Browsing by Autor "Jaime Breilh"
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Item type: Item , A leadership for life.(2010) Jaime BreilhItem type: Item , Advancing health equity in healthy cities: Framing matters(Palgrave Macmillan, 2017) Jerry Spiegel; Jaime BreilhItem type: Item , Beyond the Current Crisis: Mobilizing for Health for All: Urgent Agreement and Agenda for Life: Towards an Organic & Cohesive World Health Movement(2013) Jaime BreilhThis talk was originally given on July 10, 2012 during the Plenary Session of the Third Assembly of the People’s Health Movement (PHM), which was held at the University of the Western Cape, Capetown South Africa (July 6 -11, 2012).Item type: Item , Beyond the Current Crisis: Mobilizing for Health for All: Urgent Agreement and Agenda for Life: Towards an Organic & Cohesive World Health Movement(Social Medicine Publication Group, 2013) Jaime BreilhThis talk was originally given on July 10, 2012 during the Plenary Session of the Third Assembly of the People’s Health Movement (PHM), which was held at the University of the Western Cape, Capetown South Africa (July 6 -11, 2012).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 , Item type: Item , Item type: Item , Item type: Item , Epidemiología del siglo XXI y ciberespacio: repensar la teoría del poder y la determinación social de la salud(2015) Jaime BreilhThe study of epidemiologic processes as a form of socially determined movement requires a renewed understanding of the social order, and thus, an updated understanding of the social relations that move society. Recently, the dominance of big corporations on cyberspace has become visible as a new historical process that conditions the social order and extends the technological subordination of daily life, therefore expanding community massive submission to standard conducts. The new digital technological revolution, about which some frightening prognoses are made for the next decades, could easily imply the advent of an era of radical subsumption of life processes. This will negatively affect not only our general way of living, thinking and planning, but also our deepest daily intimacy. This movement implies radical effects on health which we call cybernetic determination and subsumption. This novel process raises new questions on public health and prevention; but also requires a new reading of reality, a rethinking of human life and health, of its social determination, which implies the need for new new categories and analysis and renewed challenges for critical epidemiology.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 , Integrating participatory community mobilization processes to improve dengue prevention: an eco-bio-social scaling up of local success in Machala, Ecuador(Oxford University Press, 2015) Kendra Mitchell‐Foster; Efraín Beltrán Ayala; Jaime Breilh; Jerry Spiegel; Ana Arichabala Wilches; Tania Ordóñez Leon; J. A. DelgadoIn the rapidly evolving political climate for dengue control in Ecuador, integration of successful social mobilization and empowerment strategies with existing and emerging biolarvicide-based government dengue prevention and control programs is promising in reducing PPI and dengue transmission risk in southern coastal communities like Machala. However, more profound analysis of social determination of health is called for to assess sustainability prospects.Item type: Item , La determinacion social del autismo en poblacion infantil ecuatoriana(Universidad Colegio Mayor Nuestra Señora del Rosario, 2020) Catalina López Chávez; María de Lourdes Larrea Castelo; Jaime Breilh; Ylonka TilleríaIntroducción: la determinación social del autismo es un análisis desde la perspectiva de la epidemiología crítica, cuyo objetivo es entender el autismo de forma integral, es decir, desde su realidad individual y colectiva. El propósito del estudio fue identificar las condiciones y las características diferenciales de las familias de niños con y sin autismo. Analizar cómo estas condiciones están presentes con mayor o menor fuerza, tanto en los casos como en los controles, para profundizar en el conocimiento de la situación de la población infantil autista en el país. Evaluar los procesos protectores y destructivos que los rodean y levantar hipótesis para confrontarlas en futuros estudios. Desarrollo: se trata de comprender cómo estas lógicas de poder se expresan en procesos destructores o protectores del metabolismo sociedad-naturaleza en sus modos de vida y de analizar cómo estos pueden intervenir en el genotipo y en el fenotipo. Un estudio transversal fue realizado en 2016 con 69 niños diagnosticados con autismo y 91 niños neurotípicos, en una edad comprendida entre 2 y 12 años, provenientes de Quito y Guayaquil. La investigación reveló que un 56.5 % de la población autista se ubicó en la capa media (Quito) y pobre (Guayaquil), condición que limitó su acceso al diagnóstico temprano; el 73.4% de los padres detectó los signos de alarma antes de los 3 años y acudió al pediatra, sin poder obtener un diagnóstico acertado. La población de la capa pobre presentó un mayor porcentaje de comorbilidades que las registradas en la capa media. El gasto requerido fluctuó entre 100 y 25 mil dólares, según la inserción social. Conclusión: estos resultados muestran una clara diferenciación entre los modos de vida, de acuerdo con la condición socioterritorial de la muestra.Item type: Item , La epidemiología crítica: una nueva forma de mirar la salud en el espacio urbano(2010) Jaime BreilhEmpirical-analytic epidemiology builds its interpretive framework around categories like place and constructs layers of empirical association through modern GIS software. Critical epidemiology in Latin America questions this approach and articulates an innovative view of spatial health analysis that intertwines the contributions of philosophy, political economy, and social geography to rethink the social determination of urban-rural relationships and health. The dramatic loss of urban sustainability and the unhealthy relationship between industrialized conurbations and agro-industrial rural areas imply a loss of space for the healthy and sustainable reproduction of people and ecosystems. The acceleration of the development of economic monopolies on both sides of the urban-rural divide is transforming that conventional spatial-social distinction and blending the perverse effects of a greedy organization of social life in both agricultural and urban settings.Item type: Item , La subversión del buen vivir (rebeldía esclarecida para el siglo XXI: una perspectiva crítica de la obra de Bolívar Echeverría)(2011) Jaime BreilhThe debate surrounding the civilizational model of Western modernity, with its economy of concentration and exclusion based in oil energy and unsustainable resource extraction, has revived, in the political and academic arenas of the health field, discussion of the "good life" ideal inscribed in the new constitutions of Bolivia and Ecuador. In light of this social, health, and environmental crisis spurred by the imposition of an economy of death, and the consequential proliferation of unhealthy ways of life, Bolívar Echeverría's theses on the material base of life and culture are discussed as a tool to evaluate historically the performance of the governments of the actually existing lefts, to develop a model of historical transition and to radically renew critical consciousness with a perspective devoid of dogmatism and mythic stridencies, imbued with a profound capacity for self-criticism.Item type: Item , Mas allá de la crisis actual: Movilización por la salud para todos y todas / Beyond the Current Crisis: Mobilizing for Health for All: Urgent Agreement and Agenda for Life: Towards an Organic & Cohesive World Health Movement(2012) Jaime BreilhPlenaria (P4): Tercera Asamblea Mundial por la Salud de los Pueblos. University of the Western Cape, Ciudad del Cabo, Sudafrica, 6 - 11 de julio de 2012.Item type: Item , Occupational Exposure to Pesticides During Pregnancy and Neurobehavioral Development of Infants and Toddlers(2008) Alexis J. Handal; Sioḃán D. Harlow; Jaime Breilh; Betsy LozoffMaternal occupation in the cut-flower industry during pregnancy may be associated with delayed neurobehavioral development of children aged 3-23 months. Possible hazards associated with working in the flower industry during pregnancy include pesticide exposure, exhaustion, and job stress.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 , Respuesta a los comentarios: sus implicaciones y desafíos en la frontera de la epidemiología(2015) Jaime BreilhRespuesta a los comentarios: