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Barriers for implementation of cosmetovigilance in Peru: Structural Equation Modeling Using Partial Least Square

Barriers for implementation of cosmetovigilance in Peru: Structural Equation Modeling Using Partial Least Square

Results: 81 questionnaires self-administered anonymous were completed (response rate = 51.9%). Aver- age of years of working in community pharmacies was more than 6.36 years (SD: 4.63). More than 70% of the participating pharmacists chose the «strongly agree» and «agree» alternative for items about barriers that included: Lack of time, National health system structure in general and My interest to report ad- verse reaction by cosmetics. About daily activities, more than 70% of the participants chose the «strongly agree» and «agree» alternative for items that included «Rarely I explain to users about adverse reaction with cosmetics use» and «Rarely I have material to inform to users about adverse reaction with cosmetics use». The composite reliability for each latent variable was Resources: 0,766; Interest: 0862; Regulation: 0.815 and Cosmetovigilance Practice: 0.909.
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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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The dystrophinopathies in Costa Rica

The dystrophinopathies in Costa Rica

Abstract: A five-years long study aiming to describe the basic genetic epidemiology of the dystrophinopathies in Costa Rica recruited 31 patients with clinical symptoms of DMD/BMD at the National Children’s Hospital (HNN). This center is the obligate reference hospital of the national health system for genetic diseases, howev- er, the geographic origin of the patients, a low percentage of deletions and a high proportion of de novo muta- tions found among them indicate that a significant ascertainment bias impedes a substantial scientific approach to confront and alleviate the problems posed by these severe diseases in Costa Rica. Rev. Biol. Trop. 52(3): 485- 490. Epub 2004 Dic 15.
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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.

efforts, promoting excellence in both basic and clinical research, aided by state-of-the-art research facilities and a modern electronic library. The Hellenic Academic Libraries Consortium (HEAL- Link) was founded in 2000 to bring together the libraries of 38 Universities (including the Univer- sity of Cyprus), 14 research institutes, the Academy of Athens, the National Library of Greece, the Greek Parliament Library, the National Institute of Agricultural Research and the Greek Institute of Education. Administrative issues led to 34 gen- eral and three military hospital libraries being omit- ted from HEAL-Link because control by different ministries was not resolved. The National Docu- mentation Centre was strengthened with the intro- duction of new technological tools and services, the goal being to connect as many public libraries as possible. As a consortium HEAL-Link, aided by other individual institutions, has signi fi cantly enriched their collections by subscribing to many high-impact international journals, most being elec- tronic. Over a 7-year period, health libraries in Greece invested strongly in novel technologies, computers and informatics (e.g. web 2.0 services).
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II Comprehensive Mental Health Plan For Andalusia 2008-2012 : Andalusian Public Health System

II Comprehensive Mental Health Plan For Andalusia 2008-2012 : Andalusian Public Health System

moving away from a care experience almost completely focused on the provision of ser- vices, and instead moving towards a care system which takes the promotion of mental health much more into consideration, developing objectives and activities of a markedly cross-cutting nature, oriented towards favouring the highest degree of well-being and quality of life for the Andalusian population. Furthermore, the aim is to promote general health in people with mental illness by creating facilities for coordination and coopera- tion amongst the different consultants and bodies involved in the care of these people.
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Incomplete health reforms in Latin America: some findings on their political economy

Incomplete health reforms in Latin America: some findings on their political economy

In Latin America, countries with entirely fragmented health systems are those where health institutions with no articulation or integration persist. Service providers and public and private health/insurance organizations act independently and autonomously, conserving their own service networks and generating high costs and administrative inflexibility. Insured individuals may use either public or private services and in many cases, cross subsidies are generated from the poorest members of society to the wealthiest population, as is the case of universal and free health systems where expensive medical procedures provided by the public network are taken advantage of by middle and high class individuals who have private insurance and know how to avoid the queues to be admitted that prevail in public systems for the poorest population. In the Latin American context, countries such as Venezuela, Surinam and Bolivia still have totally fragmented systems. Correspondingly, countries with integrated health systems are those where, despite fragmentation, institutional and administrative coordination exists, avoiding duplicate coverage, reducing transaction costs and improving solidarity and equity in services offered by a large number of institutions. Totally integrated health systems do not exist in the Region, although there are indications that countries such as Chile and Colombia are advancing towards increased health system integration.
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INFORME SOBRE LA SALUD EN EL MUNDO 2005:¡ CADA MADRE Y CADA NIÑO CONTARAN!

INFORME SOBRE LA SALUD EN EL MUNDO 2005:¡ CADA MADRE Y CADA NIÑO CONTARAN!

Attending to all of the 136 million births every year is one of the major challenges that now faces the world’s health systems. This challenge will increase in the near future as large cohorts of young people move into their reproductive years, mainly in those parts of the world where giving birth is most dangerous. Women risk death to give life, but with skilled and responsive care, at and after birth, nearly all fatal outcomes and disabling sequelae can be averted – the tragedy of obstetric fistulas, for example – and much of the suffering can be eased. Childbirth is a central event in the lives of families and in the construction of communities; it should remain so, but it must be made safe as well. For optimum safety, every woman, without exception, needs professional skilled care when giving birth, in an appropriate environment that is close to where she lives and respects her birthing culture. Such care can best be provided by a registered midwife or a health worker with midwifery skills, in decentralized, first-level facilities. This can avert, contain or solve many of the life-threatening problems that may arise during childbirth, and reduce maternal mortality to surprisingly low levels. Skilled midwifery professionals do need the back-up only a hospital can provide, however, for women with problems that go beyond the competency or equipment available at the first level of care. All women need first-level maternal care and back-up care is only necessary for a minority, but to be effective both levels need to work in tandem and both must be put in place simultaneously.
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Avances metodológicos en el análisis de costes y resultados para la evaluación económica de intervenciones sanitarias

Avances metodológicos en el análisis de costes y resultados para la evaluación económica de intervenciones sanitarias

Another drawback of CEA is that, irrespective of the type of outcome measure used, this kind of economic evaluation is not useful for comparing interventions that differ in more than one outcome (e.g. increase in quality of life at the expense of a shorter length of life or vice versa) or interventions with different outcomes (e.g. reduction in blood pressure as opposed to reduction in blood glucose level; improvement in mobility versus improvement in mental health). In conclusion, CEA is of limited use to inform decisions about the efficient allocation of health care resources because it may lead to wrong (or suboptimal) decisions (Drummond et al., 2005). For these reasons, CEA has found little acceptance among economists (Russell et al., 1996; Brazier et al., 1999), although it is extensively used in pharmacoeconomic studies. To overcome some of the limitations of CEA, a new variant of this type of economic evaluation, namely, the CUA approach, was developed. The peculiarity of CUA in comparison with the CEA is that in the former the benefits are measured in terms of quality-adjusted life years (QALYs). The QALY is a summary measure of health outcomes that combines into a single index changes in HRQoL and length of life (i.e. quality and quantity of life, respectively) (Kind et al., 2009). A QALY represents the equivalent number of years that are lived in full health (Weinstein and Stason, 1977). Therefore, CUA is confined to HRQoL outcomes. For this reason, the QALY is not suitable to ascertain how much money should be spent on health care as compared with other public policies (Brazier et al., 1999; Dolan, 2011). By contrast, given that the QALY is a standardised metric, its main advantage is that it enables comparisons across different diseases, programmes and populations, even across interventions that only have an impact on longevity and those that only have effects on quality of life (Weinstein et al., 2009).
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The Chilean Health System: 20 Years of Reforms

The Chilean Health System: 20 Years of Reforms

The transition government found a series of problems reminiscent of the Pinochet government. One of them was the major deterioration of public infrastructures and quality of care due to an important decline in pu- blic health expenditures during the previous decade. The national government’s contribution to public health revenue had declined from 50% in 1980 to 40% in 1990 while the beneficiaries’ share had increased from 36% to 47%.* The poor quality of public infras- tructure was accompanied by inefficient management in the deconcentrated organizations, particularly the regional health services. The situation was attributed to the inadequacy of the information and adminis- trative systems, inexperienced decision-makers, and inefficient allocation of public resources due to the centralized system of payment and fixed structure of personnel. Indeed, the FAP system did not favor efficiency and cost-containment, and the number of health workers and their salaries were fixed by law for each Servicio de Salud. This system of organization did not suit local needs.
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Integrated electronic system for ultrasonic structural health monitoring

Integrated electronic system for ultrasonic structural health monitoring

A fully integrated on-board electronic system that can perform in-situ structural health monitoring (SHM) of aircraft’s structures using specifically designed equipment for SHM based on guided wave ultrasonic method or Lamb waves’ method is introduced. This equipment is called Phased Array Monitoring for Enhanced Life Assessment (PAMELA III) and is an essential part of overall PAMELA SHM™ system. PAMELA III can generate any kind of excitation signals, acquire the response signals that propagate throughout the structure being tested, and perform the signal processing for damage detection directly on the structure without need to send the huge amount of raw signals but only the final SHM maps. It monitors the structure by means of an array of integrated Phased Array (PhA) transducers preferably bonded onto the host structure. The PAMELA III hardware for SHM mapping has been designed, built and subjected to laboratory tests, using aluminum and CFRP structures. The 12 channel system has been designed to be low weight (265 grams only), to have a small form factor, to be directly mounted above the integrated PhA transducers without need for cables and to be EMI protected so that the equipment can be taken on board an aircraft to perform required SHM analyses by use of embedded SHM algorithms. Moreover, the autonomous, automatic and on real-time working procedure makes it suitable for the avionic field, sending the corresponding alerts, maps and reports to external equipment.
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Childbirth and labour plan Andalusian public health System

Childbirth and labour plan Andalusian public health System

This document contains one format of a labour and childbirth plan, which we hope will help you in drawing up your plan. However, you have the right to draw up any other, according to your convictions and preferences, safe in the knowledge that it will be received with equal attention, as long as the best interests of you and your future baby’s health remain guaranteed.

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TítuloMeta analysis of Immunochip data of four autoimmune diseases reveals novel single disease and cross phenotype associations

TítuloMeta analysis of Immunochip data of four autoimmune diseases reveals novel single disease and cross phenotype associations

Coordinating Center: Mark Brown (Wake Forest University Health Sciences, United States); Wei--‐Min Chen (University of Virginia, United States); Arnetta Crews (Wake Forest University Health Sciences, United States); Jason Griffin (Wake Forest University Health Sciences, United States); Mark Hall (Wake Forest University Health Sciences, United States); Teresa Harnish (Wake Forest University Health Sciences, United States); John Hepler (Wake Forest University Health Sciences, United States); Joan Hilner (Wake Forest University Health Sciences, United States); Nancy King (Wake Forest University Health Sciences, United States); Kurt Lohman (Wake Forest University Health Sciences, United States); Lingyi Lu (Wake Forest University Health Sciences, United States); Josyf Mychaleckyj, (University of Virginia, United States); Jay Nail (Wake Forest University Health Sciences, United States); Letitia Perdue, (Wake Forest University Health Sciences, United States); June Pierce (Wake Forest University Health Sciences, United States); David Reboussin, (Wake Forest University Health Sciences, United States); Stephen Rich (University of Virginia, United States); Scott Rushing (Wake Forest University Health Sciences, United States); Michele Sale (University of Virginia, United States); Elizabeth Sides, (Wake Forest University Health Sciences, United States); Beverly Snively (Wake Forest University Health Sciences, United States); Hoa Teuschler (Wake Forest University Health Sciences, United States); Goodrich Theil (Wake Forest University Health Sciences, United States); Lynne Wagenknecht (Wake Forest University Health Sciences, United States); Dustin Williams (Wake Forest University Health Sciences, United States).
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Development of an evidence based model of rapid testing, counseling and referral patients with HIV, HVC and other STDs in Mexican addiction treatment centers

Development of an evidence based model of rapid testing, counseling and referral patients with HIV, HVC and other STDs in Mexican addiction treatment centers

and the personal barriers that influence the initiation of ART (Posse, Meheus, Van Asten, H., Van Der Ven, & Baltussen, 2008; Johnson et al., 2015). Barriers reported by various studies include lack of training in the application of rapid tests. This can be offset by basic training to offer psycho- logical guidance, provide feedback on safe sexual behaviors to reduce the likelihood of transmission of HIV and other STIs, and liaise with health services for the application of supplementary (confirmatory) tests and/or initiating ART (Posse et al., 2008; Rawat et al., 2018; Johnson et al., 2015) to prevent late diagnoses and ensure that PLHIV improve their quality of life through early detection (Magis-Rodrí- guez, Villafuerte-García, Cruz-Flores, & Uribe-Zuniga, 2015).
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ECDC country visit to Spain to discuss antimicrobial resistance issues 15 19 February 2016

ECDC country visit to Spain to discuss antimicrobial resistance issues 15 19 February 2016

• A national hand hygiene programme, promoted by the Ministry of Health Social Services and Equality, in coordination with all the Autonomous Regions, started in Spain in 2008. However, its implementation and the level of compliance with hand hygiene practices in healthcare may vary among the Autonomous Regions. It is vital that Spain urgently evaluates the level and quality of the hand hygiene programmes implemented in hospitals and in the Autonomous Regions. This is an important step towards understanding the failures of previous programmes and assuring the sustainability of any future improvement. This will ensure that Spain fully implements the 2008–2009 WHO Guidelines for Hand Hygiene in Healthcare in all settings where healthcare is delivered. These Guidelines include a programme of education on the five moments and proper technique; availability of hand hygiene products at the point of care; a train-the- trainers approach to hand hygiene education and audit; regular compliance audits within all healthcare facilities; reporting and trend analysis of hand hygiene compliance, integral to and embedded within the patient safety culture of all settings where healthcare is delivered and coupled with the support of ongoing, high-profile national and regional information campaigns aimed at healthcare professionals and service users. Hand hygiene campaigns could also target the general public to promote awareness among all citizens (e.g. with messages highlighting the role of hand hygiene in the prevention of respiratory and gastrointestinal tract infections to reduce the need for antibiotics).
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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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NATIONAL REPORT ON THE IMPLEMENTATION OF THE RAMSAR CONVENTION ON WETLANDS

NATIONAL REPORT ON THE IMPLEMENTATION OF THE RAMSAR CONVENTION ON WETLANDS

H. How can Ramsar Convention implementation be better linked with the implementation of water policy/strategy and other strategies in the country (e.g., sustainable development, energy, extractive industry, poverty reduction, sanitation, food security, biodiversity)? it can be linked to the National Water Legislation that was recently drafted. As water is an important natural resource for the country all strategies and policies make provisions to ensure that the water resources are protected which also includes the management structure of the RAMSAR sites (watershed protection, riparian zones, water qulaity
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