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. ^

La lírica románica medieval y renacentista en la formación en Letras : El caso de la UNLP (1900-1990)

Propuesta de investigación enmarcada en la postulación para las Becas de Investigación. Estado de la cuestión y primeras aproximaciones para la revisión de la formación en Letras en torno a los estudios sobre lírica románica medieval y renacentista

La lírica románica medieval y renacentista en la formación en Letras : El caso de la UNLP (1900-1990)

Propuesta de investigación enmarcada en la postulación para las Becas de Investigación. Estado de la cuestión y primeras aproximaciones para la revisión de la formación en Letras en torno a los estudios sobre lírica románica medieval y renacentista

La lírica románica medieval y renacentista en la formación en Letras : El caso de la UNLP (1900-1990)

Propuesta de investigación enmarcada en la postulación para las Becas de Investigación. Estado de la cuestión y primeras aproximaciones para la revisión de la formación en Letras en torno a los estudios sobre lírica románica medieval y renacentista

Isotopic composition of modern ice wedges and winter precipitation in the Laptev Sea region (Table 2)

The first step for the application of stable isotope analyses of ice wedges for the correct paleoclimatic reconstruction supposes the study of the isotopic composition of modern ice wedges and their relationship with the isotopic composition of modern precipitation. The purpose of this research is to present, to analyze and to discuss new data on isotopic composition (d18O, dD, 3H) of modern ice wedges obtained in the Laptev Sea region in 1998-99. Investigations were carried out at two sites: on Bykovsky Peninsula in 1998 and on Bol'shoy Lyakhovsky Island in 1999 and were based on the combined application of both tritium CH) and stable isotope (d18O, dD) analyses. Tritium analyses of the atmospheric precipitation collected during two field seasons show seasonal variations: high tritium concentration in snow (to a maximum of 207 TU) and low values of tritium concentration (<20 TU) in rain. High tritium concentrations are also observed in the surface water, in suprapermafrost ground waters, and in the upper part of permafrost. High tritium concentrations range between 30-40 TU and 750 TU in the studied modern ice wedges (active ice wedges), which let us believe that they are of modern growth. Such high tritium concentrations in ice wedges can not be associated with old thermonuclear tritium because of the radioactive decay. High tritium concentrations found in the snow cover in 1998/99, in the active layer and in the upper part of permafrost give evidence of modern (probably the last decade) technogenic tritium arrival from the atmosphere on to the Earth surface in the region. The comparison of the isotopic composition (d18O, dD and d-excess) of active ice wedges and modern winter precipitation in both sites shows: 1) the isotopic composition of snow correlates linearly with a slope close to 8.0 and parallel to the GMWL at both sites; 2) the mean isotopic composition of active ice wedges on Bykovsky Peninsula is in good agreement with the mean isotopic composition of modern snow; 3) the isotopic composition of active ice wedges and snow on Bol'shoy Lyakhovsky Island are considerably different. There are low values of d-excess in all studied active ice wedges (mean value is about 4.8 per mil), while in snow, the mean value of d-excess is about 9.5 per mil. Possible reasons for this gap are the following: 1) the modification of the isotopic composition in snow during the spring period; 2) changes in the isotopic composition of ice wedges due to the process of ice sublimation in open frost cracks during the cold period; 3) mixing of snowmelt water with different types of surface water during the spring period; 4) different moisture source regions.

Research and teaching the European Union in Latin America. Jean Monnet/Robert Schuman Paper Series Special, December 2012

NOTE: there is an appendix to this document on the Archive at ei.pitt.edu/29784/ From the Introduction. The tasks of research, teaching and public opinion outreach activities on the European Union in the Latin American subcontinent2 are propelled by two principal motivations. In the first place, interest on the EU originates from the historical proximity between Europe and Latin America. There are no other two regions in the world with a deeper mutual affinity than the one existing between Europe and the conglomerate composed by Latin America and the Caribbean. Only the intimate relationship forged by the United States with the Europe continent is perhaps stronger, and even more special with the United Kingdom.

Latin America timber trends and prospects [by] Economic Commission for Latin America [and] Food and Agriculture Organization of the United Nations.

"Errata": 1 leaf inserted.