Nuria Homedes
Datos Biográficos
| ID | 890793 |
|---|---|
| NOMBRE | Nuria Homedes |
| NOMBRES | Nuria |
| APELLIDO | Homedes |
| FIRMA | HOMEDES N |
| AFILIACIONES | The University of Texas Health Science Center at Houston |
| ORCID | 0000-0002-3322-3951 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 24 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1986 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 3 |
Un ensayo clínico no ético y la politización de la pandemia de Covid‐19 en Brasil
El Senado Federal de Brasil creó una Comisión Parlamentaria de Investigación (CPI) para investigar las irregularidades del gobierno de Bolsonaro en la gestión de la pandemia de COVID‐19. Uno de los casos que llamó la atención fue la investigación llevada a cabo por Prevent Senior, una empresa privada de seguros de salud, sobre el tratamiento temprano de COVID‐19. Este artículo analiza la validez científica de la investigación y los problemas étic…
Uma pesquisa clínica não ética e a politização da pandemia da Covid‐19 no Brasil
O Senado Federal brasileiro criou uma Comissão Parlamentar de Inquérito (CPI) para investigar as irregularidades do governo Bolsonaro na gestão da pandemia da COVID‐19. Um dos casos que chamou a atenção foi a pesquisa realizada pela Prevent Senior, uma seguradora privada de saúde, sobre o tratamento precoce da COVID‐19. O artigo analisa a validade científica da pesquisa e os problemas éticos relacionados à sua implementação. Baseia‐se na análise …
An unethical trial and the politicization of the Covid‐19 pandemic in Brazil
The Brazilian Federal Senate created a Parliamentary Inquiry Commission (CPI) to investigate the Bolsonaro government's irregularities in the management of the COVID‐19 pandemic. One of the cases that drew attention was the research conducted by Prevent Senior, a private health insurance company, on the early treatment of COVID‐19. The article analyzes the scientific validity of the research and the ethical problems related to its implementation.…
Inequity in access to vaccines
This article summarizes the strategies used to rapidly develop COVID-19 vaccines and distribute them globally, with an emphasis on vaccines developed in western nations. It is based on interviews and information gathered regarding the response to the pandemic, both from international organizations and official documents from Brazil, Argentina, Colombia, Peru, and Mexico. While vaccine development has been hailed as successful, their global distri…
A commentary on ‘A systematic review examining the association between body image and infant feeding methods (breastfeeding vs. bottle-feeding)’
A systematic review is a valuable and influential research method that aims to identify and synthesize all literature relevant to the research question at hand. A well-conducted systematic review benefits the scientific community by providing a summary of all the existing evidence as well as generating new hypotheses and highlighting gaps in the literature. However, when a systematic review does not adhere to the recommended guidelines, it may in…
Body Image Dissatisfaction, Obesity and Their Associations with Breastfeeding in Mexican Women, a Cross-Sectional Study
A Missing Piece in Clinical Trial Inspections in Latin America
Most regulatory agencies conduct clinical trial (CT) site inspections, but the experiences and behaviors of research subjects and their knowledge of the rights and obligations that ensue from participating in a CT are seldom explored. The authors assessed the technical feasibility of incorporating interviews with participants in CT inspections. This article analyzes the responses of 13 CT participants, 14% ( n = 96) of those included in three tub…
Lost to follow-up
Loss to follow-up (LTFU) is a critical factor in determining clinical outcomes in HIV treatment programs. Identifying modifiable factors of LTFU is fundamental for designing effective patient-retention interventions. We analyzed factors contributing to children LTFU from a treatment program to identify those that can be modified. A case-control study involving 313 children was used to compare the sociodemographic and clinical characteristics of c…
Comentarios al artículo “Ética e Investigación”
Unintended Birth Among Hispanic Women in Texas
Mexican pharmacies
While the risks are evident, some uninsured, chronically-ill United States residents may benefit from access to medications previously recommended by a physician, without obtaining a new prescription. The authors suggest five steps for reducing the risks and improving pharmaceutical utilization in the border area
Cuatro palabras sobre ensayos clínicos
This article discusses the limitations of clinical trials in determining the safety and efficacy of therapeutic drugs in Latin America. A major limitation is the lack of transparency surrounding the implementation of clinical trials. The data gathered by research ethics committees, regulatory agencies and the pharmaceutical industry is inaccessible to outside parties; this secrecy is not explained by the need to protect industrial secrets but rat…
Respuesta de los autores
Reformas de salud y equidad en América Latina
Los retos al acceso y uso adecuado de medicamentos
Editor
Improving access to pharmaceuticals in Brazil and Argentina
The population of many Latin American countries is having increasing difficulty in accessing needed medicines due to the rise in their unitary cost and the growing number of poor in most countries of the region. A number of countries have taken steps to increase access to pharmaceuticals and have had different levels of success. This article reports on two country-wide programmes: the AIDS programme in Brazil, which has been judged as being highl…
From Scientists to Merchants
The number of innovative drugs reaching the market has decreased steadily during the last several years to a handful per year. At the same time, the amount of resources allocated by the pharmaceutical industries to promotion and marketing has increased at a faster pace than those allocated to research and development of new products. The paper presents the hypothesis that for the large corporations, the production of me-too drugs is more profitab…
Why neoliberal health reforms have failed in Latin America
Las reformas neoliberales del sector de la salud
This work analyzes the neoliberal health sector reforms that have taken place in Latin America, the preparation of health care workers for the reforms, the reforms' impacts on the workers, and the consequences that the reforms have had on efficiency and quality in the health sector. The piece also looks at the process of formulating and implementing the reforms. The piece utilizes secondary sources and in-depth interviews with health sector manag…
Respuesta
Las reformas de salud neoliberales en América Latina
Neoliberal reforms have promoted privatization and decentralization as strategies to improve equity, efficiency, and the quality of health services. In this piece the impact of these reforms in Latin America is critically analyzed, and the impacts of privatization in Colombia and of decentralization in Mexico are detailed. These two cases show that after 10 years of privatization in Colombia and 20 years of decentralization in Mexico the reforms …
Homedes and Ugalde Respond
We would like to thank Waterman and Stolp for their interest in fostering the discussion on US–Mexico border health issues, and the Journal for allowing us to clarify one of the most important concepts developed in our December 2003 article. As we mentioned (p2017, first paragraph), and as Waterman and Stolp say in their letter, there was nothing purposely included in NAFTA to enhance collaboration on health-related issues with counterparts on th…
Globalization and Health at the United States–Mexico Border
Objectives. We studied the impact of globalization on the making of health policy. Globalization is understood as economic interdependence among nations. The North American Free Trade Agreement is used as a marker to assess the effects of economic interdependence on binational health cooperation along the United States–Mexico border. Methods. We observed participants and conducted in-depth interviews with policymakers, public health specialists, …
Managing externally financed projects
Bolivia is one of the poorest countries in Latin America. Health indicators are very poor, communicable diseases are prevalent and, coupled with malnutrition, remain the major killers of children under 5 years old. The Integrated Primary Health Care Project (PROISS) was a US$39 million project executed by the Ministry of Health (MOH), 50% financed by the World Bank and aimed at improving primary health care in the four largest Bolivian municipali…
Globalization and Health at the United States–Mexico Border
Objectives. We studied the impact of globalization on the making of health policy. Globalization is understood as economic interdependence among nations. The North American Free Trade Agreement is used as a marker to assess the effects of economic interdependence on binational health cooperation along the United States–Mexico border. Methods. We observed participants and conducted in-depth interviews with policymakers, public health specialists, …
Patients' compliance with medical treatments in the third world. What do we know
Responding to the slogan of Health for All for the Year 2000, third world governments have expanded the provision of primary health services, and with it, the number of prescriptions has increased phenomenally. However, we know very little about how third world patients are using prescribed medicines. In order to assess the available information, we reviewed 37 empirical studies on compliance located through electronic lines and networking. By an…
Improving access to pharmaceuticals in Brazil and Argentina
The population of many Latin American countries is having increasing difficulty in accessing needed medicines due to the rise in their unitary cost and the growing number of poor in most countries of the region. A number of countries have taken steps to increase access to pharmaceuticals and have had different levels of success. This article reports on two country-wide programmes: the AIDS programme in Brazil, which has been judged as being highl…
Improving the use of pharmaceuticals through patient and community level interventions
From Scientists to Merchants
The number of innovative drugs reaching the market has decreased steadily during the last several years to a handful per year. At the same time, the amount of resources allocated by the pharmaceutical industries to promotion and marketing has increased at a faster pace than those allocated to research and development of new products. The paper presents the hypothesis that for the large corporations, the production of me-too drugs is more profitab…
Do patients understand their physicians? Prescription compliance in a rural area of the Dominican Republic
Compliance with medical advice is an important component of medical care, but compliance cannot take place unless patients understand and retain physicians' advice. This paper is one of the first studies of the understanding and retention of medical advice in rural areas of the Third World. Researchers observed 119 medical consultations in a rural primary care clinic and later interviewed the patients in their homes. There were very few recommend…
Do patients understand their physicians? Prescription compliance in a rural area of the Dominican Republic
Compliance with medical advice is an important component of medical care, but compliance cannot take place unless patients understand and retain physicians' advice. This paper is one of the first studies of the understanding and retention of medical advice in rural areas of the Third World. Researchers observed 119 medical consultations in a rural primary care clinic and later interviewed the patients in their homes. There were very few recommend…
Toward a Rural Health Corps Concept
In recent years, primary health care services have expanded rapidly in rural Latin America. However, these services are characterized in many countries of the region by inefficiency and low quality. Research on rural health services in the Dominican Republic identifies the compulsory year of rural service required of graduating medical students (known as pasantia in some countries and medicatura rural in others) as one of the main causes for thes…
Patients' compliance with medical treatments in the third world. What do we know
Responding to the slogan of Health for All for the Year 2000, third world governments have expanded the provision of primary health services, and with it, the number of prescriptions has increased phenomenally. However, we know very little about how third world patients are using prescribed medicines. In order to assess the available information, we reviewed 37 empirical studies on compliance located through electronic lines and networking. By an…
Managing externally financed projects
Bolivia is one of the poorest countries in Latin America. Health indicators are very poor, communicable diseases are prevalent and, coupled with malnutrition, remain the major killers of children under 5 years old. The Integrated Primary Health Care Project (PROISS) was a US$39 million project executed by the Ministry of Health (MOH), 50% financed by the World Bank and aimed at improving primary health care in the four largest Bolivian municipali…
Improving the use of pharmaceuticals through patient and community level interventions
Globalization and Health at the United States–Mexico Border
Objectives. We studied the impact of globalization on the making of health policy. Globalization is understood as economic interdependence among nations. The North American Free Trade Agreement is used as a marker to assess the effects of economic interdependence on binational health cooperation along the United States–Mexico border. Methods. We observed participants and conducted in-depth interviews with policymakers, public health specialists, …
Homedes and Ugalde Respond
We would like to thank Waterman and Stolp for their interest in fostering the discussion on US–Mexico border health issues, and the Journal for allowing us to clarify one of the most important concepts developed in our December 2003 article. As we mentioned (p2017, first paragraph), and as Waterman and Stolp say in their letter, there was nothing purposely included in NAFTA to enhance collaboration on health-related issues with counterparts on th…
Why neoliberal health reforms have failed in Latin America
Las reformas neoliberales del sector de la salud
This work analyzes the neoliberal health sector reforms that have taken place in Latin America, the preparation of health care workers for the reforms, the reforms' impacts on the workers, and the consequences that the reforms have had on efficiency and quality in the health sector. The piece also looks at the process of formulating and implementing the reforms. The piece utilizes secondary sources and in-depth interviews with health sector manag…
Respuesta
Las reformas de salud neoliberales en América Latina
Neoliberal reforms have promoted privatization and decentralization as strategies to improve equity, efficiency, and the quality of health services. In this piece the impact of these reforms in Latin America is critically analyzed, and the impacts of privatization in Colombia and of decentralization in Mexico are detailed. These two cases show that after 10 years of privatization in Colombia and 20 years of decentralization in Mexico the reforms …
Editor
Improving access to pharmaceuticals in Brazil and Argentina
The population of many Latin American countries is having increasing difficulty in accessing needed medicines due to the rise in their unitary cost and the growing number of poor in most countries of the region. A number of countries have taken steps to increase access to pharmaceuticals and have had different levels of success. This article reports on two country-wide programmes: the AIDS programme in Brazil, which has been judged as being highl…
From Scientists to Merchants
The number of innovative drugs reaching the market has decreased steadily during the last several years to a handful per year. At the same time, the amount of resources allocated by the pharmaceutical industries to promotion and marketing has increased at a faster pace than those allocated to research and development of new products. The paper presents the hypothesis that for the large corporations, the production of me-too drugs is more profitab…
Cuatro palabras sobre ensayos clínicos
This article discusses the limitations of clinical trials in determining the safety and efficacy of therapeutic drugs in Latin America. A major limitation is the lack of transparency surrounding the implementation of clinical trials. The data gathered by research ethics committees, regulatory agencies and the pharmaceutical industry is inaccessible to outside parties; this secrecy is not explained by the need to protect industrial secrets but rat…
Respuesta de los autores
Reformas de salud y equidad en América Latina
Los retos al acceso y uso adecuado de medicamentos
Mexican pharmacies
While the risks are evident, some uninsured, chronically-ill United States residents may benefit from access to medications previously recommended by a physician, without obtaining a new prescription. The authors suggest five steps for reducing the risks and improving pharmaceutical utilization in the border area
Comentarios al artículo “Ética e Investigación”
Unintended Birth Among Hispanic Women in Texas
Lost to follow-up
Loss to follow-up (LTFU) is a critical factor in determining clinical outcomes in HIV treatment programs. Identifying modifiable factors of LTFU is fundamental for designing effective patient-retention interventions. We analyzed factors contributing to children LTFU from a treatment program to identify those that can be modified. A case-control study involving 313 children was used to compare the sociodemographic and clinical characteristics of c…
A Missing Piece in Clinical Trial Inspections in Latin America
Most regulatory agencies conduct clinical trial (CT) site inspections, but the experiences and behaviors of research subjects and their knowledge of the rights and obligations that ensue from participating in a CT are seldom explored. The authors assessed the technical feasibility of incorporating interviews with participants in CT inspections. This article analyzes the responses of 13 CT participants, 14% ( n = 96) of those included in three tub…
Body Image Dissatisfaction, Obesity and Their Associations with Breastfeeding in Mexican Women, a Cross-Sectional Study
A commentary on ‘A systematic review examining the association between body image and infant feeding methods (breastfeeding vs. bottle-feeding)’
A systematic review is a valuable and influential research method that aims to identify and synthesize all literature relevant to the research question at hand. A well-conducted systematic review benefits the scientific community by providing a summary of all the existing evidence as well as generating new hypotheses and highlighting gaps in the literature. However, when a systematic review does not adhere to the recommended guidelines, it may in…
Medicine (20 obras) · Political science (20 obras) · Economic growth (9 obras) · Economics (9 obras) · Environmental health (9 obras) · Business (7 obras) · Latin Americans (7 obras) · Population (7 obras) · Health care (6 obras) · Nursing (6 obras)