Aplicación mundial de la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud en Fisioterapia: revisión sistemática / Global application of the International Classification of Functioning, Disability and Health in Physiotherapy: a systematic review

Con la creación de la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud se busca promover un lenguaje unificado entre las disciplinas de la salud, fundamental para el desarrollo del área clínica e investigativa. El objetivo de este artículo es presentar una revisión del uso y aplicación de la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud en el ámbito clínico fisioterapéutico. La búsqueda se focalizó en publicaciones realizadas entre 2001 y 2015 en MEDLINE, EMBASE, PEDro, SciELO y LILACS. Los artículos se categorizaron por ubicación geográfica, tipo de estudio, población y relevancia para la Fisioterapia. Se encontraron 128 artículos sometidos a evaluación por jueces para una selección final de 22, de los cuales el 47,8% fueron estudios cualitativos y el 60,8% fueron escritos en Europa y las áreas de mayor aplicación fueron la neurológica y musculoesquelética. El uso de la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud guía del razonamiento clínico en Fisioterapia y permite la toma de decisiones asertivas para el logro de metas propuestas (AU)

The International Classification of Functioning, Disability and Health seeks to promote a unified language among health disciplines, which is essential for the development of clinical practice and research. This article aims to present a review of the use and application of the International Classification of Functioning, Disability and Health in the clinical setting of Physiotherapy. The search focused on publications between 2001 and 2015 in MEDLINE, EMBASE, PEDro, SciELO and LILACS. The articles were categorised by geographic location, type of study, population and relevance for physical therapy. A total of 128 articles were evaluated and 22 were finally selected, of which 47.8% were qualitative studies and 60.8% were conducted in Europe. The areas of greatest application were neurological and musculoskeletal. The International Classification of Functioning, Disability and Health can be used to guide clinical reasoning in Physiotherapy and allows confidence in decision-making to achieve proposed goals (AU)

Performance of public health surveillance systems during the influenza A(H1N1) pandemic in the Americas: testing a new method based on Benford's Law.

The A(H1N1) influenza pandemic has been a challenge for public health surveillance systems in all countries. An objective evaluation has not been conducted, as yet, of the performance of those systems during the pandemic. This paper presents an algorithm based on Benford's Law and the mortality ratio in order to evaluate the quality of the data and the sensitivity of surveillance systems. It analyses records of confirmed cases reported to the Pan American Health Organization by its 35 member countries between epidemiological weeks 13 and 47 in 2009. Seventeen countries did not fulfil Benford's Law, and mortality exceeded the regional average in 40% of the countries. The results suggest uneven performance by surveillance systems in the different countries, with the most frequent problem being low diagnostic coverage. Benford's Law proved to be a useful tool for the evaluation of a public health surveillance system's performance.