Data sources for drug utilization research in Latin American countries-A cross-national study: DASDUR-LATAM study.

PURPOSE: Drug utilization research (DUR) contributes to inform policymaking and to strengthen health systems. The availability of data sources is the first step for conducting DUR. However, documents that systematize these data sources in Latin American (LatAm) countries are not known. We compiled the potential data sources for DUR in the LatAm region. METHODS: A network of DUR experts from nine LatAm countries was assembled and experts conducted: (i) a website search of the government, academic, and private health institutions; (ii) screening of eligible data sources, and (iii) liaising with national experts in pharmacoepidemiology (via an online survey). The data sources were characterized by accessibility, geographic granularity, setting, sector of the data, sources and type of the data. Descriptive analyses were performed. RESULTS: We identified 125 data sources for DUR in nine LatAm countries. Thirty-eight (30%) of them were publicly and conveniently available; 89 (71%) were accessible with limitations, and 18 (14%) were not accessible or lacked clear rules for data access. From the 125 data sources, 76 (61%) were from the public sector only; 46 (37%) were from pharmacy records; 43 (34%) came from ambulatory settings and; 85 (68%) gave access to individual patient-level data. CONCLUSIONS: Although multiple sources for DUR are available in LatAm countries, the accessibility is a major challenge. The procedures for accessing DUR data should be transparent, feasible, affordable, and protocol-driven. This inventory could permit a comparison of drug utilization between countries identifying potential medication-related problems that need further exploration.

Activated carbon briquettes from biomass materials.

Disposal of biomass wastes, produced in different agricultural activities, is frequently an environmental problem. A solution for such situation is the recycling of these residues for the production of activated carbon, an adsorbent which has several applications, for instance in the elimination of contaminants. For some uses, high mechanical strength and good adsorption characteristics are required. To achieve this, carbonaceous materials are conformed as pellets or briquettes, in a process that involves mixing and pressing of char with adhesive materials prior to activation. In this work, the influence of the operation conditions on the mechanical and surface properties of briquettes was studied. Eucalyptus wood and rice husk from Uruguay were used as lignocellulosic raw materials, and concentrated grape must from Cuyo Region-Argentina, as a binder. Different wood:rice and solid:binder ratios were used to prepare briquettes in order to study their influence on mechanical and surface properties of the final products.

Phenol adsorption onto powdered and granular activated carbon, prepared from Eucalyptus wood.

Eucalyptus grandis sawdust, a major waste from the growing Uruguayan wood industry, was used in previous work to prepare powdered activated carbon (PAC). In the present work, granular activated carbon (GAC) was prepared by mixing PAC, carboxymethyl cellulose as a binder, and kaolin as reinforcer. Ultimate analysis and surface characterization of GAC and PAC were performed. Phenol adsorption was used as a way to compare the characteristics of different PAC and GAC preparations. Kinetics and isotherms of the different GAC and PAC were performed in a shaking bath at 100 rpm and 298 K. Phenol concentrations were determined by UV spectroscopy. Some kinetics parameters were calculated; from kinetics results, external resistance to mass transfer from the bulk liquid can be neglected as the controlling step. Isotherms were fitted to Langmuir and Freundlich models, and corresponding parameters were determined. Maximum phenol uptakes for all carbons were determined and correlated with carbon characteristics. Thermogravimertic analysis (TGA) determinations were performed in order to study adsorption characteristics and conditions for GAC regeneration after its use. The results showed that phenol is preferentially physisorbed on the carbon of the granules, though some chemisorption was detected. No adsorption was detected in the kaolin-carboxymethyl cellulose mixture.