Latin America: Capital Accumulation, Health and the Role of International Institutions

Objectives: This article analyzes the transformation of the health sector during the second half of the twentieth century and presents information on the role that international institutions play in capital accumulation

The Decentralization of Health Services: From Theory to Practice

Objectives: There are two main objectives in this work: first, to discuss the lack of consensus on the concept of decentralization as well as the difficulty of measuring the level of decentralization in a health system and, second, to identify its supporters, their reasons and the results achieved after decentralization in Latin America

Partial characterization and photolabeling of a Rhizobium meliloti polysaccharide methyltransferase with S-adenosylmethionine

S-Adenosylmethionine (SAM) has been used to directly cross-link a polysaccharide specific methyltransferase isolated from Rhizobium meliloti HA. This peculiar enzyme transfers a methyl group to the 2-O-galacturonosyl residue of a teichuronic type polysaccharide and was very unstable. The apparent Km for SAM was 0.46 mM. The Hill coefficient, n, was 1. The enzyme had an optimum pH of 8.2 and requires Mn2+ at concentration of 2 mM. The enzyme was inactivated by saline concentrations of 120 mM or greater and was eluted from Superose columns with an apparent molecular weight of 28 kDa. The isoelectric point was close to 7.0. To elucidate the relationship between chemical structure and catalytic function, (3H)SAM was cross-linked to the enzyme and the enzymatic activity was assayed in presence and in absence of commercial substrate analogs. Cross-linking was performed by direct irradiation of enzyme and (3H)SAM. The uptake of radioactivity was linear up to about 20 min and then reached a plateau. This irreversible junction is specific, as shown by a number of different criteria. Several competitive inhibitors were able to affect this photoactivated cross-linkage. As the concentration of inhibitors increased, both, the level of photolabeling and enzyme activity always decreased. The SAM-enzyme adduct was shown to be a single protein band by SDS polyacrylamide gel electrophoresis

The experiences of patients and carers in the daily management of care at the end of life

Background Home is the preferred location for most people with an advanced disease and at the end of life. A variety of care professionals work in community settings to provide support to this population. Patients and their spouses, who also care for them (spouse-carers), are rarely accompanied by these sources of support at all times, and have to manage independently between their contact with care professionals. Aim To explore how patients and spouse-carers manage their involvement with care professionals in the community setting. Method Interpretive phenomenology informs the design of the research, whereby 16 interviews were conducted with the patients and spouse-carers. Interviews were recorded and transcribed verbatim. Data were analysed using phenomenological techniques including template analysis. Findings Patients and spouse-carers were interdependent and both parties played a role in co-ordinating care and managing relationships with professional care providers. The patients and spouse-carers actively made choices about how to manage their situation, and develop and modify managing strategies based on their experiences. Conclusions When daily management is effective and care professionals acknowledge the dyadic nature of the patient and spouse-carer relationship, people have confidence in living with advanced disease

Copyright Protection of Color Imaging Using Robust-Encoded Watermarking

In this paper we present a robust-encoded watermarking method applied to color images for copyright protection, which presents robustness against several geometric and signal processing distortions. Trade-off between payload, robustness and imperceptibility is a very important aspect which has to be considered when a watermark algorithm is designed. In our proposed scheme, previously to be embedded into the image, the watermark signal is encoded using a convolutional encoder, which can perform forward error correction achieving better robustness performance. Then, the embedding process is carried out through the discrete cosine transform domain (DCT) of an image using the image normalization technique to accomplish robustness against geometric and signal processing distortions. The embedded watermark coded bits are extracted and decoded using the Viterbi algorithm. In order to determine the presence or absence of the watermark into the image we compute the bit error rate (BER) between the recovered and the original watermark data sequence. The quality of the watermarked image is measured using the well-known indices: Peak Signal to Noise Ratio (PSNR), Visual Information Fidelity (VIF) and Structural Similarity Index (SSIM). The color difference between the watermarked and original images is obtained by using the Normalized Color Difference (NCD) measure. The experimental results show that the proposed method provides good performance in terms of imperceptibility and robustness. The comparison among the proposed and previously reported methods based on different techniques is also provided