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International and National Health Information on Basic Health Indicators: A Comparison

International and National Health Information on Basic Health Indicators: A Comparison

Health indicators play a key role for analysis of health situation and for decision-makers. This paper aims to analyze different documents on basic health indicators to see which provide comparable information. The research begins with integrating basic health indicators, followed by analysis of the mathematical validity of the indicators and their relationships and concludes with analyzing and presenting such research data. Performing basic arithmetic operations allowed us to verify that 90% of indicators from PAHO/WHO Glossary, 89% from the Americas and 91% from Mexico are mathematically valid. When comparing indicators, only Demographic indicators, more than 50% from the Americas and Mexico are related to the PAHO/WHO indicators, which poses a challenge when comparing health indicators at international and national level according to the revised documents.
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Conocimiento y percepción de adolescentes sobre el servicio de planificación familiar en Chile

Conocimiento y percepción de adolescentes sobre el servicio de planificación familiar en Chile

The study population consisted of adoles- cents aged 15 to 19 years who were beneficiaries of the Public Health Service through the National Health Fund [Fondo Nacional de Salud] in the mu- nicipality of El Carmen in the province of Ñuble (Chile) for the year 2010. There were a total of 891 adolescents, 466 females and 425 males. For this study a representative sample of 277 adoles- cents (124 males and 153 females) was extracted with a margin of error of 5%. Of these 277 ado- lescents, 80% (n=222) were participants from the high school Liceo Juvenal Hernández Jaque – 53 students in each of the last 3 levels of secondary education (2nd, 3rd and 4th year) – and the rest (n=53) were patients at the Family Planning Service of the Hospital of El Carmen. Fieldwork
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Libia

Libia

The timing of this CCS coincides with an important transitional era in the Libyan Arab Jamahiriya. The country has opened up its economy and is now encouraging trade, commerce and economic collaboration with other countries. The new accelerated economic activities will have major positive direct and indirect impacts on health. The time is opportune to incorporate health safeguards into all economic, industrial, infrastructural and social development to protect and maximize the health of people and future generations. The General Peoples’ Congress has re- established the GPCHE to lead the national health development and strengthen the planning and operation at the shabia level. The organization of the GPCHE and its ability to set the directives, policies and strategies will have the most significant impact on future health development in the Libyan Arab Jamahiriya in the near and distant future. At the same time, the GPCHE has initiated a health system reform which is based on primary health care revitalization that responds to current health demand and requirements.
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Mxico y el derecho a la salud: hora de expectativas y decisiones Caractersticas del adulto mayor institucionalizado en el rea metropolitana de Monterrey Propuesta de un esquema simple de antivirales de accin directa para tratamiento de VHC en un sistema d

Mxico y el derecho a la salud: hora de expectativas y decisiones Caractersticas del adulto mayor institucionalizado en el rea metropolitana de Monterrey Propuesta de un esquema simple de antivirales de accin directa para tratamiento de VHC en un sistema de salud pblico con bajo presupuesto MPOWER component E: essential axis in the reduction of tobacco consumption in Peru Temporal trends of lung cancer, other cancers and COPD hospitalizations in Mexicans age ≥40 years, 2000 2014 Diseo de un cuestionario de actitudes hacia el aborto inducido Palabra impresa y salud mental: el papel de los medios

Una alternativa clásica sería avanzar hacia un sistema nacional de salud (SNS), como el National Health Service inglés. Para ello, al menos habría que: 1) terminar con la dependencia política administrativa de los servicios de salud (Sesa) de los gobiernos estatales para instalar una red nacional de prestadores públicos coordinada y financiada centralmen- te –independientemente de que su operación sea descentralizada– y así evitar problemas de captura cliente- lar o uso indebido de recursos, y 2) hacer modificaciones profundas a la seguridad social en salud (Instituto Mexicano del Seguro Social [IMSS], Instituto de Seguridad y Servicios So- ciales de los Trabajadores del Estado [ISSSTE]) para que, de un esquema de seguridad social (Bismarck), se
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Nigeria

Nigeria

WHO followed its mandate and objective to focus on health systems strengthening in accordance with its eleventh General Programme of Work, and regional and national priorities aimed at improving health services. Primary health care revitalization, the goal of universal health coverage and the MDGs were among the main drivers of WHO support for health systems strengthening during CCS II implementation. Under this priority, WHO worked with partners to support the Federal Ministry of Health to develop NSHDP, evaluate implementation of the national health policy, build capacity for health policy formulation and provide technical support to important federal and state policy organs. Health workforce planning and management systems and capacity were strengthened. Further, policies and strategies were developed to improve availability of quality essential medicines and health technology. Technical assistance was provided to strengthen health information systems and research and for instituting expenditure tracking in the health sector, particularly for health accounts at national and state levels, the national strategic health financing policy, and health insurance schemes. The key achievements under the health systems strengthening priority area included:
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Codiseño para mejorar la atención a los pacientes en el sistema de salud español, partiendo de herramientas de diseño de servicios.

Codiseño para mejorar la atención a los pacientes en el sistema de salud español, partiendo de herramientas de diseño de servicios.

Como sostienen Winschiers-Theophilus, Bidwell y Blake (2012), los méto- dos y prácticas de DP deben adaptarse siempre al entorno cultural en el que se aplican, y los servicios de salud en general (y los hospitales del sistema de salud en particular) tienen atributos sociales, culturales y económicos distintivos. Las características que los hacen particulares, según ellos, son las jerarquías profesionales entre los colectivos sanitarios, altos grados de especialización que pueden conducir a no trabajar bien de forma colaborativa y una aversión (comprensible) a los cambios y riesgos que ello implica. El Instituto para la Innovación y Mejoramiento del Servicio Nacional de Salud del Reino Unido (National Health Service, NHS), en colaboración con investigadores académicos, desarrolló una herramienta de trabajo denomi- nada “diseño basado en la experiencia” (EBD, por sus siglas en inglés), que se fundamenta en los métodos establecidos de mejora de servicios dentro del NHS (2004), y que ha recibido el reconocimiento de los del propio sistema sanitario y está siendo ampliamente promovido dentro de la organización, tal y como referencian ya —y participan— Bate y Robert (2007). Esta herra- mienta ha servido de base, mejorando sus fortalezas y subsanando debili- dades, para desarrollar posteriormente (2010) un método más específico, conocido como “user-centred healthcare design” (UCHD).
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Túnez

Túnez

medical consultations (10 612 053, including emergency consultations in 2007) performed in the public sector, in addition to about 1 300 000 reproductive health consultations (perinatal consultations, contraception, STIs, screening for cancers in women, etc.) performed by midwives. It takes care of the health activities for over 2 700 000 pupils or students in private and public educational facilities (preschool, primary, secondary, university, professional education and others). This sector serves as the population’s interface with, and entry point to, the health care system and, overall, adequately fulfils its role in providing access to curative treatment for common diseases and risk factors, integrated into a preventive health approach. Out in the field, it integrates a multitude of national programmes for both communicable diseases and diseases of the transition, which are managed centrally by various directorates: DMSU, DSSB, Directorate of Environmental Health and Environmental Protection (DHMPE) and ONFP. The remarkable improvement in the country’s health indicators has been made possible by this sector and it is extremely cost effective, only absorbing about 10%–15% of national health expenditure and about 10%–15% of national spending on medicines. 31 The sector is funded by the
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Informe d'Autors UOC a ISI Web of Knowledge  Gener 2015

Informe d'Autors UOC a ISI Web of Knowledge Gener 2015

Garrido-Cumbrera, M., Borrell, C., Palencia, L., Espelt, A., Rodriguez-Sanz, M., Pasarin, MI., Kunst, A., (2010). Social class inequalities in the utilization of health care and preventive services in Spain, a country with a national health system. International Journal of Health Services, 40(3), 525-542. doi: 10.2190/HS.40.3.h

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International trends in health science librarianship: part 4--four Southern European countries.

International trends in health science librarianship: part 4--four Southern European countries.

As the ‘ IASYS ’ system was unable to meet the complex needs of modern healthcare administration and management in 2011, the Greek Ministry of Health and Welfare launched a uni fi ed interface, the Greek National Health Information System (called ESY.net). This system manages the National Ambulance Immediate Care Service, the National Blood Bank, hospital fi nancial transactions, patient personal records and insurance and medical libraries. 2 The emerging fi nancial crisis, however, led to a lack of proper information technology man- agement causing major system failures, instabilities, as well as severe problems in drug administration and availability from pharmacies. Efforts are under- way to introduce the current version of ICD-10 so as to reduce healthcare cost, improve the quality of patient care and increase the fl exibility of the healthcare system. Although about 16 000 terms are already translated into Greek, only one-third of doctors are involved. 3 The major barriers to the adoption of IT solutions are the increased cost of
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La enfermería en las Unidades de Mama / tesis doctoral presentada por Carmen Torres García ; dirigida por [la] Dra  Belén Merck Navarro, [la] Dra  Vicenta Escribá Agüir [y la] Dra  María Muriach Saurí

La enfermería en las Unidades de Mama / tesis doctoral presentada por Carmen Torres García ; dirigida por [la] Dra Belén Merck Navarro, [la] Dra Vicenta Escribá Agüir [y la] Dra María Muriach Saurí

Organismos como el National Center for Health Stadistics, en adelante NHCS, utilizan los datos del programa SEER para realizar las previsiones anuales de nuevos casos de cáncer de mama en EEUU, así como la estimación de muertes por la enfermedad. Las valoraciones se basan en datos disponibles, que suelen tener 3 o 4 años de antigüedad. Así, en el año 2010, el número de mujeres en los Estados Unidos que recibió un diagnóstico de cáncer de mama fue de 206.966, mientras que el número de defunciones alcanzó las 40.996 mujeres. Dos años más tarde, estas cifras se incrementaron alcanzando un total de 224.147 nuevos casos y 41.150 fallecimientos (6). En 2013 la previsión del diagnóstico de nuevos casos de cáncer de mama fue de 232.340 mujeres, mientras que alrededor de 39.620 perdieron la vida por esta enfermedad (8). Para el 2015 se ha hecho una tasación de 231.840 nuevos casos de cáncer de mama en mujeres, lo que representa un 29% de todos los cánceres, y 40.290 muertes, correspondientes a cerca de un 15% del total de fallecimientos (14). La American Cancer Society estima que en 2016 ya se habrán diagnosticado 246.660 nuevos casos de neoplasias de mama en mujeres, y 40.450 fallecimientos femeninos por esta causa en los EEUU (15).
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Hallazgos clínicos y oftalmológicos en niños con Neurofibromatosis 1

Hallazgos clínicos y oftalmológicos en niños con Neurofibromatosis 1

The objective of this study was to determine the incidence of the National Institutes of Health (NIH) diagnostic criteria in children with Neurofibromatosis type 1 (NF1) in our setting, to compare them with the published statistical data, ophthal- mological findings, the importance of complementary studies, and to establish follow-up criteria. Methods: We conducted a retrospective study including 245 patients that were admitted to the Pediatric Hospital Garrahan between 1988 and 2010. NF1 was diagnosed at the first multidisciplinary visit, using the NIH criteria. Neuroimaging and visual evoked potentials (VEP) were performed in some of the children. Results: 92% of the patients had café au laity spots; 40.8% neurofibromas; 75.5% Lisch nodules; 38.8% ephelides; 16.3% optic-nerve glioma; and 16.3% skeletal dysplasia. The disorder was hereditary in 49%. For each hypermetry,1.76 myopias were observed. Conclusions: These rates found were according to previous reports, except for ephelides, which were less common. Elec- tive magnetic resonance imaging (MRI ) was performed, even in asymptomatic patients, and was repeated biannually and ophthalmological examination was done every six months until nine years of age. Currently, we do not indicate VEP.
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CRISPR/Cas9: Edición Genética vs. Bioética

CRISPR/Cas9: Edición Genética vs. Bioética

Adicionalmente, el Instituto Nacional de Salud de Estados Unidos (NIH: por sus siglas en inglés National Institutes of Health) en base a este hecho, declaró no apoyar el uso[r]

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Educacin nutricional en el control de la obesidad mediante intervenciones no tradicionales

Educacin nutricional en el control de la obesidad mediante intervenciones no tradicionales

vascular health: progress and research needs in the modification of risk-taking habits on adults populations. The SOPHE Heritage Collection of Health Education Monographs.(II). The Practice of Health Education. California(EEUU): Third Party Publishing Company, 1986.

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La salud ambiental de los niños en los CDC

La salud ambiental de los niños en los CDC

As evidenced by the variety of CDC efforts described above, the range of issues pertaining to children’s environmental health around the world is broad and complex in nature. Specific prenatal and childhood exposures to environmental contaminants may result in adverse health effects both during childhood and later in life. While certain exposures such as lead are well-studied and understood, much remains unknown about the specific effects of chemicals and other toxic environmental exposures on children. Additional research is needed to further scientific understanding of environmental exposures, and work remains to improve housing, water, sanitation, and hygiene conditions throughout the world.
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National alliance for Wilson’s disease: health policy in Costa Rica

National alliance for Wilson’s disease: health policy in Costa Rica

Currently the National Alliance for WD in Costa Rica considers the possible establishment of collaboration with a research group in Pamplona, Spain; that has devel- oped a successful gene therapy for WD in animal models. For the future the creation of joint collaborations and pro- grams with other organizations outside Costa Rica that perform similar actions as the National Alliance for Wilson’s Disease are in scope. These institutions in- clude: Medlineplus [16], National Library of Medicine Genetics Home Reference [17], NCBI Genes and Disease, Wilson’s Disease Association (WDA), American Associ- ation for the Study of Liver Diseases (AASLD), American Liver Foundation [18], European Society for Liver diseases (EASL), Canadian Liver Foundation (CLF) [19] and Euro Wilson Registry [20].
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6 Lee mas

Evaluación de tecnología sanitaria: informe de respuesta rápida. Tocilizumab para el tratamiento de la artritis idiopática juvenil poliarticular

Evaluación de tecnología sanitaria: informe de respuesta rápida. Tocilizumab para el tratamiento de la artritis idiopática juvenil poliarticular

inglés National Institute for Health and Care Excellence) incluye al tocilizumab entre otros biológicos como opciones de tratamiento de la AIJ poliarticular y oligoarticular extendida para niños de 2 años de edad o mayores cuya enfermedad haya respondido inadecuadamente a la terapia previa con metotrexato, y lo recomienda solo si las compañías farmacéuticas les proporcionan los descuentos acordados en los esquemas de acceso de pacientes para estas tecnologías. Respecto a las políticas de cobertura, el tocilizumab está aprobado por la FDA y la ANMAT. Está aprobado su uso en AIJ poliarticular a partir de los 2 años en Norteamérica, Europa y nuestro país 27,28 . Los proveedores de seguros de salud y
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Demographic Data and Estimates for the Countries and Regions of the World

Demographic Data and Estimates for the Countries and Regions of the World

The rates and figures are primarily compiled from the following sources: official country statistical yearbooks and bulletins; United Nations Demo- graphic Yearbook, 2000 and Population and Vital Statistics Report, Data Available as of 1 Jan. 2003 of the UN Statistics Division; World Population Prospects: The 2002 Revision of the UN Population Division; the UN Statistical Library; Recent Demo- graphic Developments in Europe, 2002 of the Council of Europe; and the data files and library resources of the International Programs Center, U.S. Census Bureau. Other sources include recent demographic surveys such as the Demographic and Health Surveys, Reproductive Health Surveys, spe- cial studies, and direct communication with
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Reduction of maternal mortality due to preeclampsia in Colombia an interrupted timeseries analysis

Reduction of maternal mortality due to preeclampsia in Colombia an interrupted timeseries analysis

A quasi experimental study was performed. The Colombian Ministry of Health and Social Protection launched the norms, regulations, adopted the model, and trained the health teams. Adequate implementation of BPSM was verified through official surveillance which also reported coverage on the application of the protocols. Maternal mortality had a dual notification system for epidemiological surveillance of maternal deaths (SIVIGILA system and vital statistics). Since 1992, the country has had an official quality assurance program to ensure good medical care with surveillance of this program provided by the Ministry of Social Protection. The most frequent causes of maternal mortality were evaluated: preeclampsia, eclampsia, HELLP syndrome, postpartum hemorrhage, abruption of placenta, placenta preview, sepsis, complications during labor, and embolism.
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The effects of migration on sending countries: a comparison of Mexico and Turkey

The effects of migration on sending countries: a comparison of Mexico and Turkey

South Africa says it has spent $1 billion educating health workers who emigrated— the equivalent of a third of all development aid it received from 1994 to 2000. In Malawi, where public sector RNs earn $1,900 a year, almost two-thirds of the nursing jobs in the public health system are vacant because of emigration as well as nurses staying in the country but switching to private hospitals and foreign-financed nonprofit groups. The migration of African doctors and nurses to developed countries seems to be an extreme example of the brain drain, especially because the demand for health care in Africa is growing with AIDS and recent initiatives to provide funds for immunization against common diseases. In May 2004, African countries at the annual assembly of the World Health Organization urged developed nations to compensate them for their lost investment in training nurses, and won a pledge to study ways to reduce the damage from the emigration of nurses.
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República Democrática Popular Lao

República Democrática Popular Lao

The Lao People’s Democratic Republic’s revised constitution of 2015 states that “the State intends to improve and expand public health services to take care of the people’s health” with a special focus on women and children, poor people, and people in remote areas. National policies are guided by the long-term Vision 2030, which is implemented through five-year national socioeconomic development plans. These plans are further detailed into provincial, district and sectoral five-year plans. Vision 2030 sees the Lao People’s Democratic Republic as a middle- to high-income country with balanced economic and social development, political stability, and social order and social safety nets in place. The objectives of the NSEDP8 (2016–2020) are continued poverty reduction, graduation from LDC status, effective management and use of natural resources, and strong regional and international integration.
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