Abstract:
OBJECTIVE:To estimate the optimum size for hemodialysis units to maximize production given capital constraints. MATERIALS AND METHODS:A national study in Mexico was conducted in 2009. Three possible methods for estimating a units optimum size were analyzed: hemodialysis services production under monopolistic market, under a perfect competitive market and production maximization given capital constraints. RESULTS:The third method was considered best based on the assumptions made in this paper; an optimal size unit should have 16 dialyzers (15 active and one back up dialyzer) and a purifier system able to supply all. It also requires one nephrologist, five nurses per shift, considering four shifts per day. CONCLUSION:Empirical evidence shows serious inefficiencies in the operation of units throughout the country. Most units fail to maximize production due to not fully utilizing equipment and personnel, particularly their water purifier potential which happens to be the most expensive asset for these units.
journal_name
Salud Publica Mexjournal_title
Salud publica de Mexicoauthors
Avila-Palomares P,López-Cervantes M,Durán-Arenas Ldoi
10.1590/s0036-36342010000400007subject
Has Abstractpub_date
2010-07-01 00:00:00pages
315-23issue
4eissn
0036-3634issn
1606-7916pii
S0036-36342010000400007journal_volume
52pub_type
杂志文章abstract::The Takemi Program in International Health was established at the Harvard School of Public Health in 1983 as a research and advanced training program for midcareer health professionals concerned with the allocation of resources for health, especially in developing countries. This essay describes the origins of the Tak...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:Objective::To analyze trends in inequality in financial protection and healthcare in Mexico between 2000 and 2012, using simple and complex measures. Materials and methods::Analysis of national health surveys 2000, 2006 and 2012, generating estimates of absolute and relative gaps and the slope index of inequality usin...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/spm.v58i6.7920
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the sensitivity and specificity of the Two Whooley questions and the Arroll question, using the SCID, The Structured Clinical Interview (SCID-I) as the gold standard for detecting perinatal depression. MATERIALS AND METHODS:We interviewed 210 women during pregnancy and 6 months postpartum. RESUL...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/9083
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To describe the occurrence of hemorrhagic disease of the newborn (HDN) at a tertiary care pediatric hospital of Morelos state. MATERIAL AND METHODS:A retrospective case series study was conducted between 1997-2000 at Hospital del Niño Morelense (Morelos State Children's Hospital), in 46 newborns aged under 1...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To offer current evidence about age at sexual initiation and contraceptive use among adolescent and adult women of different age groups, places of residence, and marital status in Mexico. MATERIALS AND METHODS:Data were analyzed from ENSANUT 2006 and 2012 surveys on knowledge and use of contraceptives. RESU...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To approach the cost analysis of the health services for eight tracer conditions, in three institutions of the public sector and in five of the private sector. MATERIAL AND METHODS:First, production functions and inputs required for standard case-management of each tracer condition were identified. Subsequen...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract::Quantitative ultrasound (QUS) appears to be developing into an acceptable, low-cost and readily-accessible alternative to dual X-ray absorptiometry (DXA) measurements of bone mineral density (BMD) in the detection and management of osteoporosis. Perhaps the major difficulty with their widespread use is that many diffe...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342009000700006
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To describe the methods and analyses of the 1999 National Nutrition Survey (NNS-99). MATERIAL AND METHODS:The 1999 National Nutrition Survey (NNS-99) is a probabilistic survey with nationwide representativity. The NNS-99 included four regions and urban and rural areas of Mexico. The last sampling units were ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342003001000012
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To describe the mortality trends of cancer attributable to tobacco smoking, particularly lung cancer, for the 1980-1997 period in Mexico. MATERIAL AND METHODS:Mortality trends were analyzed for each type of cancer associated to tobacco smoking, according to the International Classification of Diseases (ICD)....
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:This research analyzes the direct and indirect relationships among family functioning, multidimensional self-esteem (family, academic, social, and physical self-esteem) and substance use. MATERIALS AND METHODS:The study participants were composed of two independent samples of Spanish adolescents who provided...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342007000100002
更新日期:2007-01-01 00:00:00
abstract:UNLABELLED:OBJECTIVO: To identify tobacco industry's strategies aimed at containing the full adoption of public health policies established by the Framework Convention on Tobacco Control. DISCUSSION:Tobacco industry interference in the design, adoption and implementation of tobacco control policies has intensified sin...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342012000300014
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To determine the presence of Rickettsia typhi in Rhipicephalus sanguineus s.l. and Amblyomma mixtum in southern Mexico. MATERIALS AND METHODS:Ticks were collected in humans and domestic animals. The presence of Rickettsia was determined by PCR and sequencing. RESULTS:10/39 work vials amplified fragments of ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/10160
更新日期:2020-07-01 00:00:00
abstract::In this paper the paths taken by developing countries to improve the health and well-being of their populations in a context of diminishing resources is discussed. Emphasis is placed on Latin American countries and the objective is to clarify the changing nature of the relationship between health and social well-being...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:To evaluate equity in access by comparing geographic, economic, and organizational barriers as well as authorization obstacles that women encounter depending on their affiliation with the social security health system. MATERIAL AND METHODS:A retrospective survey was conducted among women undergoing breast c...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342009000800015
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:To describe knowledge,attitudes and practices in oral health of parents and caregivers. MATERIAL AND METHODS:A total of 333 parents and eight caregivers in children's homes in Colombia in 2010 completed questionnaires and participated in focus group interviews.The data was analyzed for frequency using the χ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342011000300009
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To describe the magnitude and distribution of folate and vitamin B12 deficiency in Mexican children. MATERIALS AND METHODS:Folate and vitamin B12 serum concentrations were measured in a probabilistic sample of 2 099 children. Adjusted prevalence, mean concentrations and relevant associations were calculated ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342012000200007
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To assess the adequacy and variability of the diet served to Tarahumara children in indigenous boarding schools. MATERIAL AND METHODS:Records of food and drinks served for meals, weighed daily, were obtained from Monday through Friday for 10 consecutive weeks in two selected boarding schools. Nutrient intake...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342010000100005
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:The primary purpose of this study was to determine the impact of two exercise dosages on reducing adiposity in minority girls. MATERIALS AND METHODS:Sixty-two overweight Hispanic and African-American girls participated in one of two intense summer interventions in Houston, TX: Intervention A (exposure to abo...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/spm.v55s3.5142
更新日期:2013-01-01 00:00:00
abstract::Among primary health care programs, one of those that has the highest benefit/cost ratio is measles immunization. An estimate of cases, complicated cases and deaths that could have occurred if such immunization program would not have been run, and costs of medical care (hospitalization, physician's visits, medical tre...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to assess linkages between microclimate and longer-term ENSO-related weather forcing on the week-to-week changes in dengue prevalence in Matamoros, Tamaulipas, Mexico, over a recent decade of dengue observations. MATERIAL AND METHODS:An auto-regressive model to evaluate the role of...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342008000300006
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:To assess the economic impact of a 100% smoke-free law on bars and restaurants in an Argentinean province. MATERIALS AND METHODS:We conducted a time series analysis of restaurant and bar revenues in the province of Santa Fe 31 months before and 29 months after the implementation of the 100% smoke-free envir...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342012000300004
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To determine the relative risk (RR) of non-fatal unintentional and violence-related injury associated with alcohol consumption in three emergency departments in Latin America (2001-2002). MATERIAL AND METHODS:Pair-matched case-crossover was used to obtain RR estimates for alcohol in non-fatal injuries among ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342008000700003
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To analyze the coverage of lung cancer in Mexico and offer recommendations in this regard. MATERIALS AND METHODS:By means of the conformation of a multidisciplinary group, we analyze the burden of the disease relative to the lung cancer and the access to the medical treatment offered by the different public ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/10114
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:To discover the prevalence of antibodies against denguevirus and leptospira. MATERIAL AND METHODS:A cross-sectional study was carried out in 500 inhabitants of Veracruz, Mexico through household sampling, administration of a questionnaire and collection of blood samples.The presence of IgG antibodies was det...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342006000300006
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:Analyze the impact of a mixed regime of infectious and chronic conditions among older adults in Mexico on their health progression. MATERIALS AND METHODS:A total of 12 207 adults from the Mexican Health and Aging Study were included. Logistic regression analyses were conducted to assess the relationship betw...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342012000500005
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To ratify the effect of traditional "nixtamalización" upon aflatoxin in corn, to identify the residual compound in dough, to evaluate its toxicity, and to verify the effect of acidic treatment on the regeneration of aflatoxin. MATERIAL AND METHODS:Corn with and without aflatoxin was treated separately with l...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342005000500007
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To assess the correlates of secondhand smoke exposure (SHS) in public and private settings. MATERIALS AND METHODS:Data came from the 2016 National Survey of Drug, Alcohol and Tobacco use. Multilevel Poisson models were conducted to evaluate factors associated with SHS. RESULTS:Having a higher education, bei...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/9877
更新日期:2019-09-01 00:00:00
abstract::This paper presents some ideas on the relation between personal income and the quantity and quality of education and health. It is suggested that the high degree of inequality in income in Mexico could be attributed to ancestral differences in educative and health care opportunities. In the short run, the desirable de...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::The Mexican Ministry of Health requested the National Institute of Public Health to constitute a group of independent, free of conflict-of-interest academic experts on front-of-pack labelling (FOP). This group was instructed to created a positioning paper to contribute to the development of a FOP system for industrial...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/9615
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To establish the blood lead concentration and associated risk factors in schoolchildren during 1998 and 2008. MATERIALS AND METHODS:A blood lead screening was conducted in schoolchildren of 6-12 years of age, enrolled in 17 elementary schools of the metropolitan area of Monterrey, México, during 1998 and 200...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00