Argentinian digital health strategy

Digital Health is one of the three pillars for the effective implementation of Universal Health Coverage in Argentina. The Ministry of Health published the National Digital Health Strategy 2018-2024 in order to establish the conceptual guidelines for the design and development of interoperable health information systems as a state policy. The World Health Organization "National eHealth Strategy Toolkit", "Global Strategy on Digital Health" and other international and local evidence and expert recommendations were taken into account. The path to better healthcare involves adopting systems at the point of care, allowing for the primary recording of information and enabling information exchange through real interoperability. In that way, people, technology and processes will synergize to enhance integrated health service networks. In this paper, we describe the plan and the first two years of implementation of the strategy.Fil: Rizzato Lede, Daniel A.. Ministerio de Salud de la Nación; ArgentinaFil: Pedernera, Federico A.. Ministerio de Salud de la Nación; ArgentinaFil: López, Emiliano. Ministerio de Salud de la Nación; ArgentinaFil: Speranza, Cintia D.. Ministerio de Salud de la Nación; ArgentinaFil: Guevel, Carlos Gustavo. Ministerio de Salud de la Nación; ArgentinaFil: Maid, Jesse J.. Ministerio de Salud de la Nación; ArgentinaFil: Mac Culloch, Patricia. Ministerio de Modernización; ArgentinaFil: Rolandi, Florencia. Ministerio de Modernización; ArgentinaFil: Ayala, Fabiana. Ministerio de Modernización; ArgentinaFil: Abadie, Daniel A.. Ministerio de Modernización; ArgentinaFil: Baqué, María I.. Ministerio de Modernización; ArgentinaFil: Gassino, Fernando. Ministerio de Salud de la Nación; Argentina. Hospital Italiano; ArgentinaFil: Campos, Fernando. Hospital Italiano; ArgentinaFil: Kaminker, Diego. No especifíca;Fil: Cejas, Cintia A.. Ministerio de Salud de la Nación; ArgentinaFil: López Osornio, Alejandro. Ministerio de Salud de la Nación; ArgentinaFil: Rubinstein, Adolfo Luis. Ministerio de Salud de la Nación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentin

A utilização do Arco de Maguerez na implementação de práticas educativas para mulheres grávidas

As ações educativas direcionadas a gestantes desempenham um papel imprescindível na melhoria dos resultados materno-fetais, na prevenção de complicações durante a gravidez e no empoderamento das mulheres para tomar decisões informadas sobre sua própria saúde e a de seus filhos. Tais condutas, quando integradas a uma equipe multidisciplinar de saúde, representam uma abordagem abrangente e eficaz para a promoção da saúde materna e neonatal. Dentre as principais metodologias adotadas para a educação em saúde destaca-se o Arco de Maguerez, que possibilita uma visão sistêmica e reflexiva na resolução de questões complexas relacionadas à saúde e ao bem-estar. Esse estudo objetivou descrever a utilização da metodologia do Arco de Maguerez para o desenvolvimento de práticas educativas com gestantes em Belém-PA. Trata-se de um relato de experiência de abordagem qualitativa e natureza descritiva no campo da educação em saúde. Os resultados do estudo demonstram que a abordagem da utilização do Arco de Maguerez foi benéfica ao público-alvo, haja vista que um retorno positivo, bem como uma sensibilização das gestantes acerca dos hábitos saudáveis. Além disso, foi possível perceber que abordagens educacionais durante o período pré-natal podem ser eficazes na promoção de condutas adequadas e na melhoria do conhecimento das gestantes, podendo promover, inclusive, a formação de redes de apoio entre as gestantes, que facilita o suporte mútuo e a troca de informações ao longo da gestação. Estes resultados sublinham a importância contínua de oferecer oportunidades educacionais e de apoio às gestantes, visando a uma gravidez mais saudável e o bem-estar ao binômio materno-fetal.   &nbsp

The principles of political economy.

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VII. Corrections and Additions to the Sketch of the Mineralogy of Sky, published in the third volume of the Transactions of the Geological Society.

When the Sketch of the Mineralogy of Sky was drawn up for the Society’s volume in 1813, * I had no prospect of again visiting that remote country. Circumstances having led me to traverse the same ground in much greater detail, I have been enabled to supply the deficiencies which were acknowledged in that paper, and to correct the errors into which I had unwarily fallen. I hold it my duty to supply the one and to correct the other; and consider that an acknowledgment of the latter is the greatest mark of respect I can pay to that body under whose protection they were laid before the readers of its Transactions. No apology can be offered for want of industry; but the extent of this island, the difficulty of traversing it, and the intricate disposition of its rocks, offer some excuse for deficiencies, where want of time was further superadded to all other obstacles, For errors there is no excuse, but in correcting them it will not be useless to point out the causes from which they arose, since other observers may take warning from them, and learn to mistrust all observations which are not founded on rigid investigation, free from conjecture, and free from system. To conclude respecting what is, from that which ought to be, will lead, as it has already led, to greater errors than those which I shall have to record. Equal hazard arises from judging of the structure of a district by the examination of</jats:p

I. Account of Guernsey, and the other Channel Islands

The few following notes may help to explain the maps on which I have sketched the leading features of the mineralogy of the Channel Islands. The specimens which I collected having been mislaid, I am unable to give a more particular description of the, stones which I have noticed. These islands are situated in St. Michael’s Bay, and from the general direction of the land, the form of the bottom, and the numerous rocks which are scattered around, may possibly have once been more intimately connected with the Coast of Normandy. Of this however any further evidence, arising from continuity or similarity of strata, is, for the present at least, inaccessible. It will be seen that they are chiefly formed of granitic rocks. The Islands of Chozè, which lie deeper in the Bay, are of similar formation, and I am informed that Mont St. Michel is also a mass of granite. Excepting this, I have not been able to obtain any information with regard to the Coasts of Normandy or Brittany, from the Islands of Brehat to La Hogue. But from the Seven Islands to l’Isle de Siecle, including Morlaix and Treguier, I have had opportunities of ascertaining that granite is the predominant rock; and more extensive observation may possibly prove, that a chain of granitic rock extends from Cape La Hogue to Ushant, a line parallel to that granitic chain, which rans in a WSW direction, from Dartmoor to the Scilly Islands. This is rendered further probable, from the</jats:p

XXII. On Staffa.

If the “Description and Natural History” of Staffa, by Faujas de St. Fond, or the various other descriptions which have been published of this island by naturalists and by tourists, had exhausted the subject, I should have forborn to have troubled the Society with any remarks on a place which ought now to be well known. But a visit to this celebrated island having given me an opportunity of remarking a circumstance before unnoticed, and of some importance in its natural history, I think it my duty to lay it before the Society. In so doing, I find it difficult to avoid entering rather minutely into the general description of the island, particularly since a second examination, besides confirming the remarkable fact I at first noticed, has enabled me to investigate its structure more completely. I shall doubtless still leave something to be corrected by those who may come after me. A multiplicity of objects pressing at once for regard, a visit always necessarily hurried from the impossibility of remaining long on the island, a boisterous sea, and a stormy atmosphere, are hostile to that accuracy of observation which may preclude future corrections. The circumference of Staffa is estimated at about two miles. It forms a sort of table land of an irregular surface, bounded on all sides by perpendicular cliffs, varying in altitude and broken into numerous recesses and promontories. It is intersected by one deep cut, scarcely to be called a valley, which divides the higher and more</jats:p

XVIII. On the Parallel Roads of Glen Roy.

The extraordinary and hitherto solitary phenomena which I have undertaken to describe, although long known and celebrated by the natives as the traditional works of their great ancestors, remained concealed from the world in general till Mr. Pennant published a short account of Glen Roy in an appendix to his Tour. A second description appeared in the Statistical Survey of Scotland, since which I know not that any attempt has been made to explain the origin of the Parallel Roads, although they have long been objects of curiosity to philosophical as well as to ordinary tourists. However convinced the Highlanders may have formerly been that these parallel roads, as they are called, were the works of Fingal and the heroes of his age, they have lately inclined to a different belief, and with most philosophers are willing to think that they may have been the result of the action of water. Still the matter remains disputed among the partizans of the different theories, and as the establishment of the latter opinion is attended with geological consequences of the first importance, it deserves to be investigated with the greatest care. The appearance of the parallel roads is so extraordinary as to impress the imagination of the most unphilosophical, nay, even of the most incurious spectator. It is not therefore surprising that they should excite the admiration of the natives, in whom the progress of civilization has not yet extirpated those poetical feelings and that sense of the sublime, of which their</jats:p

XI. Observations on the Hill of Kinnoul, in Perthshire.

In transmitting to the Society the specimens from the hill of Kinnoul which accompany this paper, I have thought it necessary to enter into a description somewhat detailed, of appearances attended with considerable interest, and involving some difficulties. We are yet, it is to be feared, in want of a theory capable of solving all the cases which the increased activity of geological research is daily bringing to light. It is among difficult and unexplained phenomena that we are to seek for the stimulus which will lead us to pursue those researches on the multiplication of which alone we can hope to found a true system; and it is to a salutary distrust of the all-sufficiency of any hypothesis, that we must look for protection from its paralyzing effects. The hill of Kinnoul, from which the specimens now before the Society were selected, has been frequently visited by geologists and mineralogists, more perhaps with a view to the minerals which the rock contains than for the purpose of examining those remarkable geological phenomena which it exhibits. Except the account of it in the travels of Faujas de St. Fond, I know not that any description of this hill has been laid before the public. The peculiar opinions of that author are well known, and I believe that in this country it is not necessary to enter into any refutation of his conclusions. As far indeed as the appearance of the trap rocks and their peculiar mineralogical character are concerned, the</jats:p

XXI. On a peculiar Disposition of the Colouring Matters in a Schistose Rock.

The rock which this drawing represents is well known in the country where it occurs by the popular name of Killas ; and as the reasonings to be founded on it will not be affected by the use or omission of more scientific terms, I shall not wait to determine under which of these names it ought to be ranked. It is to be observed at the back of the Gun wharf at Plymouth dock, where it has been cut to a smooth face to make room for the Ordnance department in that yard. On inspecting the drawing, it will be seen that the fissure of the killas is perpendicular to the horizon. The general colour of the mass is a faint brown red, and a number of dove-coloured stripes of unequal thickness may be seen traversing it in very irregular curved lines, but bearing a sort of parallelism or relation to each other. To say that it resembles strongly a piece of marble paper, will be a comparison as illustrative as it is familiar. If we pursue the same familiar analogy we may be led to explain the method by which the mass of killas acquired this peculiar disposition of its colouring matters. It is well known that the operation of marbling, either in oil or water, is produced by partially mixing together two or more coloured fluids of considerable density or tenacity: should the layers of the several fluids have been straight, the curved and wavy appearance is given</jats:p