Browsing by Autor "Annalee Yassi"
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Item type: Item , Chronic pesticide poisoning from persistent low-dose exposures in Ecuadorean floriculture workers: toward validating a low-cost test battery(Maney Publishing, 2012) Jaime Breilh; Nino Pagliccia; Annalee YassiChronic pesticide poisoning is difficult to detect. We sought to develop a low-cost test battery for settings such as Ecuador's floriculture industry. First we had to develop a case definition; as with all occupational diseases a case had to have both sufficient effective dose and associated health effects. For the former, using canonical discriminant analysis, we found that adding measures of protection and overall environmental stressors to occupational category and duration of exposure was useful. For the latter, factor analysis suggested three distinct manifestations of pesticide poisoning. We then determined sensitivity and specificity of various combinations of symptoms and simple neurotoxicity tests from the Pentox questionnaire, and found that doing so increased sensitivity and specificity compared to use of acethylcholinesterase alone--the current screening standard. While sensitivity and specificity varied with different case definitions, our results support the development of a low-cost test battery for screening in such settings.Item type: Item , Collaboration between infection control and occupational health in three continents: a success story with international impact(BioMed Central, 2011) Annalee Yassi; Elizabeth Bryce; Jaime Breilh; Marie‐Claude Lavoie; Lindiwe Ndelu; Karen Lockhart; Jerry SpiegelItem type: Item , Effect of effort‐reward imbalance and burnout on infection control among Ecuadorian nurses(Wiley, 2017) Carlos Colindres; Elizabeth Bryce; P. Coral‐Rosero; R.M. Ramos‐Soto; F Bonilla; Annalee YassiHealth authorities should closely monitor the effect of new policies on psychosocial work environment, especially when expanding services and increasing public accessibility with limited resources. Additionally, organizational and psychosocial interventions targeting effort-reward imbalance and burnout in nurses should be considered part of a complete infection prevention and control strategy. Further study is warranted to identify interventions that best ameliorate effort-reward imbalance and burnout in low- and middle-income settings.Item type: Item , Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador(BioMed Central, 2011) Jerry Spiegel; Jaime Breilh; Efrain Beltran; Jorge Leonidas Parra Parra; Fernanda Solis; Annalee Yassi; Alejandro Rojas; Elena Orrego; Bonnie Henry; William BowieAlliances of academic and non-academic partners from the South and North provide a promising orientation for learning together about ways of addressing negative trends of development. Assessing the impacts and sustainability of such processes, however, requires longer term monitoring of results and related challenges.Item type: Item , Promoción de la salud de poblaciones marginadas en el Ecuador mediante la colaboración internacional e innovaciones educativas(World Health Organization, 2009) Margot W. Parkes; Jerry Spiegel; Jaime Breilh; Fabio Sánchez; Robert Huish; Annalee YassiItem type: Item , Social transformation, collective health and community-based arts: ‘Buen Vivir’ and Ecuador's social circus programme(Taylor & Francis, 2018) Jennifer Beth Spiegel; B. Ortiz Choukroun; Angelo Americo Martinez Campana; Katherine Boydell; Jaime Breilh; Annalee YassiWorldwide, interest is increasing in community-based arts to promote social transformation. This study analyzes one such case. Ecuador's government, elected in 2006 after decades of neoliberalism, introduced Buen Vivir ('good living' derived from the Kichwan sumak kawsay), to guide development. Plans included launching a countrywide programme using circus arts as a sociocultural intervention for street-involved youth and other marginalised groups. To examine the complex ways by which such interventions intercede in 'ways of being' at the individual and collective level, we integrated qualitative and quantitative methods to document relationships between programme policies over a 5-year period and transformations in personal growth, social inclusion, social engagement and health-related lifestyles of social circus participants. We also conducted comparisons across programmes and with youth in other community arts. While programmes emphasising social, collective and inclusive pedagogy generated significantly better wellbeing outcomes, economic pressures led to prioritising productive skill-building and performing. Critiques of the government's operationalisation of Buen Vivir, including its ambitious technical goals and pragmatic economic compromising, were mirrored in social circus programmes. However, the programme seeded a grassroots social circus movement. Our study suggests that creative programmes introduced to promote social transformation can indeed contribute significantly to nurturing a culture of collective wellbeing.Item type: Item , The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm(Springer Science+Business Media, 2013) Annalee Yassi; Jaime Breilh; Shafik Dharamsi; Karen Lockhart; Jerry SpiegelItem type: Item , Why language matters: insights and challenges in applying a social determination of health approach in a North-South collaborative research program(BioMed Central, 2015) Jerry Spiegel; Jaime Breilh; Annalee Yassi