2018 LIMA DECLARATION TOWARDS THE LATIN AMERICAN CONSTRUCTION OF PERSONS-CENTERED INTEGRAL HEALTH CARE

Author(s):  
Juan E. Mezzich

Resulting from the First Peruvian Encounter of Person Centered Medicine with multidisciplinary participation, held in Lima, Peru on December 14 and 15, 2018, organized by the Peruvian Association of Person Centered Medicine and under the auspices of the Latin American Network of Person-Centered Medicine, the Latin American Association of National Academies of Medicine (ALANAM), the Peruvian Association of Faculties of Medicine (ASPEFAM), the Representation in Peru of the Pan American Health Organization (PAHO/WHO), San Marcos National University (Peru), the Regional Council III – Lima of the Medical College of Peru, and the International College of Person Centered Medicine.

2021 ◽  
Vol 9 (4) ◽  
pp. 87-90
Author(s):  
James Appleyard

This Declaration has emanated from the Latin American Conference on Person-Centered Medicine, held in Lima-Peru on December 13 and 14, 2019, organized by the Peruvian Association of Person Centered Medicine (APEMCP), the Latin American Network of Person Centered Medicine (RLMCP), and the International College of Person Centered Medicine (ICPCM); under the auspices of the Peruvian Association of Faculties of Medicine (ASPEFAM), the Pan American Health Organization (PAHO / WHO), and the San Marcos National University (UNMSM).


Author(s):  
Juan Enrique Mezzich

Resulting from the Fourth Latin American Conference of Person-Centered Medicine held in La Paz, Bolivia on September 7 and 8, 2018, organized by the Latin American Network of Person-Centered Medicine and the National Academy of Medicine of Bolivia under the auspices of the Latin American Association of National Academies of Medicine, the Peruvian Association of Person-Centered Medicine, the Representation in Bolivia of the Pan American Health Organization/WHO, the University of San Andrés (Bolivia), the Franz Tamayo University (Bolivia), San Marcos National University (Peru), and the International College of Person Centered Medicine.


1971 ◽  
Vol 1 (1) ◽  
pp. 37-59 ◽  
Author(s):  
J. C. García

Preliminary results of a study on medical education in Latin America carried out by the Department of Human Resources Development of the Pan American Health Organization are given in this article. Each of the Latin American schools of medicine existing at the end of 1967 and at the beginning of 1968 was visited by a researcher for approximately seven days. During this period specially prepared questionnaires were completed. An analysis of the data reveals the presence of three types of imbalances: (1) imbalance between the system of secondary education and that of medical education, (2) internal imbalance between the system of higher education and medical education, and (3) imbalance between the system of health services and that of medical education. The study of the data compiled may serve as a basis for the proposal of activities leading to harmonious development of the health manpower sector.


Author(s):  
Souvik Banerjee ◽  
Rakesh Kumar ◽  
Debasis Basu

Background: With about 425 million patients globally and 72.9 million patients in India, diabetes mellitus (DM) is one of the global health emergency of 21st century. Perioperative hyperglycaemia is reported in 20-40% of patients undergoing general surgery. A substantial body of literature demonstrates a clear association between perioperative hyperglycaemia and adverse clinical outcomes. This study aims to find out the frequency of preoperative hyperglycaemia and factors influencing it among patients undergoing surgery at a tertiary health care hospital of Eastern India.Methods: This Institution based, cross-sectional, observational study was conducted among study subjects who were operated at IQ City Medical College and Multispecialty Hospital, Durgapur, India during January-February 2019. Relevant medical records were reviewed to collect data regarding clinic-social data. Estimation of fasting plasma glucose (FPG) has been done as per World Health Organization (WHO) guidelines. Hyperglycaemia was defined and classified as per American Diabetes Association (ADA). Anthropometric measurements were taken as per standard WHO protocols.Results: A total 158 study subjects participated in study. The mean age and mean FPG of the study subjects was 42.63±12.95 years and 103.3±17.37 mg/dl respectively. As per the ADA criteria, 58.9% had normal FPG, 24.0% had impaired fasting glucose (IFG) and 17.1% had diabetes. Out of total 27 T2DM patients, 22 (13.9%) were known cases of T2DM and 5 (3.2%) were undiagnosed. The frequency of preoperative hyperglycaemia i.e. sums of IFG and diabetes was found to be 41.1%. Increasing age, male gender and overweight and obesity significantly influenced the occurrence of preoperative hyperglycaemia.Conclusions: The prevalence of preoperative hyperglycaemia among patients undergoing surgery is higher than the prevalence of hyperglycaemia among non surgical patients. Routine HbA1C should be done in all surgical patients to differentiate between chronic undiagnosed hyperglycaemia and stress hyperglycaemia.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (6) ◽  
pp. 828-828
Author(s):  

Today, the governments of the Americas, together with organizations like the Pan American Health Organization, are working to extend health care to rural groups, as well as to the urban poor. The task is a difficult one, but health workers are now employing what they call a "multisectoral approach" to improve health services for such underserved people. It means that all sectors-education, agriculture, industry-are directed towards the common task of improving health conditions. This multisectoral approach was devised after many years of experience of attempting-and very often failing-to solve health problems by the health sector alone. For example, much money and energy went towards increasing the numbers of doctors and hospital beds; the idea was to model health services after the examples of wealthy developed nations. However, as explained by Dr. Fortunato Vargas-Tentori, PAHO's coordinator for health care extension, other factors were found to influence the level of health of the population. They include poor living conditions, unsafe water, malnutrition, and unproductive agriculture. In the face of such conditions, doctors-even if they were available-could do little of lasting good.


2019 ◽  
pp. 20-34
Author(s):  
Joel Luis Jiménez-Galán ◽  
Giuseppe Francisco Falcone-Treviño ◽  
Zaida Leticia Tinajero-Mallozzi ◽  
José Antonio Serna-Hinojosa

First, that it can be identified if academic performance and psychosocial skills, under the Latin American identity in the university concept in Argentines, Peruvians, Costa Ricans and Mexicans, increase for their students, considering the improvement in the development of the academic study; second, to analyze that academic achievement when considering biological neurocomputing allows to identify the degree of anxiety in students; third, measure the different indicators between social skills and academic averages among students. Through its multicenter observational design focused on biological neurocomputing, a measuring instrument was used on the MEDMAR scale, with a finite sample of the student universe of 1500, with different school environments in the universities of the National University of Rosario (Argentina), National University Mayor of San Marcos de Lima (Peru), University of Costa Rica (Costa Rica), University of Guadalajara (Mexico), University of Aguascalientes (Mexico) and Autonomous University of Tamaulipas (Mexico) in 2018. With indicators on the affective / emotional. The academic performance and behavior of the students, it was detected that 20% of students with lack of motivation for their learning. Situations of computational neurobiological character were defined with interaction towards educational programs, when managing the optimal academic performance and the constant lack of interest in the new knowledge to acquire with data of internal consistency, test-retest reliability and concurrent validity.


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