Inequalities in infant mortality in the American region: basic elements for analysis.
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Biomedical subjects
Publications and source records attributed to E Loyola.
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Explore the source record for details and available documents.
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In forensic odontology, accurate detailed and complete recording of ante-mortem information is essential as the basis for odontological identification. Earlier studies on malpractice cases in Sweden indicated that the quality of the recording procedure was not always acceptable. Therefore, the aim of this retrospective study was to investigate the quality of ante-mortem records and its possible implications for identification work. All forensic odontology cases referred to the Department of Forensic Medicine in Göteborg between 1983 and 1992 were studied with regard to the instructions for dental records from the National Board of Health and Welfare. Information on dental characteristics, normal anatomical findings and restorative treatment was complete in 43 (68%) of the cases, incomplete in 17 (27%) and missing in 3 (5%). Registration of previous therapy was missing in about 75 (94%) of the records. It was possible to identify patient radiographs in only 16 of the 40 records where radiographs were available. In spite of this, the inaccuracies in the records did not seem to hamper the identification procedures in this study which could be explained by the character of the cases and the availability of medical and circumstantial information.
Forty-four cases of eclampsia with an incidence of 2.3 in 1,000 deliveries were analyzed. The major frequency was in primiparas (81.8%) and were less than 19 years old (54.5%). Convulsions occurred during pregnancy in 65.9% of patients, during labor 6.8% and 11.4% postpartum. In 91% of patients a cesarean section was performed. The most frequent indication was low pelvic score. The 61.4% of the labor occurred at 37 weeks or less. Perinatal mortality was 2.3% (one new born of 1,340 g death in the neonatal period). We don't have maternal mortality.
Close to 14 percent of the world's population lives in the Americas and the total population of this area is expected to reach 823,225,000 by the year 2000. Periodic assessments of the health situation and trends in conditions throughout subregions of the Americas have been undertaken by the Pan American Health Organization (PAHO) since the mid-1950s. These assessments demonstrate and underscore some major disparities in social, health and economic conditions in the various countries within the region. Analysis of some 38 demographic, socioeconomic, vital statistics and resource availability indicators show encouraging health and social progress between 1980 and 1998. Data concerning the health situation and trends in eight subregions of the Americas show a demographic reshape and an overall improvement in a variety of health indicators over this period. Important changes occurred in the epidemiological profile of the populations, shifting from a mainly communicable disease profile to one in which chronic diseases also affect a major portion of the population. This double health burden is unique in the region of the Americas. Improvements in social as well as health indicators were evidenced throughout the various subregions but at differing levels and at varying rates. Marked changes in total fertility, infant mortality, life expectancy and morbidity rates characterized the period between 1980 and 1998. The discrepancies between countries are highlighted and areas in need of further improvement outlined.
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