Global Health quality

August 31, 2018

Crossing the Global Health Care Quality ChasmA Key Component of Universal Health Coverage

Donald Berwick, MD¹; Megan Snair, MPH²; Sania Nishtar, PhD, FRCP³

Author Affiliations Article Information

JAMA. Published online August 31, 2018. doi:10.1001/jama.2018.13696

Despite years of investment and research, the quality of health care in every country is much worse than it should be. Problems range from disrespect of people when they are interacting with the health care system, to preventable mistakes and harm, to high rates of incorrect and ineffective treatment.

Among low- and middle-income countries (LMICs) the exact burden of poor quality is difficult to quantify because of a dearth of data, lack of standard metrics, and insufficient research on quality interventions. But new estimates suggest that globally between 5.7 and 8.4 million people die every year from poor-quality care in LMICs.¹ These deaths, plus disabilities from poor-quality care, account for lost productivity totaling an estimated $1.4 trillion to $1.6 trillion dollars annually.¹

What Is Life?

Schrödinger’s cat among biology’s pigeons: 75 years of What Is Life?

Philip Ball revisits a book that crystallized key concepts in modern molecular biology.

Physicist Erwin Schrödinger also probed questions of molecular biology.Credit: Bettmann/Getty

What Is Life? The Physical Aspect of the Living Cell Erwin SchrödingerCambridge University Press (1944)

In What Is Life? (1944), Austrian physicist and Nobel laureate Erwin Schrödinger used that (still-unresolved) question to frame a more specific but equally provocative one. What is it about living systems, he asked, that seems to put them at odds with the known laws of physics? The answer he offered looks prescient now: life is distinguished by a “code-script” that directs cellular organization and heredity, while apparently enabling organisms to suspend the second law of thermodynamics./.../

ancient parasitic wasp

This stunning fossil shows an ancient parasitic wasp still inside the fly pupa it infested. Painstaking scanning revealed four new species of ancient parasitic wasp, dating back to between 66 million and 23 million years ago in what is now France. (T. van de Kamp et al./Nature. Commun.)Reference: Nature Communications paper

Microwave oven to produce graphene

The strongest material ever tested — graphene — can be produced in an ordinary microwave oven, through a process similar to how snowflakes form. The method might lead to a cheaper, easier way to produce the highly conductive, atom-thick carbon sheets.

Nature Research Highlights | 1 min read
Reference: Advanced Materials paper
Get more of Nature’s Research Highlights: short picks from the latest papers.

Communication brake

Meet the new neuron

Neuroscientists have introduced the world to a new kind of neuron, which is believed to exist only in the human brain. Dubbed ‘rosehip’ neurons because of their shape, they seem to act as inhibitory cells. “They can really act as a sort of brake on the system,” says neuroscientist Ed Lein.

Wired | 6 min read
Reference: Nature Neuroscience paper

Higgs ‘bottom’ decay

A visualization of the Higgs boson decaying into the bottom quark and its antiparticle counterpart. (ATLAS Collab./CERN)

Physicists finally uncover Higgs ‘bottom’ decay Researchers at the Large Hadron Collider (LHC) have observed a previously undetected way that the Higgs boson can decay — into an elementary particle called the bottom quark, and its antiparticle. The finding by physicists at CERN confirms a theoretical prediction about the Higgs, a particle that is part of the mechanism that gives other particles their masses. The discovery of the Higgs in 2012 put in place the final piece of the standard model of particle physics. Nature | 1 min read

Quiosks ?

Enviado pelo AMICOR Reginaldo Hollanda Albuquerque (Brasília)

Quiosques de saúde têm sido cada vez mais adotados para fornecer serviços de saúde para aqueles com acesso limitado. Os quiosques têm o potencial de atingir pessoas que podem ter condições de saúde não diagnosticadas ou aquelas que não estão sob cuidados médicos regulares. Até o momento, há poucas pesquisas avaliando a utilidade dos quiosques de saúde na comunidade. Este estudo teve como objetivo explorar a aceitabilidade, usabilidade, utilidade e satisfação geral dos quiosques de saúde em ambientes de comunidade majoritária afro-americana. Veja mais:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5784498/

https://bitly/2PM0vSW e

https://bit/ly/2yl055

Fui verificar no Aurélio como estava a palavra na nossa língua: já foi incorporada, mas na definição saúde - por enquanto - está nos etc...

A Falta de infraestrutura em nossos postos de atendimento já os deixam bastante próximos dos Quiosks...(veja Jornal do CFM)

João Carlos D’Ávila Paixão Côrtes

Faleceu aos 91 anos no dia 27 p.p.
(12/07/1927 - 27/08/2018)

https://pt.wikipedia.org/wiki/Paix%C3%A3o_C%C3%B4rtes
Folclorista renomado, há muitos anos foi cliente da Dra. Valderês e eu tratei de um filho seu na infância.

Universal Health Coverage

Universal health coverage can best be achieved by public systems

August 24, 2018

Expanding coverage by ushering in the private sector results in inequities in access, argue Ramya Kumar and Anne-Emanuelle Birn

This year the World Health Organization (WHO) observed its 70th birthday by holding World Health Day in Sri Lanka, where the theme was “Universal Health Coverage: Everyone, Everywhere.” The high profile event focused on the access achievements of Sri Lanka’s acclaimed low cost, publicly financed and delivered healthcare system.[1] Yet missing from the proceedings was any reference to the ongoing privatisation of this system, and its consequences and relevance to the goal of universal health coverage (UHC).

As WHO works towards achieving UHC through “financial risk protection, access to quality essential healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all,” it sidesteps the reality that expanding coverage by ushering in the private sector results in inequities in access and rising health expenditure./.../

Hospital Beneiciência Portuguesa

Reativado  o  Hospital Beneficiência Portuguesa

Vencemos! Dez meses depois de lançar a campanha pública em favor do Beneficência Portuguesa, o Simers comemora a reabertura do hospital. No editorial desta quinta-feira (30), o jornal Zero Hora destaca: "A retomada das atividades só foi possível devido à mobilização da sociedade civil, com o apoio institucional do Sindicato Médico do Rio Grande do Sul (Simers)". Para ler o texto na íntegra, acesse o link: bit.ly/Simers_263  +++++++++++++++++ Em adição a todos os valores históricos, de Serviço Assistenciais e de reforço ao equipamento urbano voltado para a saúde, a re-abertura do Hospital trouxe-nos algumas memórias afetivas: Lá nasceram nossos dois primeiros filhos Luiz Eduardo (professor da UFRGS) e Ana Lúcia (psiquiatra) atendidos pelo Dr. Erio Brasil Pellanda e Felisberto Ferreira como anestesista. Também lá, durante muitos anos Dra. Valderês e eu atendemos pacientes dos Instituto de Previdência,Lá também participei de várias reuniões preparatórias para montagem da primeira Unidade de Tratamento Inensivo como Sala de Recuperação pós-anestésica no Hospital Ernesto Dornelles que na ápoca estava em fase de conclusão. Era um grupo no qual participavam entre outros: Lafaiette Brandão, Mello Becker, Renan Marsiaj de Oliveira...

WHO - Google Fit

WHO is working with Google to share health advice through new and innovative platforms Share Tweet Forward Share WHO is working with Google as part of the Organization’s broader ambition to engage closely with the digital world to promote and protect the health of all people. Through the Google Fit app, WHO is looking to reach more people with its recommendations on physical activity, and showing why moving more is good for health.

Google Fit announcement Digital health

WB - Notas de Políticas Públicas

 23 de agosto de 2018 - Recomendado pelo AMICOR Roger dos Santos Rosa

Notas de políticas públicas - Por um ajuste justo com crescimento compartilhado

Nesta página, você encontrará Notas de Políticas Públicas dirigidas à sociedade brasileira e especificamente aos candidatos à presidência e suas equipes econômicas nas eleições de 2018. Elas apresentam o diagnóstico do Banco Mundial para os principais desafios de desenvolvimento econômico e social do Brasil e propõem um possível caminho para enfrentá-los. Veja também o sumário executivo e o infográfico.

1. Estabilização e ajuste fiscal │ 2. Sistema tributário │ 3. Questões fiscais intergovernamentais │ 4. Reforma da previdência │ 5. Reforma do Estado │ 6. Promovendo o crescimento sustentável da produtividade │ 7. Mercados de crédito │ 8. Infraestrutura: construindo a base para o crescimento │ 9. Propostas para realinhar as políticas de educação │ 10. Superando desafios da logística e do transporte no Brasil │ 11. Mercado de trabalho, competências e inclusão produtiva│ 12. Como enfrentar a epidemia de violência no Brasil │ 13. Sistema Único de Saúde │ 14. Contribuições Nacionalmente Determinadas │ 15. Gestão e segurança dos recursos hídricos

Para saber mais, veja nesta página as apresentações e as Notas de Políticas Públicas dirigidas à sociedade brasileira e aos candidatos às eleições de 2018.

Exclusão social

ECONOMIA Banco Mundial: América Latina está longe de acabar com exclusão de negros

Os afrodescendentes são um quarto da população latino-americana, mas ocupam parte desproporcionalmente alta dos pobres da região, segundo estudo

The gravity strength

NEWS The strength of gravity has been measured to new precision Aug 29 2018 1:00 PM Researchers have measured Newton's gravitational constant, known as Big G, with the greatest precision yet. READ MORE

The most gun deaths nations

NEWS The United States and Brazil top the list of nations with the most gun deaths Aug 28 2018 3:30 PM Globally, the estimated number of gun deaths due to homicides, suicides and unintentional injuries went up from 1990 to 2016. READ MORE

Face of Death

Life Lessons from Paul in the Face of Death

• Jeffrey M. Drazen, M.D.

My brother Paul, a rabbi, died recently, just shy of 3 years after the diagnosis of widely metastatic colon cancer. The story of his diagnosis and treatment is all too familiar. An apparently healthy 64-year-old man has a sudden onset of lower abdominal pain. Imaging reveals an obstructing lesion. Surgery leads to the diagnosis of colon cancer, stage IV at diagnosis, with hepatic, peritoneal, and pulmonary spread. After a diverting colostomy and time to recover from the procedure, he begins a series of treatments. Within a year, many of the metastases have melted away, his tumor markers are down, and he feels reasonably normal. Over the next 2 years, he burns through one treatment after another, including the newest and best medical science has to offer. But after 30 months, the tumor gains the upper hand as peritoneal and hepatic disease lead to biliary stenosis and massive ascites. He is in and out of the hospital with one complication after another until he has had his fill. He returns home to hospice, and within a few days he leaves this world — 34 months after his diagnosis.

Morality

The Origins of Human Morality

How we learned to put our fate in one another’s hands

• By Michael Tomasello | Scientific American September 2018 Issue
  V

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• Seeds of human morality were planted some 400,000 years ago, when individuals began to collaborate in hunting-and-gathering exploits.
• Cooperative interaction cultivated respect and fairness for other group members.
• Later, growing population sizes cemented a sense of collective group identity that fostered a set of cultural practices and social norms.
  
  If evolution is about survival of the fittest, how did humans ever become moral creatures? If evolution is each individual maximizing their own fitness, how did humans come to feel that they really ought to help others and be fair to them?
  
  There have traditionally been two answers to such questions. First, it makes sense for individuals to help their kin, with whom they share genes, a process known as inclusive fitness. Second, situations of reciprocity can arise in which I scratch your back and you scratch mine and we both benefit in the long run.
  
  But morality is not just about being nice to kin in the manner that bees and ants cooperate in acts of inclusive fitness. And reciprocity is a risky proposition because at any point one individual can benefit and go home, leaving the other in the lurch. Moreover, neither of these traditional explanations gets at what is arguably the essence of human morality—the sense of obligation that human beings feel toward one another.

Time consciousness

How the Brain Experiences Time by Neuroscience News

Researchers have identified a network of cells in the entorhinal cortex that appear to play a key role into putting experience into a temporal context.

Read more of this post

The illustration shows the episodic time from the experience of a 4-hour-long ski trip up and down a steep mountain, including events that alter the skier’s perception of time. The idea is that experienced time is event-dependent and may be perceived as faster or slower than clock time.
The newly discovered neural record of experienced time is in the lateral entorhinal cortex (LEC) in green. Next to the LEC is the MEC, the brain’s seat for space (not depicted). Next to the MEC is the hippocampus, the structure in which information from the time and space networks come together to form episodic memories. NeuroscienceNews.com image is credited to Kolbjørn Skarpnes & Rita Elmkvist Nilsen / NTNU Communication Division & Kavli Institute for Systems Neuroscience.

Neuroscience News | August 29, 2018 at 11:17 am | Tags: exercise, lateral entorhinal cortex, Norwegian University of Science and Technology | URL: https://wp.me/p4sXNK-dhG

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