Contaminación por Plomo en el Pueblo de Abra Pampa, Departamento Cochinoca Provincia de Jujuy, Versión II. Octubre de 2007

This 45 page document seems to be a report by the Provincial and National Ministry of Health of Argentina, and by PRESEC (Residencia de Epidemiología de Campo). Based on handwritten page numbers it may be missing several pages. It begins with a general introduction to the issue of lead and lead poisoning, then continues with sections such as “The background of lead poisoning in Abra Pampa,” “Rationale and Purpose,” “General Objectives,” “Specific Objectives,” “Methodology,” “Working Lines,” as well as forms such as the “Informed Consent” form for minors, an epidemiological study questionnaire, an information sheet for parents, and a “Chain of Custody” guide for the transport of biological samples for toxicology analysis. The document contains a large amount of technical information including timelines and graphs showing the progress of the environmental clean-up work, the effect of lead on the enzymatic activity in the body, treatment for different levels of lead poisoning and other information. It is signed by Dr. Carlos Miguel Ripoll, Provincial Director of Health Policy, and stamped by the ministry of Health of the Province of Jujuy. Includes handwritten notes which are mostly illegible.La

The occurrence of adverse events is associated with increased morbidity and mortality in children admitted to a single pediatric intensive care unit

Healthcare can cause harm. The goal of this study is to evaluate the association between the occurrence of adverse events (AEs) and morbidity–mortality in critically ill children. A prospective cohort study was designed. All children admitted to the Pediatric Intensive Care Unit (PICU) between August 2016 and July 2017 were followed. An AE was considered any harm associated with a healthcare-related incident. AEs were identified in two steps: first, adverse clinical incidents (ACI) were recognized through direct observation and active surveillance by PICU physicians, and then the patient safety committee evaluated every ACI to define which would be considered an AE. The outcome was hospital morbidity–mortality. There were 467 ACI registered, 249 (53.31%) were considered AEs and the rate was 4.27/100 patient days. From the 842 children included, 142 (16.86%) suffered AEs, 39 (4.63%) experienced morbidity–mortality: 33 (3.92%) died, and 6 (0.71%) had morbidity. Multivariate analysis revealed that the occurrence of AEs was significantly associated with morbidity–mortality, OR 5.70 (CI95% 2.58–12.58, p = 0.001). This association was independent of age and severity of illness score. Conclusion: Experiencing AEs significantly increased the risk of morbidity–mortality in this cohort of PICU children.What is Known:• Many children suffer healthcare-associated harm during pediatric intensive care hospitalization.What is New:• This prospective cohort study shows that experiencing adverse events during pediatric intensive care hospitalization significantly increases the risk of morbidity and mortality independent of age and severity of illness at admission.Fil: Eulmesekian, Pablo Gustavo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Hospital Italiano; ArgentinaFil: Alvarez, Juan P.. Hospital Italiano; ArgentinaFil: Ceriani Cernadas, José M.. Hospital Italiano; ArgentinaFil: Pérez, Augusto. Hospital Italiano; ArgentinaFil: Berberis, Stefanía. Hospital Italiano; ArgentinaFil: Kondratiuk, Yanel. Hospital Italiano; Argentin

Real estate mutual funds: herding, momentum-trading and performance

This study jointly examines herding, momentum trading and performance in real estate mutual funds (REMFs). We do this using trading and performance data for 159 REMFs across the period 1998–2008. In support of the view that Real Estate Investment Trust (REIT) stocks are relatively more transparent, we find that stock herding by REMFs is lower in REIT stocks than other stock. Herding behavior in our data reveals a tendency for managers to sell winners, reflective of the “disposition effect.” We find low overall levels of REMF momentum trading, but further evidence of the disposition effect when momentum trading is segregated into buy–sell dimensions. We test the robustness of our analysis using style analysis, and by reference to the level of fund dividend distribution. Our results for this are consistent with our conjecture about the role of transparency in herding, but they provide no new insights in relation to the momentum-trading dimensions of our analysis. Summarizing what are complex interrelationships, we find that neither herding nor momentum trading are demonstrably superior investment strategies for REMFs