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- Sbarra, AN, et al.
(författare)
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Mapping routine measles vaccination in low- and middle-income countries
- 2021
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 589:7842, s. 415-
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Tidskriftsartikel (refereegranskat)abstract
- The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1–4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5–8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km2pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.
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| 2. |
- Gutierrez-Suarez, R., et al.
(författare)
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Health-related quality of life of patients with juvenile idiopathic arthritis coming from 3 different geographic areas. The PRINTO multinational quality of life cohort study
- 2007
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Ingår i: Rheumatology (Oxford). - : Oxford University Press (OUP). - 1462-0324 .- 1462-0332. ; 46:2, s. 314-320
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To compare health-related quality of life (HRQL) and to identify clinical determinants for poor HRQL of patients with juvenile idiopathic arthritis (JIA) coming from three geographic areas.METHODS: The HRQL was assessed through the Child Health Questionnaire (CHQ). A total of 30 countries were included grouped in three geographic areas: 16 countries in Western Europe; 10 in Eastern Europe; and four in Latin America. Potential determinants of poor HRQL included demographic data, physician's and parent's global assessments, measures of joint inflammation, disability as measured by Childhood Health Assessment Questionnaire (CHAQ) and erythrocyte sedimentation rate. Poor HRQL was defined as a CHQ physical summary score (PhS) or psychosocial summary score (PsS) <2 S.D. from that of healthy children.RESULTS: A total of 3167 patients with JIA, younger than 18 yrs, were included in this study. The most affected health concepts (<2 S.D. from healthy children) that differentiate the three geographic areas include physical functioning, bodily pain/discomfort, global health, general health perception, change in health with respect to the previous year, self-esteem and family cohesion. Determinants for poor HRQL were similar across geographic areas with physical well-being mostly affected by the level of disability while the psychosocial well-being by the intensity of pain.CONCLUSION: We found that patients with JIA have a significant impairment of their HRQL compared with healthy peers, particularly in the physical domain. Disability and pain are the most important determinants of physical and psychosocial well-being irrespective of the geographic area of origin.
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| 4. |
- Lopes-Martínez, I., et al.
(författare)
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Problemas de codificación de productos que afectan la gestión deinventarios: Caso de estudio en empresas cubanas [Problems of code of products that affect the inventory management: Cuban companies case study]
- 2014
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Ingår i: Dyna. - : Universidad Nacional de Colombia. - 0012-7353 .- 2346-2183. ; 81:187, s. 64-72
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Tidskriftsartikel (refereegranskat)abstract
- Numerous code systems and classification of products and services exist globally, being tendency the standardization of them in the supply chains to achieve higher integration. The correct use of these systems is considered essential in the effectiveness in the inventory management, given its direct relationship with the registration of the primary information and tracing of the products. However, the scientific literature and the academic programs concentrate mostly on the Auto-ID technologies more than in the code structure and the consequences of an incorrect use of the code. The present article reflects the main deficiencies possible to detect in the systems of code of products, using a sample of companies in Cuba. The consequences of these deficiencies are discussed and it is also included a proposal of organization of the code for the Cuban companies. © The author; licensee Universidad Nacional de Colombia.
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| 7. |
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| 8. |
- Acevedo Suárez, José A., et al.
(författare)
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El Desarrollo empresarial como base del éxito de la actualización del Modelo Económico Cubano [Business development as a successful basis for updating the Cuban Economic Model]
- 2015
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Ingår i: Revista Cubana de Ciencias Económicas Ekotemas. - 2414-4681. ; 1:1, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- A partir del año 2011, Cuba emprendió la actualización de su modelo económico, lo cual ha estado signado en conformar un nuevo escenario para el desempeño de las entidades económicas. La investigación que se presenta tiene el objetivo de identificar los elementos de la organización que son relevantes en la determinación del desempeño de las entidades cubanas en el escenario económico y social actual. Se han identificado 42 elementos relevantes de la organización, cuyo desarrollo es condición para que las mismas obtengan buenos desempeños en el escenario que se conforma con las transformaciones actuales y futuras del modelo económico. Se requiere que cada entidad, de acuerdo con sus características, emprenda un desarrollo al menos en los 42 elementos relevantes puestos de manifiesto en el presente estudio.
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| 9. |
- Acevedo Suárez, José A., et al.
(författare)
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Modelo de Referencia de Redes de Valor para un desarrollo sostenible [Reference Model of the Value Networks for a sustainable development]
- 2010
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Ingår i: Revista de Investigación Agraria y Ambiental. - : Universidad Nacional Abierta y a Distancia. - 2145-6453 .- 2145-6097. ; 1:2, s. 29-49
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Tidskriftsartikel (refereegranskat)abstract
- Case studies and modeling of logistics systems are the basis for the formulation of the content and structure of a reference model for the organization and management of Value Networks as a higher stage of integrated development of supply chains. The definition of a mathematical model for the balance of the Value Network can reveal the characteristics and principles of organization and management of Value Networks.The instrument obtained enables supply chains to assess their level of development and identify the characteristics that should be developed to reach the concept of Value Network, which is based on knowledge development and environmental integration as supports of the same and its competitive position in the global market.Proper integration into the model of environmental factors ensures that Value Networks are inserted into the objectives of promoting sustainable development. The current concept of logistics flow is extended to incorporate within it the exchange of energy, resources and impacts to the environment.The research methods used were based on a combination of study and experimentation of cases and the conceptual and mathematical modeling of systems.
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