The objective of the study was the validation and implementation of GeneXpert MTB/RIF for routine use in the rapid detection of tuberculosis and sensitivity to rifampicin in clinical samples; for this, 1592 respiratory samples were collected and analyzed in the laboratory of Instituto Nacional de In...vestigación en Salud Pública Guayaquil. The analysis of the results of GeneXpert in comparison with smear microscopy showed an initial sensitivity of 99.8% and specificity of 93.2%; The analysis of discrepancies using the results of the culture as a reference method showed that the GeneXpert results considered false negatives turned out to be true negatives, the same happens with the false positives that correspond to true positives. Recalculated the sensitivity and specificity of the GeneXpert was 99.8% and 100% correspondingly. The comparison with the drugs susceptibility test showed a sensitivity of 91.4% and a specificity of 95.5% for the GeneXpert MTB/RIF system. It is concluded that the implementation of the GeneXpert system allows solution to certain problems associated with the application of conventional diagnostic methodologies, decreasing the waiting times, and increasing the sensitivity and specificity in the diagnosis of drug-resistant tuberculosis, thus generating a valuable opportunity for early diagnosis.
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                                                                Informe sobre poblaciones clave
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                La collaboration avec les autorités nationales de gestion des catastrophes
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                Informationen zu gesundheitlichen Auswirkungen sommerlicher Hitze und Hitzewellen und Tipps zum vorbeugenden Gesundheitsschutz
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                Este Manual pretende ser un documento de referencia para el desarrollo de Seguimiento Farmaco-
terapéutico a usuarios que se atiendan en centros de salud ambulatorios del país. Se entrega a los
Químicos Farmacéuticos locales una metodología estandarizada y probada en Chile como base para
el ...desarrollo de este servicio dirigido a usuarios con patologías crónicas, enfocado en la detección
y resolución de problemas de salud asociados al uso de medicamentos. Al mismo tiempo, entrega
herramientas para la implementación del servicio y su buen funcionamiento, junto con dar énfasis
en la importancia de la relación con el equipo de salud, buscando una mejor calidad de vida y cum-
plimiento de objetivos terapéuticos en los usuarios.
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                                                                Obejtivo General: 
Establecer las directrices de vigilancia epidemiológica y laboratorio de COVID-19 
dentro del Sistema Nacional de Vigilancia, que permita detectar los casos en el país y 
evaluar los riesgos para generar información epidemiológica de calidad, que oriente a la toma de decisi...ones.
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                                                                Washington, D.C., EUA, del 26 al 30 de septiembre del 2016
Punto 4.10 del orden del día provisional
CD55/14 8 de julio del 2016 
Original: inglés
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                Las presentes Directrices para el Abordaje del VIH en Contextos de Asistencia Humanitaria tienen el propósito de ayudar a las organizaciones de asistencia humanitaria y VIH a planificar la administración de un conjunto mínimo de servicios de prevención, tratamiento, atención y apoyo para el VIH... a las personas afectadas por crisis humanitarias. 
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                                                                COVID - 19 and PREGNANCY
Management guidelines for SARS-CoV-2 infection
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                Since the description of the first case of COVID-19 in Wuhan, Hubei province in China, in December 2019, much knowledge has been accumulated about the dynamics of evolution of the SARS-CoV-2 virus, contagion, disease progression, prevention and treatment.
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                There has been a rapid expansion of cash-based, social protection programmes in sub-Saharan Africa (SSA) in recent years as Governments increasingly realise the enormous benefits cash transfers offer (World Bank, 2018). In fact, as an investment in human capital and inclusive economic development,  ...social protection is arguably one of the most efficient uses of  Government resources and “one of the smartest investments that  policymakers can support” (Cummins, 2021).
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                                                                Frequent efforts to revise the official development assistance (ODA) accounting rules have raised important questions about the integrity and relevance of what currently “counts” as ODA spending. In this note, we outline a brief history of the evolution of the ODA accounting rules to date, highl...ighting how—and why—the ODA concept has changed since it emerged in 1969. Doing so provides a starting point for considering whether the current concept of ODA remains “fit for purpose” and whether, or how, the concept could reform to better meet current needs.
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