Revista panamericana de salud pública = Pan American journal of public health
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Rev. Panam. Salud Publica · May 2011
Correlation of Cesarean rates to maternal and infant mortality rates: an ecologic study of official international data.
To correlate international official data on Cesarean delivery rates to infant and maternal mortality rates and low weight-at-birth rates; and to test the hypothesis that Cesarean rates greater than 15% correlate to higher maternal and infant mortality rates. ⋯ There is an inverse exponential relation between countries' rates of Cesarean deliveries and infant or maternal mortality rates. Very low Cesarean rates (less than 15%) are associated with poorer maternal and child outcomes. Cesarean rates greater than 15% were neither correlated to higher maternal nor child mortality, nor to low weight-at-birth.
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Rev. Panam. Salud Publica · Mar 2011
Deinstitutionalization and attitudes toward mental illness in Jamaica: a qualitative study.
To consider whether or not deinstitutionalization and the integration of community mental health care with primary health care services have reduced stigma toward mental illness in Jamaica. ⋯ Attitudes toward the mentally ill have improved and stigma has decreased since the increase of community involvement with the mentally ill. This reduction in stigma seems to be a result of the rigorous deinstitutionalization process and the development of a robust community mental health service in Jamaica.
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Rev. Panam. Salud Publica · Jan 2011
Multicenter Study Comparative Study Controlled Clinical Trial[Cost-effectiveness in the detection of influenza H1N1: clinical data versus rapid tests].
Evaluate the performance of clinical data and the rapid influenza diagnostic test (RIDT) in diagnosing influenza H1N1, and analyze the cost-benefit of using this diagnostic tool. ⋯ Use of the RIDT to aid in the diagnosis of influenza H1N1 increases certainty and lowers the average cost per suspected and infected patient.