Salud sexual y reproductiva en la Ciudad de Buenos Aires: Situación y respuesta: Actualización 2022 / Sexual and reproductive health in the City of Buenos Aires: Situation and response 2022

Esta 5ª actualización del informe sistematiza la información que se viene produciendo a través de las acciones de monitoreo iniciadas en 2016 e incorpora aquella referida al año 2022. Se entiende que las acciones de monitoreo y evaluación son valiosas para cinco objetivos complementarios, que son: a. disponer de un basamento para la planificación de las necesidades de insumos (estimar necesidades de compras); b. identificar las mejoras/cambios de escenario que se van produciendo con el trabajo cotidiano y las nuevas necesidades o desafíos que van surgiendo; c. planificar acciones novedosas basadas en diagnósticos afinados; d. valorizar y visibilizar el trabajo que realizan los equipos todos los días en los establecimientos públicos de salud donde se brinda respuesta a la población y e. producir información de utilidad tanto para los actores del subsistema público de salud como para otros actores interesados en la temática. (AU)

Manual de registro y codificación de la atención en la consulta externa - Dirección de Salud Sexual y Reproductiva: Planificación Familiar. Sistema de información HIS / Manual of registration and coding of care in the outpatient clinic - Directorate of Sexual and Reproductive Health: Family Planning. HIS information system

La presente publicación brinda información necesaria para la toma de decisiones, para su difusión y homogenización de criterios en la recopilación y codificación de diagnósticos CIE 10 aplicados en el control y prevención de salud sexual y reproductiva y en la atención de planificación familiar

Decisões suportadas por informações geradas em Unidades Básicas de Saúde, no contexto da covid-19 / Decisions supported by information generated in Basic Health Units, in the context of covid-19 / Decisiones apoyadas en la información generada en las Unidades Básicas de Salud, en el contexto de covid-19

O estudo proposto neste artigo buscou evidenciar como as informações geradas em uma Unidade Básica de Saúde (UBS) auxiliam os gestores nas suas decisões envolvendo as ações de controle da covid-19. A pesquisa ficou caracterizada como um estudo misto, pois apresentou dados quantitativos e qualitativos e adotou como método o estudo de caso, abrangendo as UBS do município de Fazenda Rio Grande, no estado do Paraná. Como recurso tecnológico foi utilizada a plataforma Google Forms®, para elaborar o questionário em formato eletrônico que foi posteriormente enviado por e-mail. Para análise estatística foram aplicados os softwares Excel® e SPSS® (Statistical Package for the Social Sciences); ao passo que na análise qualitativa foi utilizado o software Atlas.ti®, que propiciou a elaboração dos mapas de rede e a verificação das percepções dos respondentes. Esses procedimentos possibilitaram aos pesquisadores estabelecer parâmetros distintos que resultaram na conclusão do trabalho, ao identificarem que, mesmo havendo uma descentralização, ao estabelecerem vários pontos de atendimento à população identificados como UBS, as unidades atuaram de modo colaborativo, durante a pandemia. As unidades assumiram um papel relevante no contexto social ao mitigarem as diferenças sociais, estabelecendo um elo entre a sociedade e os órgãos de saúde pública.

The study proposed in this article sought to highlight how the information generated in a Basic Health Unit (BHU) assist managers in their decisions involving control actions of the covid-19. The research was characterized as a mixed study, presenting quantitative and qualitative data, adopting as method the case study, covering the BHU of Fazenda Rio Grande municipality, in the state of Paraná. As a technological resource, the Google Forms® platform was used to prepare the questionnaire in electronic format later sent via e-mail. For statistical analysis, Excel® and SPSS® (Statistical Package for the Social Sciences) software were applied, while for qualitative analysis, Atlas.ti® software was used, enabling the preparation of network maps and verification of respondents' perceptions. These procedures enabled the researchers to establish different parameters that resulted in the conclusion of the work, identifying that even though there was a decentralization by establishing several points of care to the population identified as BHU, it was clear that they acted in a collaborative way during the pandemic, assuming a relevant role in the social context by mitigating social differences establishing a link between society and public health agencies.

El estudio propuesto en este artículo buscó destacar cómo la información generada en una Unidad Básica de Salud (UBS) ayuda a los gestores en sus decisiones que implican acciones de control del covid-19. La in-vestigación se caracterizó como un estudio mixto al presentar datos cuantitativos y cualitativos, adoptando como método el estudio de caso, abarcando las UBS del municipio de Fazenda Rio Grande, en el estado de Paraná. Como recurso tecnológico, se utilizó la plataforma Google Forms® para la elaboración del cuestion-ario en formato electrónico y su posterior envío por correo electrónico. Para el análisis estadístico se aplic-aron los softwares Excel® y SPSS® (Statistical Package for the Social Sciences), mientras que en el análisis cualitativo se utilizó el software Atlas.ti®, que permitió elaborar mapas de redes y verificar las percepciones de los encuestados. Estos procedimientos permitieron a los investigadores establecer diferentes parámetros que dieron lugar a la conclusión del trabajo, identificando que incluso con una descentralización mediante el establecimiento de varios puntos de atención a la población identificada como UBS, quedó claro que actuaron de forma colaborativa durante la pandemia, asumiendo un papel relevante en el contexto social al mitigar las diferencias sociales, estableciendo un vínculo entre la sociedad y los organismos de salud pública.

Salud sexual y reproductiva en la Ciudad de Buenos Aires: Situación y respuesta: Actualización 2021 / Sexual and reproductive health in the City of Buenos Aires: Situation and response: 2021

Para esta edición del informe, se realizó un corte de los indicadores que permitan detenerse en el período 2016-2021, con la intención de recuperar el significado del trabajo de monitoreo y evaluación, al que se entiende con cuatro objetivos o sentidos complementarios: a. facilitar la toma de decisiones para la planificación de actividades y estimación de insumos con sustento; b. visibilizar y valorar el trabajo cotidiano de los equipos; c. evaluar cada cierto tiempo en qué medida el accionar permanente del trabajo ha generado cambios en la realidad y la necesidad de producir cambios donde fuera preciso; y d. brindar una herramienta que se confía sea de utilidad para los diferentes actores estatales y de la sociedad civil involucrados e interesados en conocer los logros y desafíos de la política. (AU)

Lobectomía por cirugía torácica videoasistida en el Centro Nacional de Cirugía de Mínimo Acceso / Lobectomy for Video-Assisted Thoracic Surgery at the National Center for Minimal Invasive Surgery

Introducción: La tasa de mortalidad de los tumores malignos de tráquea, bronquios y pulmón ocupa el segundo lugar en hombres y el primero en las mujeres. Según el anuario estadístico, hubo 5580 muertes por esta causa en 2020, con una tasa de mortalidad general en los hombres de 61,6 y de 38,1 en la mujer por 100 000 habitantes. Para el tratamiento del cáncer pulmonar en estadios tempranos la cirugía torácica videoasistida ha demostrado su seguridad y efectividad, con una baja morbilidad y una menor estancia posoperatoria. Objetivo: Mostrar los resultados de la lobectomía por cirugía torácica videoasistida en el Centro Nacional de Cirugía de Mínimo Acceso. Métodos: Se realizó un estudio prospectivo en una serie consecutiva de 29 pacientes operados con el diagnóstico de nódulo pulmonar. Para la obtención de la información se confeccionó una planilla de recolección para este fin y en todo momento se contó con el consentimiento informado de los pacientes. Se evaluaron las variables durante el pre, intra y posoperatorio. Resultados: Del total de 57 casos portadores de nódulos pulmonares, se realizó lobectomía por cirugía torácica videoasistida en 29, para un 50,9 por ciento; el 80 por ciento estaban en etapas I y II según el pTNM. Hubo un 31 por ciento de complicaciones y el índice de conversión fue del 20,7 por ciento. Conclusiones: La lobectomía por cirugía torácica video asistida es una técnica segura y de eficacia demostrada, factible de generalizar en nuestro medio(AU)

Introduction: The mortality rate of malignant tumors of the trachea, bronchi and lung ranks second in men and first in women. According to the Health Statistics Yearbook, there were 5,580 deaths from this cause in 2020, with a general mortality rate for men of 61.6 and 38.1 for women per 100,000 inhabitants. For the treatment of lung cancer in early stages, video-assisted thoracic surgery has demonstrated its safety and effectiveness, with low morbidity and a shorter postoperative stay. Objective: To show the results of video-assisted thoracic surgery lobectomy at the National Center for Minimal Invasive Surgery. Methods: A prospective study was carried out in a consecutive series of 29 patients operated on with a diagnosis of pulmonary nodule. A collection form was prepared to obtain the information and the informed consent of the patients was obtained at all times. The variables were evaluated during the pre, intra and postoperative period. Results: Fifty seven (57) cases with pulmonary nodules formed the total of this study. Twenty nine of them (29) underwent lobectomy by video-assisted thoracic surgery (50.9 percent). 80 percent were in stages I and II according to pTNM. There were 31 percent complications and the conversion rate was 20.7 percent. Conclusions: Video-assisted thoracic surgery lobectomy is a safe and proven technique, which is feasible to generalize in our setting(AU)

Atlas of African health statistics 2022: Health situation analysis of the WHO African Region

The population of the World Health Organization's (WHO) African Region was estimated to be 1 120 161 000 in 2020 and about 14.4% of the world's population of 7 758 157 000. It was 8 billion in 20211 . It is the third largest population among the WHO regions after South-East Asia and the Western Pacific. Between 2019 and 2020, the population differential was equivalent to that of a state of more than 28 million inhabitants. The five most populated countries account for more than 45% of the Region's population. Among these, Nigeria and the Democratic Republic of the Congo represent about 50% of the population of the West African and Central African subregions, respectively, and Ethiopia represents about 20% of the population of the East and Southern Africa subregions. The average annual population growth in Africa was 2.5% in 2020. If the heterogeneity of the population growth between the regions of the world and between countries in the same subregion is considered, countries from and East and Southern Africa subregions seem to have lower population growth rates than countries in other large subregions, which show significantly higher increases. The current population density of Africa is low, estimated to be 36 inhabitants per km2 for the whole continent. However, many areas are uninhabitable and some countries have relatively large populations. High population density is a concern that must be addressed through policies, because it could generate surges and high concentrations of populations in mega cities and urban slums, which can be an issue when it comes to accessing various qualitative services. Gross domestic product (GDP) reflects a country's resources and therefore its potential to provide access to services to its people, particularly health services. This dynamic creates a circle, with healthier people going to work and contributing to the production of wealth for the benefit of the country. The most vulnerable people live from agriculture in rural areas, or in conflict-affected states. Difficulties in accessing health services, low education and inequalities between men and women are additional obstacles to poverty reduction. The population of sub-Saharan Africa is expected to almost double over the next three decades, growing from 1.15 billion in 2022 to 2.09 billion in 2050. The world's population is expected to grow from 7.94 billion at present to 8.51 billion in 2030 and 9.68 billion in 2050. The demographic dividend2 for African countries will emanate from the acceleration of economic growth following a de crease in fertility with a change in the structure of the age pyramid where the active population, that is those aged 18­65 years, will be more important, reaching a certain optimum to make positive the ratio between the population able to finance health and education systems and the population that benefits from these systems. This is the human capital for development at a given moment. The demographic dividend appears to be an opportunity and an invitation to action, but it is also a real challenge, that of creating sustainable jobs to generate the development to activate the economic growth lever.

Atlas of African Health Statistics 2022: Health situation analysis of the WHO African Region - Country profiles

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Atlas of African health statistics 2022: health situation analysis of the WHO African Region ­ summary report

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Atlas des statistiques sanitaires africaines 2022: analyse de la situation sanitaire de la Région africaine ­ rapport de synthèse

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Atlas des statistiques sanitaires africaines 2022: Analyse de la situation sanitaire de la Région africaine ­ Profils Pays

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Aspectos de saúde mental investigados em policiais: uma revisão integrativa / The aspects of mental health investigated in the police: an integrative review

Resumo Esta revisão integrativa teve por objetivo identificar quais aspectos de saúde mental dos policiais têm sido mais investigados na literatura, considerando o período de 2012 a 2018. Foram realizadas buscas nas bases de dados PubMed, LILACS, SciELO e PePSIC. Foram analisados 84 artigos, quanto a 4 categorias: características dos estudos; saúde mental dos policiais; fatores de risco para problemas mentais; e fatores protetivos e para desenvolvimento da saúde. A análise dos artigos mostrou que Estados Unidos e Brasil produziram mais sobre o tema e que depressão, estresse e transtornos de ansiedade foram as patologias mais frequentes nos artigos analisados. Fatores individuais e do trabalho associaram-se ao adoecimento e fatores protetivos e intervenções foram pouco investigados. Estudos futuros poderão abordar essas lacunas.

Abstract This integrative review aimed to identify which aspects of the police officers' mental health have been more investigated in the literature, considering the period from 2012 to 2018. We searched the PubMed, LILACS, SciELO and PePSIC databases. A total of 84 articles were analyzed in four categories: characteristics of the studies; mental health of police officers; risk factors for mental problems; and protective and health development factors. The analysis of the articles showed that the United States and Brazil were the countries with most production on the subject, and that depression, stress, and anxiety disorders were the most frequent pathologies in the analyzed articles. Individual and work factors were associated with illness and protective factors and interventions were scarcely investigated. Future studies may address these shortcomings.

Características y causas de muerte de pacientes fallecidos con enfermedad renal crónica. Cuba 2011-2016 / Deceased patients with chronic kidney disease. Characteristics and causes in Cuba during 2011-2016

Introducción: La morbimortalidad por enfermedad renal crónica (ERC) ha presentado en las dos últimas décadas un incremento desconcertante. En Cuba, aunque la mortalidad por esta causa ha tenido un comportamiento estable, la incidencia y la prevalencia se mantienen elevadas. Objetivo: Caracterizar los pacientes fallecidos con ERC según variables demográficas, causas de muerte y otras variables seleccionadas. Material y Métodos: Estudio descriptivo, transversal. El universo de estudio estuvo constituido por todos los fallecidos del país en el período, en cuyos certificados de defunción se incluyó entre una de las causas, la ERC. La información fue obtenida de las bases de datos de mortalidad de la Dirección Nacional de Registros Médicos y Estadísticos de Salud del MINSAP. Procesamiento de forma automatizada (SPSS versión 22.0). Fueron calculadas las frecuencias absolutas y relativas. Resultados: La frecuencia global de pacientes fallecidos se incrementó de forma mantenida y resultó mayor en la provincia La Habana (23,6 por ciento). La media de la edad fue de 70 años. Prevaleció el sexo masculino, el color de piel blanco y el grupo de edad de 80 años y más. Los porcentajes más altos según la causa básica de muerte correspondieron a enfermedad renal hipertensiva y Diabetes Mellitus. Conclusiones: Los fallecidos con ERC son mayormente hombres, de piel blanca, y con edades avanzadas. Las principales causas de muerte son la enfermedad hipertensiva y la Diabetes Mellitus(AU)

Introduction: Chronic kidney disease (CKD) has increased at an alarming rate worldwide over the last two decades. Although mortality due to CKD has registered stable behavior in Cuba, its prevalence and incidence are showing higher rates. Objective: To describe the main demographic features of deceased patients with CKD in Cuba, the causes of death and other variables during the period 2011-2016. Material and Methods: A descriptive cross-sectional study was conducted. The study universe included all deceased patients in Cuba during the period mentioned. CKD was listed on their death certificates as one of the causes of death. The information used was obtained from the mortality database available on the National Directorate of Medical Records and Health Statistics of the Cuban Ministry of Public Health. Data was processed using SPSS version 22.0. Absolute and relative frequencies were calculated. Results: The global frequency of deceased patients showed a steady increase. Havana was the city that presented the highest percentage (23,6 percent). Nonetheless, the rest of the cities showed an increased frequency rate. The median age was 70 years. The male gender prevailed over the female one as well as white ethnicity and the 80 years and over age group. Regarding the cause of death, the highest percentages corresponded to hypertensive kidney disease and Diabetes Mellitus. Conclusions: Most of the deceased patients with CKD are male, white and at advanced ages. The main causes of death are hypertensive disease and Diabetes Mellitus(AU)

Incidencia de COVID-19 en Cienfuegos. Análisis de un año / Incidence of COVID-19 in Cienfuegos. One-year analysis

Introducción: la COVID-19 se catalogó como pandemia mundial por lo que Cuba no estuvo ajena a la situación. Transmisión autóctona limitada, cuarentena de comunidades y rápido accionar del personal de salud caracterizaron este periodo. Objetivo: describir la incidencia de la COVID-19 en Cienfuegos del mes de marzo de 2020 a marzo de 2021. Material y métodos: se realizó un estudio observacional, descriptivo, de corte transversal de los casos confirmados de COVID-19 en Cienfuegos de marzo de 2020 a marzo de 2021. El universo estuvo conformado por 1076 casos. Variables empleadas: mes de confirmación, fuente de infección, procedencia del caso, sexo, grupo etario y sintomatología. Se utilizó estadística descriptiva. Resultados: la incidencia del periodo de estudio fue de 265,65 por 100 000 habitantes. Predominó el sexo femenino con una tasa de incidencia de 268,42 por 100 000 habitantes. El grupo etario 50-59 presentó 229 casos (21,28 por ciento). En marzo del 2021 se evidenció la mayor incidencia de casos (84,99 por 100 000 habitantes). El 86,93 por ciento fueron casos autóctonos (936 casos). El municipio de Cienfuegos destacó con una tasa de incidencia de 390,29 por 100 000 habitantes. Los pacientes asintomáticos representaron el 38,94 por ciento (419 pacientes). Conclusiones: el ascenso paulatino de los casos de COVID-19 en Cienfuegos responde al estrecho contacto entre los ciudadanos; incrementado a partir de la nueva normalidad y con amplio abanico de síntomas(AU)

Introduction: COVID-19 was classified as a global pandemic, so Cuba was not oblivious of the situation. This period was characterized by limited autochthonous transmission, quarantine of communities and rapid action of healthcare workers. Objective: To describe the incidence of COVID-19 in Cienfuegos from March 2020 to March 2021. Material and Methods: An observational, descriptive, cross-sectional study of confirmed COVID-19 cases was carried out in Cienfuegos from March 2020 to March 2021. The universe consisted of 1076 cases. The variables used included: month of confirmation, source of infection, origin of the case, sex, age group and symptoms. Descriptive statistics were used. Results: The incidence of the study period was 265,65 per 100 000 inhabitants. The female sex predominated with an incidence rate of 268,42 per 100 000 inhabitants. The age group of 50-59 presented 229 cases (21,28 percent). In March 2021, the highest incidence of cases was evidenced (84,99 per 100,000 inhabitants). Similarly, 86,93 percent were autochthonous cases (936 cases). Cienfuegos municipality highlights because of an incidence rate of 390,29 per 100,000 inhabitants. Asymptomatic patients represented 38,94 percent (419 patients). Conclusions: The gradual rise in COVID-19 cases in Cienfuegos is a consequence of the close contact between citizens which increased from the "new normality" with a wide range of symptoms.

EL número de casos confirmados de la covid-19 en Ecuador identificados por provincia de atención, se ajustan a la distribución de Ea ley de newcomb-benford / The number of confirmed cases of covid-19 in ecuador, identified by province of attention, complies with the distribution of the newcomb-benford law

Introducción: Los datos epidemiológicos de la COVID-19 de China, Estados Unidos, Korea del Sur, Inglaterra, España, Italia, Alemania, Holanda y Suecia se ajustan a la distribución de la Ley de Newcomb-Benford, lo cual indicaría que no existe falsificación de datos. En Ecuador no se ha realizado un tratamiento de los datos con esta metodología. Objetivo: Conocer si los datos proporcionados por el Ministerio de Salud Pública del Ecuador, con respecto a los casos confirmados con la COVID-19 por provincia de atención, se ajustan a la Ley de Newcomb-Benford.Material y métodos: Se utilizó la base de datos epidemiológicos del Ministerio de Salud Pública del Ecuador, donde se aplicó la Ley de Newcomb-Benford a los datos epidemiológicos y luego se realizó la prueba de Chi-cuadrado de bondad de ajuste. Resultados: Se obtuvo un valor p de 0,872 que es mayor al valor de significancia α = 0,05 y un valor de Chi-cuadrado = 3,82722, que es menor al valor crítico de Chi-cuadrado 15,5073. Conclusión: Se aceptó la hipótesis nula, asumiendo que los datos epidemiológicos si se ajustan a la Ley de Newcomb-Benford y por ende no existiría datos falsificados.

Background: The epidemiological data of the COVID-19 from China, the United States, Sou-th Korea, England, Spain, Italy, Germany, Holland and Sweden are adjusted to the distribu-tion of the Newcomb-Benford Law, which would indicate that there is no falsification of data. In Ecuador, no data processing has been carried out with this methodology.Objective: To know if the data provided by the Ministry of Public Health of Ecuador, with respect to the confirmed cases with the COVID-19 by province of care, are adjusted to New-comb-Benford Law.Material and methods: The epidemiological database of the Ministry of Public Health of Ecuador was used, where the Newcomb-Benford Law was applied to the epidemiological data and then the Chi-square goodness-of-fit test was performed.Results: A p value of 0.872 was obtained, which is greater than the significance va-lue α = 0.05 and a Chi-square value = 3.82722, which is less than the critical value of Chi-square 15.5073. Conclusion: The null hypothesis was accepted, if the epidemiological data do conform to the Newcomb-Benford Law and therefore there would be no falsified data.

Dr. Francisco Rojas Ochoa: actor, testigo y gloria de la salud pública cubana / Dr. Francisco Rojas Ochoa: actor, witness and glory of Cuban public health

El Dr. Francisco Rojas Ochoa fue un intelectual pleno, poseedor de una sensibilidad artística realmente formidable. Sus aportes más notables trascendieron el marco de la ciencia. Desde muy temprano, comprendió la importancia de cuidar la calidad del dato primario como pilar de las estadísticas de salud; defendió infatigablemente los principios de la Salud Pública Cubana, se sumó al combate decidido contra la pseudociencia, cultivó la demografía, las técnicas de dirección administrativa y, sobre todo, la ética médica. Desplegó una valiosa contribución a la Historia de la Medicina y la Salud Pública. No tuvo formación estadística, pero sí un poderoso sentido común que le permitía apropiarse de los resultados de esta disciplina, para cuya interpretación práctica demostraba gran destreza. Durante toda su vida publicó decenas de artículos científicos y numerosos libros. La etapa más fructífera la desarrolló en el marco de diversas instituciones académicas, entre ellas, nuestra actual Escuela Nacional de Salud Pública. Su última publicación, considerada entre las más destacadas, fue Actor y Testigo, constituye un verdadero testamento intelectual(AU)

Dr. Francisco Rojas Ochoa distinguished himself by a full intellectual conviction and a really formidable artistic sensitivity. His most outstanding contributions went beyond the framework of science. Very early in his life, he realized the importance of caring for the quality of primary data as a pillar of health statistics; he tirelessly defended the principles of the Cuban Public Health, joined the decided combat against pseudoscience, developed demography and management techniques and, above all, he safeguarded the principles of medical ethics. He made a significant contribution to the History of Medicine and Public Health. Dr. Rojas Ochoa did not have statistical formation, but he actually had a powerful common sense that allowed him to benefit from its results, demonstrating great skill for their interpretation. During all his life, he published lots of scientific articles and many books. His most fruitful period was specially developed within the framework of several academic institutions, among them, our National School of Public Health. His last publication, which is considered one of the most outstanding, is "Actor y Testigo", a genuine intellectual testament that reveals both privileged spaces as reflected in its title(AU)

Análise de redes: uma abordagem de estatística multivariada para pesquisas em ciências da saúde / Network analysis: a multivariate statistical approach for health science research

A análise de redes é uma técnica estatística gráfica que permite a rápida visualização e interpretação de associações entre múltiplas variáveis. Ainda existem poucos estudos com conteúdo teórico sobre esse método, especialmente nas áreas de pesquisa da geriatria e gerontologia, as quais abrangem o estudo de diferentes variáveis sociais, clínicas ou de saúde física e mental. Os objetivos deste estudo foram apresentar os principais aspectos teóricos e demonstrar a aplicabilidade da análise de rede por meio de estudos que utilizaram essa técnica, oferecendo uma linguagem acessível para todos os níveis de conhecimento em estatística. Foram demonstrados as principais características dos gráficos, conceitos teóricos básicos e artigos científicos que utilizaram redes. O presente estudo metodológico pode auxiliar o leitor na compreensão desse método analítico, ainda pouco explorado no âmbito da pesquisa nacional. Nas áreas de geriatria e gerontologia há escassez de pesquisas que abordam essa temática, entretanto o avanço tecnológico, a disponibilidade de programas estatísticos com novos recursos de análise de dados e a divulgação de informações são fatores relevantes para a expansão do conhecimento e a utilização da análise de redes.

Network analysis is a graphical statistical technique that allows rapid visualization and interpretation of associations between multiple variables. There are still few theoretical studies on this method, especially in the areas of geriatrics and gerontology research, which cover the study of different social, clinical, or physical and mental health variables. The objectives of this study were to present the main theoretical aspects of network analysis and demonstrate its applicability by analyzing studies that used this technique, offering an accessible language for all levels of knowledge in statistics. The main characteristics of the graphs, basic theoretical concepts, and scientific articles that used networks were demonstrated. This methodological study can help the reader to understand this analytical method, which is still little explored in national research. There is a scarcity of research on this subject in the areas of geriatrics and gerontology; however, technological advances, the availability of statistical programs with new data analysis resources, and the dissemination of information are relevant factors for the expansion of knowledge and the use of network analysis in this context.

Manual de registro y codificación de la atención de Salud en la consulta externa: Etapa de vida adulto mayor. Sistema de Información HIS / Manual of registration and coding of Health care in the outpatient clinic: Stage of elderly life. HIS Information System

El manual describe y homogeniza los criterios en la recopilación y codificación de diagnósticos CIE 10. Asimismo, describe la metodología de registros estadísticos sanitarios en salud del adulto mayor, el cual se convierte en un sistema de información necesaria para la toma de decisiones en la solución de los problemas sanitarios en el marco del sistema de coordinación.

Ventajas del uso de estimaciones por intervalos para proporciones poblacionales / Advantages of the use of interval estimations for population proportions

En este trabajo los autores argumentan la necesidad de incluir el cálculo de estimaciones por intervalos para proporciones poblacionales. Se discute un ejemplo real donde se pone de manifiesto la insuficiencia del intervalo estándar para las proporciones, a pesar de su uso generalizado en las investigaciones. Se propone el uso del intervalo de Wilson (AU).

In this article, the authors argue the necessity of including the calculation of interval estimations for population proportions. A real example is discussed the insufficiency of the standard interval for proportions is stat, in spite of its generalized use in researches. The Wilson´s interval is proposed (AU).