7 results
Search Results
2. Key issues in emergency department management of COVID-19: proposals for improving care for patients in Latin America.
- Author
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Julián-Jiménez A, Eduardo García D, González Del Castillo J, Penna Guimarães H, García-Lamberechts EJ, Menéndez E, Candel González FJ, Cortés Marín CE, Nilsa Romina EA, Piñera Salmerón P, González Bascuñán U, Correa Schubert DU, Maldonado Gangotena A, López Tapia JD, Camargo G, Rosas Romero FA, Laica Sailema NR, Doldan Otazo C, Buitrago Carazo ÓE, and López Terán P
- Subjects
- COVID-19 epidemiology, COVID-19 Testing methods, COVID-19 Testing standards, Clinical Protocols, Humans, Latin America, Pandemics, COVID-19 diagnosis, COVID-19 therapy, Emergency Service, Hospital organization & administration, Quality Improvement organization & administration
- Abstract
The incidence of the coronavirus disease 2019 (COVID-19) in Latin America and Spain and its impact particularly on hospital emergency departments have been great, sustained, and unpredictable. Unfortunately, this situation will continue in the medium term, regardless of the diverse concepts and definitions used to identify cases or hypotheses about the role of staff. In the context of the worldwide pandemic, a multinational group of experts from the Latin American Working Group to Improve Care for Patients With Infection (GT-LATINFURG) has drafted various opinion papers for use by emergency care systems in the member countries. The GT-LATINFURG is comprised of representatives from the 13 scientific associations affiliated with the Latin American Federation for Emergency Medicine (FLAME). Experts from the Spanish Society of Emergency Medicine (SEMES) also participated. The present consensus statement offers protocols and recommendations to facilitate the work of hospital emergency departments with regard to key issues the group identified, namely, the need for reorganization, triage, and routine test availability. Additional issues discussed include biomarkers; clinical, laboratory, radiologic, and microbiologic criteria for identifying patients with COVID-19; and risk and prognostic factors for mortality that emergency staff can use to quickly detect severe cases in our settings.
- Published
- 2021
3. Ethical allocation of scarce health care resources in the context of the COVID-19 crisis.
- Author
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Aguilera B
- Subjects
- COVID-19, Chile, Coronavirus Infections epidemiology, Guidelines as Topic, Hospitals ethics, Hospitals statistics & numerical data, Humans, Intensive Care Units ethics, Intensive Care Units statistics & numerical data, Latin America, Pandemics, Pneumonia, Viral epidemiology, Social Justice, Coronavirus Infections therapy, Health Care Rationing ethics, Pneumonia, Viral therapy, Public Health ethics, Surge Capacity statistics & numerical data
- Abstract
The current COVID-19 pandemic has the potential to overwhelm the capacity of hospitals and Intensive Care Units in Chile and Latin America. Thus local authorities have an ethical obligation to be prepared by implementing pertinent measures to prevent a situation of rationing of scarce healthcare resources, and by defining ethically acceptable and socially legitimate criteria for the allocation of these resources. This paper responds to recent ethical guidelines issued by a Chilean academic institution and discusses the main moral principles for the ethical foundations of criteria for rationing during the present crisis. It argues that under exceptional circumstances such as the current pandemic, the traditional patient-centered morality of medicine needs to be balanced with ethical principles formulated from a public health perspective, including the principles of social utility, social justice and equity, among others. The paper concludes with some recommendations regarding how to reach an agreement about rationing criteria and about their implementation in clinical practice.
- Published
- 2020
- Full Text
- View/download PDF
4. Moving towards universal health coverage: advanced practice nurse competencies.
- Author
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Honig J, Doyle-Lindrud S, and Dohrn J
- Subjects
- Advanced Practice Nursing education, Education, Nursing methods, Humans, Latin America, Practice Patterns, Nurses' standards, Surveys and Questionnaires, Advanced Practice Nursing standards, Clinical Competence standards, Health Services Accessibility
- Abstract
Objective: this paper aims to describe the first phase of a project whose general goal was to develop a consensus-based set of advanced practice nurse competencies applicable to Latin American countries and, based on these competencies, produce an advanced practice nurse curricular prototype adapted to Latin American countries. The project was framed in a competency-based approach to advanced practice nursing education. The specific aims of the first phase of the project described in this paper were: 1) to identify a set of potential advanced practice nurse competencies that would serve as the template for Core Advanced Practice Nurse Competencies in Latin American countries and 2) to establish consensus for Core Advanced Practice Nurse Competencies in Latin American countries., Method: advanced practice nurse competencies were derived from a comprehensive review of published competencies and informed the development of a survey designed to assess the relevance of advanced practice nurse competencies in Latin American countries. The survey was distributed to nurse leaders and nurse educators. Data were analyzed using descriptive statistics., Results: consensus for Core Competencies was established., Conclusion: the Core Advanced Practice Nurse Competencies presented can provide a structured framework to build educational programs aligned to the needs of the regional environment.
- Published
- 2019
- Full Text
- View/download PDF
5. Scientific production of midwives in Latin American obstetrics and gynecology journals indexed in Scopus.
- Author
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Zavaleta-Lopez E, Villarreal-Zegarra D, Cjuno J, and Bazalar-Palacios J
- Subjects
- Bibliometrics, Humans, Latin America, Gynecology statistics & numerical data, Midwifery statistics & numerical data, Obstetrics statistics & numerical data, Periodicals as Topic statistics & numerical data
- Abstract
Objetive: To describe the characteristics of the scientific production of midwives in Latin American obstetrics and gynecology journals indexed to Scopus during the period 2011 to 2016., Methods: This paper reports a descriptive bibliometric study, with intentional non-probabilistic sampling. We analyzed articles of research papers published by midwives in medical specialty journals in obstetrics and gynecology of Latin America indexed to Scopus, in the 2011 to 2016 period., Results: We found eight obstetrics and gynecology journals in Latin America indexed in Scopus. There were 1,696 articles published between 2011 and 2016, of which 4.9% were authored or co-authored by midwives. Of these publications, 93.8% were related to topics of the specialty, 62.5% had midwives as corresponding authors, 64.1% of papers were in Spanish, only 3.1% were published in English, and 57.8% of midwives worked in Chile at the time of publication. In 2016, there was one-fifth the number of publications compared to 2012., Conclusions: We found little scientific production by midwives in Latin American obstetrics and gynecology journals indexed in Scopus. Strategies that encourage and allow research and scientific production by midwives are needed.
- Published
- 2019
- Full Text
- View/download PDF
6. Full-text publication of abstracts presented at meetings of a Latin American scientific society.
- Author
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Dicembrino M, Anderson M, Vely AG, Ossorio MF, and Ferrero F
- Subjects
- Latin America, Abstracting and Indexing statistics & numerical data, Congresses as Topic statistics & numerical data, Publishing statistics & numerical data, Societies, Scientific
- Abstract
Objective: To estimate the proportion of abstracts presented at meetings of the Latin American Society for Pediatric Research that are fully-published, to describe the reasons for not publishing papers, and to assess the impact of funding on the publication rate., Methods: Abstracts presented at meetings held between 2005 and 2009 were included. Authors were contacted and invited to take a survey on the publication of their work or the reasons not to do it., Results: Information was collected on 232 (71.4%) of the 325 abstracts presented. Of these, 58.6% were fully-published (136/232). Funded studies (40.0%) had more chances of publication (OR: 2.2; 95% CI: 1.2-3.9). "Lack of time" was the most common reason for failure to publish (35/96)., Conclusion: 58.6% of abstracts presented at meetings of the Latin American Society for Pediatric Research, were published as full-text articles; lack of time was the most common reason for failure to publish. Funded research had more chances of being published.
- Published
- 2014
- Full Text
- View/download PDF
7. International migration in Paraguay and the integration of the Southern Cone: a research programme.
- Author
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Maletta H
- Subjects
- Americas, Argentina, Demography, Developing Countries, Latin America, Paraguay, Population, Population Dynamics, South America, Economics, Emigration and Immigration, Employment
- Abstract
"The purpose of this paper is to bring together some of the general problems that arise in the study of international migration between Paraguay and the countries of the Southern Common Market (with special reference to Argentina, which is the most frequent destination of Paraguayan migration).... The paper first reviews the known information about the emigration of Paraguayans, in general, and to Argentina, in particular, with some references to immigration to Paraguay from bordering countries, as well....A brief survey is made of the impact of the Southern Common Market (Mercosur) on employment and migration, and, finally, some specific problems related to the economic analysis of these migrations are discussed....", (excerpt)
- Published
- 1992
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