Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献_第4页

Genetic screening of FFPE breast cancer biopsies for the BRCA1-185delAG mutation in Trinidad and Tobago. 特立尼达和多巴哥FFPE乳腺癌活检BRCA1-185delAG突变的遗传筛查

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-20 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.52

Sheherazade Crystal Abrahim, Dulari Bansraj, Royanne Edwards, Reinand Thompson, Roma Rambaran, Allana Roach, Wayne A Warner, A V Chalapathi Rao, Chandrashekar Unakal, Rajini Rani Haraksingh

{"title":"Genetic screening of FFPE breast cancer biopsies for the BRCA1-185delAG mutation in Trinidad and Tobago.","authors":"Sheherazade Crystal Abrahim, Dulari Bansraj, Royanne Edwards, Reinand Thompson, Roma Rambaran, Allana Roach, Wayne A Warner, A V Chalapathi Rao, Chandrashekar Unakal, Rajini Rani Haraksingh","doi":"10.26633/RPSP.2025.52","DOIUrl":"10.26633/RPSP.2025.52","url":null,"abstract":"Objective: To investigate whether the quality and quantity of genomic DNA harnessed from existing formalin-fixed paraffin-embedded (FFPE) breast cancer biopsy tissue samples in the public health system of Trinidad and Tobago (T&T) were sufficient for downstream genetic testing and to investigate the occurrence of the common breast cancer susceptibility gene 1 (BRCA1) mutation, BRCA1-185delAG, in these samples.Methods: Genomic DNA was extracted from 67 FFPE samples using a standard protocol (Qiagen). Samples were genotyped using polymerase chain reaction (PCR) and Sanger sequencing.Results: The genomic DNA was highly fragmented in the 250-500 bp range. The quality and quantity only allowed testing of one variant. This study successfully genotyped 34 of 67 FFPE breast cancer tissue biopsy samples for the BRCA1-185delAG mutation. This mutation was not detected in the 34 samples.Conclusion: Existing FFPE cancer tissue biopsies in the public health system in T&T are of limited utility for genetic testing. The absence of the BRCA1-185delAG mutation in the limited number of breast cancer samples tested does not preclude its existence in this population. Further investigations are needed to determine the extent of clinically relevant breast cancer-associated mutations in this population.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e52"},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas. 在美洲扩大以团队为基础的高血压和心血管风险管理护理。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.43

Vilma Irazola, Carolina Prado, Andres Rosende, David Flood, Ross Tsuyuki, Carolina Neira Ojeda, Matias Villatoro Reyes, Johanna Otero, Irmgardt Alicia Wellmann, Ileana Fajardo, Emily Ridley, Esteban Londoño, Gloria Giraldo, Edwin Bolastig, Bruna Moreno Dias, Nicolas Haeberer, Pedro Ordunez

{"title":"Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas.","authors":"Vilma Irazola, Carolina Prado, Andres Rosende, David Flood, Ross Tsuyuki, Carolina Neira Ojeda, Matias Villatoro Reyes, Johanna Otero, Irmgardt Alicia Wellmann, Ileana Fajardo, Emily Ridley, Esteban Londoño, Gloria Giraldo, Edwin Bolastig, Bruna Moreno Dias, Nicolas Haeberer, Pedro Ordunez","doi":"10.26633/RPSP.2025.43","DOIUrl":"https://doi.org/10.26633/RPSP.2025.43","url":null,"abstract":"Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care. Team-based care leverages the skills of diverse health professionals, including nurses, pharmacists and community health workers, to optimize resource allocation, task-sharing and care delivery. Evidence underscores the effectiveness of team-based care in improving blood pressure control, reducing hospitalizations and enhancing quality of life through strategies such as periodic follow up and medication titration. Despite its benefits, implementing team-based care faces cultural and systemic barriers. This special report outlines a policy framework to scale team-based care across the Region of the Americas, ensuring equitable access to high-quality, cost-effective prevention and care for cardiovascular diseases.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e43"},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Implementation of the ICD-11 in Brazil: an overviewPanorama de la implementación de la CIE-11 en Brasil]. [ICD-11在巴西的实施：ICD-11在巴西实施的概述]。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.55

Ana Carolina Aires Cerqueira Prata, Silvia von Tiesenhausen de Sousa-Carmo, Maria Cristina Horta Vilar, Yluska Myrna Meneses Brandão E Mendes, Heloisa Brunow Ventura Di Nubila, Dácio Lyra Rabello Neto, Letícia de Oliveira Cardoso, Juan José Cortez Escalante

{"title":"[Implementation of the ICD-11 in Brazil: an overviewPanorama de la implementación de la CIE-11 en Brasil].","authors":"Ana Carolina Aires Cerqueira Prata, Silvia von Tiesenhausen de Sousa-Carmo, Maria Cristina Horta Vilar, Yluska Myrna Meneses Brandão E Mendes, Heloisa Brunow Ventura Di Nubila, Dácio Lyra Rabello Neto, Letícia de Oliveira Cardoso, Juan José Cortez Escalante","doi":"10.26633/RPSP.2025.55","DOIUrl":"https://doi.org/10.26633/RPSP.2025.55","url":null,"abstract":"In 2021, Brazil began implementing the 11th Revision of the International Classification of Diseases (ICD-11), with completion scheduled for 2027. ICD-11 represents a technological and conceptual leap, offering new opportunities for epidemiological analysis and health management. However, it also imposes challenges for interoperability and preservation of historical data series, making its implementation more complex. Given Brazil's vast territory and considering the existing health information systems, the implementation will be phased, focusing on five priority areas: publication, translation, and use of ICD-11 in Brazil; information technology infrastructure; data comparability and quality; capacity building; and promotion and dissemination. The present article aims to provide an overview of the current state of ICD-11 implementation in the country, the steps already taken and future perspectives. The implementation follows the guidelines established by the World Health Organization's Implementation Guide and Technical Note No. 91/2024 issued by Brazil's Ministry of Health. These documents address procedures such as the update of health information systems as well as areas deserving special attention, such as the diversity of regional contexts across the country and the scale of change involved in updating international classifications, with the goal of ensuring safety and effectiveness, preserving time series, and enabling swift adaptation. The process represents another public health milestone in Brazil, while simultaneously promoting the modernization and enhancement of vital statistics information systems, reinforcing Brazil's role in advancing global public health.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e55"},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Strategic independence: a value model for improving access to plasma-derived medicines in Latin AmericaIndependência estratégica: modelo de valor para melhorar o acesso a hemoderivados na América Latina]. 战略独立:改善拉丁美洲血浆衍生药物获取的价值模型战略独立:改善拉丁美洲血液制品获取的价值模型。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.49

Juanita Vahos Zambrano, Claudia Vaca González, Ana Yuliana Cortés, Diana Rocío Bernal, Rocío Parra Galvis, Leni von Bonsdorff

{"title":"[Strategic independence: a value model for improving access to plasma-derived medicines in Latin AmericaIndependência estratégica: modelo de valor para melhorar o acesso a hemoderivados na América Latina].","authors":"Juanita Vahos Zambrano, Claudia Vaca González, Ana Yuliana Cortés, Diana Rocío Bernal, Rocío Parra Galvis, Leni von Bonsdorff","doi":"10.26633/RPSP.2025.49","DOIUrl":"https://doi.org/10.26633/RPSP.2025.49","url":null,"abstract":"Plasma-derived medicinal products (PDMPs) are essential medicines required for the treatment of congenital, rare, and acquired diseases. At present, the market dynamics of these products have led to high dependence on a few producing countries, causing shortages, stockouts, and problems related to access in general. To help solve this problem, this document proposes a value model for PDMPs from a public health perspective, and considers the prospects, visions, and challenges to implementation in Colombia, as a case study. These proposals seek to contribute to the development of strategic independence in plasma, while promoting equitable access to PDMPs in the Region of the Americas. They are the result of a series of discussions and semi-structured interviews with national and international stakeholders from different public and private sectors, and with leaders of the National University of Colombia and the International Plasma and Fractionation Association (IPFA). It is hoped that these proposals will serve as an example for other countries in the Region to include this issue in their public policy agenda.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e49"},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Technical cooperation strategies to revitalize immunization programs in priority countries in the AmericasEstratégias de cooperação técnica para revitalização do programa de imunização em países prioritários da Região das Américas]. [重振美洲重点国家免疫规划的技术合作战略美洲区域重点国家免疫规划的技术合作战略]。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.38

Desirée Pastor, Victoria Villavicencio, Regina Durón, Pamela Bravo, Gloria Rey-Benito

{"title":"[Technical cooperation strategies to revitalize immunization programs in priority countries in the AmericasEstratégias de cooperação técnica para revitalização do programa de imunização em países prioritários da Região das Américas].","authors":"Desirée Pastor, Victoria Villavicencio, Regina Durón, Pamela Bravo, Gloria Rey-Benito","doi":"10.26633/RPSP.2025.38","DOIUrl":"https://doi.org/10.26633/RPSP.2025.38","url":null,"abstract":"Objective: To describe and systematize experiences and lessons learned in the implementation of a Pan American Health Organization (PAHO) technical cooperation strategy in countries at high risk of importation and spread of measles and rubella, with the following objectives: monitoring the progress of vaccination coverage through microplanning, strengthening risk analysis and epidemiological surveillance, and providing a rapid response to outbreaks of vaccine-preventable diseases.Methods: Cross-sectional descriptive study of the interventions carried out by PAHO, with the support of seven epidemiologists who were trained and sent to nine countries in the Region between August and December 2023. The collected data were consolidated and analyzed along four strategic lines: vaccination, epidemiological surveillance, risk analysis, and preparedness for a rapid response to outbreaks. Information was collected through a questionnaire that included qualitative and quantitative data, following up on the work plan of the epidemiologists deployed in the Region.Results: The results of the activities were analyzed on the four strategic lines, using training tools and methodologies to establish intervention plans in the countries visited.Conclusions: The support of the group of consultants in the high-risk countries made an important contribution to strengthening different components of the national immunization program in each country.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e38"},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Civil registration systems and vital statistics: ethical challenges and proposals for governanceSistemas de registro civil e estatísticas vitais: desafios éticos e propostas de governança]. 民事登记制度和生命统计:治理的伦理挑战和建议民事登记制度和生命统计:伦理挑战和治理建议。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-08 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.47

Luis Manuel López Dávila, María Angélica Sotomayor Saavedra, Carlos F Méndez, Carmen Alicia Cardozo de Martínez, Estela Quiroz, Lucas Gustavo Gago-Galvagno, María Mabel Garra, Fernanda María Ledesma, Elizabeth María Benites Estupiñan, Adriana Vilma Scrigni, Viviana Lifschitz, Garbiñe Saruwatari Zavala, Mirtha Isabel Andreau de Bennato, Ida Cristina Gubert, Patricia Sorokin

{"title":"[Civil registration systems and vital statistics: ethical challenges and proposals for governanceSistemas de registro civil e estatísticas vitais: desafios éticos e propostas de governança].","authors":"Luis Manuel López Dávila, María Angélica Sotomayor Saavedra, Carlos F Méndez, Carmen Alicia Cardozo de Martínez, Estela Quiroz, Lucas Gustavo Gago-Galvagno, María Mabel Garra, Fernanda María Ledesma, Elizabeth María Benites Estupiñan, Adriana Vilma Scrigni, Viviana Lifschitz, Garbiñe Saruwatari Zavala, Mirtha Isabel Andreau de Bennato, Ida Cristina Gubert, Patricia Sorokin","doi":"10.26633/RPSP.2025.47","DOIUrl":"https://doi.org/10.26633/RPSP.2025.47","url":null,"abstract":"In today's digital age, health data is increasingly coveted, and having legal rules to protect it is not enough to prevent its incorrect, imprudent, or improper use. Breaches of confidentiality, intrusions, and unrestricted access to personal data and sensitive data are a challenge for Latin American and Caribbean countries. This is due to the coexistence of diverse social actors, unspecific regulatory frameworks, data management aimed at reducing IT risks, inequalities in access, and technological-financial gaps, which can be analyzed from a governance perspective. This further demonstrates the region's inability to achieve an equitable distribution of the resources needed to implement policies that guarantee respect for human rights. It is, therefore, imperative to harmonize development objectives with initiatives to protect confidentiality and prevent data leaks, in order to improve the reputation of institutions in terms of credibility and trust, and to enhance the sustainability of systems that focus on people rather than data.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e47"},"PeriodicalIF":2.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mortality coding with ICD-11 in Chile: main results and prospects for implementationCodificação da mortalidade com a CID-11 no Chile: principais resultados e perspectivas de implementação]. [智利ICD-11死亡率编码:实施的主要结果和前景智利ICD-11死亡率编码:主要结果和实施前景]。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-08 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.50

Paulina Vera Montecinos, Jorge Pacheco, Sergio Guinez-Molinos, Daily Piedra, Lorena Velozo, Andrés Fuentes, Marcela Carmona, Alejandra Landabur, Pamela Suárez, Paulina Leighton

{"title":"[Mortality coding with ICD-11 in Chile: main results and prospects for implementationCodificação da mortalidade com a CID-11 no Chile: principais resultados e perspectivas de implementação].","authors":"Paulina Vera Montecinos, Jorge Pacheco, Sergio Guinez-Molinos, Daily Piedra, Lorena Velozo, Andrés Fuentes, Marcela Carmona, Alejandra Landabur, Pamela Suárez, Paulina Leighton","doi":"10.26633/RPSP.2025.50","DOIUrl":"https://doi.org/10.26633/RPSP.2025.50","url":null,"abstract":"Objective: To evaluate the usability of the International Classification of Diseases, 11th Revision (ICD-11) and its concordance and comparability with ICD-10, the version in use. ICD-11 introduces greater granularity than ICD-10, is designed for digital environments, and offers improvements over the previous version.Methods: Two thousand medical death certificates for year 2020 were selected by proportional stratified sampling. Two expert coders and a gold standard team coded the records using the official ICD-11 tool. Concordance between gold standard and expert coders was assessed for immediate, underlying, and principal cause of death. Distribution by chapter was compared for ICD-11, ICD-10 in the original database, and ICD-10 mapped from ICD-11.Results: Concordance with clinical accuracy ranged from 37% for principal cause of death to 76% for immediate cause. Agreement on base codes ranged from 73% for principal cause to 86% for immediate and underlying causes. Cohen's kappa for principal cause was 0.68 (95% CI: 0.64 - 0.72) for coder 1 and 0.76 (95%CI: 0.73 - 0.80) for coder 2, which is considered significant concordance. The distribution of principal cause for ICD-10 and for ICD-10 mapped from ICD-11 was similar.Conclusions: There is adequate concordance and comparability between ICD-11 and ICD-10. The tool has high usability, which confirms the feasibility of ICD-11 implementation in Chile, and underlines the need for continuous training and technological improvement.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e50"},"PeriodicalIF":2.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Implementation of digital signatures on death certificates in Peru, 2022-2024Implementação da assinatura digital no atestado de óbito no Peru, 2022-2024]. [秘鲁在死亡证明上实施数字签名，2022-2024年]。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-08 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.45

Javier Vargas-Herrera, Karim Pardo Ruiz, Héctor Saravia Martínez, Leonardo Rojas-Mezarina

{"title":"[Implementation of digital signatures on death certificates in Peru, 2022-2024Implementação da assinatura digital no atestado de óbito no Peru, 2022-2024].","authors":"Javier Vargas-Herrera, Karim Pardo Ruiz, Héctor Saravia Martínez, Leonardo Rojas-Mezarina","doi":"10.26633/RPSP.2025.45","DOIUrl":"https://doi.org/10.26633/RPSP.2025.45","url":null,"abstract":"Civil registration and vital statistics (CRVS) systems support individuals' right to identity and their access to public services, and provide information useful for public health. Peru's CRVS system uses applications that allow online medical certification of vital events. Since this information can be falsified, measures are required to ensure that the information entered is supported and not rejected, for example through the use of digital signatures. This article describes the implementation of digital signatures on death certificates (DSDC) produced online and their relationship with the reporting of deaths in SINADEF, the national system for reporting deaths. The digital signature for DSDCs issued online uses the national electronic identity card (DNIe), which has a cryptographic chip containing a physician's digital certificate, linking a pair of private and public keys. Implementation of the digital signature coincided with the recovery of death reporting levels in 2024. Implementation of the digital signature strengthens security and confidence in the CRVS system, minimizes the risk of false DSDCs, provides citizens with simpler and more secure processes, and helps to reduce under-registration and increase data quality and system efficiency.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e45"},"PeriodicalIF":2.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

El papel estratégico de los jefes de enfermería y partería de gobierno en América Latina y el Caribe. 拉丁美洲和加勒比地区政府护士长和助产士的战略作用。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-07 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.48

Bruna Moreno Dias, E Benjamín Puertas

引用次数: 0

SERPENT-Brasil: a technological tool for snakebite management. 毒蛇咬伤管理的技术工具。

IF 2 4区医学

Revista Panamericana De Salud Publica-pan American Journal of Public Health Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.26633/RPSP.2025.39

Jacqueline de Almeida Gonçalves Sachett, Gisele Dos Santos Costa Rocha, Elisangela Silva, Anne Grace Andrade da Cunha Marques, Pedro Ferreira Bisneto, Handerson Silva Pereira, Victor Carlos Pardo Ratis da Silva, Kathleen Maclenny Pereira Carvalho, Lincoln Luís Silva, Manuela Berto Pucca, Wuelton Marcelo Monteiro

{"title":"SERPENT-Brasil: a technological tool for snakebite management.","authors":"Jacqueline de Almeida Gonçalves Sachett, Gisele Dos Santos Costa Rocha, Elisangela Silva, Anne Grace Andrade da Cunha Marques, Pedro Ferreira Bisneto, Handerson Silva Pereira, Victor Carlos Pardo Ratis da Silva, Kathleen Maclenny Pereira Carvalho, Lincoln Luís Silva, Manuela Berto Pucca, Wuelton Marcelo Monteiro","doi":"10.26633/RPSP.2025.39","DOIUrl":"https://doi.org/10.26633/RPSP.2025.39","url":null,"abstract":"Objective: To report on the development and features of a mobile application (app) to guide the public and health professionals on pre-hospital emergency measures after snake envenomation.Methods: This was a four-stage methodological study conducted from June 2020 to July 2022. The app development included creating a mobile resource to guide pre-hospital care and to direct victims to hospitals that have antivenom.Results: The SERPENT-BRASIL app was developed for use on Android and IOS devices with an intuitive interface. It offers online and offline access to information on hospitals and mapping routes via Google Maps. In addition, it allows users to report snake sightings and to request emergency rescue.Conclusion: The SERPENT-BRASIL app improves snakebite management and prevention, eases the burden on health services, and promotes health education. Collection of snake envenomation data contributes to public safety, making the app an essential resource for public safety in Brazil.","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e39"},"PeriodicalIF":2.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0