Presentación de Jaime Miranda en el marco del III Congreso Chileno de Salud Pública y el V Congreso Chileno de Epidemiología.
Santiago de Chile, Julio 2014.
The document profiles several medical doctors who work for the Orange County Health Care Agency. It provides brief biographies of each doctor, including their educational background, years of experience, areas of specialty or focus, and reasons for practicing medicine. The doctors work in a variety of specialties including infectious diseases, emergency preparedness, mental health, family medicine, and more. They describe fulfilling their roles as physicians, advocates, innovators and more in order to improve public health and serve the community.
I created this pamphlet as a way of making information accessible to all pre-health/pre-med students. Inside you can find information about student-led organizations, minors, scholarships, summer opportunities and more! My goal is to help students transition into the university and learn how to be proactive about their education.
The Factors Influencing the Hospital Utilization9145
The document discusses the main factors that influence hospital utilization, including internal facilities, site, and location. Internal facilities should have modern equipment, specializations, professional staff, good infrastructure, and medical services. The site should have available facilities, appropriate land costs, no nearby similar hospitals, and supportive utilities. The location should be convenient for people through affordable transportation, have nearby emergency services, and supportive amenities while being eco-friendly and avoiding cross-infection. Locality support, facilities, site, and location are essential for hospital utilization.
Instrucciones generales uniforme de medicinajhonny perez
Este documento proporciona instrucciones para fabricar uniformes médicos y de enfermería utilizando moldes. Explica los modelos disponibles de chaquetas y pantalones, incluidos esquemas de moldes y materiales necesarios como telas, hilo y cintas. También incluye tablas de tallas, consejos de costura y disposición de moldes para ahorrar tela. El objetivo es enseñar a las personas a fabricar y vender sus propios uniformes de manera rentable.
El documento describe las tres dimensiones de la persona: la filosofía, la psicología y la antropología. La filosofía explica los atributos únicos y compartidos del hombre. La psicología explica el comportamiento del hombre a través de la personalidad. La antropología explica el desarrollo histórico y evolutivo del hombre. También describe los cinco aspectos fundamentales del aspecto corporal y la importancia de la presentación personal para la proyección profesional.
Trabajo realizado para la cátedra de Sujeto y Sociedad de la carrera de Publicidad en base a los argumentos de autores trabajados en el espacio (Morris Berman, Jean Jacques Rousseau, Thomas Hobbes).
Este documento describe las pautas para el uso adecuado del uniforme en enfermería. Explica que los uniformes unifican a los miembros de un grupo y los hacen fuertes y prestigiosos cuando se usan de manera limpia y correcta. Luego detalla los requisitos generales para el aspecto, como la identificación, botones, zapatos, cabello, manos y más. Finalmente, especifica los uniformes permitidos para enfermeras, enfermeros, técnicos y asistentes, así como prohibiciones como tatu
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La guía proporciona recomendaciones sobre el uso adecuado de vestimenta profesional en instalaciones médicas para prevenir infecciones. Define el vestuario básico y elementos de protección adicionales según el riesgo infeccioso. También especifica los requisitos para vestuario quirúrgico, incluyendo trajes, gorros y zapatos diseñados para reducir la contaminación en salas de cirugía.
The document profiles several medical doctors who work for the Orange County Health Care Agency. It provides brief biographies of each doctor, including their educational background, years of experience, areas of specialty or focus, and reasons for practicing medicine. The doctors work in a variety of specialties including infectious diseases, emergency preparedness, mental health, family medicine, and more. They describe fulfilling their roles as physicians, advocates, innovators and more in order to improve public health and serve the community.
I created this pamphlet as a way of making information accessible to all pre-health/pre-med students. Inside you can find information about student-led organizations, minors, scholarships, summer opportunities and more! My goal is to help students transition into the university and learn how to be proactive about their education.
The Factors Influencing the Hospital Utilization9145
The document discusses the main factors that influence hospital utilization, including internal facilities, site, and location. Internal facilities should have modern equipment, specializations, professional staff, good infrastructure, and medical services. The site should have available facilities, appropriate land costs, no nearby similar hospitals, and supportive utilities. The location should be convenient for people through affordable transportation, have nearby emergency services, and supportive amenities while being eco-friendly and avoiding cross-infection. Locality support, facilities, site, and location are essential for hospital utilization.
Instrucciones generales uniforme de medicinajhonny perez
Este documento proporciona instrucciones para fabricar uniformes médicos y de enfermería utilizando moldes. Explica los modelos disponibles de chaquetas y pantalones, incluidos esquemas de moldes y materiales necesarios como telas, hilo y cintas. También incluye tablas de tallas, consejos de costura y disposición de moldes para ahorrar tela. El objetivo es enseñar a las personas a fabricar y vender sus propios uniformes de manera rentable.
El documento describe las tres dimensiones de la persona: la filosofía, la psicología y la antropología. La filosofía explica los atributos únicos y compartidos del hombre. La psicología explica el comportamiento del hombre a través de la personalidad. La antropología explica el desarrollo histórico y evolutivo del hombre. También describe los cinco aspectos fundamentales del aspecto corporal y la importancia de la presentación personal para la proyección profesional.
Trabajo realizado para la cátedra de Sujeto y Sociedad de la carrera de Publicidad en base a los argumentos de autores trabajados en el espacio (Morris Berman, Jean Jacques Rousseau, Thomas Hobbes).
Este documento describe las pautas para el uso adecuado del uniforme en enfermería. Explica que los uniformes unifican a los miembros de un grupo y los hacen fuertes y prestigiosos cuando se usan de manera limpia y correcta. Luego detalla los requisitos generales para el aspecto, como la identificación, botones, zapatos, cabello, manos y más. Finalmente, especifica los uniformes permitidos para enfermeras, enfermeros, técnicos y asistentes, así como prohibiciones como tatu
Guia Para Uso De Vestuario Profesional En Las Instalaciones De MéDeriViviam Canon Garcia
La guía proporciona recomendaciones sobre el uso adecuado de vestimenta profesional en instalaciones médicas para prevenir infecciones. Define el vestuario básico y elementos de protección adicionales según el riesgo infeccioso. También especifica los requisitos para vestuario quirúrgico, incluyendo trajes, gorros y zapatos diseñados para reducir la contaminación en salas de cirugía.
The document describes ¡Cuídate!, a culturally-based HIV prevention program for Latino youth. ¡Cuídate! aims to reduce sexual risk behaviors among Latino youth through six 1-hour modules delivered over two days. The program is grounded in social cognitive theory and emphasizes Latino cultural values like familismo to promote abstinence and condom use. Research shows youth who participated in ¡Cuídate! reported fewer sexual partners and less unprotected sex compared to a control group. The program provides youth with information and skills to make safer sexual decisions in a culturally appropriate way.
The document discusses improving health care services for mobile, migrant and minority populations by addressing challenges like communication barriers and cultural differences through practices like language services and cultural support staff, supportive policies at international, national and local levels, and strategic alliances between stakeholders to promote engagement and comprehensive action. The goal is to provide quality health care for globalized patients from diverse backgrounds.
The document discusses a collaboration between English students and intensive English program (IEP) students at a university to improve health literacy. The English students identified barriers to understanding health information for international students. They then worked with IEP students to simplify existing health documents by adding images, simplifying language, using bullet points, and condensing information. The revised documents had lower grade levels. Through this process, the English students changed their assumptions about IEP students and learned about different healthcare systems and cultures. They were able to form new relationships with the IEP students. The collaboration helped improve health literacy for international students and increase intercultural competence for all.
The document provides an impact report and summary of activities from Brain Tumour Foundation of Canada in 2014. Key points include:
- Over 11,000 connections were made with patients, families, and healthcare professionals to provide support and resources.
- $1.09 million was invested in 17 research projects across Canada to advance the understanding and treatment of brain tumors.
- A formal presence was established in Quebec, and support programs like BrainWAVE expanded to Alberta to serve more patients nationally.
The document provides an overview of the College of Veterinary Medicine and Biomedical Sciences at Colorado State University. It summarizes that CVMBS has over 225 faculty conducting over $50 million in research annually across various departments and areas of emphasis including animal health, infectious diseases, and one health initiatives. It also outlines ongoing partnerships between CVMBS and the University of Nairobi in Kenya to collaborate on research and training opportunities in areas like veterinary diagnostics and epidemiology.
Usurping Dr. Google: Easy and Effective Ways to Create Health Literate Commun...Kayla Martin-Gant
For libraries, especially those on a tight budget, maintaining up-to-date information on physical and mental health for our patrons can be extremely difficult. In Mississippi, where knowledge of mental health disorders, chronic conditions, and other health issues is often minimal, it's vital that libraries do what we can to provide that information to our communities.
This presentation will show you some of the unknown resources libraries can utilize for fostering health literacy in their communities and present easy, cost-effective, and actionable ideas for promoting these resources both in-house and digitally.
The ¡Cuídate! program is a culturally-based program designed to reduce HIV sexual risk among Latino youth aged 13-18. It consists of six 1-hour modules delivered over 2 or more days to small groups. The program helps youth develop knowledge, attitudes, and skills to reduce HIV risk through abstinence and correct condom use. Studies show youth in the program reported fewer sexual partners and incidents of unprotected sex, and increased condom use, with continued effects 12 months later. The program has proven effective for both boys and girls and English- and Spanish-speaking youth.
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This document summarizes key findings from research on Mexican-American consumer health behaviors and attitudes. It finds that alternative medicine and natural remedies are often preferred to Western treatments, and that younger Hispanic millennials are not getting screened for diabetes and other conditions at appropriate rates. Younger immigrants especially rely on home remedies instead of visiting doctors. The research also finds that email, doctors, and online sources are most trusted for health information. It recommends targeting Hispanic millennials in culturally sensitive messaging and accounting for cultural beliefs around fate, present-focus, and flexibility when designing health programs and communications.
The document provides updates on various global health issues including:
1) The Ebola response in West Africa was criticized for coming too late, long after the worst of the epidemic had passed. New treatment facilities remain empty as cases decline.
2) Next-generation antiretrovirals could prove game-changing for HIV treatment due to lower costs and side effects, but expanding access significantly will require more collaboration and advocacy.
3) Rickettsial diseases like spotted and typhus fevers are underrecognized causes of treatable central nervous system infections across Southeast Asia. More attention is needed for these neglected infections.
The Not On Tobacco (N-O-T) program developed by researchers at the West Virginia University Prevention Research Center has helped many teenagers successfully quit smoking. The program provides 10 weekly skill-building sessions in small gender-specific groups led by a teacher or school nurse. It teaches quitting techniques and positive peer support. For sisters Mary and Morgan Spearen, learning the actual health effects of smoking and developing self-talk strategies were impactful. N-O-T has proven effective in West Virginia, helping reduce the state's teen smoking rate. It provides a supportive environment and helps teens develop skills to resist social pressures to smoke.
This newsletter summarizes the work of GHUCCTS, a partnership between five organizations focused on clinical and translational research. It supports about 170 studies annually with nearly 2,000 research participants. The newsletter highlights a study called STRIDE that aims to help HIV+ heroin users maintain treatment to reduce virus transmission, and introduces Yanira Cruz who advocates for the needs of older Hispanic adults through her role on the Community Advisory Board.
http://intranet/custodian/phi
Please contact the Office of Compliance at
(714) 834-6753 or compliance@ochca.com with
any questions.
Good News! PHI Form Streamlined
continued from page 5
Passport to the World: An Intervention to DepressionHillary Green
Jo Dorhout, President of Virtual Interactive Families, presented at The University of Texas at Arlington Research Institute's Symposium on Biomedical Technologies
How to approach Patient Diversity in the Medical Environmentflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Online patients: characteristics and behaviour on health social networks - fe...Ricardo Sousa
Health social networks are created to allow patients to interact online.
In this presentation i cover some of the topics related to online health social networks: patient characteristics, criteria for user segmentation, and actual behaviour. I present a series of results related to actual search behaviour, user characteristics, self-tracking and patient quantified-self status, emotional content vs data, behavioural modification status, and comparability of online patient populations and offline populations.
Presented in the context of Vitanect.com activity.
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The document describes ¡Cuídate!, a culturally-based HIV prevention program for Latino youth. ¡Cuídate! aims to reduce sexual risk behaviors among Latino youth through six 1-hour modules delivered over two days. The program is grounded in social cognitive theory and emphasizes Latino cultural values like familismo to promote abstinence and condom use. Research shows youth who participated in ¡Cuídate! reported fewer sexual partners and less unprotected sex compared to a control group. The program provides youth with information and skills to make safer sexual decisions in a culturally appropriate way.
The document discusses improving health care services for mobile, migrant and minority populations by addressing challenges like communication barriers and cultural differences through practices like language services and cultural support staff, supportive policies at international, national and local levels, and strategic alliances between stakeholders to promote engagement and comprehensive action. The goal is to provide quality health care for globalized patients from diverse backgrounds.
The document discusses a collaboration between English students and intensive English program (IEP) students at a university to improve health literacy. The English students identified barriers to understanding health information for international students. They then worked with IEP students to simplify existing health documents by adding images, simplifying language, using bullet points, and condensing information. The revised documents had lower grade levels. Through this process, the English students changed their assumptions about IEP students and learned about different healthcare systems and cultures. They were able to form new relationships with the IEP students. The collaboration helped improve health literacy for international students and increase intercultural competence for all.
The document provides an impact report and summary of activities from Brain Tumour Foundation of Canada in 2014. Key points include:
- Over 11,000 connections were made with patients, families, and healthcare professionals to provide support and resources.
- $1.09 million was invested in 17 research projects across Canada to advance the understanding and treatment of brain tumors.
- A formal presence was established in Quebec, and support programs like BrainWAVE expanded to Alberta to serve more patients nationally.
The document provides an overview of the College of Veterinary Medicine and Biomedical Sciences at Colorado State University. It summarizes that CVMBS has over 225 faculty conducting over $50 million in research annually across various departments and areas of emphasis including animal health, infectious diseases, and one health initiatives. It also outlines ongoing partnerships between CVMBS and the University of Nairobi in Kenya to collaborate on research and training opportunities in areas like veterinary diagnostics and epidemiology.
Usurping Dr. Google: Easy and Effective Ways to Create Health Literate Commun...Kayla Martin-Gant
For libraries, especially those on a tight budget, maintaining up-to-date information on physical and mental health for our patrons can be extremely difficult. In Mississippi, where knowledge of mental health disorders, chronic conditions, and other health issues is often minimal, it's vital that libraries do what we can to provide that information to our communities.
This presentation will show you some of the unknown resources libraries can utilize for fostering health literacy in their communities and present easy, cost-effective, and actionable ideas for promoting these resources both in-house and digitally.
The ¡Cuídate! program is a culturally-based program designed to reduce HIV sexual risk among Latino youth aged 13-18. It consists of six 1-hour modules delivered over 2 or more days to small groups. The program helps youth develop knowledge, attitudes, and skills to reduce HIV risk through abstinence and correct condom use. Studies show youth in the program reported fewer sexual partners and incidents of unprotected sex, and increased condom use, with continued effects 12 months later. The program has proven effective for both boys and girls and English- and Spanish-speaking youth.
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This document summarizes key findings from research on Mexican-American consumer health behaviors and attitudes. It finds that alternative medicine and natural remedies are often preferred to Western treatments, and that younger Hispanic millennials are not getting screened for diabetes and other conditions at appropriate rates. Younger immigrants especially rely on home remedies instead of visiting doctors. The research also finds that email, doctors, and online sources are most trusted for health information. It recommends targeting Hispanic millennials in culturally sensitive messaging and accounting for cultural beliefs around fate, present-focus, and flexibility when designing health programs and communications.
The document provides updates on various global health issues including:
1) The Ebola response in West Africa was criticized for coming too late, long after the worst of the epidemic had passed. New treatment facilities remain empty as cases decline.
2) Next-generation antiretrovirals could prove game-changing for HIV treatment due to lower costs and side effects, but expanding access significantly will require more collaboration and advocacy.
3) Rickettsial diseases like spotted and typhus fevers are underrecognized causes of treatable central nervous system infections across Southeast Asia. More attention is needed for these neglected infections.
The Not On Tobacco (N-O-T) program developed by researchers at the West Virginia University Prevention Research Center has helped many teenagers successfully quit smoking. The program provides 10 weekly skill-building sessions in small gender-specific groups led by a teacher or school nurse. It teaches quitting techniques and positive peer support. For sisters Mary and Morgan Spearen, learning the actual health effects of smoking and developing self-talk strategies were impactful. N-O-T has proven effective in West Virginia, helping reduce the state's teen smoking rate. It provides a supportive environment and helps teens develop skills to resist social pressures to smoke.
This newsletter summarizes the work of GHUCCTS, a partnership between five organizations focused on clinical and translational research. It supports about 170 studies annually with nearly 2,000 research participants. The newsletter highlights a study called STRIDE that aims to help HIV+ heroin users maintain treatment to reduce virus transmission, and introduces Yanira Cruz who advocates for the needs of older Hispanic adults through her role on the Community Advisory Board.
http://intranet/custodian/phi
Please contact the Office of Compliance at
(714) 834-6753 or compliance@ochca.com with
any questions.
Good News! PHI Form Streamlined
continued from page 5
Passport to the World: An Intervention to DepressionHillary Green
Jo Dorhout, President of Virtual Interactive Families, presented at The University of Texas at Arlington Research Institute's Symposium on Biomedical Technologies
How to approach Patient Diversity in the Medical Environmentflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Online patients: characteristics and behaviour on health social networks - fe...Ricardo Sousa
Health social networks are created to allow patients to interact online.
In this presentation i cover some of the topics related to online health social networks: patient characteristics, criteria for user segmentation, and actual behaviour. I present a series of results related to actual search behaviour, user characteristics, self-tracking and patient quantified-self status, emotional content vs data, behavioural modification status, and comparability of online patient populations and offline populations.
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Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
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Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
5. !
Hacer una charla de
epidemiología sin mostrar
ningún IC 95% ni tampoco
un p-value!
! !![Mi reto]!
6. Conflictos de interés!
§ Acerca de mi!
§ MD, PhD Epidemiología!
§ CRONICAS Centro de
Excelencia en
Enfermedades Crónicas!
§ IEA!
§ Apoyo financiero!
§ Wellcome Trust, NIH,
IDRC, WHO, GCC, WB!
§ No financiamiento
industria farmacéutica!
7. Conflictos de interés!
§ Creo en las personas!
§ Apostar por y trabajar con personas “cansa”!
§ Equivocarse y arriesgar, mucho!
§ No pretendo tener la razón!
§ Ego de académico!
§ Lo tengo, por allí anda… ojalá bien lejos!
§ Edad 38 años!
§ Quiero pensar que puedo invertir tiempo en dar. Estoy cerca de
llegar a mi etapa de gruñón.!
8. Un sinvergüenza sin vergüenza
en el estudio de las enfermedades crónicas!
Jaime Miranda, MD, MSc, PhD!
!
Santiago de Chile, 24 julio 2014!
11. !
!
!Yo vivo de preguntar,!
saber no puede ser un lujo!
!
!!!Silvio Rodríguez!
12. Stupidity vs. altruism?!
“For many social
entrepreneurs,
happiness comes from
the feeling they are
making a difference.”!
13.
14.
15. Nuestro grupo desde 2009!
§ Un equipo, decisiones compartidas!
§ ~100 publicaciones (4 personas)!
§ ~15 proyectos financiados. Muchos más, los más
bonitos, sin dinero!
§ ~$15 million en grants, >50% fondos à Peru!
§ Nuestro CRONICAS Centro de Excelencia en
Enfermedades Crónicas… “to gravitate, locally and
internationally”!
16.
17. Lo bueno!
§ Dar!
§ Comparte!
§ Cultiva!
§ Creer!
§ Perfectionista!
§ Focus… me cuesta mucho!
§ Competitividad internacional!
§ NUNCA sacrificar la calidad!
§ Colabora!
§ Respeta!
§ “What goes around comes around”!
18.
19. Lo malo, lo que nos limita!
§ Tiempo!
§ Tiempo!
§ Tiempo!
§ ¡no es el dinero!!
§ Saturados!
§ Cansados!
§ Overcommitted?!
§ Unfocused?!
27. Addressing geographical variation in the progression of non-communicable
diseases in Peru!
§ Objective: To assess the progression rate and risk factors
associated with non-communicable diseases in settings with
different level of urbanization in Peru: Lima, Tumbes and Puno. !
§ Design: Cohort study.!
§ Source: National Heart, Lung and Blood Institute (NHLBI)!
§ Funding: USD 4,162,526. !
§ Partners: Johns Hopkins Bloomberg School of Public Health.!
28. Lección aprendida!
§ 5 años es mucho tiempo para renegar!
§ Aprende a escuchar, a ceder y a cerrar la boca!
§ Escoge bien a tus colaboradores!
§ Tienes tiempo y margen para arriesgar con otras cosas!
29. Launching a salt substitute to reduce blood pressure at the population level in
Peru!
§ Objective: To implement a population-level intervention to replace
high-sodium salt for a salt substitute (low-sodium, high-potassium
salt) to reduce blood pressure levels among adults aged 20 years
and over of the semi-urban area of Tumbes. The implementation of
this sort of strategy must involve a range of participants, from
villagers, their families and local leaders to local institutions as well
as local, regional and national authorities.!
§ Design: Stepped wedge trial.!
§ Source: National Heart, Lung and Blood Institute (NHLBI).!
§ Funding: USD 2,029,250. !
§ Partners: Johns Hopkins Bloomberg School of Public Health.!
31. Latin America Treatment & Innovation Network in Mental Health
(LATIN-MH)!
§ Objective: To establish a regional hub for mental health research
and training addressing the co-morbidity between mental and
chronic diseases, aiming to decrease the treatment gap for mental
disorders among people with physical disorders in LA & C.!
§ Design: Clinical trial.!
§ Countries: Brazil, Peru and Guatemala. !
§ Source: National Institute of Mental Health (NIMH)!
§ Funding: USD 2,801,398.!
§ Partners: University of Sao Paulo, University of Bristol,
Northwestern University.!
33. Tackling the elephant in the room: Integration of mental health into quotidian
routine practices of primary health care services!
§ Objective: To develop and test an intervention using mobile
technology (mHealth), training of non-mental primary health care
providers, and empowering patients with information to improve the
early identification, opportune referral, and access to treatment of
people suffering depression among socially disadvantaged people in
Lima, Peru.!
§ Design: Feasibility study.!
§ Source: Grand Challenges Canada (GCC).!
§ Funding: CAD $249,921.!
§ Partners: University of Bristol.!
35. Cooking for Health: Capitalizing on Comedores Populares to deliver healthy
diets to low-income families in Peru for the prevention of NCDs!
§ Objective: To explore alternatives to promote the adoption of
healthy dietary habits among poor inhabitants of urban communities
who are members, as suppliers, consumers or both, of Comedores
Populares. This project will use tools common to public health
research, health economics and behavioral economics to explore
opportunities, barriers and preferences on healthy foods. !
§ Design: Qualitatitve study & Discrete choice experiment.!
§ Source: International Development Research Center (IDRC).!
§ Funding: CAD $302,700.!
§ Partners: Johns Hopkins Bloomberg School of Public Health.!
38. Identifying barriers of access to treatment of chronic non communicable
diseases in Peru.!
§ Objective: To identify the barriers that people have to access
medicine and the treatment of non-transmissible diseases in Peru;
plus develop proposals to better the health system and a political
response that contributes to a healthier lifestyle for people with non-
transmissible diseases in Peru. Once the barriers are identified, the
priorities must be defined with the help of local agents and policy
makers to ensure the acceptance of the results.!
§ Design: Health systems assessment.!
§ Source: Alliance for Health Policy and Systems Research - WHO!
§ Funding: USD 44,000.!
§ Partners: University of Geneva.!
40. Mobile health to prevent progression of pre-hypertension in Latin American
urban settings!
§ Objective: To decrease the number of cases of high blood pressure
and prevent the cases of pre-hypertension from escalating to
hypertension in middle-class people that come from urban clinics
from Argentina, Guatemala and Peru through an intervention based
on the use of mobile technologies of health (mHealth): SMS and
personal phone calls. !
§ Design: Clinical trial.!
§ Countries: Peru, Guatemala and Argentina.!
§ Sources: National Heart, Lung and Blood Institute (NHLBI) &
Medtronics Foundation !
§ Funding: USD 590,000. !
§ Partners: IECS, INCAP, RAND Corporation.!
42. Lecciones aprendidas!
§ mHealth no es simple!
§ Sigue siendo intevenciones complejas!
§ Tecnología + Intervención + Captura datos!
43. Peruvian Risk of Stroke and Mortality (PRISM): a study of lifestyle, biomarker
and genetic determinants of stroke in Latin America!
§ Objective: To assess locally relevant exposures, established
vascular risk factors, and biochemical and genetic factors in relation
to new-onset stroke risk and post-event mortality among stroke
survivors. !
§ Source: University of Pennsylvania.!
§ Funding: USD 20,000.!
§ Partners: University of Pennsylvania.!
44. Lecciones!
§ No subsidies financieramente un proyecto!
§ Invierte en conocer a tus partners!
§ Proyecto NUNCA empezó!
46. Nuevas colaboraciones!
§ Inter-American Institute for Global Change Research, Collaborative
Research Network (CRN3) program!
§ Title: LUCIA – Land Use, Climate and Infections in Western Amazonia.!
§ Total Budget: USD $906,500!
§ Partners: Universidade Federal of Minas Gerais, Duke University,
Universidad San Francisco de Quito. !
§ Instituto Nacional de Salud del Niño!
§ Title: Early determinants of physical growth, cognitive development and
health status in infancy. A family cohort study.!
§ Total Budget: PER S/. 3,696,000 (USD $ 1,451,695)!
§ Partners: INSN!
47. Additional take home messages!
§ Invest time!
§ Do not sacrifice quality!
§ Share, do share!
§ Plant ideas!
§ Build and cultivate relationships!
§ Trust, do trust!
50. ¿Vamos a clasificar al mundial?!
§ No hay fórmula perfecta!
§ Estilos, paradigmas, objetivos distintos!
§ Sinvergüenza vs sin vergüenza!
§ Negociación, respeto y firmeza!
§ CRONICAS: Generosidad, Integridad, Colaboración!
§ Dedicación, sacrificios!
51. ¡Muchas gracias!!
§ IEA!
§ Universidad Antioquía!
§ NHLBI-NIH!
§ Wellcome Trust!
§ Various colleagues at
UPCH, LSHTM, JHU
PRISMA!
§ Jaime.Miranda@upch.pe!