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      2Scopus© Citations 345
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    Scopus© Citations 18  3
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    Acceso a salud de migrantes internacionales en pandemia en Chile: resultados de encuesta cuantitativa
    (2023)
    CABIESES VALDES, BALTICA BEATRIZ  
    ;
    Marcela Oyarte
    ;
    Maria Ines Alvarez
    ;
    Alice Blukacz
    ;
    OBACH KING, ALEXANDRA ALICE  
    <jats:p>El objetivo del estudio fue analizar barreras de acceso a la atención de salud en Chile reportadas por migrantes internacionales residentes en la región metropolitana del país y factores asociados. Para ello, se aplicó una encuesta en formato digital sobre vulnerabilidades y recursos de comunidades migrantes en Chile para enfrentar la pandemia SARS-CoV-2. Se realizó análisis descriptivo y estratificado por variables demográficas, socioeconómicas, tipo de previsión de salud y estatus migratorio. Como resultados, inmigrantes provenientes de Haití reportaron el mayor porcentaje de barreras de acceso a la atención en salud, esto tras ajustar por variables sociodemográficas y estatus migratorio.</jats:p>
      2
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    Cancer History Is Associated with Slower Speed of Cognitive Decline in Patients with Amnestic Cognitive Impairment
    (2022)
    Rolando I. Castillo-Passi
    ;
    Rodrigo C. Vergara
    ;
    Nicole K. Rogers
    ;
    Daniela P. Ponce
    ;
    Magdalena Bennett
    <jats:p>Background: Several epidemiological studies report a negative association between Cancer and Alzheimer’s disease (AD). Objective: To characterize the trajectories of memory loss in individuals with early amnestic cognitive impairment with and without history of previous cancer. Methods: Cognitive deterioration was assessed using the Montreal Cognitive Assessment (MoCA) or MoCA-Memory Index Score (MoCA-MIS) biannually in subjects with early amnestic cognitive impairment followed-up retrospectively from 2007 to 2021. History of Cancer was obtained from clinical records. Simple linear regressions of MoCA-MIS scores were calculated for each subject and analyzed with K-means cluster analysis to identify subgroups with different cognitive decline trajectories. χ2 and t tests were used for descriptive categorical and continuous variables and mixed multiple linear regressions to determine cognitive decline covariates. Results: Analysis of the trajectory of cognitive decline in 141 subjects with early amnestic cognitive impairment identified two subgroups: Fast (n = 60) and Slow (n = 81) progressors. At baseline Fast progressors had better MoCA-MIS (p &lt; 0.001) and functionality (CDR p = 0.02, AD8 p = 0.05), took less anti-dementia medications (p = 0.005), and had higher depression rates (p = 0.02). Interestingly, Fast progressors slowed their speed of memory decline (from 1.6 to 1.1 MoCA-MIS points/year) and global cognitive decline (from 2.0 to 1.4 total MoCA points/year) when Cancer history was present. Conclusion: Two trajectories of amnestic cognitive decline were identified, possibly derived from different neurophysiopathologies or clinical stages. This study suggests that a history of previous Cancer slows down amnestic cognitive decline, specifically in a subgroup of subjects with depression at baseline and accelerated deterioration at follow-up.</jats:p>
      18Scopus© Citations 2
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    Validation of Picture Free and Cued Selective Reminding Test for Illiteracy in Lima, Peru
    (2022)
    Rosa Montesinos
    ;
    Jose F. Parodi
    ;
    Monica M. Diaz
    ;
    Eder Herrera-Perez
    ;
    Elizabeth Valeriano-Lorenzo
    <jats:p> Dementia in Latin America is a crucial public health problem. Identifying brief cognitive screening (BCS) tools for the primary care setting is crucial, particularly for illiterate individuals. We evaluated tool performance characteristics and validated the free and total recall sections of the Free and Cued Selective Reminding Test-Picture version (FCSRT-Picture) to discriminate between 63 patients with early Alzheimer’s disease dementia (ADD), 60 amnestic mild cognitive impairment (aMCI) and 64 cognitively healthy Peruvian individuals with illiteracy from an urban area. Clinical, functional, and cognitive assessments were performed. FCSRT-Picture performance was assessed using receiver operating characteristic curve analyses. The mean ± standard deviation scores were 7.7 ± 1.0 in ADD, 11.8 ± 1.6 in aMCI, and 29.5 ± 1.8 in controls. The FCSRT-Picture had better performance characteristics for distinguishing controls from aMCI compared with several other BCS tools, but similar characteristics between controls and early ADD. The FCSRT-Picture is a reliable BCS tool for illiteracy in Peru. </jats:p>
    Scopus© Citations 4  1
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    The social location of harm from others’ drinking in 10 societies
    (2018)
    Robin Room
    ;
    Sarah Callinan
    ;
    Thomas K. Greenfield
    ;
    Dag Rekve
    ;
    Orratai Waleewong
    Scopus© Citations 26  2
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    Priorities to reduce the burden of stroke in Latin American countries
    (2019)
    Sheila C Ouriques Martins
    ;
    Claudio Sacks
    ;
    Werner Hacke
    ;
    Michael Brainin
    ;
    Francisco de Assis Figueiredo
    Scopus© Citations 107  7
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    Scopus© Citations 15  1
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      1Scopus© Citations 103
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    First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina
    (2016)
    M. Cecilia Bahit
    ;
    Mariano L. Coppola
    ;
    Patricia M. Riccio
    ;
    Lauren E. Cipriano
    ;
    Gregory A. Roth
    <jats:sec> <jats:title>Background and Purpose—</jats:title> <jats:p>Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods—</jats:title> <jats:p>We prospectively identified all first-ever stroke and TIA cases from overlapping sources between January 5, 2013, and April 30, 2015, in Tandil, Argentina. We calculated crude and standardized incidence rates. We estimated 30-day case-fatality rates.</jats:p> </jats:sec> <jats:sec> <jats:title>Results—</jats:title> <jats:p>We identified 334 first-ever strokes and 108 TIAs. Age-standardized incidence rate per 100 000 for Segi’s World population was 76.5 (95% confidence interval [CI], 67.8–85.9) for first-ever stroke and 25.1 (95% CI, 20.2–30.7) for first-ever TIA, 56.1 (95% CI, 48.8–64.2) for ischemic stroke, 13.5 (95% CI, 9.9–17.9) for intracerebral hemorrhage, and 4.9 (95% CI, 2.7–8.1) for subarachnoid hemorrhage. Stroke incidence was slightly higher for men (87.8; 95% CI, 74.6–102.6) than for women (73.2; 95% CI, 61.7–86.1) when standardized for the Argentinean population. Thirty-day case-fatality rate was 14.7% (95% CI, 10.8–19.5) for ischemic stroke, 24.1% (95% CI, 14.2–36.6) for intracerebral hemorrhage, and 1.9% (95% CI, 0.4–5.8) for TIA.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>This study provides the first prospective population-based stroke and TIA incidence and case-fatality estimate in Argentina. First-ever stroke incidence was lower than that reported in previous Latin-American studies, but first-ever TIA incidence was higher. Thirty-day case-fatality rates were similar to those of other population-based Latin-American studies.</jats:p> </jats:sec>
      4Scopus© Citations 50