel, T= 0,019W + 13, 01, r - 0, 91; Rio de Janeiro:T°= 0,02W + 21,95, r= 0,88; Mexico over 1923-1986, T°= 0,021W+ 14,05, r-0,78; Miami over 1902-1996, T = 0,012W + 12,87 r-0,75; In our study, we used stations with reasonably long, consistently measured time records

  3. North America and South America (NA-SA) neuropathy project.

    Science.gov (United States)

    Pasnoor, Mamatha; Nascimento, Osvaldo J M; Trivedi, Jaya; Wolfe, Gil I; Nations, Sharon; Herbelin, Laura; de Freitas, M G; Quintanilha, Giseli; Khan, Saud; Dimachkie, Mazen; Barohn, Richard

    2013-08-01

    Peripheral neuropathy is a common neurological disorder. There may be important differences and similarities in the diagnosis of peripheral neuropathy between North America (NA) and South America (SA). Neuromuscular databases were searched for neuropathy diagnosis at two North American sites, University of Kansas Medical Center and University of Texas Southwestern Medical Center, and one South American site, Federal Fluminense University in Brazil. All patients were included into one of the six major categories: immune-mediated, diabetic, hereditary, infectious/inflammatory, systemic/metabolic/toxic (not diabetic) and cryptogenic. A comparison of the number of patients in each category was made between North America and South America databases. Total number of cases in North America was 1090 and in South America was 1034 [immune-mediated: NA 215 (19.7%), SA 191 (18%); diabetic: NA 148 (13.5%), SA 236 (23%); hereditary: NA 292 (26.7%), SA 103 (10%); infectious/inflammatory: NA 53 (4.8%), SA 141 (14%); systemic/metabolic/toxic: NA 71 (6.5%), SA 124 (12%); cryptogenic: NA 311 (28.5%), SA 239 (23%)]. Some specific neuropathy comparisons were hereditary neuropathies [Charcot-Marie-Tooth (CMT) cases] in NA 246/292 (84.2%) and SA 60/103 (58%); familial amyloid neuropathy in SA 31/103 (30%) and none in NA. Among infectious neuropathies, cases of human T-lymphotropic virus type 1 (HTLV-1) neuropathy in SA were 36/141(25%), Chagas disease in SA were 13/141(9%) and none for either in NA; cases of neuropathy due to leprosy in NA were 26/53 (49%) and in SA were 39/141(28%). South American tertiary care centers are more likely to see patients with infectious, diabetic and hereditary disorders such as familial amyloid neuropathies. North American tertiary centers are more likely to see patients with CMT. Immune neuropathies and cryptogenic neuropathies were seen equally in North America and South America.

  4. 美国、日本突发公共卫生事件应急管理体系现状及其启示%The status quo of emergency management system for sudden public health events in America and Japan and its enlightenment

    Institute of Scientific and Technical Information of China (English)

    樊丽平; 赵庆华

    2011-01-01

    Through analyzing the status quo of emergency management system for sudden public health events in America and Japan, it suggested that highly efficient unified emergency command system and security system be constructed in China, which is helpful for the perfect and the development of emergency management system of sudden public health events in China.%通过对美国、日本突发公共卫生事件应急管理体系现状的分析,认为我国应构建高效、统一的应急指挥体系及保障体系,有助于我国突发公共卫生事件应急管理体系的完善和发展.

  5. America's Electricity Future

    Science.gov (United States)

    Aubrecht, Gordon

    2006-03-01

    Where will America's future electricity supply come from? According to Vice President Cheney's energy task force, the U.S. needs to build about one 1 GW generating facilty a week in perpetuity.^(1) What sort of facilities will they be? Can the economy sustain such growth? Are there other possibilities? One possibility that strikes a chord with physicists is conservation as a source of energy. In this regard, Vice President Cheney famously said that conservation is``a sign of personal virtue, but it is not a sufficient basis---all by itself---for a sound, comprehensive energy policy,''^(2) echoing the Ayn Rand Instituite's view that ``Conservation is not a long- or short-term solution to the energy crisis. Conservation is the un-American idea of resigning oneself to doing with less.''^(3) This poster will explore the possible energy futures, their advantages and disadvantages, with and without conservation. 1. National Energy Policy Development Group (R. Cheney, C. L. Powell, P. O'Neill, G. Norton, A. M. Veneman, D. L. Evans, N. Y. Mineta, S. Abraham, J. M. Allbaugh, C. T. Whitman, J. B. Bolten, M. E. Daniels, L. B. Lindsey, and R. Barrales), National Energy Policy: Report of the National Energy Policy Development Group, (Washington, DC: Government Printing Office, 2001). 2. M. Allen, ``Bush energy plan will emphasize production,'' The Washington Post, 1 May 2001 3. R. Pool, ``Saving power deemed immoral,'' The Los Angeles Times, 12 May 2001.

  6. An America unknown

    Directory of Open Access Journals (Sweden)

    Susani Silveira Lemos França

    2010-01-01

    Full Text Available If we consider that the Spanish chroniclers had gradually invented what eventually became America, as O'Gorman proposed, the Portuguese chroniclers of the first half of the 16th century were even more cautious in building an identity for the overseas territories visited by Columbus and Cabral. These sixteenth century chroniclers, focusing on Asia, only later ceased to think of this "almost other world" as a place of passage, to think of it as a place to stop. Disregarding the surprised tone of the letters and reports used as sources, and showing concern in giving Cabral's travels a specific place in the construction of Portuguese history, the explorers' adventures highlight the peculiarities of the lands and peoples that would later come to deserve special attention from their congeners. It is the place that the Portuguese sixteenth century chronicler has given to these territories, and the place that was fixed in the memory of the 16th century Portuguese, which are the aspects covered in this text.

  7. ScaleUp America Communities

    Data.gov (United States)

    Small Business Administration — SBA’s new ScaleUp America Initiative is designed to help small firms with high potential “scale up” and grow their businesses so that they will provide more jobs and...

  8. Crohn's & Colitis Foundation of America

    Science.gov (United States)

    ... enabled to enjoy the full interactive experience. Crohn's & Colitis Foundation of America Find a Doctor Find a ... Local Chapters News Events Search: What are Crohn's & Colitis? What is Crohn's Disease What is Ulcerative Colitis ...

  9. African Ethnobotany in the Americas

    Directory of Open Access Journals (Sweden)

    Egleé L. Zent

    2013-10-01

    Full Text Available Review of African Ethnobotany in the Americas. Edited by Robert Voeks and John Rashford. 2013. Springer. Pp. 429, 105 illustrations, 69 color illustrations. $49.95 (paperback. ISBN 978‐1461408352.

  10. Embracing the Creative: The Role of Photo Novella in Qualitative Nursing Research

    Directory of Open Access Journals (Sweden)

    Dawn Burke MN, RN

    2011-06-01

    Full Text Available Photo novella is presented as an effective and creative data collection method that has the ability to engage participants in the process of critical thinking and reflection. This reflective practice provides rich insight that can be of great benefit when exploring complex and multi-faceted health issues. In this study, oncology and palliative care nurses were asked to think about what spirituality meant to them and then take photographs that represented these concepts. Once developed, the nurses were asked to select 4–6 photographs that were most meaningful and the most representative of what spirituality meant to them. These photographs then guided the semi-structured interview. The photographs provided great insight into the nurses' perceptions and meanings associated with spirituality and highlight the benefits of utilizing photographs within qualitative nursing research.

  11. Domestic Terrorism: Is America Prepared?

    Science.gov (United States)

    2001-04-01

    Luther King , Jr. were attempts to push America from a path it has chosen. Painfully, the United States has stood firm in the face of terrorism and not...terrorism in America. Cowardly acts of terrorism such as the assassination of President John F. Kennedy, President Abraham Lincoln, and Dr. (Rev) Martin ...there are over 500 racist and neo-Nazi groups and over 400 active militia groups espousing extreme antigovernment views as of 1999. These hate groups

  12. [Population and nutrition in Latin America].

    Science.gov (United States)

    Sepulveda, S

    1984-04-01

    This discussion of food and population in Latin America consists of 5 sections covering food and the population debate since Malthus, basic data on nutrition problems in Latin America, the demographic impact, food production, and future prospects. The present position in favor of limitation of population growth is based on the view that continued rapid population increase must inevitably bring a crisis of disequilibrium of food, natural resources, and ecological and economic security within about 100 years. The common element uniting those opposed to or indifferent to population control is a belief that science and technology can predict and satisfy the essential food needs of a burgeoning population. All developed countries have per capita caloric availabilities of over 3000/day, compared to an average of 2465 for Latin American as a whole. Only Barbados and Argentina have 3000 calories/day available. The daily average per capita protein consumption of 65.7 grams in Latin America is above the 54 gr/day recommended by the Food and Agriculture Organization (FAO) and the World Health Organiation. In Latin America the average daily per capita consumption from animal protein is 496 calories, compared to 1331 in the US. The nutrition status of different Latin American countries varies, with minimal caloric intakes of 1880-2170 calories/day in some Central American and Caribbean countries. Haiti, the Dominican Republic, Honduras, Ecuador, and Bolivia have frank protein deficits. Within countries, there may be large food gaps between regions, rural and urban populations, and social classes. The FAO estimated that 41 million Latin Americans representing 13% of the population are undernourished. 38% of Guatemalans, Hondurans, and Haitians, 30% of Ecuadoreans, and 23% of Peruvians are believed to be inadequately nourished. The quality of the diet varies widely between countries and regions because of a multitude of cultural, environmental, and socioeconomic factors. In

  13. Condiciones para el acceso universal a la salud en América Latina: derechos sociales, protección social y restricciones financieras y políticas Conditions for universal access to health in Latin America: social rights, social protection and financial and political constraints

    Directory of Open Access Journals (Sweden)

    Ana Sojo

    2011-06-01

    Full Text Available Tras una sucinta problematización de la equidad en salud, sus determinantes sociales y sectoriales, se analizan aspectos macroeconómicos del comportamiento reciente del gasto en salud en la región. Dadas las importantes tensiones contemporáneas respecto de los derechos y la definición de prestaciones de salud, se tratan tres experiencias emblemáticas, de sistemas de salud muy diversos: Chile, Colombia y México. Ellas abarcan distintos aspectos: la garantía de las prestaciones, la reducción de formas de racionamiento implícitas y/o de barreras de entrada, o bien aspectos de calidad.After a brief review of the concept of health equity and its social and sectoral determinants, some macroeconomic aspects of health expenditure in Latin America are considered. Given the significant contemporary tensions with regard to social rights and the definition of health benefits, three emblematic experiences are analyzed in very different health systems, namely those of Chile, Colombia and Mexico. They cover different aspects, such as the guarantee of health benefits, the reduction of forms of implicit rationing and/or barriers to admission, and also aspects related to the quality of services.

  14. Onchocerciasis in the Americas: from arrival to (near elimination

    Directory of Open Access Journals (Sweden)

    Sauerbrey Mauricio

    2011-10-01

    Full Text Available Abstract Onchocerciasis (river blindness is a blinding parasitic disease that threatens the health of approximately 120 million people worldwide. While 99% of the population at-risk for infection from onchocerciasis live in Africa, some 500,000 people in the Americas are also threatened by infection. A relatively recent arrival to the western hemisphere, onchocerciasis was brought to the New World through the slave trade and spread through migration. The centuries since its arrival have seen advances in diagnosing, mapping and treating the disease. Once endemic to six countries in the Americas (Brazil, Colombia, Ecuador, Guatemala, Mexico and Venezuela, onchocerciasis is on track for interruption of transmission in the Americas by 2012, in line with Pan American Health Organization resolution CD48.R12. The success of this public health program is due to a robust public-private partnership involving national governments, local communities, donor organizations, intergovernmental bodies, academic institutions, non-profit organizations and the pharmaceutical industry. The lessons learned through the efforts in the Americas are in turn informing the program to control and eliminate onchocerciasis in Africa. However, continued support and investment are needed for program implementation and post-treatment surveillance to protect the gains to-date and ensure complete elimination is achieved and treatment can be safely stopped within all 13 regional foci.

  15. 78 FR 48909 - SGS North America, Inc. (formerly SGS U.S. Testing Company, Inc.)

    Science.gov (United States)

    2013-08-12

    ... Occupational Safety and Health Administration SGS North America, Inc. (formerly SGS U.S. Testing Company, Inc.) AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Notice. SUMMARY: This notice announces the Occupational Safety and Health Administration's final decision expanding the recognition...

  16. Embracing value co-creation in primary care services research: a framework for success.

    Science.gov (United States)

    Janamian, Tina; Crossland, Lisa; Jackson, Claire L

    2016-04-18

    Value co-creation redresses a key criticism of researcher-driven approaches to research - that researchers may lack insight into the end users' needs and values across the research journey. Value co-creation creates, in a step-wise way, value with, and for, multiple stakeholders through regular, ongoing interactions leading to innovation, increased productivity and co-created outcomes of value to all parties - thus creating a "win more-win more" environment. The Centre of Research Excellence (CRE) in Building Primary Care Quality, Performance and Sustainability has co-created outcomes of value that have included robust and enduring partnerships, research findings that have value to end users (such as the Primary Care Practice Improvement Tool and the best-practice governance framework), an International Implementation Research Network in Primary Care and the International Primary Health Reform Conference. Key lessons learned in applying the strategies of value co-creation have included the recognition that partnership development requires an investment of time and effort to ensure meaningful interactions and enriched end user experiences, that research management systems including governance, leadership and communication also need to be "co-creative", and that openness and understanding is needed to work across different sectors and cultures with flexibility, fairness and transparency being essential to the value co-creation process.

  17. Embracing the gut microbiota: the new frontier for inflammatory and infectious diseases

    Science.gov (United States)

    van den Elsen, Lieke WJ; Poyntz, Hazel C; Weyrich, Laura S; Young, Wayne; Forbes-Blom, Elizabeth E

    2017-01-01

    The gut microbiota provides essential signals for the development and appropriate function of the immune system. Through this critical contribution to immune fitness, the gut microbiota has a key role in health and disease. Recent advances in the technological applications to study microbial communities and their functions have contributed to a rapid increase in host–microbiota research. Although it still remains difficult to define a so-called ‘normal' or ‘healthy' microbial composition, alterations in the gut microbiota have been shown to influence the susceptibility of the host to different diseases. Current translational research combined with recent technological and computational advances have enabled in-depth study of the link between microbial composition and immune function, addressing the interplay between the gut microbiota and immune responses. As such, beneficial modulation of the gut microbiota is a promising clinical target for many prevalent diseases including inflammatory bowel disease, metabolic abnormalities such as obesity, reduced insulin sensitivity and low-grade inflammation, allergy and protective immunity against infections.

  18. Food choice motives and bread liking of consumers embracing hedonistic and traditional values.

    Science.gov (United States)

    Pohjanheimo, Terhi; Paasovaara, Rami; Luomala, Harri; Sandell, Mari

    2010-02-01

    This study addresses the effect of personal values on consumers' food choice motives and on the liking of bread. A total of 224 consumers participated in the study in three groups: traditional and hedonistic consumers, who presented opposite value types according to the Schwartz value theory, and a control group. Three different rye breads were evaluated for liking and their sensory profiles were determined. The consumer groups' values, food choice motives measured with the Food Choice Questionnaire and a Concern scale, and liking of the breads differed significantly according to the analysis of variance and a partial least squares regression analysis. For hedonistic consumers, rye bread characterized by a soft and porous texture influenced liking positively, and food choice motives "mood" and "price" correlated positively with their values. Traditional consumers were more positive toward different types of rye bread, and food choice motives "natural content", "familiarity" and "health concern" were more important to them than to hedonists. Overall, this study demonstrated that values are connected to food choice motives and, to some extent liking and, thus, values can be utilized both in product development and in advertising.

  19. Civics Is Largely about Politics: The Possibilities and Challenges of a Citizenship Education Pedagogy That Embraces Democratic Politics and Recognizes Diversity

    Science.gov (United States)

    Molina-Girón, L. Alison

    2016-01-01

    Research investigating the practice of citizenship education in multicultural schools is scarce. Drawing on classroom observations and teacher and student interviews in four multicultural Grade 10 Civics classrooms in Ottawa, Canada, this case study discusses one teacher's unique citizenship education pedagogy, an approach that embraces democratic…

  20. Creating a Global Consciousness by Embracing a World of Women: A Pedagogical Strategy Dedicated to Regaining the Momentum for Women's Rights

    Science.gov (United States)

    Edmonds, Regina M.

    2007-01-01

    If we are to regain some of the energy which characterized the Women's Movement during its earliest years and again during the 1960's and 1970's, we must endeavor to raise awareness among young people about the work for social justice that remains undone and we must find ways to inspire them to re-embrace activism and to develop, what Smyser…

  1. Pertussis in Latin America: epidemiology and control strategies.

    Science.gov (United States)

    Falleiros Arlant, Luiza Helena; de Colsa, Agustín; Flores, Dario; Brea, José; Avila Aguero, Maria L; Hozbor, Daniela Flavia

    2014-10-01

    Pertussis is a serious respiratory disease in infants that can also affect children and adults. Vaccination against pertussis was introduced in the 1950s and in the 1990s a resurgence of pertussis was observed worldwide. The aim of this work is to summarize the recent data concerning pertussis disease in different countries of Latin America. In this geographic region, pertussis is nationally notifiable and cases should be reported to the appropriate health department/Ministry. Though the surveillance systems are not the same among Latin America countries, over recent decades an increasing number of cases have been detected. Most of these cases correspond to patients younger than 6 months old who received fewer than three doses of vaccine. However, cases in adolescent and adults have also been detected. For this situation, which is not peculiar to Latin America countries, several explanations have been proposed.

  2. Reaching remote areas in Latin America.

    Science.gov (United States)

    Jaimes, R

    1994-01-01

    Poor communities in remote and inaccessible areas tend to not only be cut off from family planning education and services, but they are also deprived of basic primary health care services. Efforts to bring family planning to such communities and populations should therefore be linked with other services. The author presents three examples of programs to bring effective family planning services to remote communities in Central and South America. Outside of the municipal center in the Tuxtlas region of Mexico, education and health levels are low and people live according to ancient customs. Ten years ago with the help of MEXFAM, the IPPF affiliate in Mexico, two social promoters established themselves in the town of Catemaco to develop a community program of family planning and health care offering education and prevention to improve the quality of people's lives. Through their health brigades taking health services to towns without an established health center, the program has influenced an estimated 100,000 people in 50 villages and towns. The program also has a clinic. In Guatemala, the Family Welfare Association (APROFAM) gave bicycles to 240 volunteer health care workers to facilitate their outreach work in rural areas. APROFAM since 1988 has operated an integrated program to treat intestinal parasites and promote family planning in San Lucas de Toliman, an Indian town close to Lake Atitlan. Providing health care to more than 10,000 people, the volunteer staff has covered the entire department of Solola, reaching each family in the area. Field educators travel on motorcycles through the rural areas of Guatemala coordinating with the health volunteers the distribution of contraceptives at the community level. The Integrated Project's Clinic was founded in 1992 and currently carries out pregnancy and Pap tests, as well as general lab tests. Finally, Puna is an island in the middle of the Gulf of Guayaquil, Ecuador. Women on the island typically have 10

  3. Latin America`s emerging non-proliferation consensus

    Energy Technology Data Exchange (ETDEWEB)

    Redick, J.R.

    1994-03-01

    Latin America`s incorporation into the international nuclear non-proliferation regime is well advanced. The 1967 Tlatelolco Treaty, which established a regional nuclear-weapon-free zone (NWFZ), is nearing completion. A signal event occurred January 18, when Argentina and Chile deposited instruments of ratification to the treaty, leaving Brazil and Cuba the only major countries in Latin America that are not yet contracting parties. And after more than two decades of concern about the nuclear programs and policies in Argentina and Brazil, there is room for great optimism that Brazil may now be moving quickly on important non-proliferation issues. Even Cuba, the {open_quotes}bad boy of the neighborhood{close_quotes} in the eyes of many, which held aloof from the Tlatelolco process for three decades, has stated its willingness to join the zone in the future.

  4. Latin America Report

    Science.gov (United States)

    2007-11-02

    NACION, 31 May 85).... 45 ’ECONOMIA Y SOCIEDAD ’ Lauds Appointment of Buchi ^ (EL MERCURIO, 21 May 85) Briefs , . 49 National Energy Investment...Belize’s headline news this morning was that the government of Mexico had given our Ministry of Health 55 tons of DDT insecticide (a 3 year supply...the police to comply with the law You 38 cannot have this inversion of values. Everyone says that the strike lav is unjust, but the government

  5. Domestic violence in America.

    Science.gov (United States)

    Bash, K L; Jones, F

    1994-09-01

    Domestic violence is an underrecognized problem of immense cost. It is a crime; its victims must be identified and protected. The medical and judicial communities share responsibility in addressing this issue and providing support for victims. The role of health care workers in recognizing and preventing domestic violence cannot be overestimated. Direct questioning of patients, especially about the source of any injuries and about safety at home, is the first step in uncovering abuse. Educational programs for health care providers and the general public can change society's view and tolerance of this problem. Physicians must take an active role in changing community attitudes about domestic violence and in instituting programs to reduce its incidence. Medical treatment of the injuries resulting from domestic violence is not sufficient. Abused women need the care of a team of professionals who can address psychological, emotional, and physical injuries. They must also be provided with safe housing and financial and legal assistance in order to escape the abusive relationship. Physicians and legislators must work together to effect change. Domestic violence is a public health menace. We need to break the cycle of abuse that has become an integral part of our society.

  6. Yellow fever vaccination in the Americas.

    Science.gov (United States)

    1984-01-01

    Outbreaks of yellow fever in recent years in the Americas have prompted concern about the possible urbanization of jungle fever. Vaccination, using the 17D strain of yellow fever virus, provides an effective, practical method of large scale protection against the disease. Because yellow fever can reappear in certain areas after a 2-year dormancy period, some countries maintain routine vaccination programs in areas where jungle yellow fever is endemic. The size of the endemic area (approximately half of South America), transportation and communication difficulties, and the inability to ensure a reliable cold chain are problems facing these programs. In addition, the problem of reaching dispersed and isolated populations has been addressed by the use of mobile teams, radio monitoring, and educational methods. During yellow fever outbreaks, many countries institute massive vaccination campaigns, targeted at temporary workers and migrants. Because epidemics in South America may involve extensive areas, these campaigns may not effectively address the problem. The ped-o-jet injector method, used in Brazil and Colombia, should be used in outbreak situations, as it is effective for large-scale vaccination. Vaccine by needle, suggested for maintenance programs, should be administered to those above 1 year of age. An efficient monitoring method to avoid revaccination, and to assess immunity, should be developed. The 17D strain produces seroconversion in 95% of recipients, and most is prepared in Brazil and Colombia. But, problems with storage methods, instability in seed lots, and difficulties in large-scale production were identified in 1981 by the Pan American Health Organization and WHO. The group recommended modernization of current production techniques and further research to develop a vaccine that could be produced in cell cultures. Brazil and Colombia have acted on these recommendations, modernizing vaccine production and researching thermostabilizing media for

  7. Systematic review on embracing cultural diversity for developing and sustaining a healthy work environment in healthcare.

    Science.gov (United States)

    Pearson, Alan; Srivastava, Rani; Craig, Dianna; Tucker, Donna; Grinspun, Doris; Bajnok, Irmajean; Griffin, Pat; Long, Leslye; Porritt, Kylie; Han, Thuzar; Gi, Aye A

    2007-03-01

    quality  Methodological quality was independently established by two reviewers, using standardised techniques from the Joanna Briggs Institute (JBI) System for the Unified Management, Assessment and Review of Information (SUMARI) package. Discussion with a third reviewer was initiated where a low level of agreement was identified for a particular paper. Following inclusion, data extraction was conducted using standardised data extraction tools from the JBI SUMARI suite for quantitative and qualitative research. Data synthesis was performed using the JBI Qualitative Assessment and Review Instrument and JBI Narrative, Opinion and Text Assessment and Review Instrument software to aggregate findings by identifying commonalities across texts. Quantitative data were presented in narrative summary, as statistical pooling was not appropriate with the included studies. Results  Of the 659 identified papers, 45 were selected for full paper retrieval, and 19 were considered to meet the inclusion criteria for this review. The results identified a number of processes that would contribute to the development of a culturally competent workforce. Appropriate and competent linguistic services, and intercultural staff training and education, were identified as key findings in this review. Conclusions  The review recommends that health provider agencies establish links with organisations that can address needs of culturally diverse groups of patients, include cultural competence in decision support systems and staff education as well as embed them in patient brochures and educational materials. The review also concluded that staff in-service programs consider the skills needed to foster a culturally competent workforce, and recruitment strategies that also explicitly address this need.

  8. BAT-BORNE RABIES IN LATIN AMERICA

    Directory of Open Access Journals (Sweden)

    Luis E. Escobar

    2015-02-01

    Full Text Available The situation of rabies in America is complex: rabies in dogs has decreased dramatically, but bats are increasingly recognized as natural reservoirs of other rabies variants. Here, bat species known to be rabies-positive with different antigenic variants, are summarized in relation to bat conservation status across Latin America. Rabies virus is widespread in Latin American bat species, 22.5%75 of bat species have been confirmed as rabies-positive. Most bat species found rabies positive are classified by the International Union for Conservation of Nature as “Least Concern”. According to diet type, insectivorous bats had the most species known as rabies reservoirs, while in proportion hematophagous bats were the most important. Research at coarse spatial scales must strive to understand rabies ecology; basic information on distribution and population dynamics of many Latin American and Caribbean bat species is needed; and detailed information on effects of landscape change in driving bat-borne rabies outbreaks remains unassessed. Finally, integrated approaches including public health, ecology, and conservation biology are needed to understand and prevent emergent diseases in bats.

  9. Toxocariasis in North America: a systematic review.

    Directory of Open Access Journals (Sweden)

    Rachel M Lee

    2014-08-01

    Full Text Available Toxocariasis is an important neglected tropical disease that can manifest as visceral or ocular larva migrans, or covert toxocariasis. All three forms pose a public health problem and cause significant morbidity in areas of high prevalence. To determine the burden of toxocariasis in North America, we conducted a systematic review of the literature following PRISMA guidelines. We found 18 articles with original prevalence, incidence, or case data for toxocariasis. Prevalence estimates ranged from 0.6% in a Canadian Inuit community to 30.8% in Mexican children with asthma. Commonly cited risk factors included: African-American race, poverty, male sex, and pet ownership or environmental contamination by animal feces. Increased prevalence of Toxocara spp. infection was linked in a group of case control studies conducted in Mexico to several high risk groups including waste pickers, asthmatic children, and inpatient psychiatry patients. Further research is needed to determine the true current burden of toxocariasis in North America; however the prevalence estimates gathered in this review suggest that the burden of disease is significant.

  10. [Clostridum difficile associated disease in Latin America].

    Science.gov (United States)

    Camacho-Ortiz, Adrián; Ponce-de-León, Alfredo; Sifuentes-Osornio, José

    2009-01-01

    Clostridium difficile associated disease (CDAD) has shown a sustained increase worldwide over the last ten years. However, there are few studies on this topic in Latin America. We conducted a comprehensive literature review using medical databases of Latin American countries. We found only seven recent papers in which clinical characteristics and risk factors were analyzed; some included outcome variables. Of these articles, only one was prospective, while the rest were either retrospective, cross-sectional or case-control studies. Most studies were done among hospitalized adult patients, even though patients 13+ years were also included in some reports. Only two recent clinical studies used cell culture to determine a cytopathic effect and the rest included immunoenzymatic assays. In general, all the studies we reviewed showed that the use of fluorquinolones, clindamycin, and cephalosporins were the antibiotics mostly associated with CDAD. Treatment schedules generally included metronidazol, although vancomycin was reported in one. Attributable mortality was lower than the mortality described in previous reports from hospitals in developed countries. Studies where this outcome was included did not surpass 4%, a significant difference from the findings from developed countries. In Latin America there are few studies that describe this clinical problem, they generally include small sample sizes and most are retrospective. There is a clear need to design and carry out prospective studies that will allow us to determine the true prevalence of this health problem

  11. Toxocariasis in North America: a systematic review.

    Science.gov (United States)

    Lee, Rachel M; Moore, Laura B; Bottazzi, Maria Elena; Hotez, Peter J

    2014-08-01

    Toxocariasis is an important neglected tropical disease that can manifest as visceral or ocular larva migrans, or covert toxocariasis. All three forms pose a public health problem and cause significant morbidity in areas of high prevalence. To determine the burden of toxocariasis in North America, we conducted a systematic review of the literature following PRISMA guidelines. We found 18 articles with original prevalence, incidence, or case data for toxocariasis. Prevalence estimates ranged from 0.6% in a Canadian Inuit community to 30.8% in Mexican children with asthma. Commonly cited risk factors included: African-American race, poverty, male sex, and pet ownership or environmental contamination by animal feces. Increased prevalence of Toxocara spp. infection was linked in a group of case control studies conducted in Mexico to several high risk groups including waste pickers, asthmatic children, and inpatient psychiatry patients. Further research is needed to determine the true current burden of toxocariasis in North America; however the prevalence estimates gathered in this review suggest that the burden of disease is significant.

  12. Prostate cancer in Brazil and Latin America: epidemiology and screening

    Directory of Open Access Journals (Sweden)

    Rafael Rocha Tourinho-Barbosa

    Full Text Available ABSTRACT Introduction: Prostate cancer is one of the tumors with higher incidence and mortality among men in the World. Epidemiological data are influenced by life expectancy of population, available diagnostic methods, correct collection of data and quality of health services. Screening of the disease is not standardized around the World. Up till now there is no consensus about the risks versus benefits of early detection. There are still missing data about this pathology in Latin America. Objective: to revise current epidemiologic situation and early diagnosis policies of prostate cancer in Brazil and Latin America. Materials and Methods: Medline, Cochrane Library and SciELO databases were reviewed on the subject of epidemiology and screening of prostate cancer. Screening research was performed in websites on national public health organizations and Latin America. Screening recommendations were obtained from those governmental organizations and from Latin American urological societies and compared to the most prominent regulatory agencies and societies of specialists and generalists from around the World. Results: Brazil and Latin America have a special position in relation to incidence and mortality of prostate cancer. In Brazil, it occupies the first position regarding incidence of cancer in men and the second cause of mortality. Central America has the highest rate of mortality of the continent with lower incidence/mortality ratios. Screening recommendations are very distinct, mainly among regulatory organs and urological societies. Conclusion: prostate cancer epidemiology is an important health public topic. Data collection related to incidence and mortality is still precarious, especially in less developed countries. It is necessary to follow-up long term screening studies results in order to conclude its benefits.

  13. Prostate cancer in Brazil and Latin America: epidemiology and screening

    Science.gov (United States)

    Tourinho-Barbosa, Rafael Rocha; Pompeo, Antonio Carlos Lima; Glina, Sidney

    2016-01-01

    ABSTRACT Introduction: Prostate cancer is one of the tumors with higher incidence and mortality among men in the World. Epidemiological data are influenced by life expectancy of population, available diagnostic methods, correct collection of data and quality of health services. Screening of the disease is not standardized around the World. Up till now there is no consensus about the risks versus benefits of early detection. There are still missing data about this pathology in Latin America. Objective: to revise current epidemiologic situation and early diagnosis policies of prostate cancer in Brazil and Latin America. Materials and Methods: Medline, Cochrane Library and SciELO databases were reviewed on the subject of epidemiology and screening of prostate cancer. Screening research was performed in websites on national public health organizations and Latin America. Screening recommendations were obtained from those governmental organizations and from Latin American urological societies and compared to the most prominent regulatory agencies and societies of specialists and generalists from around the World. Results: Brazil and Latin America have a special position in relation to incidence and mortality of prostate cancer. In Brazil, it occupies the first position regarding incidence of cancer in men and the second cause of mortality. Central America has the highest rate of mortality of the continent with lower incidence/mortality ratios. Screening recommendations are very distinct, mainly among regulatory organs and urological societies. Conclusion: prostate cancer epidemiology is an important health public topic. Data collection related to incidence and mortality is still precarious, especially in less developed countries. It is necessary to follow-up long term screening studies results in order to conclude its benefits. PMID:27622278

  14. "All Beings Are Equally Embraced By Amida Buddha": Jodo Shinshu Buddhism and Same-Sex Marriage in the United States

    Directory of Open Access Journals (Sweden)

    Jeff Wilson

    2015-02-01

    Full Text Available Ministers in the Buddhist Churches of America (BCA began performing same-sex marriages approximately forty years ago. These were among the first clergy-led religious ceremonies for same-sex couples performed in the modern era, and were apparently the first such marriages conducted in the history of Buddhism. In this article, I seek to explain why Jodo Shinshu Buddhists in America widely and easily affirmed same-sex weddings in the later 20th and early 21st centuries. My argument is that there are three factors in particular—institutional, historical, and theological elements of American Shin Buddhism—that must be attended to as contributing reasons why ministers were supportive of same-sex marriage.

  15. China-Latin America Relations

    DEFF Research Database (Denmark)

    Christensen, Steen Fryba; Silva Ramos Becard, Danielly

    2016-01-01

    The article discusses the research field of China-Latin American relations and suggests a broad and encompassing approach to the topic. It discusses the main themes and problem areas that analysts mostly emphasize in analyses of China-Latin America relations.......The article discusses the research field of China-Latin American relations and suggests a broad and encompassing approach to the topic. It discusses the main themes and problem areas that analysts mostly emphasize in analyses of China-Latin America relations....

  16. Fuglene. Audubon: Birds of America

    DEFF Research Database (Denmark)

    Schlichtkrull, Torsten

    2010-01-01

    The Royal Library owns one of the most exceptional works in book history, an original edition of John James Audubon Birds of America. This edition, in a format called “double elephant folio” was published from 1827 to 1838. On basis of existing literature, this article briefly describes the work...... the Royal Library and the University Library, joined the library cooperation of the 1800’s on an equal standing with the other two libraries. The Classen’s Library and the library’s founder, industrialist JF Classen are described briefly in this article. Due to two library mergers the Birds of America...

  17. Algunos Animales de Latino America = Some Animals of Latin America.

    Science.gov (United States)

    Thompson, Kathryn F. B.

    Developed by the Latin American Culture Studies Project for educators of elementary level children, these materials are designed to teach students the Spanish and English names of animals found in Latin America. The lesson includes coloring sheets, duplicating masters, fact sheets, the card game Maymayguashi, and directions for preparation. (DB)

  18. [To overcome neglected tropical diseases by global health governance].

    Science.gov (United States)

    Yao, Jia-Wen; Zhou, Xiao-Nong

    2013-04-01

    Neglected tropical diseases (NTDs) are common infections of the poorest people of the world. The WHO publication of a roadmap that lays out the vision for ending the misery caused by NTDs has inspired the London Declaration on NTDs, which demonstrates that the global public-health agenda now embraces NTDs. This review discusses the advantages of global health governance in overcoming NTDs, and points out the potential ways of the involvement of China in global health through international collaboration.

  19. Osteoporosis in Latin America: panel expert review

    Directory of Open Access Journals (Sweden)

    Patricia Clark

    2013-09-01

    Full Text Available Background. The Latin American region is undergoing a demographic and epidemiological transition, which is leading to an increase in chronic and degenerative diseases. Osteoporosis (OP and fragility fractures (FF are emerging as main causes of disease burden with great impact on health institutions. Purpose. This review article provides an updated overview of trends in the epidemiology and economic impact of OP and FF, as well as in diagnosis and available treatments in Latin America, including calcium, vitamin D and prevention programs. Methods. Expert panel. Conclusions. According to this review, there is a lack of epidemiological and economic information in the region. It is desirable to obtain information regarding quality of life in OP and FF as well as to highlight prevention as a tool to reduce FF.

  20. The Journey toward Voluntary Public Health Accreditation Readiness in Local Health Departments: Leadership and Followership Theories in Action

    Directory of Open Access Journals (Sweden)

    Angela eCarman

    2015-03-01

    Full Text Available Local health department directors’ intent on getting their organizations ready for accreditation must embrace the blurring of leader/follower lines and create an accreditation readiness team fueled not by traditional leader or follower roles but by teamship.

  1. Language Documentation in the Americas

    Science.gov (United States)

    Franchetto, Bruna; Rice, Keren

    2014-01-01

    In the last decades, the documentation of endangered languages has advanced greatly in the Americas. In this paper we survey the role that international funding programs have played in advancing documentation in this part of the world, with a particular focus on the growth of documentation in Brazil, and we examine some of the major opportunities…

  2. Individualist America and Today's Immigrants.

    Science.gov (United States)

    Skerry, Peter

    1991-01-01

    Reviews James Fallows's "More Like Us: Making America Great Again," a book conceived while he resided in Japan. Fallows stresses the virtues of individualism and competition. He advocates workfare, education vouchers, and generous immigration levels. He pays little attention, however, to the institutions that nurture and temper individualism. (DM)

  3. America's Consumerocracy: No Safe Haven

    Science.gov (United States)

    Daily, Nancy Lee; Swain, Letitia Price; Huysman, Mary; Tarrant, Cynthia

    2010-01-01

    Recently the authors completed a course designed to expand and deepen their knowledge about America's consumerocracy and the methods that give it the immense power it has. As a result of their reading and shared thinking in this course, Teaching Adolescents in a Consumer Society, they feel strongly motivated and better prepared to craft…

  4. Student Discipline in Colonial America.

    Science.gov (United States)

    Petry, John R.

    The basis for the severe discipline imposed on school children in colonial America, especially in the Puritan colonies, was the belief in original sin. The child was regarded as being born in sin and thus depraved and prone to sin. The purpose of education was to enable children to read the Bible and thus change the behavior which otherwise would…

  5. Brain Injury Association of America

    Science.gov (United States)

    ... Only) 1-800-444-6443 Welcome to the Brain Injury Association of America (BIAA) Brain injury is not an event or an outcome. ... misunderstood, under-funded neurological disease. People who sustain brain injuries must have timely access to expert trauma ...

  6. Language Politics in Latin America

    Science.gov (United States)

    Rajagopalan, Kanavillil

    2005-01-01

    This paper is an attempt to take stock of the politics of language as it has been playing out in Latin America, ever since the countries in this region were colonized by European powers, mainly Spain and Portugal. Linguistic imperialism is by no means a new phenomenon in this part of the world. In more recent times, the relentless advance of…

  7. Demographic tensions in Central America.

    Science.gov (United States)

    1986-08-01

    This discussion of Central America focuses on the rapid growth of its population, its stagnating economy, and those countries that are socioeconomically advanced. Between 1950-85 the population of Central America tripled, from 9.1 million to 26. 4 million, due to marked mortality declines and the absence of off-setting fertility declines. The distribution of Central Americas's growing populations sets its population growth apart from that of other developing regions. Currently, almost half of all Central Americans live in cities. Although the average growth rate for Central American countries has fallen and is expected to drop further, the decline does not counterbalance the effect of the absolute rise in population numbers. The average annual growth rate of more than 3% annually in the 1960s fell to about 2.6% in recent years, but this decline is due primarily to socioeconomically advanced Costa Rica and Panama. Central America's age structure further complicates the population crisis. About 43% of Central Americans are under the age of 15. When the increasingly larger young population group enters it reproductive years, the potential for future growth (albeit the falling rate of population increase) is unparalleled. UN population projections show the region's population at 40 million by the year 2000. The 1973 oil crisis began a downward spiral for the buoyant post World War II Central American economy. Between 1950-79, real per capita income growth in Central America doubled, with Central American economies growing an average of 5.3% annually. By the early 1980s, overseas markets of the trade-dependent countries of Central America had dried up due to protectionism abroad and slumping basic commodity prices. These and other factors plunged Central America into its current economic malaise of falling real per capita income, rising unemployment, curtailed export led economic growth, and a rising cost of living. In general, economic growth in Central America

  8. Pointers from the Americas.

    Science.gov (United States)

    Aragon-choudhury, P

    1992-01-01

    During a sharing session which took place at a conference sponsored by the Philippine Institute for Social Studies and Action in 1991, Peruvian Victoria Villanueva and US citizen Margaret Ann Schuller discussed their work. Schuller reported on her upcoming book entitled "Freedom from Violence: Women's Strategies Around the World." In addition to proposing a definition of violence against women, the book will include 12 case studies from Malaysia, Bolivia, Mexico, India, Pakistan, Thailand, Sri Lanka, Brazil, Zimbabwe, Chile, Africa, and Alaska describing how national organizations of women are dealing with the problem. An important advance is the development of a framework to look at the connection which exists between violence and health issues. Villanueva described the work of the Movimiento Manuela Ramos, which was organized informally to deal with reproductive rights and abortion and has since expanded to parent groups of women who defend legal and medical cases as paid paralegals. Manuela Ramos uses popular media, traditional drama, and even state television to publicize its issues. Manuela Ramos has accomplished important work on rape, unsafe abortion, and maternal mortality, but most importantly, the women involved with the organization have had the opportunity to develop their self-esteem.

  9. Embracing Her Belly

    Institute of Scientific and Technical Information of China (English)

    Liu Xinyi

    2012-01-01

    How did you first start belly dancling? At first, I did it to lose weight. But my mind had always been filled with fantasies about this mysterious country, Egypt. So in the following years, the more I learned about belly dancing. The more obsessed I became with it and with Egyptian culture as well.

  10. Embracing a New World

    Institute of Scientific and Technical Information of China (English)

    KERRY; BROWN

    2010-01-01

    As Europe readies for deep financial cuts,the international community must also prepare People have been talking in Europe of an age of austerity since the end of 2008.The expectation of large cuts to government spending has been wide-spread. The question was just when the cuts would

  11. Embracing early literacy indicators

    DEFF Research Database (Denmark)

    Broström, Stig; Hansen, Ole Henrik; Jensen, Anders Skriver

    2010-01-01

    Abstract til paper om early literacy indikatorer. Det paper abstractet er knyttet til var en del af et inviteret, selvorganiseret symposium som afrapporterede EASE-projektet (www.ease-eu.com) på OMEP's 26. verdenskongres.......Abstract til paper om early literacy indikatorer. Det paper abstractet er knyttet til var en del af et inviteret, selvorganiseret symposium som afrapporterede EASE-projektet (www.ease-eu.com) på OMEP's 26. verdenskongres....

  12. Embracing early literacy indicators

    DEFF Research Database (Denmark)

    Broström, Stig; Hansen, Ole Henrik; Jensen, Anders Skriver

    Om hvordan læringshistorie-metoden blev modificeret til at blive målrettet skriftsprogstilegnelse (EASE-projektet), og hvordan såkaldte skriftsprogstilegnelses-indikatorer er potentielt indsnævrende for den pædagogiske praksis....

  13. Embracing a Green Vision

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Climate change affects every country in the world, and protecting the environment has thus become a matter of global concern. With the coordination of the United Nations Environment Program (UNEP), China and some African countries have launched joint projects on environmental protection, with some preliminary progress

  14. Embracing the Dragon

    DEFF Research Database (Denmark)

    Munyi, Elijah Nyaga

    2012-01-01

    Notwithstanding extensive analysis on the pros and cons of Chinese-African involvement, there has not been much in development of a collective African policy framework for economic engagement with China. This paper seeks to shift focus from the debate on the pros and cons of Chinese – Africa...... relations to arguing that time is just ripe for Africa to develop unified policy measures to manage China and making provisional policy proposals on how to do that. The paper’s hypothesis is twofold; first, an incipient African disenchantment over china [as outlined in the post-FOCAC 2009 AU report......] provides a prod to coalesce an African ‘Chinese policy’ to manage China-Africa relations. Secondly, if widely adopted, an African ‘Chinese policy’ would not only refine a coordinated continental response to China but would also enhance consolidate regional convergence in key policy areas in Africa...

  15. Embracing the Spiral

    Directory of Open Access Journals (Sweden)

    Li Mao

    2016-12-01

    Full Text Available Critical research demands that we interrogate our own positionality and social location. Critical reflexivity is a form of researcher critical consciousness that is constant and dynamic in a complex spiral-like process starting within our own experiences as racialized, gendered, and classed beings embedded in particular sociopolitical contexts. Across diverse critical methodologies, a group of graduate students and their supervisor explored their own conceptualization of the reflexivity spiral by reflecting on how their research motivations and methodologies emerged from their racializing, colonizing, language-learning, parenting, and identity negotiating experiences. In this article, they present a spiral model of the critical reflexivity process, review the literature on reflexivity, and conclude with a description of critical reflexivity as a social practice within a supportive and collaborative graduate school experience.

  16. Embracing the Dragon

    DEFF Research Database (Denmark)

    Munyi, Elijah Nyaga

    Notwithstanding extensive analysis on the pros and cons of Chinese-African involvement, there has not been much in development of a collective African policy framework for economic engagement with China. This paper seeks to shift focus from the debate on the pros and cons of Chinese – Africa rela...

  17. Embracing a New World

    Institute of Scientific and Technical Information of China (English)

    KERRY BROWN

    2010-01-01

    @@ People have been talking in Europe of an age of auster-ity since the end of2008. The expectation of large cuts to governments pending has been wide-spread. The question was just when the cuts would start.

  18. Embracing an International Board

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    A new international stock board will soon be established in Shanghai,allowing foreign companies to list their businesses and tap into the China market China is moving closer to launching its own international stock board,a market for foreign companies to list their stocks in China,said Shang Fulin,

  19. Construction and Prospect of Regional Health Information Networks in Europe and North America%欧美国家与地区卫生信息网建设与展望

    Institute of Scientific and Technical Information of China (English)

    张俊平; 蔡斌

    2012-01-01

    The paper describes the development status of regional health information networks in the United States, Canada, the U- nited Kingdom, summarizes the 9 challenges of regional health information networks as well as the function of regional health information networks, elaborates the implementation plan and future direction of regional health informatization, then makes suggestions for its devel- opment.%重点介绍美国、加拿大、英国等区域卫生信息化发展现状,指出区域卫生信息化面临的9大挑战及区域卫生信息网的功能要求,阐述区域卫生信息化的建设方案与发展方向,并对未来的区域卫生信息化建设提出建议。

  20. Voluntary reduction of trans-fatty acids in Latin America and the Caribbean: current situation.

    Science.gov (United States)

    Monge-Rojas, Rafael; Colón-Ramos, Uriyoán; Jacoby, Enrique; Mozaffarian, Dariush

    2011-02-01

    As part of the Pan American Health Organization/World Health Organization Trans-Fat-Free Americas initiative, 12 representatives from food industries in Latin America and the Caribbean signed a declaration stating their intention to voluntarily eliminate industrially produced trans-fatty acids (TFA) from the Americas. A year later, in order to document the extent of the voluntary reduction, each declarant was asked to describe all reformulations and reductions in the TFA content of their products. After up to six requests for data, only three declarants provided such information in detail, and three others offered an overall summary of their reformulations. Additionally, three declarants reported the barriers that limit this process: availability of oil substitutes, cost, and consumers' sensory acceptance. The content of TFA and saturated fat in the food supply in the Americas should be regulated and strictly monitored in order to adequately evaluate a reduction of TFA in the region.

  1. Music, health, and well-being: a review.

    Science.gov (United States)

    MacDonald, Raymond A R

    2013-08-07

    The relationship between arts participation and health is currently very topical. Motivated by a desire to investigate innovative, non-invasive, and economically viable interventions that embrace contemporary definitions of health, practitioners and researchers across the world have been developing and researching arts inventions. One of the key drivers in this vigorous research milieu is the growth of qualitative research within health care contexts and researchers interested in exploring the potential benefits of musical participation have fully embraced the advances that have taken place in health-related qualitative research. The following article presents a number of different types of qualitative research projects focused on exploring the process and outcomes of music interventions. It also presents a new conceptual model for music, health and well-being. This new model develops on a previous version of MacDonald, Kreutz, and Mitchell (2012b) by incorporating new elements and contextualization and providing detailed experimental examples to support the various components.

  2. Music, health, and well-being: A review

    Directory of Open Access Journals (Sweden)

    RAYMOND A. R. MacDonald

    2013-08-01

    Full Text Available The relationship between arts participation and health is currently very topical. Motivated by a desire to investigate innovative, non-invasive, and economically viable interventions that embrace contemporary definitions of health, practitioners and researchers across the world have been developing and researching arts inventions. One of the key drivers in this vigorous research milieu is the growth of qualitative research within health care contexts and researchers interested in exploring the potential benefits of musical participation have fully embraced the advances that have taken place in health-related qualitative research. The following article presents a number of different types of qualitative research projects focused on exploring the process and outcomes of music interventions. It also presents a new conceptual model for music, health and well-being. This new model develops on a previous version of MacDonald, Kreutz, and Mitchell (2012b by incorporating new elements and contextualization and providing detailed experimental examples to support the various components.

  3. Mental health evidence in the American Journal of Occupational Therapy.

    Science.gov (United States)

    D'Amico, Mariana; Jaffe, Lynn; Gibson, Robert W

    2010-01-01

    We reviewed the mental health articles published in the American Journal of Occupational Therapy (AJOT) from 2008 through 2009 in light of meeting the Centennial Vision charge of supporting practice through evidence. Seven articles that addressed mental health practice were published in AJOT over these years. Review of the articles found that only two addressed effectiveness of occupational therapy intervention; one was rated as Level II evidence, and the other was rated as Level V evidence. Two articles addressed instrument development and testing. Three articles were basic research studies that expanded consideration about the needs of people with mental health conditions. Scholars and clinicians have begun to embrace the charge of the Centennial Vision to support practice with evidence and continue to embrace mental health practice but have a distance to travel. We hope that in the coming years, the profession will see more evidence published in AJOT supporting mental health as practiced by occupational therapists.

  4. Qualitative analysis of the magnetic data collected by the Embrace MagNet in comparison to absolute measurements made by Intermagnet in Vassouras-RJ

    Science.gov (United States)

    Chen, Sony Su; Moro, Juliano; Araujo Resende, Laysa Cristina; Denardini, Clezio Marcos

    2016-07-01

    The Embrace Magnetometer Network (Embrace MagNet) is a network of three-axis fluxgate magnetometers using single bars with high level of magnetic saturation, covered with two copper coils, one for the excitation and the second for sensing the external field. It is planned to cover most of the Easter Southern American longitudinal sector in order to fulfill the gap for magnetic measurement available on-line. The availability of fast internet, reliable energy supply and easy access were the key point for deciding the location of the magnetometer stations of the network. Up to now, the main characteristic of this network is the severe sensibility matching process among all the magnetometers composing it. Now, in order to validate the magnetic data collected by the elements of the Embrace MagNet in comparison to absolute measurements, we performed a study about the correlation between the data collected by the fluxgate magnetometer provided by Embrace MagNet and an absolute magnetometer installed by Intermagnet in the same observatory. For this study, we have used data collected in Vassouras-RJ, in Brazil, covering the period from June to December 2015. The analysis consist of: (a) selecting the 5 quietest days and the 5 most disturbed days of each month based on the Kp index; (b) deducing the local midnight value from the data collected by both instruments; (c) correlating the data collected by the variometer with the absolute measurement day-by-day; (d) grouping the results as Winter (June, July, and August), Equinox (September and October) and Summer (November and December); (e) obtaining the linear correlations factor for each group. The averaged correlation factors and the daily variations of the magnetic data are presented and discussed in terms of the magnetic activity and the season variation.

  5. Literate America on Illiterate America: An Essay Review of "Illiterate America."

    Science.gov (United States)

    Gee, James Paul

    1986-01-01

    Reviews Jonathan Kozol's book, "Illiterate America." Asserts that Kozol's argument is insensitive to cultural variation and stems from an unquestioning commitment to humanism. Argues that conventional definitions of "literacy" have tended to be more closely related to particular social structures and values than to cognitive development and…

  6. Rapid evolution of distinct Helicobacter pylori subpopulations in the Americas

    Science.gov (United States)

    Mikhail, Jane; Kato, Ikuko; Suzuki, Rumiko; Yamaoka, Yoshio; Sheppard, Samuel K.; Falush, Daniel

    2017-01-01

    For the last 500 years, the Americas have been a melting pot both for genetically diverse humans and for the pathogenic and commensal organisms associated with them. One such organism is the stomach-dwelling bacterium Helicobacter pylori, which is highly prevalent in Latin America where it is a major current public health challenge because of its strong association with gastric cancer. By analyzing the genome sequence of H. pylori isolated in North, Central and South America, we found evidence for admixture between H. pylori of European and African origin throughout the Americas, without substantial input from pre-Columbian (hspAmerind) bacteria. In the US, strains of African and European origin have remained genetically distinct, while in Colombia and Nicaragua, bottlenecks and rampant genetic exchange amongst isolates have led to the formation of national gene pools. We found three outer membrane proteins with atypical levels of Asian ancestry in American strains, as well as alleles that were nearly fixed specifically in South American isolates, suggesting a role for the ethnic makeup of hosts in the colonization of incoming strains. Our results show that new H. pylori subpopulations can rapidly arise, spread and adapt during times of demographic flux, and suggest that differences in transmission ecology between high and low prevalence areas may substantially affect the composition of bacterial populations. PMID:28231283

  7. Latin America Report, No. 2720

    Science.gov (United States)

    2007-11-02

    AMERICA REPORT , No, 2720 CONTENTS ENERGY ECONOMICS COSTA RICA ’Excellent Quality’ Oil Reportedly Found in Country (LA REPUBLICA , 18, 21 Jun...Report San Jose LA REPUBLICA in Spanish 18 Jun 83 p 3 [Text] Mexico—Jointly with other concerns, the state enterprise Mexican Petroleum (PEMEX) is...Jose LA REPUBLICA in Spanish 21 Jun 83 p 2 [Text] "We have found five possible horizons that exhibit the characteristics of petroleum deposits in

  8. Prostate cancer in Latin America.

    Science.gov (United States)

    Pow-Sang, Mariela; Destefano, Víctor; Astigueta, Juan Carlos; Castillo, Octavio; Gaona, José Luis; Santaella, Félix; Sotelo, Rene

    2009-11-01

    There is a very low rate of early prostate cancer detection in Latin America, since patients usually are diagnosed when the disease is in advanced stages. Sporadic prostate cancer screening campaigns do exist which allow us to diagnose this disease in earlier stages. Incidence and mortality rates differ widely from country to country, and they are probable underreported in our region since registers may be city-based instead of country-based.

  9. Building America House Simulation Protocols

    Energy Technology Data Exchange (ETDEWEB)

    Hendron, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States); Engebrecht, Cheryn [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2010-09-01

    The House Simulation Protocol document was developed to track and manage progress toward Building America's multi-year, average whole-building energy reduction research goals for new construction and existing homes, using a consistent analytical reference point. This report summarizes the guidelines for developing and reporting these analytical results in a consistent and meaningful manner for all home energy uses using standard operating conditions.

  10. Addiction Treatment in America: After Money or Aftercare?

    Directory of Open Access Journals (Sweden)

    David Miller

    2015-10-01

    Full Text Available There are approximately 14,500 clinics and programs in America that provide treatment for all types of addictive behaviors we call “Reward Deficiency Syndrome (RDS”. While most of these have good intentions to provide needed help to the victims of RDS, we propose herein that most of their efforts, especially during periods of aftercare, are not based on the existing scientific evidence. We use “aftercare” to refer to any form of program or therapy following primary treatment including 12-Step programs. Very few programs actually provide any evidenced-based treatment approaches during this most vulnerable period in recovery. In this trieste we are suggesting that a hypodopaminergic trait (genetic and/or state (epigenetic is critical in terms of continued motivation to use/abuse of alcohol or other drugs and can lead to relapse. While there is evidence for the approved FDA drugs to treat drug addiction (e.g. alcohol, opiates, nicotine these drugs favor a short-term benefit by blocking dopamine. We argue instead for the utilization of long-term benefits that induce “dopamine homeostasis”, or in simpler terms “normalcy”. We suggest that this could be accomplished through a number of holistic modalities including, but not limited to, dopamine-boosting diets, hyper-oxygenation, heavy metal detoxification, exercise, meditation, yoga, and most importantly, brain neurotransmitter balancing with nutraceuticals such as KB220 variants. We embrace 12-step programs and fellowships but not as a stand-alone modality, especially during aftercare. We also provide some scientific basis for why resting state functional connectivity (rsfMRI is so important and may be the cornerstone in terms of how to treat RDS. We postulate that since drugs, food, smoking, gambling, and even compulsive sexual behavior could reduce rsfMRI then modalities (following required research, that can restore this impaired cross talk between various brain regions (e

  11. Where does human plague still persist in Latin America?

    Directory of Open Access Journals (Sweden)

    Maria Cristina Schneider

    2014-02-01

    Full Text Available BACKGROUND: Plague is an epidemic-prone disease with a potential impact on public health, international trade, and tourism. It may emerge and re-emerge after decades of epidemiological silence. Today, in Latin America, human cases and foci are present in Bolivia, Brazil, Ecuador, and Peru. AIMS: The objective of this study is to identify where cases of human plague still persist in Latin America and map areas that may be at risk for emergence or re-emergence. This analysis will provide evidence-based information for countries to prioritize areas for intervention. METHODS: Evidence of the presence of plague was demonstrated using existing official information from WHO, PAHO, and Ministries of Health. A geo-referenced database was created to map the historical presence of plague by country between the first registered case in 1899 and 2012. Areas where plague still persists were mapped at the second level of the political/administrative divisions (counties. Selected demographic, socioeconomic, and environmental variables were described. RESULTS: Plague was found to be present for one or more years in 14 out of 25 countries in Latin America (1899-2012. Foci persisted in six countries, two of which have no report of current cases. There is evidence that human cases of plague still persist in 18 counties. Demographic and poverty patterns were observed in 11/18 counties. Four types of biomes are most commonly found. 12/18 have an average altitude higher than 1,300 meters above sea level. DISCUSSION: Even though human plague cases are very localized, the risk is present, and unexpected outbreaks could occur. Countries need to make the final push to eliminate plague as a public health problem for the Americas. A further disaggregated risk evaluation is recommended, including identification of foci and possible interactions among areas where plague could emerge or re-emerge. A closer geographical approach and environmental characterization are suggested.

  12. Bertolt Brecht in Latin America

    Directory of Open Access Journals (Sweden)

    Ebru Gökdağ

    2015-02-01

    Full Text Available In 1943, when Bertolt Brecht and Kurt Weill’s The Three Penny Opera opened in Mexico, Latin America encountered Brecht for the first time. Political concerns among Latin Americans, and their attempts to present them theatrically, pre-dated the widespread dissemination of Brecht’s theories. After 1943, Brecht’s work as a theoretician in Latin America had to wait another decade before it was to have influence there.   Thus, when Latin America encountered Brecht, it was a case of parallel evolution rather than of direct influence. Brechtian theorizing and its influence on Augusto Boal's approach has been widely acknowledged.  Some critics state that Boal extended ideas similar to Brecht’s but improved upon them by transforming the audience from a reflective passive stance to an active participant. Yet Boal does more than merely extend or elaborate on the theories of Brecht. Brecht formulated his theory through critical and intellectual analysis, while Boal co-created his approach with individuals whom he was both teaching and learning from at the same time. Since Boal’s work is based on four decades of practice, there is a commitment in his ideas that is far less intellectual and more practical, a passion in his devotion to transforming audience expectation and response that is wholly absent in Brechtian theorizing.

  13. Breaking away to South America

    CERN Multimedia

    Anaïs Schaeffer

    2011-01-01

    In December 2010, Peter Dreesen of CERN’s Technology Department (TE) returned from a long trip to South America. In four months he traversed the entire Andean range, from the equator to a latitude of 55 degrees south—on a bicycle!   Peter Dreesen on the Salar de Uyuni Lake, Bolivia. 11 000 kilometres is one long bike ride! And yet, that’s what Peter Dreesen did, travelling from Quito, Ecuador to Ushuaia, Argentina. Peter, an engineer in the TE Department, is no novice: the year before, he cycled from Paris to Peking, a distance of 13 500 kilometres, in just over four months. His latest voyage began last August, when he loaded his bicycle and boarded a plane for South America. In the saddle. After a week of acclimatisation at three thousand metres altitude, Peter left Quito on 6 August 2010. He arrived in Ushuaia (el fin del mundo, the end of the world, as it’s known in South America) on 12 December 2010. He recounts: “It was a bizarre sensation...

  14. Networks as a type of social entrepreneurship to advance population health.

    Science.gov (United States)

    Wei-Skillern, Jane

    2010-11-01

    A detailed case study from the field of social entrepreneurship is used to illustrate the network approach, which does not require more resources but rather makes better use of existing resources. Leaders in public health can use networks to overcome some of the barriers that inhibit the widespread adoption of a population health approach to community health. Public health leaders who embrace social entrepreneurship may be better able to accomplish their missions by building their networks rather than just their organizations.

  15. Networks as a Type of Social Entrepreneurship to Advance Population Health

    OpenAIRE

    Wei-Skillern,Jane

    2010-01-01

    A detailed case study from the field of social entrepreneurship is used to illustrate the network approach, which does not require more resources but rather makes better use of existing resources. Leaders in public health can use networks to overcome some of the barriers that inhibit the widespread adoption of a population health approach to community health. Public health leaders who embrace social entrepreneurship may be better able to accomplish their missions by building their networks ra...

  16. Drivers of animal welfare policy in the Americas.

    Science.gov (United States)

    Huertas, S M; Gallo, C; Galindo, F

    2014-04-01

    Owing to its large size and ethnic, social, cultural and economic diversity, the Americas' production volume is set to make the region one of the world's leading providers of animal foodstuffs. Animal husbandry, transport and slaughter conditions vary from country to country in response to their differing climatic and geographic characteristics. This article examines the main drivers of animal welfare in the Americas, including the standards of the World Organisation for Animal Health (OIE), legislation, codes of practice and advances in education, training, research and development. It recognises the important roles played by all the various stakeholders in changing perceptions of animal welfare by raising public awareness and promoting communication and cooperation as drivers of overall change in the Americas. Regional and international organisations, public and private-sector bodies, academia and non-governmental organisations have launched a number of initiatives with encouraging results. In 2009, the OIE established the Chile-Uruguay Collaborating Centre for Animal Welfare Research, which is now the OIE Collaborating Centre for Animal Welfare and Livestock Production Systems and has recently incorporated Mexico. The Collaborating Centre works closely with official OIE Delegates and the Focal Points for Animal Welfare of national Veterinary Services. The OIE Regional Animal Welfare Strategy for the Americas was adopted in 2012, under the coordination of the OIE Regional Representation for the Americas, as a guide for developing future policies based on a regional approach. The way to achieve cultural change for improving animal welfare, operator safety and the sector's profitability is through training and knowledge transfer. The results demonstrate that the joint efforts of all institutions and the active role of the Collaborating Centre have been most effective, as have the continuing education programmes implemented by universities.

  17. Utility of the International Classification of Functioning, Disability and Health (ICF) for Educational Psychologists' Work

    Science.gov (United States)

    Aljunied, Mariam; Frederickson, Norah

    2014-01-01

    Despite embracing a bio-psycho-social perspective, the World Health Organization's International Classification of Functioning, Disability and Health (ICF) assessment framework has had limited application to date with children who have special educational needs (SEN). This study examines its utility for educational psychologists' work…

  18. A Nursing Informatics Curriculum Within a Health Systems Environment

    OpenAIRE

    Heermann, Judith A.; Warren, Judith J.

    2001-01-01

    Challenged with the need to provide graduate education in nursing informatics across the state of Nebraska, an innovative curriculum was developed. This curriculum is integrated with other system-focused specialties (community health nursing and nursing administration) to form a Health Systems Nurse Specialist (HSNS) Program. The delivery of this curriculum was designed to be as independent of time and place as possible. Nurses especially in rural areas, have embraced this program as they can...

  19. Los procesos de reforma y la participación social en salud en América Latina The reform process and social participation in health in Latin America

    Directory of Open Access Journals (Sweden)

    M. L. Vázquez

    2002-02-01

    Full Text Available Actualmente, muchos países en todo el mundo están llevando a cabo reformas de sus sistemas de salud. Estas reformas, si bien difieren de acuerdo con las características del país, comparten muchas de sus políticas, y una de éstas es la promoción de la participación social en salud. Con todo, esta política no es una iniciativa nueva en lo que a organización de los servicios de salud se refiere. A lo largo del último siglo la colaboración individual o colectiva de la población con los servicios de salud ha sido fomentada a partir de diversas filosofías y conceptos, y persigue objetivos diversos: desde la búsqueda de la colaboración de la población para la extensión de la cobertura de los servicios de salud al fomento de la creación de mecanismos que permitan a la sociedad ejercer un control sobre la actuación de los servicios. No obstante, para que exista algún tipo de implicación de la población con los servicios, deben confluir diversos factores, tanto relativos a los servicios como a la población. A pesar de que los marcos teóricos que han sustentado la participación social a lo largo del desarrollo de los sistemas de salud difieren considerablemente, su puesta en práctica ha compartido muchos elementos comunes en todas las épocas, desde la participación como medio para obtener unos objetivos, a ser un fin en sí misma, como proceso democrático. Esto es también aplicable a la promoción actual de las políticas de participación social en el contexto de las reformas, que se analizan fundamentalmente a partir de los ejemplos de Colombia y Brasil.Currently, many countries throughout the world are reforming their health services. Even though these reforms differ according to the country's characteristics, they share many policies, one of which is the promotion of social participation in health-related matters. This policy, however, is not new in the field of health service organization. Throughout the last century

  20. Poultry welfare scenario in South America: norms and regulations

    Directory of Open Access Journals (Sweden)

    RBTR Silva

    2011-06-01

    Full Text Available Animal welfare related issues have been intensely discussed in recent years as a consequence of changes in public attitudes and regulatory reforms that are taking place in many countries. A combination of public opinion pressure and trade policy has driven requirements for regulation and the World Trade Organization (WTO assigned the World Organization for Animal Health (OIE to develop guidelines that could be used as international standards. However, trade disputes related to animal welfare are not likely to be resolved under the auspices of OIE, and access to international markets may be questioned in a way that does not necessarily reflect attitudes to animal production in emerging economies, such as those in South America. This paper presents an overall view of basic welfare issues and points out specific items related to the present scenario of norms and regulations that are being implemented in South America, where the growing poultry industry is an important economic activity.

  1. Financing dengue vaccine introduction in the Americas: challenges and opportunities.

    Science.gov (United States)

    Constenla, Dagna; Clark, Samantha

    2016-01-01

    Dengue has escalated in the region of the Americas unabated despite major investments in integrated vector control and prevention strategies. An effective and affordable dengue vaccine can play a critical role in reducing the human and economic costs of the disease by preventing millions around the world from getting sick. However, there are considerable challenges on the path towards vaccine introduction. These include lack of sufficient financing tools, absence of capacity within national level decision-making bodies, and demands that new vaccines place on stressed health systems. Various financing models can be used to overcome these challenges including setting up procurement mechanisms, integrating regional and domestic taxes, and setting up low interest multilateral loans. In this paper we review these challenges and opportunities of financing dengue vaccine introduction in the Americas.

  2. Periodontal disease in children and adolescents of Latin America.

    Science.gov (United States)

    Botero, Javier E; Rösing, Cassiano Kuchenbecker; Duque, Andres; Jaramillo, Adriana; Contreras, Adolfo

    2015-02-01

    Periodontal diseases are a group of infectious diseases that mainly include gingivitis and periodontitis. Gingivitis is the most prevalent form of periodontal disease in subjects of all ages, including children and adolescents. Less frequent types of periodontal disease include aggressive periodontitis, acute necrotizing ulcerative gingivitis and various diseases of herpesviral and fungal origin. This review aimed to retrieve relevant information from Latin America on the prevalence of periodontal diseases among children and adolescents of the region. Gingivitis was detected in 35% of young Latin American subjects and showed the highest frequencies in Colombia (77%) and Bolivia (73%) and the lowest frequency in Mexico (23%). The frequency of gingivitis in subjects from other Latin American countries was between 31% and 56%. Periodontitis may affect children and adolescents of Latin America may help policy makers and dentists to institute more effective public health measures to prevent and treat the disease at an early age to avoid major damage to the permanent dentition.

  3. The history of dengue outbreaks in the Americas.

    Science.gov (United States)

    Brathwaite Dick, Olivia; San Martín, José L; Montoya, Romeo H; del Diego, Jorge; Zambrano, Betzana; Dayan, Gustavo H

    2012-10-01

    Dengue is a viral disease usually transmitted by Aedes aegypti mosquitoes. Dengue outbreaks in the Americas reported in medical literature and to the Pan American Health Organization are described. The outbreak history from 1600 to 2010 was categorized into four phases: Introduction of dengue in the Americas (1600-1946); Continental plan for the eradication of the Ae. aegypti (1947-1970) marked by a successful eradication of the mosquito in 18 continental countries by 1962; Ae. aegypti reinfestation (1971-1999) caused by the failure of the mosquito eradication program; Increased dispersion of Ae. aegypti and dengue virus circulation (2000-2010) characterized by a marked increase in the number of outbreaks. During 2010 > 1.7 million dengue cases were reported, with 50,235 severe cases and 1,185 deaths. A dramatic increase in the number of outbreaks has been reported in recent years. Urgent global action is needed to avoid further disease spread.

  4. Terrestrial and freshwater Tardigrada of the Americas.

    Science.gov (United States)

    Meyer, Harry A

    2013-12-16

    This paper provides a comprehensive list of the freshwater and terrestrial tardigrade fauna reported from the Americas (North America, South America, Central America and the West Indies), their distribution in the Americas, and the substrates from which they have been reported. Data were obtained from 316 published references. Authors' identifications were accepted at face value unless subsequently amended. Taxa were assigned to sub-national units (states, provinces, etc.). Many areas, in particular large portions of Central America and the West Indies, have no reported tardigrade fauna.        The presence of 54 genera and 380 species has been reported for the Americas; 245 species have been collected in the Nearctic ecozone and 251 in the Neotropical ecozone. Among the tardigrade species found in the Americas, 52 are currently considered cosmopolitan, while 153 species have known distributions restricted to the Americas. Based on recent taxonomic revision of the genus Milnesium, the vast majority of records of M. tardigradum in the Americas should now be reassigned to Milnesium tardigradum sensu lato, either because the provided description differs from M. tardigradum sensu stricto or because insufficient description is provided to make a determination; the remainder should be considered Milnesium cf. tardigradum.        Most terrestrial tardigrade sampling in the Americas has focused on cryptogams (mosses, lichens and liverworts); 90% of the species have been collected in such substrates. The proportion of species collected in other habitats is lower: 14% in leaf litter, 20% in soil, and 24% in aquatic samples (in other terrestrial substrates the proportion never exceeds 5%). Most freshwater tardigrades have been collected from aquatic vegetation and sediment. For nine species in the Americas no substrates have been reported. 

  5. Environment, Politics and Governance in Latin America

    OpenAIRE

    Karen M. Siegel

    2016-01-01

    Environmental Governance in Latin America, edited by Fábio de Castro, Barbara Hogenboom, and Michiel Baud. Palgrave Macmillan, 2016.Environmental Politics in Latin America: Elite Dynamics, the Left Tide and Sustainable Development, edited by Benedicte Bull and Mariel Aguilar-Støen. Routledge, 2015.A Fragmented Continent: Latin America and the Global Politics of Climate Change, by Guy Edwards and J. Timmons Roberts. MIT Press, 2015.Ecuador’s Environmental Revolutions: Ecoimperialists, Ecodepen...

  6. Una visita en Sud America

    Science.gov (United States)

    1982-09-01

    Oisfrute de una estadfa en el Hotel La Silla, el mejor hotel de Sud America con su tan unica atmosfera extraterrestre! Los espera su calificado personal de experimentados hoteleros, jefes de cocina, etc., ansiosos todos de satisfacer sus deseos hasta el mas mfnimo detalle. Naturalmente nuestro espacioso restaurant de tres estrellas ofrece un completo surtido de exquisitas comidas y deliciosos tragos (conocedores usualmente eligen "Oelicia Orion" 0 "Centauro Especial"). EI servicio cempleto durante 24 horas incluye nuestra ya mundialmente famosa "Cena de medianoche para los miradores de estrellas", por eso - no olvide: No pierda la oportunidad de una estadfa en EL HOTEL LA SILLA - una experiencia maravillosa!

  7. Convergence Patterns in Latin America

    DEFF Research Database (Denmark)

    Quiroga, Paola Andrea Barrientos

    Literature on convergence among Latin American countries is still scarce compared to other regions. Moreover, almost none of the research connects convergence to the economic history of Latin America and the usual finding is one speed of convergence. In this paper I analyze 32 countries and 108...... years, more observations than any other study. This long span of data allows me to use economic history to explain, analyze, validate, and understand the results of convergence patterns in the region. I find more than one speed of convergence (clubs) related to the known historical background, country...

  8. Spread of epidemic Clostridium difficile NAP1/027 in Latin America: case reports in Panama.

    Science.gov (United States)

    López-Ureña, Diana; Quesada-Gómez, Carlos; Miranda, Erick; Fonseca, Mercedes; Rodríguez-Cavallini, Evelyn

    2014-02-01

    The rate and severity of Clostridium difficile infection (CDI) have been linked to the emergence and spread of the hypervirulent toxigenic strain NAP1/027. This strain has been responsible for large outbreaks in healthcare facilities in North America and Europe and most recently in Latin America. This is the first report of the NAP1 strain in Panama. It suggests that the spread of C. difficile NAP1 throughout Latin America could be a possibility as evidenced in the following case reports. Five isolates typed as NAP1 had tcdA, tcdB, binary toxin gene cdtB and tcdC deletion. All isolates were resistant to clindamycin, fluoroquinolones and rifampicin. Under this scenario, surveillance programmes for CDI should be implemented in public health facilities in Latin America and diagnosis of CDI should be considered, especially in patients with predisposing factors.

  9. Building America Top Innovations 2012: House Simulation Protocols (the Building America Benchmark)

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-01-01

    This Building America Top Innovations profile describes the DOE-sponsored House Simulation Protocols, which have helped ensure consistent and accurate energy-efficiency assessments for tens of thousands of new and retrofit homes supported by the Building America program.

  10. Atmospheric black carbon concentrations in North America, ~1100 to 2005. Liaquat Husain and Tanveer Ahmed Wadsworth Center, New York State Department of Health, Albany, NY 12201-0509, USA, and Department of Environmental Health Sciences, School of Public Health, State University of New York, Albany, NY, 12201-0509, USA

    Science.gov (United States)

    Husain, L.

    2013-05-01

    remained fairly steady, ~65 ngm-3. A comparison of BC so determined is made with BC emissions estimated by NASA's global circulation model GISS GCM Model E (Koch et al, J. of Climate, 24, 2693-2714, 2011), and the European Atmospheric Chemistry Transport Model Oslo CTM2 (Skeie et al, ACP, 11, 6809-6836, 2011), using energy consumptions. Both model predictions agree reasonably well from ~1900 to about 1925, but under-predict by factors of 2 ~1950 and by a factor of 3 to 4 ~1980. These estimates are crucial for evaluating climate models against the true long-term measurements and will help seriously improve their predictive capability to simulate future warming trends. The 'natural' background of BC in the atmosphere for the ~1100 to ~1800 period was also fairly steady, with a notable spike ~1400, at 50ngm-3, only slightly lower than the current measurements at Whiteface Mountain, 75 ngm-3. The control measures in North America clearly have reduced atmospheric BC concentrations from ~700ngm-3 ~ 1950s.

  11. Participatory Scenario Planning for the Cienega Watershed: Embracing Uncertainty in Public Lands Management in the U.S. Southwest

    Science.gov (United States)

    Hartmann, H.; Morino, K.; Bodner, G.; Markstein, A.; McFarlin, S.

    2013-12-01

    extend and refine participatory scenario planning methods from the development of regional qualitative narratives to (1) development of scenario narratives that are relevant at the local management level, (2) creation and evaluation of portfolios of management options that can accommodate changes in management objectives, connect to formal agency planning processes, and that can be adjusted as the future evolves, and (3) explicit identification of the data and information that link qualitative narratives to quantitative scenario and adaptation assessments, which can be used to drive the timing and implementation of activities within the adaptation portfolios, and to prioritize monitoring and research activities to resolve near-term uncertainties. Project tasks are structured around four resource teams that focus on their specific management concerns (Montane, Riparian, Upland and Cultural), but that come together periodically to consider interaction and conflict among their scenarios or prospective adaptation. Participants are finding that embracing uncertainty enables them to approach climate change with a sense of empowerment rather than a sense of reacting to crises, and they appreciate the methods and opportunities for thinking differently and crossing boundaries that the scenario planning exercises provide.

  12. Tool for evaluating the evolution Space Weather Regional Warning Centers under the innovation point of view: the Case Study of the Embrace Space Weather Program Early Stages

    Science.gov (United States)

    Denardini, Clezio Marcos

    2016-07-01

    We have developed a tool for measuring the evolutional stage of the space weather regional warning centers using the approach of the innovative evolution starting from the perspective presented by Figueiredo (2009, Innovation Management: Concepts, metrics and experiences of companies in Brazil. Publisher LTC, Rio de Janeiro - RJ). It is based on measuring the stock of technological skills needed to perform a certain task that is (or should) be part of the scope of a space weather center. It also addresses the technological capacity for innovation considering the accumulation of technological and learning capabilities, instead of the usual international indices like number of registered patents. Based on this definition, we have developed a model for measuring the capabilities of the Brazilian Study and Monitoring Program Space Weather (Embrace), a program of the National Institute for Space Research (INPE), which has gone through three national stages of development and an international validation step. This program was created in 2007 encompassing competence from five divisions of INPE in order to carry out the data collection and maintenance of the observing system in space weather; to model processes of the Sun-Earth system; to provide real-time information and to forecast space weather; and provide diagnostic their effects on different technological systems. In the present work, we considered the issues related to the innovation of micro-processes inherent to the nature of the Embrace program, not the macro-economic processes, despite recognizing the importance of these. During the development phase, the model was submitted to five scientists/managers from five different countries member of the International Space Environment Service (ISES) who presented their evaluations, concerns and suggestions. It was applied to the Embrace program through an interview form developed to be answered by professional members of regional warning centers. Based on the returning

  13. Leading countries in mental health research in Latin America and the Caribbean Os países líderes em pesquisa em saúde mental na América Latina e Caribe

    Directory of Open Access Journals (Sweden)

    Denise Razzouk

    2007-06-01

    Full Text Available OBJECTIVE: The prevalence and burden of mental disorders have been growing in Latin-American and the Caribbean countries and research is an important tool for changing this scenario. The objective of this paper is to describe the development of mental health research in Latin American and the Caribbean countries from 1995 to 2005. METHOD: The indicators of productivity were based on the ISI Essential Science Indicators database. We compared the number of papers and citations, as well as the number of citations per paper between 1995 and 2005 for each country ranked in the Essential Science Indicators. RESULT: Eleven Latin-American countries were ranked in the ISI database and six of them demonstrated a higher level of development in mental health research: Argentina, Brazil, Chile, Colombia, Mexico, and Venezuela. Mexico produced the largest number of papers, while Brazil showed a larger number of citations per paper. CONCLUSION: Mental health research is still incipient in Latin American and the Caribbean countries, and many challenges remain to be overcome. Also, it is necessary to establish the research priorities, to allocate more funding, and to improve researchers training in research method and design.OBJETIVO: A prevalência e a carga dos transtornos mentais vêm crescendo nos países latino-americanos e a pesquisa tem sido considerada uma importante ferramenta para alterar este cenário. Este estudo descreve o desenvolvimento da pesquisa em saúde mental nos países latino-americanos e Caribe no período de 1995 a 2005. MÉTODO: Foram utilizados os indicadores de produtividade baseados no banco de dados "Essential Science Indicators" do ISI. Foram comparados o número total de artigos e citações e também o número de citações por artigo para cada um dos países classificados no Essential Science Indicators. RESULTADOS: Foram encontrados 11 países latino-americanos e Caribe no ISI, e seis destes apresentaram um maior

  14. 76 FR 68047 - Making It Easier for America's Small Businesses and America's Exporters to Access Government...

    Science.gov (United States)

    2011-11-02

    ...-oriented web or mobile applications. (5) Agencies shall integrate BusinessUSA, including ready access to... Businesses and America's Exporters to Access Government Services to Help Them Grow and Hire #0; #0; #0... Easier for America's Small Businesses and America's Exporters to Access Government Services to Help...

  15. China to be Latin America's2nd largest trade partner in 2015

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Xnhua reported that China will become Latin America's second largest trade partner as early as in 2015,the UN Economic Commission for Latin America and the Caribbean (ECLAC) said on September 8.Osvaldo Kacef,director of ECLAC's Economic Development Division,said the current China-Latin America trade volume has already reached that of Europe.

  16. 76 FR 14101 - Bruss North America; Russell Springs, KY; Bruss North America; Orion, MI; Amended Revised...

    Science.gov (United States)

    2011-03-15

    ... Employment and Training Administration Bruss North America; Russell Springs, KY; Bruss North America; Orion... Springs, Kentucky. The workers are engaged in the production of automobile parts and component parts. The... production of automobile parts at the Russell Springs, Kentucky location of Bruss North America. The...

  17. Prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: Updated Guidelines from the Centers for Disease Control and Prevention, National Institutes of Health, and HIV Medicine Association of the Infectious Diseases Society of America.

    Science.gov (United States)

    Masur, Henry; Brooks, John T; Benson, Constance A; Holmes, King K; Pau, Alice K; Kaplan, Jonathan E

    2014-05-01

    In May 2013, a revised and updated version of the Centers for Disease Control and Prevention/National Institutes of Health/HIV Medicine Association Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents was released online. These guidelines, since their inception in 1989, have been widely accessed in the United States and abroad. These guidelines have focused on the management of HIV/AIDS-related opportunistic infections that occur in the United States. In other parts of the world, the spectrum of complications may be different and the resources available for diagnosis and management may not be identical to those in the United States. The sections that have been most extensively updated are those on immune reconstitution inflammatory syndrome, tuberculosis, hepatitis B, hepatitis C, human papillomavirus, and immunizations. The guidelines will not be published in hard copy form. This document will be revised as needed throughout each year as new data become available.

  18. EVOLUTION OF THE PHENOMENON INTEGRATION IN LATIN AMERICA (SOUTH AMERICA

    Directory of Open Access Journals (Sweden)

    EMILIAN M. DOBRESCU

    2013-05-01

    Full Text Available With the end of the Cold War, the creation of a South American economic space has become an important priority of regional powers (Brazil, Argentina, Chile, and the great powers after the war, the U.S. and the European Union (the current name. This integration process has had particular features derived from characteristics of Latin American countries. Multitude of organizations integrative role once again demonstrates the specificity of this process in Latin America to other areas of the world: Africa, Asia, Europe, etc. Contradictory developments phenomenon / Latin American integration process gives substance its characteristic and I will make, probably deeply and future. The purpose of the work and objectives are: know the main features of the phenomenon in Latin American integrationist Objectives: following our vision of a historical phenomenon; brief characterization of the most important Latin American organizations, establishing current and future consequences of integrationist phenomenon in this part of the world.

  19. Revivalist Nationalism since World War II: From “Wake up, America!” to “Make America Great Again”

    Directory of Open Access Journals (Sweden)

    Daniel Hummel

    2016-11-01

    Full Text Available Between 1945 and 1980, evangelicals emerged as a key political constituency in American politics, helping to form the Religious Right and work for the election of Ronald Reagan and other conservative Republicans. This article argues that they embraced a distinctive type of revivalist nationalism, centered around the mass revival. Case studies of Billy Graham, Bill Bright, Jerry Falwell, and Ronald Reagan offer a narrative of postwar revivalist nationalism and demonstrate that evangelicals renegotiated the relationship between personal salvation and national renewal during this period, facilitating their mass entry into partisan politics. Billy Graham presented in his early crusades an unsophisticated assumption that mass conversion would lead to national renewal. Later revivalists such as Bill Bright, founder of Campus Crusade for Christ, sought to reorient revivalism toward directed political organization, leading in the 1970s to decreasing emphasis on personal conversion and increasing focus on the political process. By the 1980 presidential election, the Religious Right had completely abandoned the priority of personal conversion and sought instead to revive the “principles” of a Christian America. Ronald Reagan embodied this principle-oriented revival, and helped crystalize a revivalist nationalism that remains embedded in contemporary evangelical politics.

  20. Biomedical engineering undergraduate education in Latin America

    Energy Technology Data Exchange (ETDEWEB)

    Allende, R [Biomedical Engineering Department, Universidad de Valparaiso, 13 Norte 766, Vina del Mar (Chile); Morales, D [Biomedical Engineering Department, Universidad de Valparaiso, 13 Norte 766, Vina del Mar (Chile); Avendano, G [Biomedical Engineering Department, Universidad de Valparaiso, 13 Norte 766, Vina del Mar (Chile); Chabert, S [Biomedical Engineering Department, Universidad de Valparaiso, 13 Norte 766, Vina del Mar (Chile)

    2007-11-15

    As in other parts of the World, in recent times there has been an increasing interest on Biomedical Engineering (BME) in Latin America (LA). This interest grows from the need for a larger number of such specialists, originated in a spreading use of health technologies. Indeed, at many universities, biomedical engineering departments have been created, which also brought along discussions on strategies to achieve the best education possible for both undergraduate and graduate programs. In these settings, different positions were taken as regards which subject to emphasize. In such a context, this work aimed to make a survey on the 'state-of-the-art' of undergraduate BME education in LA, and to analyze the observed differences. Broadly speaking, similar education profiles are perceived in the entire continent, with main emphasis on electronics and bioinstrumentation, biology and informatics respectively. Much less relevance is given to biomechanics and biomaterials. This tendency is similar in Departments with many decades of experience or in newly opened ones.

  1. Biomedical engineering undergraduate education in Latin America

    Science.gov (United States)

    Allende, R.; Morales, D.; Avendano, G.; Chabert, S.

    2007-11-01

    As in other parts of the World, in recent times there has been an increasing interest on Biomedical Engineering (BME) in Latin America (LA). This interest grows from the need for a larger number of such specialists, originated in a spreading use of health technologies. Indeed, at many universities, biomedical engineering departments have been created, which also brought along discussions on strategies to achieve the best education possible for both undergraduate and graduate programs. In these settings, different positions were taken as regards which subject to emphasize. In such a context, this work aimed to make a survey on the "state-of-the-art" of undergraduate BME education in LA, and to analyze the observed differences. Broadly speaking, similar education profiles are perceived in the entire continent, with main emphasis on electronics and bioinstrumentation, biology and informatics respectively. Much less relevance is given to biomechanics and biomaterials. This tendency is similar in Departments with many decades of experience or in newly opened ones.

  2. Health service planning and sustainable development: considering what, where and how care is delivered through a pro-environmental lens.

    Science.gov (United States)

    Desmond, Sharon

    2017-03-02

    The aim of the present paper was to review the opportunities currently available to health service planners to advance sustainable development in their future-facing roles within health service organisation. Critical challenges and enablers to facilitate health services planners in adopting a pro-environmental lens are discussed.What is known about the topic? Despite its harmful effect on the environment, health has been slower than other industries to embrace the sustainable development agenda. The attitudes and knowledge base of health service planners with regard to environmental sustainability has not been widely studied. For health service planners, embracing pro-environmental considerations in sustainable model of care development is a powerful opportunity to review care paradigms and prepare for the implementation of meaningful, improved health and system efficiency.What does this paper add? This paper advances the case for health service planners to embrace a pro-environmental stance and guides health service leaders in the preparation and implementation of sustainable and improved health and system efficiency.What are the implications for practitioners? Health service planers are in an ideal position to champion the sustainable development agenda as they explore what care is delivered, how care is delivered and where care is delivered. External policy, health service leadership and carbon literacy are advanced as critical contextual factors to facilitate the key role that health service planners can play in building sustainable healthcare organisations.

  3. Electricity and gas regulation in Latin America

    Energy Technology Data Exchange (ETDEWEB)

    Cameron, Peter N.

    1998-08-01

    Contains Executive Summary and Chapters on: Background Information; The Electricity Chain; The Gas Chain; The Regulatory Structure; International Activity; Argentina; Bolivia; Brazil; Chile; Colombia; Mexico; Peru; Venezuela; Central America; Other Latin American Markets; Non-Latin America Markets; The Caribbean. (Author)

  4. Mapping recent chikungunya activity in the Americas

    Science.gov (United States)

    To better understand chikungunya activity in the America we mapped recent chikungunya activity in the Americas. This activity is needed to better understand that the relationships between climatic factors and disease outbreak patters are critical to the design and constructing of predictive models....

  5. SOUTH AMERICA: INDUSTRIAL ROUNDWOOD SUPPLY POTENTIAL

    Directory of Open Access Journals (Sweden)

    Ronalds W. Gonzalez

    2008-02-01

    Full Text Available South America has substantial potential to expand its forest plantations and raw material supply. From 1997 to 2005, South America had a high annual growth rate in the production of industrial roundwood, with Brazil and Chile being the most important countries. In the same period, Asia had the only negative regional production growth rate in the world, and China became the largest round wood importer in the world. This paper summarizes the status of production, consumption, imports, and exports of industrial roundwood and forest products in South America. Produc-tion and exports from South America have continually increased at annual growth rates exceeding the forestry sector in general and the U.S. in particular. Based on timber growing investments to date, a strong timber production and forest products manufacturing sector has developed in the Southern Cone countries of Chile, Brazil, Argentina, and Uruguay, and is increasing in other countries in Latin America. There will be continued opportunities for forest plantations and new manufacturing facilities throughout South America, tempered somewhat by perceived country financial and political risks. These opportunities will allow South America to increase its share of world production and increase imports to North America and to Asia.

  6. Developments in Impact Assessment in North America

    Science.gov (United States)

    Beginning with a background of recent global developments in this area, this presentation will focus on how global research has impacted North America and how North America is providing additional developments to address the issues of the global economy. Recent developments inc...

  7. Integrating mHealth Mobile Applications to Reduce High Risk Drinking among Underage Students

    Science.gov (United States)

    Kazemi, Donna M.; Cochran, Allyson R.; Kelly, John F.; Cornelius, Judith B.; Belk, Catherine

    2014-01-01

    Objective: College students embrace mobile cell phones (MCPs) as a primary communication and entertainment device. The aim of this study was to investigate college students' perceptions toward using mHealth technology to deliver interventions to prevent high-risk drinking and associated consequences. Design/setting: Four focus group interviews…

  8. Surveying the Need for Technology Management for Global Health Training Programmes

    Science.gov (United States)

    Balakrishnan, Usha R.; Troyer, Lisa; Brands, Edwin

    2007-01-01

    Technology licensing office managers often need to evaluate profitability and commercial potential in their decision making. However, increased consideration of important global public health goals requires forging new collaborative relationships, incorporating creative licensing practices and embracing global public good within the academic and…

  9. South America Province Boundaries, 1999 (prv6ag)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — South America is part of Region 6 (Central and South America) for the World Energy Assessment. South America was divided into 107 geologic provinces as background...

  10. The efficacy of staff training on improving internal customer satisfaction in a rural health setting.

    Science.gov (United States)

    Hartley, R; Turner, R

    1995-09-01

    The NSW Health Department is 3 years into its customer satisfaction initiative. North West Health Service, one of the largest rural health districts, was among the first centres to embrace the customer satisfaction philosophy starting with compulsory training of all staff. This paper reports on changes in staff morale (internal satisfaction) as a result of that training. The data suggest that training per se has had minimal effect and argues for management development, particularly regarding leadership, rather than fiscal skills.

  11. The prevalence of nonalcoholic fatty liver disease in the Americas.

    Science.gov (United States)

    López-Velázquez, Jorge A; Silva-Vidal, Karen V; Ponciano-Rodríguez, Guadalupe; Chávez-Tapia, Norberto C; Arrese, Marco; Uribe, Misael; Méndez-Sánchez, Nahum

    2014-01-01

    Nonalcoholic fatty liver disease (NAFLD) is an alarming public health problem. The disease is one of the main causes of chronic liver disease worldwide and is directly linked to the increased prevalence of obesity and type 2 diabetes mellitus (T2DM) in the general population. The worldwide prevalence of NAFLD has been estimated at 20-30%, but the prevalence is unknown in the Americas because of a lack of epidemiological studies. However, given the trends in the prevalence of diabetes and obesity, the prevalence of NAFLD and its consequences are expected to increase in the near future. The aim of the present study is to present the current data on the prevalence of NAFLD in the Americas. We performed an electronic search of the main databases from January 2000 to September 2013 and identified 356 reports that were reviewed. We focused on the epidemiology and prevalence of known NAFLD risk factors including obesity, T2DM, and the metabolic syndrome (MS). The prevalence of the MS was highest in the United States, Mexico, Costa Rica, Puerto Rico, Chile, and Venezuela. In addition, Puerto Rico, Guyana, and Mexico have the highest prevalence of T2DM in the Americas, while USA has the most people with T2DM. In conclusion, the prevalence rates of NAFLD and obesity were highest in the United States, Belize, Barbados, and Mexico.

  12. Visceral leishmaniasis and HIV coinfection in Latin America.

    Science.gov (United States)

    Lindoso, José Angelo; Cota, Gláucia Fernandes; da Cruz, Alda Maria; Goto, Hiro; Maia-Elkhoury, Ana Nilce Silveira; Romero, Gustavo Adolfo Sierra; de Sousa-Gomes, Márcia Leite; Santos-Oliveira, Joanna Reis; Rabello, Ana

    2014-09-01

    Visceral leishmaniasis (VL) is an endemic zoonotic disease in Latin America caused by Leishmania (Leishmania) infantum, which is transmitted by sand flies from the genus Lutzomyia. VL occurs in 12 countries of Latin America, with 96% of cases reported in Brazil. Recently, an increase in VL, primarily affecting children and young adults, has been observed in urban areas of Latin America. The area in which this spread of VL is occurring overlaps regions with individuals living with HIV, the number of whom is estimated to be 1.4 million people by the World Health Organization. This overlap is suggested to be a leading cause of the increased number of reported VL-HIV coinfections. The clinical progression of HIV and L. infantum infections are both highly dependent on the specific immune response of an individual. Furthermore, the impact on the immune system caused by either pathogen and by VL-HIV coinfection can contribute to an accelerated progression of the diseases. Clinical presentation of VL in HIV positive patients is similar to patients without HIV, with symptoms characterized by fever, splenomegaly, and hepatomegaly, but diarrhea appears to be more common in coinfected patients. In addition, VL relapses are higher in coinfected patients, affecting 10% to 56.5% of cases and with a lethality ranging from 8.7% to 23.5% in Latin America, depending on the study. With regards to the diagnosis of VL, parasitological tests of bone marrow aspirates have proven to be the most sensitive test in HIV-infected patients. Serologic tests have demonstrated a variable sensitivity according to the method and antigens used, with the standard tests used for diagnosing VL in Latin America displaying lower sensitivity. For this review, few articles were identified that related to VL-HIV coinfections and originated from Latin America, highlighting the need for improving research within the regions most greatly affected. We strongly support the formation of a Latin American network for

  13. Visceral leishmaniasis and HIV coinfection in Latin America.

    Directory of Open Access Journals (Sweden)

    José Angelo Lindoso

    2014-09-01

    Full Text Available Visceral leishmaniasis (VL is an endemic zoonotic disease in Latin America caused by Leishmania (Leishmania infantum, which is transmitted by sand flies from the genus Lutzomyia. VL occurs in 12 countries of Latin America, with 96% of cases reported in Brazil. Recently, an increase in VL, primarily affecting children and young adults, has been observed in urban areas of Latin America. The area in which this spread of VL is occurring overlaps regions with individuals living with HIV, the number of whom is estimated to be 1.4 million people by the World Health Organization. This overlap is suggested to be a leading cause of the increased number of reported VL-HIV coinfections. The clinical progression of HIV and L. infantum infections are both highly dependent on the specific immune response of an individual. Furthermore, the impact on the immune system caused by either pathogen and by VL-HIV coinfection can contribute to an accelerated progression of the diseases. Clinical presentation of VL in HIV positive patients is similar to patients without HIV, with symptoms characterized by fever, splenomegaly, and hepatomegaly, but diarrhea appears to be more common in coinfected patients. In addition, VL relapses are higher in coinfected patients, affecting 10% to 56.5% of cases and with a lethality ranging from 8.7% to 23.5% in Latin America, depending on the study. With regards to the diagnosis of VL, parasitological tests of bone marrow aspirates have proven to be the most sensitive test in HIV-infected patients. Serologic tests have demonstrated a variable sensitivity according to the method and antigens used, with the standard tests used for diagnosing VL in Latin America displaying lower sensitivity. For this review, few articles were identified that related to VL-HIV coinfections and originated from Latin America, highlighting the need for improving research within the regions most greatly affected. We strongly support the formation of a Latin

  14. School-Based Programs Aimed at the Prevention and Treatment of Obesity: Evidence-Based Interventions for Youth in Latin America

    Science.gov (United States)

    Lobelo, Felipe; Garcia de Quevedo, Isabel; Holub, Christina K.; Nagle, Brian J.; Arredondo, Elva M.; Barquera, Simon; Elder, John P.

    2013-01-01

    Background: Rapidly rising childhood obesity rates constitute a public health priority in Latin America which makes it imperative to develop evidence-based strategies. Schools are a promising setting but to date it is unclear how many school-based obesity interventions have been documented in Latin America and what level of evidence can be…

  15. Zika Virus in the Americas: A Review for Clinicians.

    Science.gov (United States)

    Sampathkumar, Priya; Sanchez, Joyce L

    2016-04-01

    Zika virus has recently emerged as a new public health threat. An arthropod-borne virus named after the Zika forest in Uganda, it was first discovered in 1947. The virus caused only sporadic cases of Zika infection in Africa and Southeast Asia until 2007, when the first large outbreak occurred in the Yap State in the Federated States of Micronesia. Another outbreak in French Polynesia in 2013 was notable for being associated temporally with an increase in cases of Guillain-Barré syndrome. In 2015, the virus was first reported in Brazil and since then has spread explosively through several additional countries in South and Central America and the Caribbean. Simultaneously, several of these countries have seen a dramatic increase in the incidence of infants born with microcephaly. The rapid spread of Zika virus through the Americas, together with the association of infection with microcephaly and Guillain-Barré syndrome, has resulted in the World Health Organization declaring a public health emergency. Zika virus has the potential to spread to new areas where the Aedes mosquito vector is present and therefore presents a risk to the United States. This concise review describes the clinical features of Zika virus infection and provides advice for clinicians on counseling travelers and others about the disease.

  16. Talking With Your Doctor: MedlinePlus Health Topic

    Science.gov (United States)

    ... PDF Also in Spanish Let's Talk...and Listen (Amputee Coalition of America) - PDF Living Well with a ... Services, Office on Women's Health) Seniors Living with Multiple Health Problems: What Older Adults Should Know (AGS ...

  17. Nursing challenges for universal health coverage: a systematic review

    Directory of Open Access Journals (Sweden)

    Mariana Cabral Schveitzer

    2016-01-01

    Full Text Available Objectives to identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care. Method systematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel. Results thirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage. Conclusions nursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.

  18. Emerging alphaviruses in the Americas: Chikungunya and Mayaro

    Directory of Open Access Journals (Sweden)

    Mario Luis Garcia de Figueiredo

    2014-12-01

    Full Text Available Chikungunya virus (CHIKV and Mayaro virus (MAYV are emergent arthropod-borne viruses that produce outbreaks of acute febrile illness with arthropathy. Despite their different continental origins, CHIKV and MAYV are closely related and are components of the Semliki Forest Complex of the Alphavirus (Togaviridae. MAYV and, more recently, CHIKV, which are both transmitted by Aedes mosquitoes, have resulted in severe public health problems in the Americas, including Brazil. In this review, we present aspects of the pathogenesis, clinical presentation and treatment of febrile illnesses produced by CHIKV and MAYV. We also discuss the epidemiological aspects and effects related to the prophylaxis of infections by both viruses.

  19. Emerging alphaviruses in the Americas: Chikungunya and Mayaro.

    Science.gov (United States)

    Figueiredo, Mario Luis Garcia de; Figueiredo, Luiz Tadeu Moraes

    2014-01-01

    Chikungunya virus (CHIKV) and Mayaro virus (MAYV) are emergent arthropod-borne viruses that produce outbreaks of acute febrile illness with arthropathy. Despite their different continental origins, CHIKV and MAYV are closely related and are components of the Semliki Forest Complex of the Alphavirus (Togaviridae). MAYV and, more recently, CHIKV, which are both transmitted by Aedes mosquitoes, have resulted in severe public health problems in the Americas, including Brazil. In this review, we present aspects of the pathogenesis, clinical presentation and treatment of febrile illnesses produced by CHIKV and MAYV. We also discuss the epidemiological aspects and effects related to the prophylaxis of infections by both viruses.

  20. Do Undergraduate Paramedic Students Embrace Case Based Learning Using a Blended Teaching Approach? A 3-Year Review

    Science.gov (United States)

    Williams, Brett

    2009-01-01

    This paper presents the results of a descriptive longitudinal study which aimed to identify student paramedic perceptions of case based learning used in the clinical curriculum of the Bachelor of Emergency Health (BEH) degree at Monash University, Victoria, Australia. Case based learning and its integration within clinical curriculum is an…

  1. America's Infant-Mortality Puzzle.

    Science.gov (United States)

    Eberstadt, Nicholas

    1991-01-01

    Conventional explanations attributing the high infant mortality rate in United States to the prevalence of poverty and lack of adequate health care do not tell the whole story. Contributions of parental behavior, lifestyles, and public health care availability versus utilization must be examined in determining public policies to address the…

  2. Narco-scapes: Cocaine Trafficking and Deforestation in Central America

    Science.gov (United States)

    Wrathall, D.; McSweeney, K.; Nielsen, E.; Pearson, Z.

    2015-12-01

    Narcotics trafficking and drug interdiction efforts have resulted in a well-documented social crisis in Central America, but more recently, has been tightly linked to environmental catastrophe and accelerated deforestation in transit zones. This talk will outline synthesis findings from multi-country, interdisciplinary research on cocaine trafficking as an engine of forest loss in Central America. During the "narco-boom" of the mid-2000s, we observed a geographical evolution of cocaine flows into Central America, and the transit of cocaine through new spaces, accompanied by specific patterns of social and environmental change in new nodes of transit. We coarsely estimated that the total amount of cocaine flowing through Central America increased from 70 metric tons in 2000 to 350 mt in 2012, implying that total cocaine trafficking revenue in the region increased from roughly 600 million dollars to 3.5 billion in that time. We describe the mechanism by which these locally captured cocaine rents resulted in a rapid conversion of forest into cattle pasture. Narco-traffickers are drawn to invest in the cattle economy, as a direct means of laundering and formalizing proceeds. Ranching is a land intensive activity, and new narco-enriched cattle pastures can be isolated from other forms forest loss solely by their spatial and temporal change characteristics. A preliminary forest change study in Honduras, for example, indicated that areas of accelerated deforestation were in close proximity to known narcotics trafficking routes and were thirteen times more extensive on average than other forest clearings. Deforested areas commonly appeared in isolated and biodiverse lowland tropical rainforest regions that often intersected with protected areas and indigenous reserves. We find that narco-deforestation is a readily identifiable signal of the extent and health of the cocaine economy. This talk will feature summaries of both ethnographic and land cover change we have observed

  3. The epidemiologic burden of hepatitis C virus infection in Latin America .

    Science.gov (United States)

    Szabo, Shelagh M; Bibby, Meagan; Yuan, Yong; Donato, Bonnie M K; Jiménez-Mendez, R; Castañeda-Hernández, G; Rodríguez-Torres, Maribel; Levy, Adrian R

    2012-01-01

    Chronic infection with hepatitis C virus (HCV) is a major and growing public health concern worldwide, including in Latin America. With more efficacious therapies becoming available, decision-makers will require accurate estimates of disease prevalence to assess the potential impact of new treatments. However, few estimates of the epidemiologic burden, either overall or by country, are available for Latin America; and the potential impact of currently-available treatments on the epidemiologic burden of HCV in Latin America has not been assessed. To address this, we systematically reviewed twenty-five articles presenting population-based estimates of HCV prevalence from general population or blood donor samples, and supplemen- ted those with publically-available data, to estimate the total number of persons infected with HCV in Latin America at 7.8 million (2010). Of these, over 4.6 million would be expected to have genotype 1 chronic HCV, based on published data on the risk of progression to chronic disease and the HCV genotype distribution of Latin America. Finally, we calculated that between 1.6 and 2.3 million persons with genotype 1 chronic HCV would potentially benefit from current treatments, based on published estimates of genotype-specific treatment responsiveness. In conclusion, these estimates demonstrate the substantial present epidemiologic burden of HCV, and quantify the impending societal and clinical burden from untreated HCV in Latin America.

  4. Cutaneous melanoma in Latin America: a population-based descriptive study.

    Science.gov (United States)

    Sortino-Rachou, Ana Maria; Curado, Maria Paula; Cancela, Marianna de Camargo

    2011-03-01

    Cutaneous melanoma incidences vary between geographic regions and are a health concern for Caucasians and for all ethnic populations. In Latin America, data from population-based cancer registries of cutaneous melanoma incidence rates have rarely been reported. We searched the Cancer Incidence in Five Continents volume IX (CI5-IX) database for cutaneous melanoma and select cases by topography (C43) from 11 population-based cancer registries in Latin America. Between 1998 and 2002, a total of 4,465 cutaneous melanoma cases were reported in Latin America. The average age-standardized incidence rates (per 100,000 persons-year) was 4.6 (male) and 4.3 (female). This study presents an overview of cutaneous melanoma incidence in Latin America, highlighting the need to enhance coverage of population-based cancer registries in Latin America, to allow for a better understanding of this neoplasm in the region. Thus it can help in implementing primary prevention programs for the whole Latino population. At this point in time, early detection messages should target young women and older men in Latin America.

  5. New perspective on the health of Canadians: 28 years later.

    Science.gov (United States)

    Lalonde, Marc

    2002-09-01

    As part of its 100th-anniversary celebration, the Pan American Health Organization has named 12 persons as "Public Health Heroes of the Americas" in recognition of their noteworthy contributions to#10; public health in the Region of the Americas. Over the course of this year, the Revista Panamericana de Salud Pública/Pan American Journal of Public Health will be carrying pieces written by or about these heroes.

  6. Salud y desarrollo de adolescentes y jóvenes en Latinoamérica y El Caribe: desafíos para la próxima década Health and development of adolescents and young adults in Latin America and the Caribbean: challenges for the next decade

    Directory of Open Access Journals (Sweden)

    Matilde Maddaleno

    2003-01-01

    Full Text Available Adolescentes y jóvenes representan 30% de la población de las Américas. Su salud es clave para el progreso social, económico y político de la Región. Sin embargo, con demasiada frecuencia sus necesidades no figuran en la agenda pública ni política y los gobiernos no consideran prioritario invertir en ellos. La Organización Panamericana de la Salud (OPS propone un nuevo marco conceptual centrado en el desarrollo humano y en la promoción de la salud dentro del contexto de la familia, la comunidad y el desarrollo social, político y económico. El gran desafío de los próximos años será utilizar este marco para implantar programas integrales, recolectar información desagregada, mejorar el acceso a los servicios, el ambiente donde viven adolescentes y jóvenes, el vínculo entre escuelas, familias y comunidades, así como apoyar la transición a la edad adulta, con una amplia participación juvenil y coordinación interinstitucional e intersectorial.Adolescents and young adults make up 30% of the population of the Americas. Their health is a key factor in the social, economic, and political development of the region. Nevertheless, their needs are frequently excluded from governments' public and political agendas. The Pan American Health Organization (PAHO advances a new conceptual framework focusing on human development and health promotion within the context of family and community, and of social, political, and economic development. The challenge in the near future is to use this framework for establishing comprehensive programs, collect disaggregated data, improve access to services, adolescents' environs, the ties between schools, families and communities, as well as improve and support the transition to adulthood through youth participation and interinstitutional and intersectoral collaboration.

  7. Synthetic real estate: bringing corporate finance to health care.

    Science.gov (United States)

    Varwig, D; Smith, J

    1998-01-01

    The changing landscape of health care has caused hospitals, health care systems, and other health care organizations to look for ways to finance expansions and acquisitions without "tainting" their balance sheets. This search has led health care executives to a financing technique that has been already embraced by Fortune 500 companies for most of this decade and more recently adopted by high-tech companies: synthetic real estate. Select case studies provide examples of the more creative financial structures currently being employed to meet rapidly growing and increasingly complex funding needs.

  8. What We Eat in America, NHANES 2011-2012: Documentation and Data Files

    Science.gov (United States)

    New nationwide dietary intake data were collected in What We Eat in America (WWEIA), National Health and Nutrition Examination Survey (NHANES) for the years 2011-2012 and are now available for public use. Two days of dietary intake data are included for most participants. The dietary interview dat...

  9. What We Eat In America, NHANES 2005-2006: Documentation and Data Files

    Science.gov (United States)

    New nationwide dietary intake data were collected in What We Eat In America (WWEIA), National Health and Nutrition Examination Survey (NHANES) for the years 2005-2006 and are now available for public use. Two days of dietary intake data are included for most participants. The dietary interview data ...

  10. What We Eat In America, NHANES 2009-2010: Documentation and Data Files

    Science.gov (United States)

    New nationwide dietary intake data were collected in What We Eat In America (WWEIA), National Health and Nutrition Examination Survey (NHANES) for the years 2009-2010 and are now available for public use. Two days of dietary intake data are included for most participants. The dietary interview dat...

  11. What We Eat In America, NHANES 2007-2008: Documentation and Data Files

    Science.gov (United States)

    New nationwide dietary intake data were collected in What We Eat In America (WWEIA), National Health and Nutrition Examination Survey (NHANES) for the years 2007-2008 and are now available for public use. Two days of dietary intake data are included for most participants. The dietary interview data ...

  12. Building America Best Practices Series Volume 14 - HVAC. A Guide for Contractors to Share with Homeowners

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Gilbride, Theresa L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hefty, Marye G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hand, James R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Love, Pat M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2011-08-01

    This guide, which is part of a series of Best Practices guides produced by DOE’s Building America program, describes ways homeowners can reduce their energy costs and improve the comfort, health, and safety of their homes by upgrading their heating, ventilation, and air conditioning (HVAC) equipment.

  13. Connecting America’s People with America’s Army: Breaching the Perceptual Divide

    Science.gov (United States)

    2013-03-01

    Research Center survey explained: Generations, like people, have personalities, and Millennials -- the American teens and twenty-somethings who are...allowed men and women to serve regardless of sexuality , providing another example to COIs that the Army is a leading organization serious about diversity...and comfortable operating in an environment embodying a variety of societal groups. By embracing quality regardless of race, ethnicity, or sexuality

  14. Post-War Central America

    Directory of Open Access Journals (Sweden)

    Dirk Kruijt

    2003-10-01

    Full Text Available – Terror in the Countryside. Campesino Responses to Political Violence in Guatemala, 1954-1985, by Rachel A. May. Athens, Ohio: Ohio University Center for International Studies/Research in International Studies/Latin America Series #35, 2001. – La guerrilla fue mi camino. Epitafio para César Montes, by Julio César Macías. Guatemala: Piedra Santa/Colección Afluentes de Modernidad, 1999. – Testigo de conciencia (Periodismo de Opinión Documentado, by Marco A. Mérida. Guatemala: ARCASAVI, 2000. – Centroamérica 2002. Un nuevo modelo de desarrollo regional, edited by Klaus Bodemer and Eduardo Gamarra. Caracas: Nueva Sociedad, 2002. – Who Governs? Guatemala Five years After the Peace Accords, by Rachel Sieder, Megan Thomas, George Vickers and Jack Spence. Cambridge, Mass.: Hemispheric Initiatives/Washington Office on Latin America (WOLA, January 2002. – Pasos hacia una nueva convivencia: Democracia y participación en Centroamérica, edited by Ricardo Córdova Macías, Günther Maihold and Sabina Kurtenbach. San Salvador: FUNDAUNGO, Instituto de Estudios Iberoamericanos de Hamburgo and Instituto Iberoamericano de Berlin, 2001. – Los desafíos de la democracia en Centroamérica, by René Poitevin and Alexander Sequén-Mónchez. Guatemala: FLACSO, 2002. – Más allá de las elecciones: Diez años después de los acuerdos de paz, edited by Hector Dada Hirezi. San Salvador: FLACSO, 2002. – Guatemala, un proyecto inconcluso: La multiculturalidad, un paso hacia la democracia, by Hugo Cayzac. Guatemala: FLACSO, 2001. – La violencia en el contexto del posconflicto, según la percepción de comunidades urbanas pobres de Guatemala, by Caroline Moser and Cathy McIlwaine. Washington/Bogotá: Banco Mundial-Región de Latinoamérica y el Caribe/Tercer Mundo Editores, 2001. – El lado oscuro de la eterna primavera. Violencia, criminalidad y delincuencia en la postguerra, by Manolo Vela, Alexander Sequén-Mónchez and Hugo Antonio Solares

  15. Inequality, Zika epidemics, and the lack of reproductive rights in Latin America.

    Science.gov (United States)

    Vélez, Ana Cristina González; Diniz, Simone G

    2016-11-01

    It is well-documented that structural economic inequalities in Latin America are expressed through and reinforce existing gender gaps. This article aims to look at the relationship between structural inequalities and reproductive health in the case of the Zika epidemic. The consequences of the epidemic will continue to affect the same women whose access to comprehensive reproductive health services, including safe abortion, is restricted at best.

  16. [Information in health care: the use of SIAB by the professional teams of Family Health Care].

    Science.gov (United States)

    Marcolino, Janaína Souza; Scochi, Maria José

    2010-06-01

    The remarkable expansion of Family Health Care Program and the discussion of issues related to the amount of the collected data stimulated the need for designing an information system that embraced the complex organization of basic health care. So, in 1998, the Basic Health Care Information System (SI4B) was founded. This research aimed to investigate the use of SIAB by the professional teams of the Family Health Care. A questionnaire was applied to 75 professionals belonging to 10 teams which were observed, one week each. The study evidenced that the Family Health Care teams that participated in this research have not used the available information for planning or assessing their health care services, and so, they have missed the opportunity of using the available information for health care local needs.

  17. Eight Americas: investigating mortality disparities across races, counties, and race-counties in the United States.

    Directory of Open Access Journals (Sweden)

    Christopher J L Murray

    2006-09-01

    Full Text Available BACKGROUND: The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the "eight Americas," to explore the causes of the disparities that can inform specific public health intervention policies and programs. METHODS AND FINDINGS: The eight Americas were defined based on race, location of the county of residence, population density, race-specific county-level per capita income, and cumulative homicide rate. Data sources for population and mortality figures were the Bureau of the Census and the National Center for Health Statistics. We estimated life expectancy, the risk of mortality from specific diseases, health insurance, and health-care utilization for the eight Americas. The life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was 20.7 y in 2001. Within the sexes, the life expectancy gap between the best-off and the worst-off groups was 15.4 y for males (Asians versus high-risk urban blacks and 12.8 y for females (Asians versus low-income southern rural blacks. Mortality disparities among the eight Americas were largest for young (15-44 y and middle-aged (45-59 y adults, especially for men. The disparities were caused primarily by a number of chronic diseases and injuries with well-established risk factors. Between 1982 and 2001, the ordering of life expectancy among the eight Americas and the absolute difference between the advantaged and disadvantaged groups remained largely unchanged. Self-reported health plan coverage was lowest for western Native Americans and low-income southern rural blacks. Crude self-reported health-care utilization, however, was slightly higher for the more disadvantaged populations. CONCLUSIONS: Disparities in mortality across the eight Americas, each consisting of millions or tens of millions of

  18. International dimensions of higher education in nursing in Canada: tapping the wisdom of the 20th century while embracing possibilities for the 21st century.

    Science.gov (United States)

    Ogilvie, Linda D; Paul, Pauline; Burgess-Pinto, Elizabeth

    2007-01-01

    New focus on the internationalization of universities occurred in the late 20th century and higher education in nursing has been quick to embrace the opportunities. In this manuscript, writers provide a brief overview of the nursing and more general literature from the late 20th century relating to key dimensions of internationalization, as well as present data from a survey conducted in 1995-96 of the international activities and dimensions at Canadian faculties/schools of nursing. While it is clear that nurses in Canadian universities were engaged in significant international endeavours in the 20th century, the literature and our experience suggest that the extent of such activity has increased substantially in recent years. Discussion centres on examination of how knowledge generated in the 20th century can inform current internationalization initiatives and on identification of key questions that merit consideration as we move forward in the 21st century.

  19. From upstream to downstream: Megatrends and latest developments in Latin America`s hydrocarbons sector

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Kang; Pezeshki, S.; McMahon, J.

    1995-08-01

    In recent years, Latin America`s hydrocarbons sector has been characterized by reorganization, revitalization, regional cooperation, environmental awakening, and steady expansion. The pattern of these changes, which appear to be the megatrends of the region`s hydrocarbons sector development, will continue during the rest of the 1990s. To further study the current situation and future prospects of Latin America`s hydrocarbons sector, we critically summarize in this short article the key issues in the region`s oil and gas development. These megatrends in Latin America`s hydrocarbons sector development will impact not only the future energy demand and supply in the region, but also global oil flows in the North American market and across the Pacific Ocean. Each country is individually discussed; pipelines to be constructed are discussed also.

  20. Latin America - the next bonanza

    Energy Technology Data Exchange (ETDEWEB)

    Stein, Hank

    1996-03-01

    The potential for electric power investment in Latin America is analysed. A restructured and privatised power sector, together with political and fiscal stability, make Chile attractive to foreign investors. In 1992, Argentina began to follow Chile`s lead and sold off most of its national electric utilities and has subsequently extended this privatisation. Argentina has a large supply of natural gas which adds to its attraction for investment. Large reserves of natural gas are also a feature of Bolivia where government measures in recent years offer incentives to foreign investors. Brazil`s energy policies have been described as ``problematic`` and privatisation plans were upset by political issues. Continuing domestic and political problems in Colombia make foreign investors wary, though liberalised investment policies have resulted in two deals with US companies. There are few investment opportunities in Paraguay which has excess generating capacity. Privatisation has begun in Peru and there has been some investment from outside despite high costs and the difficulties created by terrorism. Plans for privatisation in Uruguay were voted out but the national utility may purchase power from private generators. Self-generators are an important part of Venezuela`s electric capacity but hydroplants for state utilities are being strongly supported. Economic and labour problems stand in the way of attracting foreign investment at present in Ecuador. (UK)

  1. Science and Passion in America

    Directory of Open Access Journals (Sweden)

    Sagredo Baeza, Rafael

    2012-12-01

    Full Text Available In addition to increasing our knowledge and understanding of the naturalists who explored America at various times, particularly in the 18th and 19th centuries, we seek to discuss the personal, intimate, private, and sentimental nature of individuals who are usually described as well-bred, parsimonious, unfeeling, objective, rigorous, and methodical. For the same reason, perhaps, they are assumed to have stayed aloof from any form of sentimental or passionate relationships in the course of their excursions, despite the fact that the latter often lasted not for months but for years, and that in some instances were not conducted overland but involved prolonged voyages on the high seas.

    Además de avanzar en el conocimiento y comprensión de los naturalistas que exploraron América en algún momento, particularmente en los siglos XVIII y XIX, nos interesa relevar la dimensión personal, íntima, privada, sentimental, de sujetos que corrientemente son presentados como hombres comedidos, parcos, fríos, objetivos, rigurosos y metódicos y, tal vez por eso, se supone, ajenos a cualquier tipo de relación sentimental o pasional durante sus excursiones. Esto, a pesar de que muchas de ellas se prolongaron no ya por meses, sino que por años y que algunas de ellas no fueron itinerarios terrestres, sino que esencialmente marítimos, con largas temporadas en alta mar.

  2. The Norse discovery of America.

    Science.gov (United States)

    Langmoen, Iver A

    2005-12-01

    In the late 8th century, the stage for Viking expansion was set by commercial expansion in northwest Europe, the pressure of an increasing population in limited territorial reserves, and the development of the Viking ships. The Norsemen traveled extensively over the oceans, south to the Holy Land, and north to the White Sea and settled over a wide area from Sicily to Greenland. Historical sources, including the reports by Adam of Bremen and the Icelandic Sagas, describe several expeditions from Greenland to Vinland (somewhere along the east coast of North America) in approximately AD 1000 and later. Historians have arrived at highly different conclusions with respect to the location of Vinland (from Labrador to Georgia), but, in 1960, the Norwegian explorer Helge Ingstad localized ancient house sites on L'Ans aux Meadows, a small fishing village on the Northern beaches of Newfoundland. From 1961 to 1969, Ingstad and his wife, Anne Stine (an archaeologist), led several archaeological expeditions that revealed Viking turf houses with room for approximately 100 people. They also excavated a smithy, outdoor cooking pits, boathouses, a bathhouse, and enclosures for cattle, in addition to several Viking artifacts. The finds were C dated to AD 990 +/- 30. The present report reviews historical and archaeological evidence indicating the sites to which the Vikings traveled and attempted to settle in the new world.

  3. A history of Proterozoic terranes in southern South America: From Rodinia to Gondwana

    Directory of Open Access Journals (Sweden)

    C. Casquet

    2012-03-01

    Full Text Available The role played by Paleoproterozoic cratons in southern South America from the Mesoproterozoic to the Early Cambrian is reconsidered here. This period involved protracted continental amalgamation that led to formation of the supercontinent Rodinia, followed by Neoproterozoic continental break-up, with the consequent opening of Clymene and Iapetus oceans, and finally continental re-assembly as Gondwana through complex oblique collisions in the Late Neoproterozoic to Early Cambrian. The evidence for this is based mainly on a combination of precise U-Pb SHRMP dating and radiogenic isotope data for igneous and metamorphic rocks from a large area extending from the Rio de la Plata craton in the east to the Argentine Precordillera in the west and as far north as Arequipa in Peru. Our interpretation of the paleogeographical and geodynamic evolution invokes a hypothetical Paleoproterozoic block (MARA embracing basement ultimately older than 1.7 Ga in the Western Sierras Pampeanas (Argentina, the Arequipa block (Peru, the Rio Apa block (Brazil, and probably also the Paraguaia block (Bolivia.

  4. But the kids are okay: motherhood, consumption and sex work in neo-liberal Latin America.

    Science.gov (United States)

    Rivers-Moore, Megan

    2010-12-01

    Although sex work remains highly stigmatized around the world, its relatively high value (when compared to other kinds of work available for low-income women) allows sex workers to attain some level of economic, if not social, mobility. This article challenges the idea that sex work in 'third world' settings is always about mere subsistence. Instead, it suggests that sex workers in Costa Rica's tourism sector work to survive, but they also demonstrate significant personal ambition and aim not only to increase their own consumption levels, but crucially to get ahead. Women are clear about what sex work enables for their families and themselves: not the maintenance of the status quo, but rather a level of consumption otherwise unavailable to them as low-income and poor women. Sex work offers an opportunity to consume and to get ahead that these women have been unable to attain in other kinds of employment, primarily domestic and factory work. Furthermore, sex work allows women to think of themselves as particularly good mothers, able to provide for and spend important quality time with their kids. The article argues that survival, consumption, and motherhood are discursively deployed, in often contradictory and conflicting ways, in order to counteract the effects that stigma has on sex workers. It also suggests that sex workers may very well be the quintessential subjects of neo-liberalism in Latin America, in their embrace of entrepreneurial work and consumption.

  5. Economic evaluation guidelines in Latin America: a current snapshot.

    Science.gov (United States)

    Augustovski, Federico; Garay, Osvaldo Ulises; Pichon-Riviere, Andres; Rubinstein, Adolfo; Caporale, Joaquín E

    2010-10-01

    Economic evaluation guidelines are widespread in developed countries with fourth hurdle systems but as of yet not in Latin America. In the present article, a systematic search was conducted in order to retrieve regional guidelines in PubMed, Latin American and Caribbean Health Sciences Literature (LILACS) and the gray literature. Four national guidelines were found: Brazil, Colombia, Cuba and Mexico. We report a thorough review of these documents, as well as a comparison among them. We conclude that, despite some differences found, they are broadly similar, and are broadly in accordance with international documents. The existence of these documents, together with other experiences in the region that explicitly use economic evaluation information for health decision making clearly shows that this global tendency is gaining momentum in Latin America, although there is still a long way to go. In the near future we will be able to see if these documents were successfully used and applied for transparent and evidence-based decision making.

  6. 75 FR 62449 - Child Health Day, 2010

    Science.gov (United States)

    2010-10-12

    ... around the country. Today, our children face a new public health crisis we must address as a Nation, and... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8578 of October 4, 2010 Child Health Day, 2010 By the President of the United States of America A Proclamation The health and well-being of...

  7. Bathymetry of North America - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Bathymetry of North America map layer shows depth ranges using colors. The image was derived from the National Geophysical Data Center?s ETOPO2 elevation data,...

  8. Mineral Operations of Latin America and Canada

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set consists of records for over 900 mineral facilities in Latin America and Canada. The mineral facilities include mines, plants, smelters, or refineries...

  9. Latin America: population and internal unrest.

    Science.gov (United States)

    Wiarda, J H; Siqueira Wiarda, I

    1985-09-01

    This discussion of population and internal unrest in Latin America covers the following: pressures on land and agriculture; economic frustrations; the youth and radicalism; rising social tensions; and political instability. At current growth rates, Latin America's population is projected to increases between 1981 2001 by 225 million people. This staggering population growth is likely to have serious political, economic, social, strategic, and other implications. The strong opposition to family planning which came principally from nationlists, the military, and the church during the 1960s has changed to general support for voluntary family planning programs in much of Latin America. Too rapid population growth now is viewed widely as aggravating the problems of development and putting severe strains on services and facilities. The wish to limit family size is particularly strong among women. Most of Latin America's untapped land is unusable, either so steeply mountainous, densely tropical, or barren of topsoil that it cannot support life at even the most meager level of subsistence. Food production in most of Latin America has not kept pace with population growth. Since most new agricultural production is oriented toward exports rather than home consumption, conditions for most rural populations are worsening. Economic dilemmas facing Latin America include widespread poverty, the world's highest per capita debt, unemployment and underemployment that may reach between 40-50% of the workforce, negative economic growth rates over the past 5 years, immense income inequalities, declining terms of trade, extensive capital flight, little new investment or foreign assistance, increased protectionism on the part of those countriews with whom Latin America must trade, rising prices for the goods Latin America must import, and (in some countries) devastation of the economic infrastrucutre by guerrilla forces. The unprecedent flow from the countryside has made Latin America the

  10. Obesity trends and determinant factors in Latin America

    Directory of Open Access Journals (Sweden)

    Kain Juliana

    2003-01-01

    Full Text Available Obesity rates have increased markedly in Latin America, especially during the last 10-15 years, becoming a public health problem in most countries. Prevalence of obesity among preschool children remains low, while among schoolchildren it has increased considerably. Prevalence is high in the adult population, especially among women with less schooling. In developed populations, obesity occurs more frequently among the poor; the opposite occurs in less developed societies, where in households undergoing nutritional transition, underweight can coexist with obesity. The most important determinant factors involved in the increasing obesity prevalence are fetal and infant nutritional conditions (stunting, education and socioeconomic conditions, dietary changes (especially increased total energy intake, and physical inactivity. Because chronic diseases are the main causes of death in the Region and obesity is one of the main risk factors for these diseases, policies to improve economic and educational levels with the implementation of health promotion and prevention should be a priority in every country.

  11. Building America Research-to-Market Plan

    Energy Technology Data Exchange (ETDEWEB)

    Werling, Eric [Office of Energy Efficiency and Renewable Energy (EERE), Washington, DC (United States)

    2015-11-01

    This report presents the Building America Research-to-Market Plan (Plan), including the integrated Building America Technology-to-Market Roadmaps (Roadmaps) that will guide Building America’s research, development, and deployment (RD&D) activities over the coming years. The Plan and Roadmaps will be updated as necessary to adapt to research findings and evolving stakeholder needs, and they will reflect input from DOE and stakeholders.

  12. The coastal marine Tardigrada of the Americas.

    Science.gov (United States)

    Miller, William R; Perry, Emma S

    2016-06-20

    The Western Hemisphere or the New World, also known as the Americas (North, Central and South America, associated islands and included seas) have historically been divided into two Realms, the Nearctic and Neotropical based on terrestrial biogeography. The coasts of these two terrestrial realms are bordered by six marine realms, 14 marine provinces and 67 marine ecoregions. From current literature, a comprehensive list of the marine tardigrade fauna from the Americas is presented. Data on marine tardigrades were obtained from 385 published Records of the Occurrence (RoO) of a species, their location, tidal zone, and the substrates from which they were reported. Authors' identifications were accepted at face value unless subsequently amended. Thirty genera and 82 species or subspecies are reported from the Americas; 49 species are documented from margins of the terrestrial Nearctic realm (North America) and 48 from terrestrial Neotropical realm (South America) with only 17 species occurring in both. We define cosmopolitan distribution for marine tardigrades as occurring in or on the margins of five of the seven oceans, only two species of marine tardigrade meets this standard. From the Americas 39 species have been described as new to science, 32 species appear restricted to the hemisphere. Taxa were assigned to marine ecoregions based on adjacent geopolitical units (country, states, provinces, etc.) described in published records. Although tardigrades have been reported from all six marine realms, they are only known from 21 of the 67 ecoregions. Most marine tardigrade sampling in the Americas has focused on near shore substrate (sand, mud, barnacles); for some species no substrates have been reported. The west coasts of both continents have little or no data about tardigrade presence.

  13. MicroEnterprise Americas: Premiere Issue, 2001

    OpenAIRE

    Inter-American Development Bank (IDB)

    2001-01-01

    This premiere issue of MicroEnterprise Americas concentrates on the microfinance industry, a thriving segment of the Latin American financial sector that has rapidly expanded in the past five years. This issue explores looks at how market leaders have developed technologies, attracted investments, and developed tools for mitigating risk in the difficult financial climate of the past two years. MicroEnterprise Americas is published by the Inter-American Forum on Microenterprise, an annual even...

  14. America and China in a New World

    Institute of Scientific and Technical Information of China (English)

    Robert E.Goodman

    2007-01-01

    <正>America has prided itself for the past 50 years on being a leader in all things:politics,human rights,and economics,However,in this new century,there are new paradigms that are arising that are forcing a change of attitude and views on how America views the rest of the world_and, especially,China.That is the subject of this discourse today.

  15. Regional Strategic Appraisal of Central America

    Science.gov (United States)

    2007-11-02

    originally consisted of five states that gained their independence from Spain in 1821 and formed a single country, called Central America Federation ...and in each case a civilian president has voluntarily yielded power to another elected civilian. Electoral processes have nearly acquired a “life of...Observatorio de Seguridad y Defensa en America Latina (OSAL), Instituto Universitario Ortega y Gasset. 38 Ibid. 26 BIBLIOGRAPHY Agosin, Manuel R., David

  16. Wind Powering America Initiative (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2011-01-01

    The U.S. Department of Energy's Wind Powering America initiative engages in technology market acceptance, barrier reduction, and technology deployment support activities. This fact sheet outlines ways in which the Wind Powering America team works to reduce barriers to appropriate wind energy deployment, primarily by focusing on six program areas: workforce development, communications and outreach, stakeholder analysis and resource assessment, wind technology technical support, wind power for Native Americans, and federal sector support and collaboration.

  17. Building America Best Practices Series Volume 13: Energy Performance Techniques and Technologies: Preserving Historic Homes

    Energy Technology Data Exchange (ETDEWEB)

    Britt, Michelle L.; Baechler, Michael C.; Gilbride, Theresa L.; Hefty, Marye G.; Makela, Erin KB; Schneider, Elaine C.; Kaufman, Ned

    2011-03-01

    This guide is a resource to help contractors renovate historic houses, while addressing issues such as building durability, indoor air quality, and occupant health, safety, and comfort. The best practices described in this document are based on the results of research and demonstration projects conducted by Building America’s research teams. Building America brings together the nation’s leading building scientists with over 300 production builders to develop, test, and apply innovative, energy-efficient construction practices. The guide is available for download from the DOE Building America website www.buildingamerica.gov.

  18. A comparative study of Taiwan's short-term medical missions to the South Pacific and Central America

    Directory of Open Access Journals (Sweden)

    Chiu Ya-Wen

    2012-12-01

    Full Text Available Abstract Background Taiwan has been dispatching an increasing number of short-term medical missions (STMMs to its allied nations to provide humanitarian health care; however, overall evaluations to help policy makers strengthen the impact of such missions are lacking. Our primary objective is to identify useful strategies by comparing STMMs to the South Pacific and Central America. Methods The data for the evaluation come from two main sources: the official reports of 46 missions to 11 countries in Central America and 25 missions to 8 countries in the South Pacific, and questionnaires completed by health professionals who had participated in the above missions. In Central America, STMMs were staffed by volunteer health professionals from multiple institutions. In the South Pacific, STMMs were staffed by volunteer health professionals from single institutions. Results In comparison to STMMs to Central America, STMMs to the South Pacific accomplished more educational training for local health providers, including providing heath-care knowledge and skills (p Conclusions Health-care services provided by personnel from multiple institutions are as efficient as those from single institutions. Proficiency in the native language and provision of education for local health-care workers are essential for conducting a successful STMM. Our data provide implications for integrating evidence into the deployment of STMMs.

  19. Global health education consortium: 20 years of leadership in global health and global health education.

    Science.gov (United States)

    Velji, Anvar

    2011-06-01

    The Global Health Education Consortium (GHEC) is a group of universities and institutions committed to improving the health and human rights of underserved populations worldwide through improved education and training of the global health workforce. In the early 1990s, GHEC brought together many of the global health programs in North America to improve competencies and curricula in global health as well as to involve member institutions in health policy, development issues, and delivery of care in the inner cities, marginalized areas, and abroad.

  20. Hadron Therapy in Latin America

    Science.gov (United States)

    Kreiner, A. J.; Bergueiro, J.; Burlon, A. A.; Di Paolo, H.; Castell, W.; Thatar Vento, V.; Levinas, P.; Cartelli, D.; Kesque, J. M.; Valda, A. A.; Ilardo, J. C.; Baldo, M.; Erhardt, J.; Debray, M. E.; Somacal, H. R.; Minsky, D. M.; Estrada, L.; Hazarabedian, A.; Johann, F.; Suarez Sandin, J. C.; Igarzabal, M.; Huck, H.; Repetto, M.; Obligado, M.; Lell, J.; Padulo, J.; Herrera, M.; Gonzalez, S. R.; Capoulat, M. E.; Davidson, J.; Davidson, M.

    2010-08-01

    The use of proton and heavy ion beams for radiotherapy is a well established cancer treatment modality in the first world, which is becoming increasingly widespread, due to its clear advantages over conventional photon-based treatments. This strategy is suitable when the tumor is spatially well localized. Also the use of neutrons has tradition. Here Boron Neutron Capture Therapy (BNCT) stands out, though on a much smaller scale, being a promising alternative for tumors which are diffuse and infiltrating. On this sector, so far only nuclear reactors have been used as neutron sources. In this paper we briefly describe the situation in Latin America and in particular we discuss the present status of an ongoing project to develop a folded Tandem-ElectroStatic-Quadrupole (TESQ) accelerator for Accelerator-Based (AB)-Boron Neutron Capture Therapy (BNCT) at the Atomic Energy Commission of Argentina. The project goal is a machine capable of delivering 30 mA of 2.4 MeV protons to be used in conjunction with a neutron production target based on the 7Li(p,n)7Be reaction. These are the specifications needed to produce sufficiently intense and clean epithermal neutron beams to perform BNCT for deep-seated tumors in less than an hour. The machine being currently designed and constructed is a folded TESQ with a terminal at 0.6 MV as a smaller scale prototype. Since the concept is modular the same structure will be used for the 1.2 MV final accelerator.

  1. Análisis del contexto político, social y económico como base para la formación de personal técnico de salud en América Latina Analysis of the political, social and economic context as a base for the professional qualification of the health technician in Latin America

    Directory of Open Access Journals (Sweden)

    Miguel Márquez

    2008-01-01

    hospital organization from Europe to America and the incorporation of modern technology, hospitals became part of a medical and social organization with the mission of allowing for medial and sanitary assistance. A fourth took place in the midst of a contradiction between what had progressed in the development of the health systems, with the acknowledgement of the universal rights to health and citizen participation as the subject and object of the care, and the appearance of the neoliberal globalizing trend, which considered the complex process of health care as merchandise.

  2. Boys & Girls Clubs of America

    Science.gov (United States)

    ... Start a Club Tour a Club Find a Club Alumni Alumni Website Alumni Hall of Fame Youth of the Year Character|Leadership Education|Career Health|Life Skills The Arts Sports|Fitness|Recreation Child Safety Kids In Crisis Open ...

  3. Monte Verde: seaweed, food, medicine, and the peopling of South America.

    Science.gov (United States)

    Dillehay, Tom D; Ramírez, C; Pino, M; Collins, M B; Rossen, J; Pino-Navarro, J D

    2008-05-09

    The identification of human artifacts at the early archaeological site of Monte Verde in southern Chile has raised questions of when and how people reached the tip of South America without leaving much other evidence in the New World. Remains of nine species of marine algae were recovered from hearths and other features at Monte Verde II, an upper occupational layer, and were directly dated between 14,220 and 13,980 calendar years before the present ( approximately 12,310 and 12,290 carbon-14 years ago). These findings support the archaeological interpretation of the site and indicate that the site's inhabitants used seaweed from distant beaches and estuarine environments for food and medicine. These data are consistent with the ideas that an early settlement of South America was along the Pacific coast and that seaweeds were important to the diet and health of early humans in the Americas.

  4. Neurocysticercosos in South-Central America and the Indian Subcontinent: a comparative evaluation

    Directory of Open Access Journals (Sweden)

    Gagandeep Singh

    1997-09-01

    Full Text Available Neurocysticercosis is an important public health problem in South-Central America and South Asia. A review of the differences in epidemiological and clinical attributes of cysticercosis and taeniasis in South Central America and India, respectively, is undertaken in the present communication. Intestinal taeniasis is hyperendemic in several American countries. In comparison, the prevalence of Taenia solium infestation is lower in India. The clinical manifestations in several American neurocysticercosis series comprise epilepsy, intracranial hypertension and meningeal - racemose cysticercosis, in roughly equal proportions. An overwhelming majority of the Indian subjects present with seizures. The commonest pathological substrate of the disorder in Indian patients is the solitary parenchymal degenerating cyst. The reasons for the predominance of solitary forms in India, and of multilesional forms in South Central America are discussed. The magnitude of Taenia solium infestation and the frequency of pork consumption in a given population appear to influence the quantum of cyst load in affected individuals.

  5. Problems of venereal infections in Latin America and the Caribbean and means of fighting them.

    Science.gov (United States)

    Acuña, H R

    1978-01-01

    Rather than providing a comprehensive overview of the sexually transmitted disease (STD) picture in the Americas, this presentation contrasts the STD problem in Latin America and the Caribbean with the situation in both less developed and more developed regions of the world. It also points out three areas of opportunity for improving preventive and curative STD services, specifically: (1) more effective utilization of social security institutions in Latin America, (2) incorporation of STD services into primary health care programs, and (3) development of pilot projects in the smaller Caribbean territories. It is noted, in addition, that the more developed countries of the region are showing increased interest in sexually transmitted diseases. Among other things, the recruitment of a PAHO epidemiologist in venereal diseases on Jamaica--to assist in the development of a national STD program--opens up a new area for PAHO technical assistance which, if successful, may be extended elsewhere.

  6. Construyendo puentes entre investigación y políticas para la extensión de la protección social en salud en América Latina y el Caribe: una estrategia de cooperación conjunta Building bridges between research and policy to extend social protection in health in Latin America and the Caribbean: a strategy for cooperation

    Directory of Open Access Journals (Sweden)

    Roberto Bazzani

    2006-01-01

    Full Text Available La Organización Panamericana de la Salud (OPS y el Centro Internacional de Investigaciones para el Desarrollo de Canadá (IDRC han promovido una iniciativa conjunta para el diseño, ejecución y evaluación de estrategias de extensión de la protección social en salud en América Latina y el Caribe. Esta propuesta se basó en una revisión previa de la investigación sobre reformas del sector salud y en las recomendaciones del Taller La Reforma del Sector Salud en las Américas: Fortaleciendo los Vínculos entre Investigación y Políticas (Montreal, Canadá, 2001. En su primera fase la iniciativa impulsó el desarrollo de propuestas sobre extensión de la protección social en salud que fueron elaboradas en forma conjunta por investigadores y tomadores de decisión. En la segunda fase se apoyó la implementación de cinco de estas propuestas con el propósito de promover el desarrollo de nuevas estrategias de protección social en salud y fomentar nuevos modelos de interacción entre actores. En este número de la revista se analizan los procesos de vinculación entre investigadores y tomadores de decisión en los cinco proyectos apoyados por esta iniciativa.The Pan American Health Organization (PAHO and International Development Research Centre (IDRC have promoted a joint initiative to design, implement, and evaluate innovative strategies for the Extension of Social Protection in Health (SPH in Latin America and the Caribbean (LAC, involving active partnership between researchers and research users. This initiative was based on a previous review of research on health sector reforms and the recommendations of the workshop on "Health Sector Reforms in the Americas: Strengthening the Links between Research and Policy" (Montreal, Canada, 2001. In its first phase, the initiative supported the development of proposals aiming to extend SPH, elaborated jointly by researchers and decision-makers. In the second phase, the implementation of five of

  7. Application of research and information to human resources policies: regional goals for the Americas.

    Science.gov (United States)

    Mandelli, Marcos; Rigoli, Felix

    2015-12-01

    Objective Report experiences involving the use of research and information systems to support national human resources policies through benchmarking between different countries, with comparisons over time and between similar countries or regions. Method In 2007, the Pan American Health Organization (PAHO) promoted a set of goals for all the countries in the Americas to improve the situation of health human resources, using a uniform methodology and research process carried out by Observatories of Human Resources. Results The analysis focused on the progress made in relation to the main challenges in the Southern Cone countries, with a special emphasis on Brazil, noting improvements in the distribution of professionals in the regions. Conclusion These experiences showed how research and the use of information systems can stimulate the expansion of good practices in the training, retention and development of the health workforce in the Americas.

  8. Dose-effect relationship and risk factors for vaginal stenosis after definitive radio(chemo)therapy with image-guided brachytherapy for locally advanced cervical cancer in the EMBRACE study

    DEFF Research Database (Denmark)

    Kirchheiner, Kathrin; Nout, Remi A; Lindegaard, Jacob C;

    2016-01-01

    Background/purpose To identify risk factors for vaginal stenosis and to establish a dose–effect relationship for image-guided brachytherapy in locally advanced cervical cancer. Materials/Methods Patients from the ongoing EMBRACE study with prospectively assessed morbidity (CTCAEv3.0) at baseline ...

  9. Costos de atención médica de las enfermedades atribuibles al consumo de tabaco en América: revisión de la literatura Literature review of health care costs of diseases attributable to tobacco consumption in the Americas

    Directory of Open Access Journals (Sweden)

    Luz Myriam Reynales-Shigematsu

    2006-01-01

    estimations. Sources included MedLINE, bibliographical references from books published by the World Bank, the World Health Organization, the Panamerican Health Organization, the Interdisciplinary Health Research Group of Canada, as well as technical documenation used by the state of Minnesota, United States of America, in litigation against the tobacco industry. All of the studies published about this issue over the last 25 years or more were included. Information was obtained with respect to the study population, the cost perspective, the type of analysis used for estimating health care costs and methodology for attributing costs to tobacco consumption. In addition, comments with regard to the relevant findings and the limitations of each of the studies were added. Annual health care costs attributable to tobacco use vary between 6 and 14% of personal health expenses. In the period between the first publication and today, progress has been seen in the methodology used for calculating estimations, not only from the epidemiological perspective which improves the accuracy of the attribution of costs to risk factors, but from the economic perspective which broadens the estimation of costs from a social perspective. It is concluded that tobacco consumption leads to high health care costs, involves a cost to employers due to productivity losses and worker disability, and represents a high social cost resulting from the occurrence of premature deaths in the society.

  10. Forensic anthropology in Latin America.

    Science.gov (United States)

    Işcan, M Y; Olivera, H E

    2000-03-13

    Forensic anthropology has been one of the fastest growing medico-legal disciplines both in its contribution to the practical needs of the legal system and research accomplishments. New anthropological standards were developed to apply to a specific population of a region. The purpose of this paper is to analyze a large sample of anthropological forensic cases and to review pertinent literature that deals with anthropological standards developed for the population of the continent of Central and South America. Using Uruguay as an example, there was not a single office or anthropologist assigned to analyze human skeletal remains in Uruguay. In 1991 the Laboratorio de Antropología Forense at the Morgue Judicial of Montevideo was created. A total of 189 forensic anthropological cases (276 individuals) were analyzed since this date. Twenty six percent of cases involving human remains were positively identified. The majority came from the Departamento de Montevideo, the largest population district of the country. Most of the cases fell into the 60 to 69 years old age range (35%). Females represented 32% of the total. Since the establishment of the laboratory, the number of forensic cases increased considerably from 20 in 1991 to 40 in 1997. The case studies were accompanied with skull-photo superimposition and facial reconstruction when no other evidence for positive identification was available. This service provided by the laboratory was quickly known to coroners, law enforcement agencies, and other legal authorities and thus utilized not only in Uruguay but also in several other countries in the continent. Because of the obvious need for an anthropologist, there are now university programs to provide forensic anthropological education. Yet, research has lagged behind considerably. Deficiencies are obvious in basic osteological standards of estimating age, calculating stature, determining sex and assessing race that can be applied to populations of the continent

  11. Arthritis in America PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2017-03-07

    This 60 second public service announcement is based on the March 2017 CDC Vital Signs report. Many adults in the United States have arthritis. Learn how to reduce the pain of arthritis, as well as manage the condition.  Created: 3/7/2017 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 3/7/2017.

  12. Communicating health.

    Science.gov (United States)

    Chatterjee, A

    1995-01-01

    Routine production of communication materials without paying attention to utilization, field test, and impact analysis is ineffective. The concept of information, education, and communication (IEC) should encompass voluntary activity of health education in a tradition of innovation. One seminal factor may be the communication technologies developed by the National Technology Missions. The missions were participatory by seeking solutions among communities and analyzing health issues from the perspective of those directly involved, rather than from the top down. The prime focus of the national drinking water mission was convenience, hence messages concentrating on health advantages were ignored. At this juncture, influencing health behavior required decentralization reflecting local cultures. Thus community-based partners became the foundation of a strategy of communicating safe water. As national strategies emerged in each of the technology missions, communication addressed advocacy of the need for political will, dissemination of technical information, and influencing patterns of behavior. Despite learning a new understanding, the danger exists that IEC remains just another label of mass communication with posters, advertisements, brochures, radio, and television. Decisions on contraceptive choice and use requires more than just accurate information; it requires the power to make such a decision. A new approach demands a priority for communication skills taking into account people's aspirations. The HIV-AIDS crisis underlines the urgency with which communication has to respond to health challenges. A series of experiments facilitated by the World Conservation Union helped build communication capabilities among environmental groups working in Latin America, Africa, and India. The International Reference Center on Water and Sanitation initiated pilot communication projects in West Africa for community health.

  13. The ribbon continent of northwestern South America

    Science.gov (United States)

    Altamira-Areyan, Armando

    The tectonic structure of the Plate Boundary Zone (PBZ) between the Caribbean Plate (CARIB) and the South American Plate (SOAM) is interpreted using models that require CARIB motion from the Pacific into the Atlantic. Those models can be subdivided into: (1) those in which the island arc rocks that are now in the CARIB-SOAM PBZ have collided with the northern South America margin, either obliquely or directly during the Cretaceous or during the Cenozoic, and (2) those in which the island arc rocks now in the CARIB-SOAM PBZ collided with the west coast of South America during the Cretaceous and were transferred to the northern margin by transform motion during the Cenozoic. Magnetic anomalies were first rotated in the Central and South Atlantic, holding Africa fixed to establish how much NOAM had converged on SOAM during the Cenozoic. WSW convergence was discovered to have been accommodated in the northern boundary of the CARIB. There is no evidence of convergence in the form of Cenozoic island arc igneous rocks on the north coast of South America. Those results are consistent only with models of Class (2) that call for transform movement of material that had collided with the west coast of South America along the CARIB-SOAM PBZ on the northern margin of South America. 40Ar/39Ar ages of island arc rocks from northern Venezuela were found to be older than ca 70 Ma, which is consistent with a requirement of models of Class (2) that those rocks are from an island arc which collided with the west coast of South America during Cretaceous times. Testing that conclusion using data from Ecuador, Colombia, Venezuela, the Netherlands Antilles, Trinidad and Tobago has led to the construction of a new ribbon continent model of the northwestern Cordillera of South America. Because the part of the ribbon continent on the north coast of South America has been experiencing substantial deformation in the Maracaibo block during the past 10 m.y., structures in that body have had to be

  14. History of primary vasculitis in Latin America.

    Science.gov (United States)

    Iglesias Gammara, Antonio; Coral, Paola; Quintana, Gerardo; Toro, Carlos E; Flores, Luis Felipe; Matteson, Eric L; Restrepo, José Félix

    2010-03-01

    A literature review utilizing Fepafem, Bireme, LiLacs, Scielo Colombia, Scielo Internacional, former MedLine, Pubmed, and BVS Colombia as well as manual searches in the libraries of major Latin American universities was performed to study vasculitis in Latin America. Since 1945, a total of 752 articles have been published by Latin American authors. However, only a minority are devoted to primary vasculitides, and even fewer have been published in indexed journals. Approximately 126 are in OLD, Medline, Pubmed, Bireme, and Scielo. Most publications are from Mexico, followed by Brazil and Colombia. Systematic studies of the epidemiology of primary idiopathic vasculitis are available for a few countries, i.e. Brazil, Mexico, Colombia, Chile, and Peru. Takayasu arteritis and ANCA-associated vasculitis are the best studied forms of vasculitis in Latin America. Interest and expertise in vasculitis is growing in Latin America, as reflected in the increased number of published articles from this region of the world in the last decade. Racial and environmental factors are possibly responsible for the differential expression of various types of primary vasculitis observed in Latin America. With time, the unique features, epidemiology, and better treatment strategies for idiopathic vasculitides in Latin America will emerge.

  15. Embracing change: practical and theoretical considerations for successful implementation of technology assisting upper limb training in stroke

    Directory of Open Access Journals (Sweden)

    Hochstenbach-Waelen Ananda

    2012-08-01

    Full Text Available Abstract Background Rehabilitation technology for upper limb training of stroke patients may play an important role as therapy tool in future, in order to meet the increasing therapy demand. Currently, implementation of this technology in the clinic remains low. This study aimed at identifying criteria and conditions that people, involved in development of such technology, should take into account to achieve a (more successful implementation of the technology in the clinic. Methods A literature search was performed in PubMed and IEEE databases, and semi-structured interviews with therapists in stroke rehabilitation were held, to identify criteria and conditions technology should meet to facilitate (implementation of technology-assisted arm-hand skills training in rehabilitation therapy of stroke patients. In addition, an implementation strategy frequently applied in general health care was used to compose a stepwise guidance to facilitate successful implementation of this technology in therapy of stroke patients. Implementation-related criteria mentioned by therapists during the interviews were integrated in this guidance. Results Results indicate that, related to therapy content, technology should facilitate repetition of task-related movements, tailored to the patient and patient’s goals, in a meaningful context. Variability and increasing levels of difficulty in exercises should be on offer. Regarding hardware and software design of technology, the system should facilitate quick familiarisation and be easily adjustable to individual patients during therapy by therapists (and assistants. The system should facilitate adaptation to individual patients’ needs and their progression over time, should be adjustable as to various task-related variables, should be able to provide instructions and feedback, and should be able to document patient’s progression. The implementation process of technology in the clinic is provided as a stepwise

  16. Assessment of new public management in health care: the French case.

    Science.gov (United States)

    Simonet, Daniel

    2014-10-06

    The French health care system embraced New Public Management (NPM) selectively, and crafted their own version of NPM using Diagnostic-Related-Group accounting to re-centralize the health care system. Other organizational changes include the adoption of quasi-markets, public private partnerships, and pay-for-performance schemes for General Practitioners. There is little evidence that these improved the performance of the system. Misrepresentation has remained high. With the 2009 Hospital, Patients, Health and Territories Act physician participation in hospital governance receded. Decision-making powers and health units were re-concentrated to instill greater national coherence into the health system.

  17. Planning cancer control in Latin America and the Caribbean.

    Science.gov (United States)

    Goss, Paul E; Lee, Brittany L; Badovinac-Crnjevic, Tanja; Strasser-Weippl, Kathrin; Chavarri-Guerra, Yanin; St Louis, Jessica; Villarreal-Garza, Cynthia; Unger-Saldaña, Karla; Ferreyra, Mayra; Debiasi, Márcio; Liedke, Pedro E R; Touya, Diego; Werutsky, Gustavo; Higgins, Michaela; Fan, Lei; Vasconcelos, Claudia; Cazap, Eduardo; Vallejos, Carlos; Mohar, Alejandro; Knaul, Felicia; Arreola, Hector; Batura, Rekha; Luciani, Silvana; Sullivan, Richard; Finkelstein, Dianne; Simon, Sergio; Barrios, Carlos; Kightlinger, Rebecca; Gelrud, Andres; Bychkovsky, Vladimir; Lopes, Gilberto; Stefani, Stephen; Blaya, Marcelo; Souza, Fabiano Hahn; Santos, Franklin Santana; Kaemmerer, Alberto; de Azambuja, Evandro; Zorilla, Andres Felipe Cardona; Murillo, Raul; Jeronimo, Jose; Tsu, Vivien; Carvalho, Andre; Gil, Carlos Ferreira; Sternberg, Cinthya; Dueñas-Gonzalez, Alfonso; Sgroi, Dennis; Cuello, Mauricio; Fresco, Rodrigo; Reis, Rui Manuel; Masera, Guiseppe; Gabús, Raúl; Ribeiro, Raul; Knust, Renata; Ismael, Gustavo; Rosenblatt, Eduardo; Roth, Berta; Villa, Luisa; Solares, Argelia Lara; Leon, Marta Ximena; Torres-Vigil, Isabel; Covarrubias-Gomez, Alfredo; Hernández, Andrés; Bertolino, Mariela; Schwartsmann, Gilberto; Santillana, Sergio; Esteva, Francisco; Fein, Luis; Mano, Max; Gomez, Henry; Hurlbert, Marc; Durstine, Alessandra; Azenha, Gustavo

    2013-04-01

    Non-communicable diseases, including cancer, are overtaking infectious disease as the leading health-care threat in middle-income and low-income countries. Latin American and Caribbean countries are struggling to respond to increasing morbidity and death from advanced disease. Health ministries and health-care systems in these countries face many challenges caring for patients with advanced cancer: inadequate funding; inequitable distribution of resources and services; inadequate numbers, training, and distribution of health-care personnel and equipment; lack of adequate care for many populations based on socioeconomic, geographic, ethnic, and other factors; and current systems geared toward the needs of wealthy, urban minorities at a cost to the entire population. This burgeoning cancer problem threatens to cause widespread suffering and economic peril to the countries of Latin America. Prompt and deliberate actions must be taken to avoid this scenario. Increasing efforts towards prevention of cancer and avoidance of advanced, stage IV disease will reduce suffering and mortality and will make overall cancer care more affordable. We hope the findings of our Commission and our recommendations will inspire Latin American stakeholders to redouble their efforts to address this increasing cancer burden and to prevent it from worsening and threatening their societies.

  18. PTI TECHNICAL ASSISTANCE TO REBUILD AMERICA

    Energy Technology Data Exchange (ETDEWEB)

    Unknown

    2002-04-01

    Public Technology Inc. (PTI) engaged in a cooperative agreement, DE-FC26-01NT41107, with the US Department of Energy's (DOE) Rebuild America Program to provide energy efficiency and energy conservation technical assistance to local governments across the United States. The first year of the cooperative agreement dated from April 2, 2001 to April 1, 2002, at a funding level of $375,000. This technical report covers the period of October 2001--March 2002. PTI appreciates the support that it has received from Rebuild America and plans to continue, with DOE and Rebuild America support, to serve in a strategic capacity, lending the technical experience of its staff and that of the Energy Task Force on approaches to increasing program efficiencies, furthering program development, and coordinating information sharing to help ensure that energy programs are responsive to the needs of local governments.

  19. Brazilian human resources in a polarized Latin America

    Directory of Open Access Journals (Sweden)

    Elza Fátima Rosa Veloso

    2014-12-01

    Full Text Available This article provides an overview of human resource strategies employed by Brazilian companies in a polarized region of Latin America. Firstly, we highlighted the concerns of Brazilian managers in respect to the coming years, and to identify the current strategic approach of prominent companies in the Brazilian market. Secondly, we identified possible strategies for internationalization, particularly in the context of Latin America. The results of two surveys were used: one prospecting management trends by 2015 and another consisting of a sample of 541 companies that participate in a national survey in which HR managers answered a questionnaire. Among the results, it is noteworthy that the main issues of concern for Brazilian managers in the coming years. We found most the companies concerned with these challenges in the industries of information technology, iron and steel, and health services. Forty-nine of a total of 541 companies intend to internationalize, 17 of them towards Latin American. Their profile characterization allowed us to divide them into two groups: those focusing on the local needs of Latin American, and those looking to meet the expanding needs of Brazil or the country of their parent company.

  20. Science, religion, and society: the problem of evolution in America.

    Science.gov (United States)

    Coyne, Jerry A

    2012-08-01

    American resistance to accepting evolution is uniquely high among First World countries. This is due largely to the extreme religiosity of the United States, which is much higher than that of comparably advanced nations, and to the resistance of many religious people to the facts and supposed implications of evolution. The prevalence of religious belief in the United States suggests that outreach by scientists alone will not have a huge effect in increasing the acceptance of evolution, nor will the strategy of trying to convince the faithful that evolution is compatible with their religion. Because creationism is a symptom of religion, another strategy to promote evolution involves loosening the grip of faith on America. This is easier said than done, for recent sociological surveys show that religion is highly correlated with the dysfunctionality of a society, and various measures of societal health show that the United States is one of the most socially dysfunctional First World countries. Widespread acceptance of evolution in America, then, may have to await profound social change.