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O objetivo do artigo é averiguar se os brasileiros ficaram mais conservadores em termos econômicos, em especial, pós-2013, a despeito dos ganhos das gestões de centro-esquerda no campo social. Como metodologia, se apresenta uma análise descritiva de dados de diversas fontes, bem como a revisão da literatura sobre os protestos de 2013. Os resultados, com contribuição à literatura devido à amplitude de informações e de abordagem, apontam o avanço da política social com reflexos na queda da pobreza e da desigualdade, porém, com retrocessos se consubstanciando na Emenda Constitucional 95 e nas reformas trabalhista e previdenciária. Em meio à inflexão iniciada com as manifestações de 2013, a conclusão a que se chega é que parece ter havido uma onda de conservadorismo econômico, que teria atingido seu pico em algum momento no quinquênio posterior a 2013
The purpose of the paper is to investigate whether Brazilians have become more conservative in economic terms, especially after 2013, despite the gains of the center-left administrations in the social field. As a methodology, a descriptive analysis of data from different sources is presented, as well as a literature review on the 2013 protests. With contribution to the literature due to the breadth of data and approaches, the results point to the progress of social policy with repercussions on the fall of poverty and inequality, however, with setbacks materializing in the Constitutional Amendment 95 and in labor and social security reforms. Amid the inflection that started with the 2013 demonstrations, the conclusion is that there seems to have been a wave of economic conservatism, which would have reached its peak at some point in the five years after 2013
El objetivo del artículo es investigar si, a pesar de los avances logrados por las administraciones de centro-izquierda en el campo social, los brasileños se volvieron más conservadores en términos económicos, especialmente des-pués de 2013. Como metodología, se presenta un análisis descriptivo de datos de diferentes fuentes, y una revisión de la literatura sobre las protestas de 2013. Se identifica un avance de la política social con consecuencias en términos de reducción de la pobreza y de la desigualdad, sin embargo, con retrocesos, consustanciados en la Enmienda Constitucional 95 y en reformas laboral y previsional. Se concluye que parece haber habido una ola de conservadurismo económico, que habría alcanzado su pico en algún momento del quinquenio posterior a 2013
Subject(s)
Politics , Public Policy , Socioeconomic FactorsABSTRACT
Introduction: The tool for assessing the Mental Health System of the World Health Organization has been used in different countries in different countries,by which examining the mental health system and identifying their problems along with finding out the instrumental problems are done simoltaneously. Objetive: this study was conducted in order to develop the means of evaluating the mental health system organization of the world health organization in iran. Method: This research is based on the implementation, analytical, and in terms of variables, combination (qualitative and quantitative), and purposeful, exploratory, and from the perspective of the result, an application that was carried out in six phases. Phase I: Review of texts that have been used to recognize the status of countries Different and Iran. Phase II: The status of mental health system in Khuzestan province was investigated and the problems of mental health system and instrumental problems were determined. Phase III: weaknesses and strengths of the mental health system evaluation tool were surveyed in Khuzestan province, Phase IV: To identify the key components of the WHO Mental Health Routing Program and the 2013-2015 operational plan for development of tools, in the fifth phase: The proposed components were embedded in each main field of the tool, and the content of the content validity and content validity index were evaluated by the experts. Result: Finally, 11 main components were identified and 95 questions were designed for them, which in the sixth phase these questions Mental Health Managers were given an exploratory and confirmatory factor analysis and identified their main factors and their impact on the development of the Mental Health Assessment System of the World Health Organization. Using PLS software from 11 components and 95 suggested questions, 6 factors influencing The development of tools has been identified whose impact coefficients include: Leadership and Governance (0.972), mental health and e-service use (0.929), Policy and Legislative Framework (0.697), status analysis (0.613), mental health services pattern for common disorders (0.413), mental health promotion services (0.259). Conclusion: The development of the Mental Health Assessment Tool of the World Health Organization in Iran will help identify the mental health gap and, with regard to the problems, will be the best pattern for providing mental health services
Introducción: La herramienta para evaluar el Sistema de Salud Mental de la Organización Mundial de la Salud se ha utilizado en diferentes países en diferentes países, mediante el cual el examen del sistema de salud mental y la identificación de sus problemas junto con el descubrimiento de los problemas instrumentales se realizan de forma simultánea. Objetive: este estudio se realizó con el fin de desarrollar los medios para evaluar la organización del sistema de salud mental de la organización mundial de la salud en Irán. Método: Esta investigación se basa en la implementación, analítica y en términos de variables, combinación (cualitativa y cuantitativa), y con una finalidad, exploratoria y, desde la perspectiva del resultado, una aplicación que se realizó en seis fases. Fase I: Revisión de textos que se han utilizado parareconocer el estado de países diferentes e Irán. Fase II: Se investigó el estado del sistema de salud mental en la provincia de Khuzestan y se determinaron los problemas del sistema de salud mental y los problemas instrumentales. Fase III: se examinaron las debilidades y fortalezas de la herramienta de evaluación del sistema de salud mental en la provincia de Khuzestan, Fase IV: para identificar los componentes clave del Programa de Enrutamiento de Salud Mental de la OMS y el plan operativo 2013-2015 para el desarrollo de herramientas, en la quinta fase : Los componentes propuestos se integraron en cada campo principal de la herramienta, y los expertos evaluaron el contenido de la validez de contenido y el índice de validez de contenido. Resultado: Finalmente, se identificaron 11 componentes principales y se diseñaron 95 preguntas para ellos, que en la sexta fase a estas Gerentes de Salud Mental se les realizó un análisis factorial exploratorio y confirmatorio e identificaron sus factores principales y su impacto en el desarrollo de la Salud Mental Sistema de evaluación de la Organización Mundial de la Salud. Utilizando el software PLS de 11 componentes y 95 preguntas sugeridas, se han identificado 6 factores que influyen El desarrollo de herramientas cuyos coeficientes de impacto incluyen: Liderazgo y Gobernanza (0,972), salud mental y uso de servicios electrónicos (0,929), Marco Político y Legislativo (0.697), análisis de estado (0.613), patrón de servicios de salud mental para trastornos comunes (0,413), servicios de promoción de salud mental (0,259). Conclusión: El desarrollo de la Herramienta de evaluación de salud mental de la Organización Mundial de la Salud en Irán ayudará a identificar la brecha de salud mental y, con respecto a los problemas, será el mejor patrón para proporcionar servicios de salud mental.
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Introduction: IPV was introduced in areas of northern KPK, Quetta, and Karachi. The success of polio eradication and endgame strategic plan 2013-2018 depends upon doctors’ knowledge and approval of IPV. Aim of this study was to assess doctors’ knowledge and perception regarding IPV. Methodology: A descriptive cross-sectional study was conducted on doctors in government hospitals of Abbottabad, Pakistan from January 2017 to June 2017. A sample size of 250 was calculated using WHO sample size calculator at 95% confidence level. A pretested questionnaire was used to collect data after taking informed consent. The analysis was done in SPSS version 21. Results: IPV’s advantage of being administered exclusively as well as a booster dose was known to 36%. Other merits of IPV like, no requirement of special cold chain storage and no incidence of VAPP (Vaccine Associated Poliomyelitis) was known by 7.6% and 56.54% respectively. Only 25% of doctors knew about latest endgame strategic plan 2013-2018 and National Emergency Action Plan. Conclusion: Doctor’s knowledge and acceptance regarding IPV was very low. Most of the doctors still preferred OPV over IPV as they fear injection pain due to IPV and are not much aware of IPV’s advantages over OPV. Thus clear-cut strategies need to be established for sensitization and education of doctors and correspondingly the masses regarding IPV.
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O objetivo do presente artigo é analisar os movimentos de protesto ocorridos em junho de 2013 na cidade de São Paulo. Como se sabe, esses movimentos ou jornadas de junho, chamaram a atenção de analistas e cientistas sociais da vida brasileira por sua complexidade, tamanho e variedade de demandas apresentadas. De outro lado, a dimensão que assumiram os protestos de junho, que a partir da capital paulista, tomaram conta das ruas no Brasil todo, também simbolizaram na prática o início de um verdadeiro ciclo de protestos na sociedade brasileira contemporânea, com fortes impactos na esfera política e nas formas de organização e mobilização social. O trabalho procura entender os movimentos de junho de 2013 a partir de sua dimensão ideológica, tentando tornar possível enquadrar os acontecimentos de junho sob uma perspectiva política de direita ou de esquerda.(AU)
The aim of this article is to analyze the protest movements that took place in June 2013 in the city of São Paulo. As we know, these movements or journeys in June attracted the attention of analysts and social scientists of Brazilian life due to their complexity, size and variety of demands. On the other hand, the dimension of the June protests that took place in the city of São Paulo took over the streets in Brazil, also symbolized in practice the beginning of a real cycle of protests in contemporary Brazilian society, with strong impacts on the sphere and forms of organization and social mobilization. The paper tries to understand the movements of June 2013 from its ideological dimension, trying to make it possible to frame the events of June from a political perspective of right or left.(AU)
Subject(s)
Humans , Politics , Community Participation , Social SciencesABSTRACT
BACKGROUND: The performance of the self-monitoring of blood glucose in patients with diabetes should be properly evaluated to ensure strict glycemic control. This study evaluated the self-testing Blood Glucose Monitoring System GlucoDr.S™ (All Medicus Co., Ltd., Korea). METHODS: This study recruited 120 patients. Use of the glucometer was evaluated according to ISO 15197:2013 guidelines. The YSI 2300 STAT PLUS Glucose Analyzer (YSI Life Sciences, USA) was used as the reference device. RESULTS: The standard deviation and coefficients of variation ranges for measurement repeatability and intermediate measurement precision conducted with 10 meters and 3 reagent lots on the same day were 2.7–3.2 mg/dL (0.99. The influence effect of hematocrit and the 24 interference agents was not significant, except for xylose. A system accuracy test was conducted with 100 subjects taking duplicate measurements from each of the 3 reagent lots. When glucose levels were 95% of the samples were within ±15 mg/dL and within ±15% of the average measured values of the reference measurement, respectively. In Consensus Error grid analysis, all results were distributed in zone A and B. The results of the user performance evaluation using 115 lay persons were also included in the acceptance range. CONCLUSION: The GlucoDr.S™ showed acceptable performance according to the ISO 15197:2013 guidelines and could be a clinically useful self-testing glucometer.
Subject(s)
Humans , Biological Science Disciplines , Blood Glucose , Consensus , Glucose , Hematocrit , XyloseABSTRACT
Resumo O artigo resulta de estudo realizado na validação do Índice de Funcionalidade Brasileiro, aplicado para fins de concessão da aposentadoria da pessoa com deficiência (IFBrA). A aposentadoria é regulamentada pela Lei Complementar 142/2013. O objetivo é discutir como os sujeitos envolvidos na aplicação do instrumento fazem uso do conceito de deficiência e as possíveis implicações para a garantia do direito à aposentadoria. Foram visitadas 11 agências do Instituto Nacional do Seguro Social (INSS), onde foram entrevistados 16 peritos médicos, 16 assistentes sociais e 40 pessoas com deficiência, além de observadas a avaliação e a perícia. Os resultados indicam tensões conceituais entre a perspectiva sobre deficiência dos profissionais e os conceitos do IFBrA. Assistentes sociais e médicos são desafiados em suas especialidades técnicas na aplicação do instrumento. As pessoas com deficiência nem sempre se identificam assim em suas vidas diárias. A deficiência ora é colocada como uma descrição política dos corpos em consonância com o modelo social da deficiência, ora é descrita como uma dificuldade pontual que justifica a busca pela aposentadoria.
Abstract This article derives from a study conducted on the validation of the Brazilian Functionality Index (IF-BrA) applied to the granting of retirement benefits to disabled persons. The retirement of persons with disabilities is regulated by Complementary Law 142 of May 8, 2013. The aim is to discuss how the individuals involved in application of the instrument perceive the concept of disability and the possible implications for ensuring the right to retirement. Eleven agencies of the National Social Security Institute (INSS) were visited and 16 physicians, 16 social workers and 40 persons with disabilities were interviewed. The evaluation and assessment process was also observed. The results indicate that there are conceptual tensions between the perspective on disability of the professionals and the IF-BrA concepts. Social workers and physicians are challenged in their technical specialties in the application of the instrument. Persons with disabilities do not always consider themselves to be disabled in their daily lives. Disability is either presented as a political description of the body in accordance with the social model of disability, or it is described as a specific difficulty justifying the right to seek retirement.
Subject(s)
Humans , Retirement/legislation & jurisprudence , Attitude to Health , Disabled Persons/legislation & jurisprudence , Disability Evaluation , BrazilABSTRACT
PURPOSE: The purpose of this study is to estimate the clinical status of radiation therapy (RT) in Korea. MATERIALS AND METHODS: We analyzed open claims data from the Health Insurance Review and Assessment Service (HIRA). The subjects were patients with malignant neoplasms who had procedure codes concerning RT in 2009 and 2013. RESULTS: The total numbers of patients who underwent RT in 2009 and 2013 were 42,483 and 56,850, respectively. The numbers of men and women were 20,012 and 22,471 in 2009 and 26,936 and 29,914 in 2013, respectively. The five most frequent RT sites were metastatic, breast, gastrointestinal, thoracic, and gynecologic cancers in 2009, and metastatic, breast, gastrointestinal, thoracic and head and neck cancers in 2013. The three leading types of cancer among men were metastatic, gastrointestinal, and thoracic, and breast, metastatic, and gynecologic among women. According to age, the most common treatment site was the central nervous system for those aged 20 years or less, the breast for those in their 30s to 50s, and metastatic sites for those in their 60s or older. CONCLUSION: Data from this study provide an overview of the clinical status of RT in Korea.
Subject(s)
Female , Humans , Male , Breast , Central Nervous System , Head , Insurance, Health , Korea , Neck , RadiotherapyABSTRACT
BACKGROUND: Self-monitoring of blood glucose is an important component of therapy for diabetes mellitus. The aim of this study was to evaluate the analytic performance evaluation of blood monitoring system G400 according to ISO 15197:2013. METHODS: We evaluated the G400 according to the ISO 15197:2013 guideline, we measured precision, accuracy, interference of hematocrit and interfering substances, user performance. RESULTS: Repeatability and intermediate precision of G400 showed standard deviation 2.7–3.8 mg/dL, 2.4–3.6 mg/dL and coefficient of variation 1.9-2.9% and 1.7–3.7%, respectively. Accuracy measured 98–98.5%, satisfied acceptable criteria. Error grid analysis showed that all results of this study were in zone A. Hematocrit between 20% to 60% did not cause interference. Three of 24 interfering substances were not acceptable criteria, and dose-response evaluation was needed. CONCLUSIONS: This study showed that G400 was considered reliable results satisfying the ISO 15197:2013 criteria
Subject(s)
Blood Glucose , Blood Glucose Self-Monitoring , Diabetes Mellitus , HematocritABSTRACT
La conducción en estado de embriaguez está ocasionando daños a la integridad física de conductores, pasajeros y terceros vinculados en los accidentes de tránsito, situación que demanda de forma oportuna la acción de las autoridades en esta materia. En diciembre del 2013 el Estado colombiano expidió la Ley 1696, por medio de la cual se dictaron disposiciones penales y administrativas para sancionar la conducción bajo el influjo del alcohol u otras sustancias psicoactivas, como el desarrollo de acciones preventivas, de control y de persecución a los infractores. El impacto parcial de esta norma se estudió durante los primeros semestres de los períodos 2010-2013 y 2014, teniendo en cuenta las variables de tiempo-lugar-modo, y se describieron las mismas desde la teoría del control e investigaciones sobre esta. Se desarrolló una investigación no experimental, mediante un estudio cuantitativo de tipo descriptivo. Los datos fueron obtenidos por bases estadísticas de la Policía Nacional de Colombia. Los resultados muestran que la implementación de la Ley 1696 no cambió la frecuencia en ninguna de las tres variables observadas, frente a los accidentes ocasionados por conductores en estado de embriaguez, y se concluye que el solo aumento punitivo no es suficiente para disminuir esta clase conducta.
Driving while intoxicated is causing serious damages to the physical integrity of drivers, passengers and third parties involved in traffic accidents. This occurrence demands the timely action of the relevant authorities, and in December 2013 the Colombian State issued Act (Ley") 1696 whereby criminal and administrative provisions designed to impose both criminal and administrative penalties aimed at sanctioning individuals found driving under the influence of alcohol, drugs or other psychoactive substances were issued, including the development of measures of preventive and controlling nature, and making the pursuit of offenders easier. The partial impact of this rule was examined during the first 2010-2013 and 2014 bi-annual periods, taking time-place- and mode variables into account, as seen and described from the control theory and relevant researches. A non-experimental investigation was developed by means of a quantitative study of descriptive nature. Data were obtained by Colombian National Police statistical databases. The results show that the implementation of Act (Ley") 1696 did not change the frequency in any of the three variables so observed vis-à-vis accidents caused by drink-driving offenders, and it is has been concluded that the simple increase of punitive measures is not sufficient to reduce this kind of behavior.
Dirigir um carro no estado de intoxicação pelo álcool está causando danos à integridade física dos motoristas, dos passageiros e do terceiros relacionados com os acidentes rodoviários, situação que exige medidas oportunas das autoridades nesta matéria. Em dezembro de 2013 o Estado Colombiano emitiu a lei 1696, por meio da qual as disposições penais e administrativas foram ditadas para penalizar a condução sob a influência do álcool ou de outras substâncias psicoativas, como o desenvolvimento de ações preventivas, de controle e de persecução aos infratores. O impacto parcial desta norma foi estudado durante os primeiros semestres dos períodos 2010-2013 e 2014, considerando as variáveis de tempo-lugar-modo, e elas foram descritas a partir da teoria de controle e investigações mesmas. Uma investigação não experimental foi desenvolvida, por meio de um estudo quantitativo de tipo descritivo. Os dados foram coletados por bancos estatísticos da Polícia Nacional da Colômbia. Os resultados mostram que a implementação da lei 1696 não mudou a frequência em nenhuma das três variáveis observadas, perante aos acidentes causados por condutores no estado de intoxicação, e conclui-se que o único aumento punitivo não é suficiente para diminuir este tipo de conduta.
Subject(s)
Accidents, Traffic , Colombia , Criminal Law , CriminologyABSTRACT
Artigo que objetiva investigar as demarcações e governo dos corpos no que tange as questões de gênero ocorridas no Mundial de Atletismo de Moscou no ano de 2013 frente as polêmicas causadas pela lei anti-gay russa. Tratou-se de um estudo de abordagem qualitativa feita a partir de uma pesquisa descritivo-exploratória. Os dados empíricos utilizados para conjecturar os objetivos do texto foram retirados das publicações feitas no portal de internet "globo.com". Nossa análise se ateve a 12 reportagens e foi feita por meio de dois temas: "manifestações/protestos" e "polêmica Isinbayeva". Como resultado, observamos que as manifestações de atletas foram no sentido de clamar contra seu apagamento singular frente a uma política que exige um sujeito "universal".
The article aims to investigate the demarcations and the bodies' governments into the gender questions occurred at the 2013 Moscow World Championships in Athletics, discussing the polemic caused by the Russian anti-gay law. The study has a qualitative approach made through a descriptive-exploratory research. The empirical data was taken of publications of the site "globo.com". We analyzed 12 news on two themes: "manifestations/protests" and "the Isinbayeva controversy". We observed, as results, that the athletes' manifestations were in a way to claim against their singular erasure of a politic that demands a "universal" subject.
Artículo cuyo objetivo es investigar las demarcaciones e el gobierno de los cuerpos en lo que atañe a los temas de género ocurridos en el Mundial de Atletismo de Moscú en el año 2013 frente a las polémicas causadas por la ley anti-gay rusa. Fue un estudio de abordaje cualitativo hecho a partir de una investigación descriptiva y exploratoria. Los datos empíricos utilizados para conjeturar los objetivos del texto se tomaron de las publicaciones hechas en el portal de internet "globo.com". Nuestro análisis se limitó a 12 reportajes y se ha realizado mediante dos temas: "manifestaciones/protestas" y "controversia Isinbayeva". Hemos observado que las manifestaciones de atletas fueron hechas en el sentido de clamar en contra su borrado singular ante una política que requiere un sujeto "universal".
Subject(s)
Humans , Male , Female , Sports/legislation & jurisprudence , Homosexuality , Human Body , Athletes , Gender Identity , BehaviorABSTRACT
background: Early management of myocardial infarction in the area of public health requires the integration of specific programs for the coordination of healthcare services. Objective: The aim of this study was to evaluate the impact on delay times and reperfusion rate of a comprehensive program for the reperfusion of myocardial infarction in a hospital network of the Southern Greater Buenos Aires. Methods: The network consists of six low-mid-complexity hospitals and a third-level referral center with 24-hour cath-lab. Stage 1 of the program (2009-2010) evaluated the existing barriers to reperfusion; Stage 2 (2011-2013) implemented the progressive incorpora-tion of improvements and Stage 3 assessed the program (2013-2014) complemented with fellows in each hospital. Program impact was evaluated by the proportion of patients reperfused and time to its implementation. results: A total of 432 patients referred from the network were hospitalized with diagnosis of ST-segment elevation myocardial infarction. Mean age was 56±9 years and 83.3% were men. The proportion of reperfused patients progressively increased: S1 60.7%, S2 69% and S3 78%, p for trend=0.01. Time to reperfusion decreased significantly between S1 and S3, from 120 minutes (IQR 55-240) to 90 minutes (IQR 35-150), p=0.04, with a median reduction of 30 minutes in the door-to-balloon and door-to-needle times. Conclusions: The application of a program for myocardial reperfusion based on the diagnosis of barriers was associated with 28.5% increase in reperfusion, and a significant reduction in the implementation times. This public network model built on algorithms adapted to local barriers may contribute to improve the care of myocardial infarction in our country.
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background: Smoking is the leading cause of preventable morbidity and death. It is important to know the characteristics of smoking habits among physicians and their attitude toward patients who smoke. Objective: The aim of this study is to investigate the prevalence of smoking among physicians in Argentina, the factors associated with tobacco consumption and their attitude toward their patients who smoke. Methods: An observational cross- sectional study was performed between June and December 2013 in Argentine physicians of dif-ferent specialties. Using a structured survey, the following variables were analyzed: associated cardiovascular risk factors, charac-teristics of tobacco consumption, smoking cessation training and the attitude toward the patient who smokes. results: 3,033 physicians were surveyed, ; 57% were men, and mean age was 41.3±12 years; 19.7% were current smokers and 21.7% were former smokers. The probability of being a smoker was higher among surgeons (OR 1.29) or physicians working at the emergency room (OR 1.41). Undergraduate and postgraduate tobacco cessation training was achieved by 36.6% and 40.8% of physicians, respectively. Young physicians, clinical specialties or private practice were associated with higher level of training. Tobacco cessation counseling was more frequent in physicians with higher level of training than physicians who smoked or surgeons. Former smokers presented higher prevalence of risk factors and cardiovascular events. Family history of smoking habit was more common in former smokers and current smokers. Conclusions: The prevalence of smoking among Argentine physicians is high. Different factors are involved in the probability of smoking, tobacco cessation training or the possibility of medical counseling. Higher level of training in smoking cessation must be provided.
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Revisamos las nuevas Guías de la AHA/ACC para el tratamiento de la hipercolesterolemia. El enfoque general de tratamiento está orientado a iniciar fármacos en fases iniciales, incluso con estatinas en casos de prevención primaria. En fecha próxima se revisará y analizará la NOM-037-SSA2-2012, para la prevención, tratamiento y control de las dislipidemias. En lo general, la propuesta de la NOM coincide con las nuevas Guías Norteamericanas; no obstante, consideramos que cada caso debe individualizarse.
We revised the new 2013 ACC/AHA Guideline on the treatment of hypercholesterolemia to reduce atherosclerotic cardiovascular disease in adults. Treatment is essentially oriented to the early implementation of pharmacological interventions, including the use of statins for primary prevention. In the near future, the Mexican NOM-037-SSA2-2012, for prevention and treatment of dyslipidemia will be analyzed. Substantially, the Mexican NOM-037-SSA2-2012 concords with the new 2013 ACC/AHA Guideline, withal we consider that treatment should always be individually adjusted.
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Introducción: La parotiditis es una enfermedad viral, prevenible, que se presenta aún en la población Colombiana a pesar de los esquemas de vacunación establecidos, su presentación más frecuente es la inflamación de la glándula parótida, en su mayoría bilateral y asincrónica. Complicaciones infecciosas como sialoadenitis bacteriana y neurológicas como meningitis, encefalitis, parálisis facial, hipoacusia neurosensorial y poliradiculitis ascendente han sido reportadas (1-6). Diseño: Estudio descriptivo transversal. Metodología: Se realizó un estudio mediante el análisis de las bases de datos del SIVIGILA en los periodos 2008 al 2013 del evento de Parotiditis. La información codificada en tablas dinámicas, sin incluir información personal se introdujo en el paquete Estadístico SPSS versión 22 y se realizó el análisis de variables críticas: edad, genero, ocupación, etnia, geo-referenciación (comuna y barrio), aseguradora y UPGD (Unidades Primarias Generadoras de Datos) (7). Resultados: Se observó que la parotiditis en Cali, Valle del Cauca, afecta principalmente la población entre 1 y 14 años de edad, más frecuente de género masculino, hay asociación con los casos de parotiditis en pacientes de 1 a 4 años provenientes de las comunas 14 y 15 de estratos socio-económicos bajos. Conclusiones: Antes de la vacunación masiva, la parotiditis era una enfermedad infecciosa común en todo el mundo. Actualmente estamos expuestos a esta patología en pocas ocasiones, es de vital importancia que en la consulta Otorrinolaringológica se realice el diagnóstico precoz y el reporte oportuno al sistema de vigilancia de la dirección local de salud.
Introduction: Mumps is a preventable viral disease; it is still present in the Colombian population, despite the established vaccination schemes. The most common sign of mumps is the inflammation of the parotid gland, mostly bilateral and asynchronous. Infectious complications such as bacterial sialadenitis, and neurological such as meningitis, encephalitis, facial palsy, sensorineural hearing loss or ascending polyradiculitis have been reported. Design: Cross-sectional Study. Methodology: A descriptive study was conducted; by analyzing Mumps event in databases of SIVIGILA (National Public Health Surveillance System) from 2008 to 2013. Information encoded in pivot tables, excluding personal information, was entered in SPSS (Statistical Package for the Social Sciences) version 22, and critical variables where analyzed: age, gender, occupation, ethnicity, geo-referencing (municipality/ commune and district), health insurance company and UPGD (Primary Data Generating Units). Results: The study showed that mumps in Cali, Valle del Cauca, mainly affects male patients aged between 1 and 14 years. There is a partnering within mumps cases in patients aged 1 to 4 years from low socio-economic strata districts 14 and 15. Conclusion: Before widespread vaccination programs, mumps was a common infectious disease worldwide. Currently, we are rarely exposed to this disease. It is vital to get an early diagnosis and a timely report to the health surveillance system, in the consultation with the otolaryngologist.
Subject(s)
Mumps , Risk Factors , Epidemiological MonitoringABSTRACT
Caracterizar la PrimeraConferencia sobre Informática de la Salud, ICHI' 2013. Métodos: se analizaron las ponencias presentadas en el evento a partir de la utilización de técnicas relevantes para la evaluación de la ciencia e inherentes a la metría de la información. Se utilizó el método de cuenta completa para la realización de los conteos de productividad de autoría a nivel individual, institucional, por países y por continentes, mientras que para la representación de la colaboración científica y la coocurrencia de palabras clave se utilizaron técnicas de visualización basadas en técnicas de análisis de redes sociales. Resultados: se identificó principalmente a China y Portugal como protagonistas del certamen, aunque se destacan otros. Se evidenció un predominio de la colaboración científica, principalmente a nivel nacional, como forma organizativa preferida para la generación de conocimiento. Conclusiones: se confirma el perfil temático del evento a partir de la coocurrencia de palabras clave y se evidencia la integración de las tecnologías de la información y la comunicación con la Biomedicina para la Salud Global...
Characterize the First International Conference on Health Informatics ICHI 2013. Methods: an analysis was conducted of the papers presented at the Conference, using relevant scientific evaluation and information metrics techniques. The total count method was used to gauge author productivity on an individual and institutional level, as well as by country and continent. Scientific cooperation and key word co-occurrence were analyzed with visualization techniques based on social network analysis. Results: China and Portugal were identified as the leading participants in the Conference, while other countries also had an active participation. Evidence was found of a predominance of scientific cooperation, mainly on a national scale, as the favorite organizational mode to generate knowledge. Conclusions: the topic profile of the Conference was confirmed by the co-occurrence of key words. Evidence was found of the incorporation of information and communication technologies into biomedicine for global health...
Subject(s)
Humans , Congresses as Topic , Technology Assessment, Biomedical/statistics & numerical data , Medical Informatics , Scientific Publication IndicatorsABSTRACT
O presente artigo é uma reflexão sobre o atual paradoxo da situação histórica brasileira, agudizado a partir de junho de 2013: por um lado, o estado de guerra social torna urgente um conjunto de transformações estruturais em direção à garantia dos direitos humanos; por outro, os instrumentos políticos disponibilizados pela democracia brasileira atravessam profunda crise de credibilidade. Este paradoxo contextualiza o surgimento de atores como os Black Blocs, que propõem uma tática agressiva de revolta, sem qualquer intencionalidade de disputa do poder. Com tal quebra de confiança em relação ao sistema, a estabilidade mínima necessária ao funcionamento de uma organização programática passa a ser vista com receio, dificultando o surgimento de novas representações políticas que vocalizem os sentimentos de indignação das ruas.
This article is a reflection on the paradox of the Brazilian historical situation, heightened in June 2013: on the one hand, the state of social war makes urgent a set of structural transformations towards ensuring human rights; and on the other, the instruments of policy provided by Brazilian democracy traverse deep credibility crisis. This paradox contextualizes the emergence of actors such as the Black blocs, which proposes an aggressive tactic of rebellion, without any intention of power disputes. With such a breach of trust in the system, the minimum stability needed to run a programmatic organization is seen with fear, hindering the emergence of new political representations that could vocalize the indignation feelings from the streets.
Subject(s)
Humans , Democracy , PoliticsABSTRACT
A democracia brasileira avança. O medo da chegada de um poder totalitário não é suficiente para impedir a marcha contra o que nos aterroriza: corrupção, investimentos mínimos em transportes públicos, saúde, educação. A marcha é pela vida. É pela arte de viver. A linguagem democrática abre seu leque, segue livre para além das conhecidas reivindicações de classes sociais. Como incluir novas linguagens na política do século XXI? A violência interrompe o diálogo. Como a sociedade civil deve lidar com a violência? O amor que torna tudo coeso. As perdas. Como viver sem a amiga da vida inteira? Como marchar sem ela? Manter a libido viva, através da arte, do amor, da esperança. Seguir para além dos fantasmas do mundo. Manter nossas moedas de troca.
The Brazilian democracy marches. The fear of the appearance of a totalitarian power is not enough to stop the march against what frightens us: corruption, minimum investments in public transportation, health and education. The march is for life. It is for the art of living. The democratic language spreads its wings beyond the well-known claims from the social classes. How to include new languages in the 21st century politics? Violence breaks the dialogue. How should the civil society deal with violence? Love making everything become cohesive. The losses. How to live without your friend for life? How to march without her? Keeping the libido through art, love and hope. Surpassing the ghosts from this world. Keeping our bargaining chip.
Subject(s)
Humans , Death , Democracy , Fear , Life Change EventsABSTRACT
Secretion is widespread in all eukaryotic cells: all of us experience this in the course of daily life – saliva, mucus, sweat, tears, bile juice, adrenalin, etc. – the list is extremely long. How does a cell manage to repeatedly spit out some stuff without losing the rest? The answer is: through regulated vesicle trafficking within the cell. The Nobel Prize in Physiology or Medicine 2013 was awarded to Drs Randy Schekman, James E Rothman and Thomas C Südhof for their ‘discoveries of machinery regulating vesicle traffic, a major transport system in our cells’. Dr Randy Schekman and his colleagues discovered a number of genes required for vesicle trafficking from the endoplasmic reticulum (ER) and Golgi; the James E Rothman group unravelled the protein machinery that allows vesicles to bud off from the membrane and fuse to their targets; and Dr Thomas C Südhof along with his colleagues revealed how calcium ions could instruct vesicles to fuse and discharge their contents with precision. These enabled the biotechnology industry to produce a variety of pharmaceutical and industrial products like insulin and hepatitis B vaccines, in a cost-efficient manner, using yeast and tissue cultured cells.
ABSTRACT
La pancreatitis aguda es una patología que se produce por una inflamación del tejido pancreático y la consecuente liberación de las enzimas producidas por este órgano. Afecta, además del tejido pancreático, tejidos cercanos, produciendo complicaciones locales, y sistemas más alejados, produciendo falla orgánica. Según la evidencia de falla orgánica persistente se define la severidad de la enfermedad. En el 2013 se publicaron las guías actualizadas sobre el diagnóstico y manejo de esta patología por el American College of Gastroenterology, donde se analizó más de 150 artículos y se buscó dar recomendaciones según evidencia o criterio de expertos, tomando en cuenta lo avanzado en los últimos años. El objetivo de este artículo es realizar una revisión bibliográfica de estas guías y de otras referencias de relevancia.
Acute pancreatitis is a pathology that is produced by inflammation of pancreatic tissue and the subsequent release of pancreatic enzymes. It affects, besides of the pancreatic tissue, nearby tissues, producing local complications, and more distant systems, producing organ failure. Depending on the presence of this organ failure and its persistence, is that the severity of the disease is defined. In 2013 the American College of Gastroenterology published current guidelines about the diagnostic and management of this pathology, in which more than 150 articles where revised and recommendations where given according to expert criteria and evidence, taken into consideration what has come to light in the past years. This article has the objective of realizing a review of this guidelines and other articles of relevance.
Subject(s)
Humans , Pancreas , PancreatitisABSTRACT
The new 2013 ACC/AHA Guideline is quite different from the previous NCEP-ATP III or ESC/EAS guidelines. Although the guideline is simplified and aimed at prevention of ASCVD rather than control of lipid levels, it also raises many questions and debates. If Koreaadopts the new guideline, the number of people to be treated with statins will increase dramatically, which would pose a large costburden on the medical system. Young people with high lifetime ASCVD risk according to the Pooled Cohort Equation would be administered high- or moderate-intensity statins at an earlier stage, and the older generations would likely be overtreated. The equation should be validated in populations other than non-Hispanic whites and African-Americans before final approval as a valid tool for risk calculation. Studies of Korean populations, including several observational epidemiologic studies and RCTs, are required to validate the new guideline in Korea.