ABSTRACT
Background: Global emergency medicine (GEM) is situated at the intersection of global health and emergency medicine (EM), which is built upon a history of colonial systems and institutions that continue to reinforce inequities between high-income countries (HICs) and low- and middle-income countries (LMICs) today. These power imbalances yield disparities in GEM practice, research, and education. Approach: The Global Emergency Medicine Academy (GEMA) of the Society for Academic Emergency Medicine formed the Decolonizing GEM Working Group in 2020, which now includes over 100 worldwide members. The mission is to address colonial legacies in GEM and catalyze sustainable changes and recommendations toward decolonization at individual and institutional levels. To develop recommendations to decolonize GEM, the group conducted a nonsystematic review of existing literature on decolonizing global health, followed by in-depth discussions between academics from LMICs and HICs to explore implications and challenges specific to GEM. We then synthesized actionable solutions to provide recommendations on decolonizing GEM. Results: Despite the rapidly expanding body of literature on decolonizing global health, there is little guidance specific to the relatively new field of GEM. By applying decolonizing principles to GEM, we suggest key priorities for improving equity in academic GEM: (1) reframing partnerships to place LMIC academics in positions of expertise and power, (2) redirecting research funding toward LMIC-driven projects and investigators, (3) creating more equitable practices in establishing authorship, and (4) upholding principles of decolonization in the education of EM trainees from LMICs and HICs. Conclusions: Understanding the colonial roots of GEM will allow us to look more critically at current health disparities and identify inequitable institutionalized practices within our profession that continue to uphold these misguided concepts. A decolonized future of GEM depends on our recognition and rectification of colonial-era practices that shape structural determinants of health care delivery and scientific advancement.
ABSTRACT
El Eucalyptus spp (eucalipto) es un árbol de la familia myrtaceae con diferentes propiedades y usos. El objetivo es conocer las propiedades terapéuticas del aceite de hojas de Eucalyptus globulus y Eucalyptus camaldulensis frente a enfermedades respiratorias. Por ello, se realizó una búsqueda sistemática con lenguaje controlado en artículos de gran relevancia sobre el tema en metabuscadores científicos. La investigación fue viable debido a la presencia de estudios de libre acceso relacionados a las propiedades medicinales del aceite de E. globulus y E. camaldulensis, se comprobó los efectos antifúngicos, antivirales y antibacteriales; y si sus intervenciones son positivas en cuanto a la mejoría de enfermedades de vía respiratoria. Se concluyó que las propiedades medicinales del eucaliptol de E. globulus y E. camaldulensis son beneficiosas para la enfermedad pulmonar obstructiva crónica, asma, para síntomas del COVID-19 e incluso para pacientes con ventilación mecánica.
Eucalyptus spp is a tree of the myrtaceae family with different properties and uses. The objective is to know the therapeutic properties of Eucalyptus globulus and Eucalyptus camaldulensis leaf oil against respiratory diseases. Therefore, a systematic search was carried out with controlled language in articles of great relevance on the subject in scientific meta-search engines. The research was feasible due to the presence of open access studies related to the medicinal properties of E. globulus and E. camaldulensis oil, the antifungal, antiviral and antibacterial effects were tested; and if their interventions are positive in terms of improvement of respiratory tract diseases. It was concluded that the medicinal properties of eucalyptol from E. globulus and E. camaldulensis are beneficial for chronic obstructive pulmonary disease, asthma, COVID-19 symptoms and even for patients on mechanical ventilation.
ABSTRACT
OBJECTIVE: To compare estimates of spatiotemporal variations of surface PM2.5 concentrations in Colombia from 2014 to 2019 derived from two global air quality models, as well as to quantify the avoidable deaths attributable to the long-term exposure to concentrations above the current and projected Colombian standard for PM2.5 annual mean at municipality level. METHODS: We retrieved PM2.5 concentrations at the surface level from the ACAG and CAMSRA global air quality models for all 1,122 municipalities, and compare 28 of them with available concentrations from monitor stations. Annual mortality data 2014-2019 by municipality of residence and pooled effect measures for total, natural and specific causes of mortality were used to calculate the number of annual avoidable deaths and years of potential life lost (YPLL) related to the excess of PM2.5 concentration over the current mean annual national standard of 25 µg/m3 and projected standard of 15 µg/m3. RESULTS: Compared to surface data from 28 municipalities with monitoring stations in 2019, ACAG and CAMSRA models under or overestimated annual mean PM2.5 concentrations. Estimations from ACAG model had a mean bias 1,7 µg/m3 compared to a mean bias of 4,7 µg/m3 from CAMSRA model. Using ACAG model, estimations of total nationally attributable deaths to PM2.5 exposure over 25 and 15 µg/m3 were 142 and 34,341, respectively. Cardiopulmonary diseases accounted for most of the attributable deaths due to PM2.5 excess of exposure (38%). Estimates of YPLL due to all-cause mortality for exceeding the national standard of 25 µg/m3 were 2,381 years. CONCLUSION: Comparison of two global air quality models for estimating surface PM2.5 concentrations during 2014-2019 at municipality scale in Colombia showed important differences. Avoidable deaths estimations represent the total number of deaths that could be avoided if the current and projected national standard for PM2.5 annual mean have been met, and show the health-benefit of the implementation of more restrictive air quality standards.
Subject(s)
Air Pollutants , Air Pollution , Humans , Air Pollutants/adverse effects , Air Pollutants/analysis , Particulate Matter/adverse effects , Particulate Matter/analysis , Colombia/epidemiology , Air Pollution/adverse effects , Air Pollution/analysis , Cities , Environmental Exposure/adverse effects , MortalityABSTRACT
INTRODUCCIÓN: el Foeniculum vulgare es una planta medicinal de gran importancia por sus propiedades y valor nutricional. Los extractos del hinojo poseen propiedades terapéuticas ante cambios endocrinos, perturbaciones psicológicas, malestares y sintomatología presente en el ciclo vital de la mujer. OBJETIVOS: analizar información sobre las diferentes propiedades y efectos terapéuticos del F. vulgare en las distintas etapas del ciclo vital de la mujer. METODOLOGÍA: se realizó una búsqueda crítica y analítica del tema por medio de lenguaje controlado recopilado del MeSH y DeCs en metabuscadores científicos. RESULTADOS: el desarrollo de esta revisión fue viable debido a la variedad de literatura, estudios y ensayos clínicos internacionales de libre acceso de información relevante al tema. CONCLUSIÓN: esta planta puede ser empleada como tratamiento, prevención y como fuente de nutrientes; y sus extractos tienen un efecto importante en el ciclo vital de la mujer dependiendo se encuentre en menstruación, menopausia o postmenopausia.
INTRODUCTION: foeniculum vulgare is a medicinal plant of great importance for its properties and nutritional value.Fennel extracts possess therapeutic properties against endocrine changes, psychological disturbances, discomfort and symptomatology present in the vital cycle of women. OBJECTIVES: analyze information on the different properties and therapeutic effects of F. vulgare in the different stages of the life cycle of women. METHODOLOGY: a critical and analytical search of the topic was performed ,by means of controlled language compiled from MeSH and DeCs in scientific meta-search engines. RESULTS: the development of this review was feasible due to the variety of freely available international literature, studies and clinical trials of information relevant to the topic. CONCLUSIÓN: this plant can be used as a treatment, prevention and as a source of nutrients; and its extracts have an important effect on the vital cycle of the woman depending on whether she is in menstruation, menopause or postmenopause.
