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    ABSTRACT: The author comments her experience in the practice of medicine and public health among aborigines in Formosa, a long neglected province in northeast Argentina. Her experience goes through a span of 34 years, 11 in a small community in a far off region. The province has 530162 inhabitants, 43358 (6.5%) aborigines of the Wichí, Qom, and Pilagá ethnicities. Some particular public health problems of these aborigines are due to the great distance between communities and the regular medical assistance while others are related to cultural differences. The situation has gradually improved in the last 30 years due to government awareness in providing easy and close access to medical care, making the most of the abilities of local aborigines midwifes, teaching health assistants and conventional measures. The most apparent results are the decrease in infant mortality rates and the lower incidence of tuberculosis, with no deaths due to tuberculous meningitis since 1999. No less important was the opening of new opportunities for education and the teaching of both native and Spanish language in the schools retaining local customs. The changes have brought about new risks and challenges such as: traffic accidents involving youngsters riding motorcycles, alcoholism, obesity, diabetes (undiagnosed beforehand), high rate of adolescence pregnancy, and crisis of leadership within the communities.
    Medicina 10/2013; 73(5):453-6.
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    ABSTRACT: The article highlights that pain is a human experience that goes beyond the merely physical, and notes the importance of understanding that only the sufferer is able to describe and quantify it. Describe the pain not only as a symptom, more than that is feeling, and emotion and emphasizes the role of the doctor-patient relationship in their approach. It emphasizes the neurobiological, psychosocial and spiritual dimensions of pain and the need for an interdisciplinary approach. Upgrade contributions of neurobiology in brain modulation of pain and the origins of the levels of sensitivity and pain tolerance. Rescue the importance of recognizing the total pain and suffering in the pain therapeutic approach, and highlights the difficulties of the health team. Review various international human rights instruments, to support the argument that the patient should be protected from the inadequate treatment of pain. Lack of education and updating of health professionals is another major problem. Finally emphasizes that pain relief is a human right and the inadequacy of treatment is a serious ethical lapse.
    Vertex (Buenos Aires, Argentina) 09/2013; 24(111):368-72.
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    ABSTRACT: The aim of this study was to describe the spatial distribution of cervical cancer mortality in the Autonomous City of Buenos Aires during the period 1999-2003 and its relationship to the socioeconomic conditions of the population, as well as to compare the distribution during this period with that of the triennium 2004-2006. This ecological study used electoral districts as the unit of analysis. The selected socioeconomic indicators were educational deficit, lack of health insurance and the Material Deprivation of Households Index (Índice de Privación Material de Hogares), taken from the National Population and Housing Census (Censo Nacional de Población, Hogares y Viviendas) of 2001. The stratification of the city into areas according to these conditions and the analysis of standardized mortality ratios showed an increased risk of dying from cervical cancer associated with worse socioeconomic conditions. The stratification and death risks demonstrated a clear spatial pattern, with the south of the city presenting the highest death risks, and the northern and central areas presenting the lowest risks.
    08/2013; 9(2):169-82. DOI:10.1590/S1851-82652013000200004


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    Buenos Aires, Argentina
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