COMPARATIVE STUDY OF INFORMAL HEALTH CARE NETWORKS AND ELDERLY HEALTH STATUS IN ARGENTINA AND CUBA

This study will explore familial and friend support networks and living arrangements among elderly individuals in Latin America and the impact that this type of support has on the health of the elderly individuals in the countries of interest. Using data from the Survey on Health and Well-Being of Elders (SABE) from 1999-2000, I will explore which type of support has a larger impact on overall health. I will also measure differences in unmet needs for certain health services. This topic is particularly interesting because it will help to uncover what policies are best for aiding in the healthcare of the elderly in aging population. Lastly, the investigation of this topic will allow me to draw conclusions about the most effective means of social and public policy for the elderly community and provide me with information about the role of both informal provisions of support from family and friends, and formal provisions of support from the government. My primary focus will be on Argentina, using Buenos Aires as the sample city, and Cuba, using Havana as the sample city. These two countries have increasingly aging populations, poorer resources and vast inequalities, but, extremely different political, economic and cultural situations. Comparing the two countries will further allow me to determine correlations between health and the existence of support networks, as well as provide me with information to make more general claims that may be of use in the United States. Argentina is particularly interesting to me because of my abroad experience and homestay experience with an older Argentine woman who lived alone but depended upon her family for many healthcare needs, doctors’ visits and general well-being. In Argentina, I experienced a different form of living than I am used to in the United States, where many older individuals or couples live in nursing homes or assisted living facilities rather than alone or with family. The changing economic climate of the two countries coupled with labor patterns of women returning to work at rapid rates indicates that policies cannot just rely on either the formal or informal sector but require a combination of the two sectors working together.This paper will first give background on the difference in the economies and the health care systems in Argentina and Cuba and will show why it interesting to study and compare these two countries. I will then discuss the health status of the elderly in each population as well as discuss the informal care networks and the role of family in each country. This section will then be followed by a description of the data and methods used. I will end by drawing conclusions about the study and the outcomes, and then I will attempt to make suggestions about effective health care policies for the elderly.

Molecular Characterization and Risk Factors of Giardia duodenalis among School Children from La Habana, Cuba

Giardia duodenalis is considered the most common protozoan infecting humans worldwide. Molecular characterization of G. duodenalis isolates has revealed the existence of eight groups (assemblages A to H) which differ in their host distribution. A cross-sectional study was conducted in 639 children from La Habana between January and December 2013. Two assemblage-specific PCRs were carried out for the molecular characterization. The overall prevalence of Giardia infection was 11.9%. DNA from 63 of 76 (82.9%) samples was successfully amplified by PCR-tpi, while 58 from 76 (76.3%) were detected by PCRE1-HF. Similar results by both PCRs were obtained in 54 from 76 samples (71%). According to these analyses, assemblage B and mixed assemblages A + B account for most of the Giardia infections in the cohort of children tested. Our current study identified assemblage B as predominant genotype in children infected with Giardia. Univariate analysis indicated that omission of washing hands before eating and keeping dogs at home were significant risk factors for a Giardia infection. In the future, novel molecular tools for a better discrimination of assemblages at the subassemblages level are needed to verify possible correlations between Giardia genotypes and symptomatology of giardiasis.

Determinants of quality of advanced cancer care in Latin America. A look at five countries: Argentina, Brazil, Cuba, Mexico and Peru

The World Health Organization reports that nearly half a million people died of cancer in Latin America in 2001. As a growing public health problem, cancer is now either the first or second leading cause of death among adults in most Latin American nations. Despite these trends, information on the quality of care people with advanced cancer in Latin America receive has been limited. This study assessed the quality of advanced cancer care in diverse Latin American countries and institutions by surveying cancer care providers from: Argentina; Brazil; Cuba; Mexico; and Peru. This study also identified the most salient factors that influence the quality of this care at the national and institutional levels and compared these factors across countries. This study was based on the secondary analyses of data collected by the University of Texas M. D. Anderson's WHO/PAHO Collaborating Center in Supportive Cancer Care from March 2000 to November 2002. The sample for this survey was a convenience sample of physicians and nurses who treat cancer patients in these regions. Strategies for the dissemination of this survey included: mass mailings; distribution at professional meetings/conferences; collaboration with regional institutions, professional organizations and PAHO; and the posting of online surveys. The strongest predictor of providers' assessments of the quality of advanced cancer care was their ratings of access to care. This major finding reflects a shared equitable notion of quality care among providers from diverse countries and medical institutions that is highly interrelated with providing accessible care to those with advanced cancer. Higher ratings of the affordability of care, an increased reported availability of end-of-life services and opioid analgesics, practicing in either a private hospital or specialized cancer center, and practicing in Cuba were also associated with higher provider ratings of the quality of advanced cancer care. The findings of this study contribute towards the much needed body of knowledge that may guide the formulation of policies and interventions aimed at improving the care for people with advanced cancer in Latin America. ^

Ein jüdisches Leichenbegängnis auf Cuba

J. W.

Los bioinsecticidas de nim en el control de plagas de insectos en cultivos económicos : La Habana (Cuba)

En Cuba, la generalización del cultivo del Nim (Azadirachta indica A. Juss) y el uso de los bioinsecticidas producidos a partir de éste como apoyo al desarrollo de una agricultura sostenible y ecológica, trae consigo la necesidad de validar su efectividad biológica en una gama cada vez más amplia de plagas de interés agrícola. En el presente trabajo se demuestra que con el uso de los productos OleoNim 80 CE, NeoNim 60 CE, CubaNim T, CubaNim SM y FoliarNim HM es posible controlar con eficacia la acción nociva de plagas tales como Diaphania hyalinata (L.) en melón, Empoasca fabae (Harris) en poroto, Thrips palmi (Karny) en pepino en organopónico y bajo condiciones de cultivo protegido, y Bemisia tabaci (Genn.) en poroto y tomate. Las efectividades biológicas alcanzadas en estas experiencias, oscilaron entre 75 y 100 %, lo cual confirma la factibilidad del uso de estos bioinsecticidas insertados en el Manejo Integrado de Plagas para una agricultura sostenible.

Guadarrama González, Pablo. América Latina: marxismo y posmodernidad. Santa Clara, Cuba, y Bogotá,Colombia, Universidad de Las Villas y Universidad Incca de Colombia, 1994, 230 p.

Fil: Silnik, Gustavo David.

La memoria de la II República, la Guerra Civil y el exilio españoles en Enero en Cuba de Max Aub

El exilio es el tema central de los diarios de Max Aub publicados en vida del autor: Enero en Cuba (1969) y La gallina ciega (1971). La ponencia aborda el primero, del que apenas se ha ocupado la crítica aubiana y que da cuenta de los casi dos meses vividos en la isla, invitado a participar en el Congreso Cultural de La Habana de 1968 y ser jurado de teatro del premio anual de la Casa de las Américas; sin embargo, el paisaje cultural cubano no es más que un telón de fondo. El congreso de 1968 deviene disparador para la memoria -en este caso, enfocada sobre todo en el Congreso de Intelectuales Antifascistas de 1937- y la reflexión sobre su construcción, preservación y usos -dentro y fuera de España- en las casi tres décadas de exilio. A su vez, el evento cultural sirve como punto de confluencia tanto de intelectuales españoles exiliados en otras zonas geográficas como de aquéllos sometidos a lo que cierta crítica denominó "exilio interior" o "insilio", concurrencia en que se establece un vínculo entre la obra y el antes citado diario español, La gallina ciega.