Con el Fuser por los caminos de su ciencia

Se realizó un estudio histórico-lógico acerca de la labor del Che en la Medicina, con el objetivo de valorar sus proyecciones como profesional de la salud y lo que ha aportado a las nuevas generaciones de galenos. Se confirmó que su labor como médico es trascendente, sobre todo desde el punto de vista del aporte ético-moral a la medicina con la concepción del médico social, que estuvo reforzada con sus viajes por América y que contribuyeron a la consolidación del pensamiento médico social del Che, que vivió en carne propia las múltiples necesidades que presentaban los pobladores de la América toda. Se gradúa como médico el 11 de abril de 1953, en la Universidad de Buenos Aires y luego de su encuentro con Fidel en México y de involucrarse en la lucha revolucionaria de Cuba, tendría que definir entre médico y guerrillero

The Multi-Country Multi-City Collaborative Research Network An international research consortium investigating environment, climate, and health

Research on the health risks of environmental factors and climate change requires epidemiological evidence on associated health risks at a global scale. Multi-center studies offer an excellent framework for this purpose, but they present various methodological and logistical problems. This contribution illustrates the experience of the Multi-Country Multi-City Collaborative Research Network, an international collaboration working on a global research program on the associations between environmental stressors, climate, and health in a multi-center setting. The article illustrates the collaborative scheme based on mutual contribution and data and method sharing, describes the collection of a huge multi-location database, summarizes published research findings and future plans, and discusses advantages and limitations. The Multi-Country Multi-City represents an example of a collaborative research framework that has greatly contributed to advance knowledge on the health impacts of climate change and other environmental factors and can be replicated to address other research questions across various research fields.The MCC Collaborative Research Network: Antonio Gasparrini, London School of Hygiene & Tropical Medicine, London, UK; Michelle Bell, Yale University, New Haven CT, USA; Yuming Guo, Monash University, Melbourne, Australia; Yasushi Honda, National Institute for Environmental Studies, Tsukuba, Japan; Veronika Huber, LMU Munich, Munich, Germany; Jouni J. K. Jaakkola, University of Oulu, Oulu, Finland; Aleš Urban, Czech Academy of Sciences, Prague, Czech Republic; Ana Maria Vicedo-Cabrera, University of Bern, Bern, Switzerland; Pierre Masselot, London School of Hygiene & Tropical Medicine, London, UK; Francesco Sera, University of Florence, Florence, Italy; Rosana Abrutzky, Universidad de Buenos Aires, Buenos Aires, Argentina; Shilu Tong, Chinese Center for Disease Control and Prevention, Beijing, China; Micheline de Sousa Zanotti Stagliorio Coelho, University of São Paulo, São Paulo, Brazil; Paulo Hilario Nascimento Saldiva, NSPER, São Paulo, Brazil; Eric Lavigne, University of Ottawa, Ottawa, Canada; Patricia Matus Correa, Universidad de los Andes, Santiago, Chile; Nicolás Valdés Ortega, Universidad Católica de Chile, Santiago, Chile; Haidong Kan, Fudan University, Shanghai, China; Samuel Osorio, University of São Paulo, São Paulo, Brazil; Dominic Roye, Climate Research Foundation, Madrid, Spain; Souzana Achilleos, University of Nicosia Medical School, Nicosia, Cyprus; Jan Kyselý, Czech Academy of Sciences, Prague, Czech Republic; Hans Orru, University of Tartu, Tartu, Estonia; Ene Indermitte, University of Tartu, Tartu, Estonia; Marek Maasikmets, Estonian Environmental Research Centre, Tallinn, Estonia; Niilo Ryti, University of Oulu, Oulu, Finland; Mathilde Pascal, Santé Publique France, Saint Maurice, France; Alexandra Schneider, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg, Germany; Susanne Breitner, LMU Munich, Munich, Germany; Klea Katsouyanni, National and Kapodistrian University of Athens, Greece, and Imperial College, London; Antonis Analitis, National and Kapodistrian University of Athens, Greece; Evangelia Samoli, National and Kapodistrian University of Athens, Greece; Hanne Krage Carlsen, University of Gothenburg, Gothenburg, Sweden; Fatemeh Mayvaneh, University of Münster, Münster, Germany; Alireza Entezari, Hakim Sabzevari University, Khorasan Razavi, Iran; Patrick Goodman, Technological University Dublin, Ireland; Ariana Zeka, UK Health Security Agency, London, UK; Raanan Raz, The Hebrew University of Jerusalem, Israel; Paola Michelozzi, Lazio Regional Health Service, Rome, Italy; Francesca de’Donato, Lazio Regional Health Service, Rome, Italy; Matteo Scortichini, Lazio Regional Health Service, Rome, Italy; Massimo Stafoggia, Lazio Regional Health Service, Rome, Italy; Masahiro Hashizume, The University of Tokyo, Tokyo, Japan; Yoonhee Kim, University of Tokyo, Tokyo, Japan; Chris Fook Sheng Ng, The University of Tokyo, Tokyo, Japan; Barrak Alahmad, Harvard University, Boston, MA, USA; John Paul Cauchy, Malta; Magali Hurtado Diaz, National Institute of Public Health, Cuernavaca, Mexico; Eunice Elizabeth Félix Arellano, National Institute of Public Health, Cuernavaca, Mexico; Ala Overcenco, National Agency for Public Health of the Ministry of Health, Labour and Social Protection of the Republic of Moldova, Moldova; Jochem Klompmaker, National Institute for Public Health and the Environment, Bilthoven, the Netherlands; Shilpa Rao, Norwegian Institute of Public Health, Oslo, Norway; Gabriel Carrasco, Universidad Peruana Cayetano Heredia, Lima, Peru; Xerxes Seposo, Hokkaido University, Sapporo, Japan; Paul Lester Carlos Chua, The University of Tokyo, Tokyo, Japan; Susana das Neves Pereira da Silva, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal; Joana Madureira, Instituto Nacional de Saúde Dr. Ricardo Jorge, Porto, Portugal; Iulian-Horia Holobaca, Babes-Bolay University, Cluj-Napoca, Romania; Ivana Cvijanovic, Barcelona Institute for Global Health, Barcelona, Spain; Malcolm Mistry, London School of Hygiene & Tropical Medicine, London, UK; Noah Scovronick, Emory University, Atlanta, USA; Fiorella Acquaotta, University of Torino, Italy; Rebecca M. Garland, University of Pretoria, Pretoria, South Africa; Ho Kim, Seoul National University, Seoul, South Korea; Whanhee Lee, Pusan National University, Yangsan, South Korea; Aurelio Tobias, Spanish Council for Scientific Research, Barcelona, Spain; Carmen Íñiguez, Universitat de València, Spain; Bertil Forsberg, Umeå University, Umeå, Sweden; Martina S. Ragettli, Swiss Tropical and Public Health Institute, Allschwill, Switzerland; Yue Leon Guo, National Taiwan University College of Medicine, Taipei, Taiwan; Shih-Chun Pan, National Health Research Institutes, Zhunan, Taiwan; Shanshan Li, Monash University, Melbourne, Australia; Ben Armstrong, London School of Hygiene & Tropical Medicine, London, United Kingdom; Valentina Colistro, University of the Republic, Montevideo, Uruguay; Antonella Zanobetti, Harvard University, Boston, MA, USA; Joel Schwartz, Harvard University, Boston, MA, USA; Tran Ngoc Dang, Duy Tan University, Da Nang, Vietnam; Do Van Dung, University of Medicine and Pharmacy, Ho Chi Minh City, VietNam). Past members: Simona Fratianni, University of Torino, Italy; Julio Cesar Cruz, National Institute of Public Health, Cuernavaca, Mexico; Caroline Ameling, National Institute for Public Health and the Environment, Bilthoven, Netherlands; Daniel Oudin Åström, Umeå University, Umeå, Sweden.Peer reviewe

Global, regional, and national burden of mortality associated with cold spells during 2000–19 : a three-stage modelling study

Background: Exposure to cold spells is associated with mortality. However, little is known about the global mortality burden of cold spells. Methods: A three-stage meta-analytical method was used to estimate the global mortality burden associated with cold spells by means of a time series dataset of 1960 locations across 59 countries (or regions). First, we fitted the location-specific, cold spell-related mortality associations using a quasi-Poisson regression with a distributed lag non-linear model with a lag period of up to 21 days. Second, we built a multivariate meta-regression model between location-specific associations and seven predictors. Finally, we predicted the global grid-specific cold spell-related mortality associations during 2000–19 using the fitted meta-regression model and the yearly grid-specific meta-predictors. We calculated the annual excess deaths, excess death ratio (excess deaths per 1000 deaths), and excess death rate (excess deaths per 100 000 population) due to cold spells for each grid across the world. Findings: Globally, 205 932 (95% empirical CI [eCI] 162 692–250 337) excess deaths, representing 3·81 (95% eCI 2·93–4·71) excess deaths per 1000 deaths (excess death ratio), and 3·03 (2·33–3·75) excess deaths per 100 000 population (excess death rate) were associated with cold spells per year between 2000 and 2019. The annual average global excess death ratio in 2016–19 increased by 0·12 percentage points and the excess death rate in 2016–19 increased by 0·18 percentage points, compared with those in 2000–03. The mortality burden varied geographically. The excess death ratio and rate were highest in Europe, whereas these indicators were lowest in Africa. Temperate climates had higher excess death ratio and rate associated with cold spells than other climate zones. Interpretation: Cold spells are associated with substantial mortality burden around the world with geographically varying patterns. Although the number of cold spells has on average been decreasing since year 2000, the public health threat of cold spells remains substantial. The findings indicate an urgency of taking local and regional measures to protect the public from the mortality burdens of cold spells. Funding: Australian Research Council, Australian National Health and Medical Research Council, EU's Horizon 2020 Project Exhaustion.Peer reviewe