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Sindicato Médico del Uruguay
Biblioteca Virtual en Salud
Montevideo, Uruguay
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Boletín Informativo. No. 36 |
abril 2012
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Este boletin se distribuye a 8000 inscriptos en la base de Biblioteca. |
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Protecting Health from Climate Change: vulnerability and adaptation assessment
Extreme weather events can damage and destroy critical health infrastructure, and reduce health system efficiency.
Sustainable Development and Environmental Health Pan American Health Organization/WHO 2012
“….There is now strong evidence that the earth’s climate is changing rapidly, due mainly to human activities. Increasing temperatures, sea-level rises, changes in precipitation patterns and extreme events are expected to increase a range of health risks, from the direct effects of heat waves, floods and storms, to more suitable conditions for the transmission of important infectious diseases, to impacts on the natural systems and socioeconomic sectors that ultimately underpin human health. Much of the potential health impact of climate change can, however, be avoided through a combination of strengthening key health system functions and improved management of the risks presented by a changing climate…..”
“……The critical first step in this process is to carry out a vulnerability and adaptation assessment. This allows countries to assess which populations are most vulnerable to different kinds of health effects, to identify weaknesses in the systems that should protect them, and to specify interventions to respond. Assessments can also improve evidence and understanding of the linkages between climate and health within the assessment area, serve as a baseline analysis against which changes in disease risk and protective measures can be monitored, provide the opportunity for building capacity, and strengthen the case for investment in health protection……”
Disponible online en: http://bit.ly/IRNV5X
Imagen obtenida de: http://seeingyourstory.com/category/climate-change-2/
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Mobile Technologies and Empowerment:
Enhancing human development through participation and innovation
UNDP’s Bureau for Development Policy, New York United Nations Development Programme UNDP 2012
“……….Mobile technologies are opening new channels of communication between people and governments, potentially offering greater access to public information and basic services to all. No other technology has been in the hands of so many people in so many countries in such a short period of time.
Recent estimates indicate that Information Communication Technologies ICTs could be accessible to everyone by 2015 and bring internationally agreed development targets ever closer to achievement Indeed, we are witnessing a new wave of democratization of access to innovative ICT channels, propelled by state-of-the-art technologies and diminishing barriers to entry.
…..In a global population of nearly seven billion people, the total number of mobile phone subscriptions globally is an astonishing 5.4 billion — and counting.1 Given that individual subscribers may have multiple and/or inactive SIM cards, the actual number of individual mobile subscribers worldwide is estimated at around 3.9 billion. Latest figures indicate that mobile phone penetration rates stand at almost 45 percent in low-income countries and 76 percent in lower middle-income countries …
….Given that entire villages in poor and/or rural communities will often share one or two cell phones, it is also estimated that 80 to 90 percent of people in some poor countries have at least minimal access to a cell phone . Furthermore, close to 80 million mobile subscribers, most of them in developing countries, have no access to the electrical grid — and yet use a mobile phone.
…..That is in part because mobile technologies offer portable, real-time communication and information access for people who previously had little to no access to affordable communication channels. Mobiles have relatively low physical infrastructure requirements and can reach remote areas in a more cost-effective fashion than other ICTs such as the Internet or fixed phone lines.
In some places, mobile devices are simply the only option available. And mobile phones require only basic literacy, making the barriers to entry much lower than with other modern ICTs. Yet, mobile services for people at the bottom of the pyramid remain high: the price basket for mobile services can amount to 15.75 percent of monthly average per capita income in countries with low human development (compared with 4.86 percent in medium human development contexts). And coverage in remote or marginalized areas is often nonexistent.
There are indications that at least ten percent of the global population and 40 percent of people in least developed countries are not covered by a mobile network, entrenching divisions between populations in urban centres and poorer populations in the periphery.
“….However, mobile phone subscriptions in the developing world are rapidly outpacing those in the developed world and costs are coming down. Moreover, public investment and public-private partnerships are becoming essential tools for extending connectivity, services and information.
As a result, mobile technologies are starting to have an indelible impact on human development, enhancing democratic governance and other development areas such as health, education, agriculture, employment, crisis prevention and the environment…..”
“….By themselves, mobile phones will neither pull people out of poverty, nor propel democratic governance. Instead they are catalytic tools for enhancing and broadening development programming if deployed strategically. They open new channels for connecting the poor to services, new ways for citizens to have their voices heard, and new opportunities for civic engagement in larger governance processes…..”
Disponible online en: http://bit.ly/Hh2Q6E
Imagen obtenida de: newspano.com
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Protección social inclusiva en América Latina
Una mirada integral, un enfoque de derechos
Autores: Simone Cecchini y Rodrigo Martínez
Comisión Económica para América Latina y el Caribe (CEPAL) Santiago de Chile, marzo de 2011
"Una de las principales constataciones que emergen de la reflexión impulsada por la CEPAL en los últimos años es que el desarrollo económico y el desarrollo social están íntimamente entrelazados y deben integrarse activamente en una política pública orientada a lograr una mayor igualdad. Sin embargo, a la luz de las brechas y deudas sociales en la región, para avanzar cabalmente hacia la igualdad de oportunidades y la universalización de derechos es necesario redoblar los esfuerzos. Si bien los resultados del último lustro son auspiciosos en cuanto a reducción de la pobreza y crecimiento económico, América Latina sigue siendo la región más desigual del mundo. Esto no solo plantea retos en materia de ingresos monetarios sino también en las dimensiones de género, étnicas y territoriales. Precisamente en grupos excluidos, entre otros, por estos factores el empleo tiende a ser precario y no logra constituirse en un vehículo de movilidad social y bienestar. Más aún, las condiciones laborales de amplios sectores de la población distan mucho del horizonte normativo del trabajo decente y no garantizan el acceso a mecanismos de protección social. Desde una óptica de derechos, la región aún está muy lejos de alcanzar su plena realización. En ausencia de canales efectivos de protección —públicos o privados— esta situación erosiona el sentido de pertenencia e inhibe la legitimidad que hace posible un proyecto común y compartido por la ciudadanía...
La persistencia de las dinámicas de desigualdad y exclusión, que se expresan en las herramientas con las que individuos y familias cuentan para protegerse y acceder a mejores condiciones de vida, tiene repercusiones no solo en sus niveles de bienestar material sino también en su percepción sobre un proyecto institucional y social compartido...
La protección social, formulada desde un enfoque de derechos, se vincula a la lucha contra la desigualdad de diversas formas: reduce considerablemente o elimina la probabilidad de no poder hacer frente a un riesgo contingente; limita la reproducción del círculo vicioso de la pobreza y la desigualdad al evitar que las familias hipotequen a futuro activos claves para el desarrollo humano, como la salud y la educación, y facilita la implementación de estrategias dirigidas a empoderar a aquellos grupos más vulnerables frente a riesgos, particularmente a los niños, los ancianos y las mujeres. Por último, en el libro se establece una base normativa sobre la cual levantar sociedades más justas y solidarias, y se garantiza, como un bien común, la protección de niveles de bienestar considerados esenciales."
Disponible en: http://bit.ly/AEbEU8
Imagen obtenida de: http://eco-bandejas.blogspot.com
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Design of a Website on Nutrition and Physical Activity for Adolescents
Results From Formative Research
Debbe Thompson1, PhD; Karen Weber Cullen1, DrPH, RD; Carol Boushey2, PhD, RD; Karen Konzelmann3, MS, CHES
1USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States 2University of Hawaii Cancer Center, Epidemiology Program, University of Hawaii, Honolulu, HI, United States 3Organizational and Educational Consultant, Pearland, TX, United States
Corresponding Author: Debbe Thompson, PhD
USDA/ARS Children's Nutrition Research Center Department of Pediatrics Baylor College of Medicine 1100 Bates Street Houston, TX, 77030 United States Phone: 1 713 798 7076 Fax: 1 713 798 7098 Email: dit [at] bcm.edu
ABSTRACT Background: Teens do not meet guidelines for healthy eating and physical activity. The Internet may be an effective method for delivering programs that help them adopt healthy behaviors. Objective: To collect information to design content and structure for a teen-friendly website promoting healthy eating and physical activity behaviors. Methods: Qualitative research, encompassing both focus group and interview techniques, were used to design the website. Participants were 12-17 year olds in Houston, Texas, and West Lafayette, Indiana. Results: A total of 133 participants took part in 26 focus groups while 15 participated in one-on-one interviews to provide guidance for the development of teen-friendly content and structure for an online behavior change program promoting healthy eating and physical activity to 12-17 year olds. The youth made suggestions to overcome common barriers to healthy eating and physical activity. Their feedback was used to develop “Teen Choice: Food & Fitness,” a 12-week online behavior change program, populated by 4 cartoon character role models. Conclusions: It is critical that members of the target audience be included in formative research to develop behavior change programs that are relevant, appealing, and address their needs and interests.
(J Med Internet Res 2012;14(2):e59)
Disponible online en: http://www.jmir.org/2012/2/e59/
Imagen obtenida de: Natural sports nutrition
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Edward Jenner realizando la primera vacunación contra la viruela
bsp;
Gaston Mélingue (1840-1914)
Jenner inoculant la vaccine (1879) Óleo sobre lienzo Académie Nationale de Médecine. Paris

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