jueves, 23 de julio de 2009

Nuevos reglamentos en Uruguay

From: Walter Migliónico - walmig@adinet.com.uy
Subject: Nuevos reglamentos en Uruguay.



Estimados.

El 9 de Julio del 2009 fueron promulgados en Uruguay dos Decretos reglamentarios en materia de Salud y Seguridad. Uno del CIT 184, Salud y Seguridad en el Agro. Dec 321/09 y otro para Uso y manejo de P.Químicos Dec 307/09. Ambos frutos de negociación tripartita. El 321/09 referente al Agro nos atrevemos a decir es inédito, por su contenido, en nuestra America.Contamos ahora con instrumentos legales para defender mejor nuestros derechos.
Saludos.

Walter Miglionico.
Coordinador.
Secretaria Salud Laboral y M.Ambiente.
PIT CNT URUGUAY.


Decreto 321 09.pdf
































[EQ] Positions opening in Int'l Public Health at the Graduate Institute - Geneva

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de julio de 2009 11:56
asunto: [EQ] Positions opening in Int'l Public Health at the Graduate Institute - Geneva




The Graduate Institute is looking for first rate or promising scholars with a specific focus on countries of the South in the following fields:



INTERNATIONAL ENVIRONMENTAL POLITICS Professor | Associate Professor | Assistant Professor
INTERNATIONAL PUBLIC HEALTH Professor | Associate Professor
GLOBAL | INTERNATIONAL MIGRATIONS Associate Professor | Assistant Professor
DEVELOPMENT ECONOMICS with a specialisation in applied microeconomics - Associate Professor | Assistant Professor

starting on 1st September 2010 or on a mutually agreed-upon date.

Applications must reach The Director of the Graduate Institute
P.O. Box 136, 1211 Geneva 21, Switzerland
Email director@graduateinstitute.ch
no later than 1st October 2009.

The Graduate Institute invites applications for a full-time position at the rank of
Professor / Associate Professor in International Public Health with a specialisation in Health Issues in Developing Countries

Candidates must hold a Ph.D. in Political Science, in Health Economics, or in Public Health, with a specialisation in International Public Health Policies, in particular in developing countries. They should have a strong analytical background, a proven ability to work with colleagues from other disciplines, a solid research track-record as well as a strong record of publications in internationally-recognised, peer-reviewed journals.

The successful candidate is expected to teach specialised graduate-level courses, as well as a general course on international public health. He will also supervise master and doctoral theses.

The language of instruction is either English or French, but candidates will be expected to soon acquire, if not already possess, a working knowledge of the other language.

Applications, including a detailed curriculum vitae and a list of publications – but excluding letters of recommendation and samples of publications -, must reach the Director, Graduate Institute of International and Development Studies, P.O. Box 136, 1211 Geneva 21, Switzerland (email: director@graduateinstitute.ch) by 1st October 2009.

General terms of appointment for a teaching position at the Institute may be obtained at the same address.

The Institute reserves the right to fill this position by invitation.

For more information about the Institute, candidates are encouraged to consult the Institute’s website: http://graduateinstitute.ch/open_positions


--
Prof. Gilles Carbonnier Head, Development Studies
Graduate Institute of International and Development Studies - Institut de hautes études internationales et du développement
CP 136 - 1211 Geneva 21 - Switzerland
Tel: +41 (0)22 908 4506 gilles.carbonnier@graduateinstitute.ch http://graduateinstitute.ch





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IHEID opening E.pdf




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IHEID Public Health Profile.doc


The Graduate Institute invites applications for a full-time position at the rank of


Professor / Associate Professor in International Public Health

with a specialisation in Health Issues in Developing Countries


starting on 1st September 2010 or a mutually agreed-upon date


Candidates must hold a Ph.D. in Political Science, in Health Economics, or in Public Health, with a specialisation in International Public Health Policies, in particular in developing countries. They should have a strong analytical background, a proven ability to work with colleagues from other disciplines, a solid research track-record as well as a strong record of publications in internationally-recognised, peer-reviewed journals.

The successful candidate is expected to teach specialised graduate-level courses, as well as a general course on international public health. He will also supervise master and doctoral theses.

The language of instruction is either English or French, but candidates will be expected to soon acquire, if not already possess, a working knowledge of the other language.

Applications, including a detailed curriculum vitae and a list of publications – but excluding letters of recommendation and samples of publications -, must reach the Director, Graduate Institute of International and Development Studies, P.O. Box 136, 1211 Geneva 21, Switzerland (email: director@graduateinstitute.ch) by 1st October 2009.

General terms of appointment for a teaching position at the Institute may be obtained at the same address.

The Institute reserves the right to fill this position by invitation.

For more information about the Institute, candidates are encouraged to consult the Institute’s website: http://graduateinstitute.ch/open_positions

[EQ] Financing Global Health 2009: Tracking Development Assistance for Health

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de julio de 2009 15:41
asunto: [EQ] Financing Global Health 2009: Tracking Development Assistance for Health


Financing Global Health 2009: Tracking Development Assistance for Health

The Institute for Health Metrics and Evaluation (IHME) at the University of Washington
July 22 - 2009

Available online as PDF file [123p.] at:
http://www.healthmetricsandevaluation.org/print/reports/2009/financing/financing_global_health_report_full_IHME_0709.pdf



July 22, 2009–Financing Global Health 2009 provides the most comprehensive picture available of the total amount of funding going to global health projects spanning two decades. It takes into account funding from aid agencies in 22 developed countries, multilateral institutions, and hundreds of nonprofit groups and charities. Prior to this report, nearly all private philanthropic giving for health was unaccounted for, meaning that nearly a third of all health aid was not tracked.

This is the first in what will become an annual publication providing valid and consistent time-series data for tracking global health resources and offering in-depth analyses in the following three areas: development assistance for health, government health expenditure, and private health expenditure. This first report focuses on development assistance for health…..”

Content:
· Report Overview (1M pdf*)

· Chapter 1: Tracking global health resource flows (200k pdf*)
· Chapter 2: Development assistance for health (620k pdf*)
· Chapter 3: Public development assistance for health (339k pdf*)
· Chapter 4: Private philanthropy and development assistance (334k pdf*)
· Chapter 5: Multilateral organizations and global health initiatives (420k pdf*)
· Chapter 6: Distribution of development assistance for health (3.5M pdf*)
· Conclusion and References (595k pdf*)
· Methods annex (1.1M pdf*)
· Statistical annex (318k pdf*)


Related Content:
· Read the article
· View the news release
· Download the slides (2.66M ppt)
· Use the datasets


Nirmala Ravishankar, PhD Research Scientist
Institute for Health Metrics and Evaluation University of Washington Seattle, WA, USA
Paul Gubbins, BA Post-Bachelor Fellow Institute for Health Metrics and Evaluation University of Washington Seattle, WA, USA
Rebecca J Cooley, Med Data Analyst Institute for Health Metrics and Evaluation University of Washington Seattle, WA, USA
Katherine Leach-Kemon, MPH Post-Graduate Fellow Institute for Health Metrics and Evaluation University of Washington Seattle, WA, USA
Catherine M Michaud, MD PhD Senior Research Scientist Harvard Initiative for Global Health Harvard University Cambridge, MA, USA
Dean T Jamison, MS PhD Professor, Global Health Institute for Health Metrics and Evaluation University of Washington Seattle, WA, USA
Christopher JL Murray, MD DPhil Institute Director and Professor, Global Health Institute for Health Metrics and Evaluation University of Washington Seattle, WA, USA


July 22, 2009 (1:30-3:30pm) - IHME Director, Dr. Christopher Murray presented the findings from the Institute’s latest study on global health funding
at a community meeting of the Global Health Council, Washington, D.C.

Funding for health in developing countries has quadrupled over the past two decades - from $5.6 billion in 1990 to almost $22 billion in 2007, driven in large part by the growing influence of private donors, foundations and non-governmental organizations. Private contributions now make up 30 percent of the health assistance pie, with a full quarter of health assistance resources flowing through NGOs. These are the latest findings out of the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. The study, "Financing of global health: tracking development assistance for health from 1990 to 2007," appeared in the June 20th issue of The Lancet and is featured in a policy report out this month, providing the first-ever comprehensive picture of the total amount of funding going to global health projects.


http://www.globalhealth.org/news/article/11284

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[EQ] Defining Comorbidity: Implications for Understanding Health and Health Services

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 23 de julio de 2009 10:29
asunto: [EQ] Defining Comorbidity: Implications for Understanding Health and Health Services


Defining Comorbidity:
Implications for Understanding Health and Health Services



Jose M. Valderas1, Barbara Starfield2, Bonnie Sibbald,1; Chris Salisbury,3; Martin Roland,1
1National Institute for Health Research School for Primary Care Research, The University of Manchester, Manchester, UK
2Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
3National Institute for Health Research School for Primary Care Research, University of Bristol, Bristol, UK
Annals of Family Medicine ✦ www.annfammed.org ✦ vol. 7, no. 4 ✦ July/August 2009



Available online at: http://www.annfammed.org/cgi/reprint/7/4/357



“……Comorbidity is associated with worse health outcomes, more complex clinical management, and increased health care costs. There is no agreement, however, on the meaning of the term, and related constructs, such as multimorbidity, morbidity burden, and patient complexity, are not well conceptualized.

In this article, we review definitions of comorbidity and their relationship to related constructs. We show that the value of a given construct lies in its ability to explain a particular phenomenon of interest within the domains of:
(1) clinical care,
(2) epidemiology, or
(3) health services planning and financing.

Mechanisms that may underlie the coexistence of 2 or more conditions in a patient (direct causation, associated risk factors, heterogeneity, independence) are examined, and the implications for clinical care considered. We conclude that the more precise use of constructs, as proposed in this article, would lead to improved research into the phenomenon of ill health in clinical care, epidemiology, and health services…..”


“….We have defined the various constructs underpinning the co-occurrence of distinct diseases (comorbidity of an index disease, multimorbidity, morbidity
burden, and patient complexity), described how these are interrelated, and shown how different constructs might best be applied to 3 different research areas (clinical care, epidemiology, health services)……….”

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[EQ] How citation distortions create unfounded authority: analysis of a citation network

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 23 de julio de 2009 10:30
asunto: [EQ] How citation distortions create unfounded authority: analysis of a citation network

How citation distortions create unfounded authority:
analysis of a citation network



Steven A Greenberg, associate professor of neurology
1 Children’s Hospital Informatics Program and Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA USA
BMJ Published 21 July 2009, doi:10.1136/bmj.b2680



Available online at: http://www.bmj.com/cgi/content/full/339/jul20_3/b2680



Objective To understand belief in a specific scientific claim by studying the pattern of citations among papers stating it.
Design A complete citation network was constructed from all PubMed indexed English literature papers addressing the belief that β amyloid, a protein accumulated in the brain in Alzheimer’s disease, is produced by and injures skeletal muscle of patients with inclusion body myositis. Social network theory and graph theory were used to analyse this network.

Main outcome measures Citation bias, amplification, and invention, and their effects on determining authority.

Results The network contained 242 papers and 675 citations addressing the belief, with 220 553 citation paths supporting it. Unfounded authority was established by citation bias against papers that refuted or weakened the belief; amplification, the marked expansion of the belief system by papers presenting no data addressing it; and forms of invention such as the conversion of hypothesis into fact through citation alone. Extension of this network into text within grants funded by the National Institutes of Health and obtained through the Freedom of Information Act showed the same phenomena present and sometimes used to justify requests for funding.

Conclusion Citation is both an impartial scholarly method and a powerful form of social communication. Through distortions in its social use that include bias, amplification, and invention, citation can be used to generate information cascades resulting in unfounded authority of claims. Construction and analysis of a claim specific citation network may clarify the nature of a published belief system and expose distorted methods of social citation



What this study adds:
How scientific data evolve into entire published biomedical belief systems around specific claims can be studied through a device called a claim specific citation network and the use of social network theory



Editorials
Inappropriate referencing in research
Has serious consequences, and the research community needs to act
http://www.bmj.com/cgi/content/full/339/jul20_3/b2049

“……During the preparation and writing of manuscripts, protocols, grant submissions, technical reports, and conference abstracts, authors must consider carefully the selection, completeness, and appropriateness of the articles referenced. Improper citation is not a benign practice; adequate and accurate citation is a necessity of scientifically and methodologically sound research.

Rather than treating citation errors in a particular journal article as isolated incidents, we must appreciate that such errors can be replicated in further articles and, therefore, cause considerable damage over time. Incorrect information can be promoted, alternative evidence ignored, and redundant research undertaken following inappropriate use of references, impairing scientific progress and affecting patient care….”


Supplementary materials
Files in this Data Supplement: Adobe PDF - gres611285.ww1.pdf


Supplementary Materials for: How Citation Distortions Create Unfounded Authority: Analysis of a Citation Network
Supplementary Notes
Note-1: Statements regarding a “key” or “central” role of beta-amyloid in IBM pathogenesis
Note-2: Methods
Note-3: Network properties of the claim-specific citation network
Note-4: Duplicate publication
Note-5: Specificity of antibodies used to claim the presence of beta-amyloid
Note-6: Data papers
Note-7: Lenses: the most influential papers and citations in the network
Note-8: Amplification: its definition, quantitation, and implications
Note-9: Authority emerges from bias and amplification
Note-10: Invention: conversion of hypothesis into fact by citation alone
Note-11: Back-door invention: claims systematically enter the belief system through a backdoor
Note-12: Title invention
Note-13: The claim-specific citation network extended from PubMed to NIH funded grants
Note-14: Self-serving citation and persuasive citation
Note-15: The loss of scientific implications of isolated data
Note-16: Authority of animal model papers and amplification using circularity
Note-17: Limitations of and alternatives for these analyses
Supplementary References
Supplementary Tables
Supplementary Table 1: Query results from PubMed
Supplementary Table 2: Papers with statements regarding amyloid or beta-amyloid
Supplementary Table 3: Papers, statements, and citations
Supplementary Table 4: Claim-specific citation table



Related studies:
Reporting and other biases in studies of Neurontin for migraine, psychiatric/bipolar disorders,
nociceptive pain, and neuropathic pain
Kay Dickersin, MA, PhD - August 10, 2008 http://dida.library.ucsf.edu/pdf/oxx18r10


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domingo, 19 de julio de 2009

[EQ] The Rural Hospital In Ecuador

The Rural Hospital In Ecuador

Improving rural secondary care is an essential expansion of the primary care strategy in many lower- and middle-income countries.

David Gaus is executive director of Andean Health and Development in Quito, Ecuador, and an associate clinical professor of family medicine and global health at the University of Wisconsin in Madison.
Health Affairs, July-August - Volume 28, no. 4 (2009) - - Delivering On Global Health Issue

Abstract : http://content.healthaffairs.org/cgi/content/abstract/28/4/1003

“…..Over a period of twelve years, the author’s vision of improving the health of rural Ecuadorians has evolved from an initial emphasis on primary health care to secondary care. The local community convinced him of the critical need for an efficiently managed, high-quality, and affordable rural secondary care hospital. Exploring a variety of funding options, the hospital ultimately achieved financial sustainability, principally through Ecuadorian public sources. Now, in partnership with the Ministry of Public Health (MOH), the rural hospital model that evolved in Pedro Vicente Maldonado is being adapted as a pilot project in an existing MOH rural hospital. ….”



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[EQ] Polio Eradication: Strengthening The Weakest Links

Polio Eradication: Strengthening The Weakest Links


Scott Barrett, Earth Institute Professor of Natural Resource Economics at Columbia University
Health Affairs, July-August Volume 28, no. 4 (2009): 1079-1090 - - Delivering On Global Health Issue


Abstract: http://content.healthaffairs.org/cgi/content/abstract/28/4/1079


“…..Polio eradication, like all eradication efforts, is a gamble. If it fails, much of the money spent will have been wasted. If it succeeds, the world will reap a dividend. Success or failure and the magnitude of the dividend depend on a long chain of "weakest links." In this paper I identify these links and explain how the chain can be strengthened.
A crucial vulnerability is the current plan to halt vaccination using the live-attenuated oral polio vaccine in the post-eradication era. This weakest link can be strengthened by efforts that lower the cost to poor countries of vaccinating with the inactivated poliovirus vaccine….”


Diplomacy And The Polio Immunization Boycott In Northern Nigeria


Judith R. Kaufmann and Harley Feldbaum
http://content.healthaffairs.org/cgi/content/abstract/28/4/1091


“…The boycott of polio vaccination in three Northern Nigerian states in 2003 created a global health crisis that was political in origin. This paper traces the diplomatic actions that were taken by the Global Polio Eradication Initiative, the United Nations, and the U.S. government, to restart polio vaccination and resolve the crisis. The polio vaccination boycott in Northern Nigeria provides a useful case study of the practice of global health diplomacy…...”



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