847 resultados para Technical cooperation among developing countries


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Spanish version available

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Traffic congestion has become a severe scourge in large cities, in both the industrialized and developing countries. Increasing demand for urban transport and transit has led to longer travel times, and a greater incidence of accidents, environmental problems and deterioration in the quality of life than is considered acceptable for citizens. A multidisciplinary approach is required in order to keep the negative effects of congestion under control and to ensure standards of living remain sustainable. In view of the seriousness of the problem, ECLAC with the support of the German Agency for Technical Cooperation (GTZ) is carrying out a project to study measures that contribute to traffic control. As part of this project, initiatives regarding the supply of, and the demand for, transport have been examined, and a programme to disseminate information is being conducted.For further information, please contact Mr Alberto Bull .

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Patients submitted to hemodialysis are at a high risk for healthcare-associated infections (HAI). Presently there are scarce data to allow benchmarking of HAI rates in developing countries. Also, most studies focus only on bloodstream infections (BSI) or local access infections (LAI). Our study aimed to provide a wide overview of HAT epidemiology in a hemodialysis unit in southeastern Brazil. We present data from prospective surveillance carried out from March 2010 through May 2012. Rates were compared (mid-p exact test) and temporally analyzed in Shewhart control charts for Poisson distributions. The overall incidence of BSI was 1.12 per 1000 access-days. The rate was higher for patients performing dialysis through central venous catheters (CVC), either temporary (RR = 13.35, 95% CI = 6.68-26.95) or permanent (RR = 2.10,95% CI = 1.09-4.13), as compared to those with arteriovenous fistula. Control charts identified a BSI outbreak caused by Pseudomonas aeruginosa in April 2010. LAI incidence was 3.80 per 1000 access-days. Incidence rates for other HAI (per 1000 patients-day) were as follows: upper respiratory infections, 1.72; pneumonia, 1.35; urinary tract infections, 1.25; skin/soft tissues infections, 0.93. The data point out to the usefulness of applying methods commonly used in hospital-based surveillance for hemodialysis units. (C) 2013 Elsevier Editora Ltda. All rights reserved.