Revista panamericana de salud pública = Pan American journal of public health
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Rev. Panam. Salud Publica · Sep 2012
Mapping the nutrition transition in Peru: evidence for decentralized nutrition policies.
The study objectives were to map the different stages of the nutrition transition for each department within Peru, and to determine the nutrition policy needs for each geographic area based on their current stage in the nutrition transition. Results show that most of the country is suffering from a double-burden of malnutrition, with high rates of stunting among children less than 5 years of age and high rates of overweight and obesity among women of reproductive age. Currently, Peru has only country-wide nutrition policies, administered by the Ministry of Health, that are primarily focused on stunting prevention. This study argues for the need to have decentralized nutrition policies that vary according to what type of malnutrition is being experienced in each geographic area.
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Rev. Panam. Salud Publica · Aug 2012
Hospitalized cases of influenza A(H1N1)pdm09 in the French territories of the Americas, July 2009-March 2010.
To describe the methodology used for implementing a surveillance system specifically for influenza A(H1N1)pdm09 in the French West Indies and French Guiana during an outbreak of this new virus in 2009-2010, and to report its main results. ⋯ Active research of hospitalized cases enabled almost exhaustive surveillance. The pandemic's hospitalization rates and lethality were more moderate than expected. Some previously known underlying conditions of severity were confirmed during this outbreak. Furthermore, these results show the validity of early antiviral treatment.
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Rev. Panam. Salud Publica · Jun 2012
[Cost-effectiveness of vaccinating pregnant women against pandemic influenza in Colombia].
Estimating the cost-effectiveness ratio of vaccinating pregnant women against the 2009 pandemic influenza A (H1N1) in Colombia during the second wave of the pandemic. ⋯ Vaccinating pregnant women against pandemic influenza is cost-effective in a scenario with a high mortality rate. The existing evidence that pregnant women are at increased risk of complications and that the vaccine is safe would justify its use in pregnant women.
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Rev. Panam. Salud Publica · Jun 2012
[Analysis of quality of life following hospital discharge among survivors of severe sepsis and septic shock].
Describe the impact of severe sepsis and septic shock on patients' quality of life following hospital discharge. ⋯ Severe sepsis or septic shock can result in significant negative effects on the quality of life, in addition to reducing long-term survival probability.
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Rev. Panam. Salud Publica · Jan 2012
[Validation of the Spanish version of the Primary Care Assessment Survey questionnaire].
Adapt the Primary Care Assessment Survey (PCAS) questionnaire to the Spanish language and determine its validity and reliability in identifying strengths and weaknesses in primary health care (PHC). ⋯ The psychometric properties of the adapted version of the PCAS questionnaire make it possible to state that it is a valid and reliable scale to evaluate primary care from a standpoint of ongoing care based on the physician-patient relationship.