Archives
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Medicine does not think
Vol. 10 No. 1 (2025)This issue addresses the tensions between science, society, and medical humanism. We invite you to reflect on the growing distrust of medical institutions, the influence of social media on the perception of science, and the psychological and political roots behind these phenomena.
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Los fetiches médicos
Vol. 9 No. 3 (2024)In Latin America, and particularly in Ecuador, health systems pursue development models decontextualized from their history and trajectories; the “American way of life” is a fetish in civilization and culture. This translates into development models of urban and rural territories with a profound influence on the health-disease phenomenon (cities with densely populated centers, so-called “progress” diseases, epidemiological transition). A broad base of the population pyramid cries out for “health,” but the meaning of this concept has become infused with ideology. At the same time, rural areas are experiencing the same transition, amidst the garbage generated in the city, with the dream of “going out to the city one day.”
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Violencia, estrés y salud comprometida
Vol. 9 No. 1 (2024)The increase in violence in countries like Ecuador, where organized crime, drugs, human trafficking and political vanity produce daily outbreaks with measurable consequences for health. With this premise, the teaching community proposes to start a series of investigations related to the topic.
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Public health in the post-pandemic era
Vol. 8 No. 3 (2023)Almost a year after the declaration of the end of the health emergency, what lesson did the pandemic leave us?
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Emergency service update
Vol. 8 No. Suplemento (2023)For a long time, public health has been betting on the use of a triage system in emergency services, which would allow the classification of patients based on their clinical severity. In theory, this system would prioritize emergency care for the most serious patients, establishing an order of preference according to the severity of the health problem they present.
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Research and the “Matthew Effect”
Vol. 8 No. 2 (2023)This paper reflects on the role of Latin American scientific research and how its practice responds to administrative interests and reactive actions that seek to satisfy positivist goals of production indicators.
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Medicine 3.0
Vol. 8 No. 1 (2023)In a hyperconnected society, the excess of information has generated a change in the paradigm of the status quo, in daily practice many doctors no longer examine the patient, the patient is the one who looks at the doctor, or "the patient is no longer listened to, rather, the patient is the one who listens to the doctor” and validates the previously acquired information.
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Fragile States and Healthcare Impacts
Vol. 7 No. 3 (2022)Five years of climate-induced drought have left nearly half of Somalia’s population at the brink of starvation. Where rains have failed to fall, Improvised Explosive Devices (IEDs) - nearly all the work of Al-Shabaab extremists - have proliferated. This lethal combination of natural and social forces directly jeopardizes physical and mental health, leaving countries such as Somalia with some of the worst health indicators on the planet, including a life expectancy (56 years) nearly three decades short of Japan.
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Post-covid challenges of the health sector in Latin American countries
Vol. 7 No. 2 (2022)Una realidad cambiante, introduce nuevos factores biológicos, ideológicos, políticos, económicos, organizacionales e individuales de parte de los profesionales y de los ciudadanos que significa nuevos desafíos, no existentes en el siglo pasado. Las nuevas epidemias, los gérmenes multirresistentes, las guerras, la transformación de la violencia, la corrupción, son los nuevos retos de los sistemas de salud, a esto se suma un incremento de las inequidades, la respuesta fragmentada, limitada a la vacunación, hechos que se siguen debilitando los sistemas de salud.
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Medicine facing the new challenges faced by populations
Vol. 7 No. 1 (2022)Despite the initial success of vaccination to face the COVID-19 epidemic, new questions arise that the scientific world must answer about the duration of its immunogenicity and its effectiveness against coronavirus variants and mutations. In reality, global inequities range Increasingly, the limited fragmented response to vaccination allows for an increase in inequity in health, while health systems continue to be weakened. original articles, case reviews, communication and psychology studies around medicine facing the new challenges facing populations.
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Public health challenges in the post-covid era
Vol. 6 No. 3 (2021)The covid 19 pandemic has placed a great strain on state systems and health systems around the world and has exposed the deficiencies in health care for underserved marginalized populations. In addition, neglect of old threats has led to backsliding effects such as the reappearance of measles, multi-drug resistant bacteria, an increase in mental health disorders and the effects of climate change.
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Medicine in the post-covid era
Vol. 6 No. 2 (2021)The Covid-19 pandemic has disturbed social functioning throughout the planet, linear and positivist thinking does not give answers to the great questions that arise in the midst of the health debacle, thus arising a debate on the reorganization of the assumptions that ruled the health sciences before the Covid, the epistemes of public health are in question. The phenomena triggered by a communicable disease force us to rethink the way of looking at the diseases that in precovid times, we called communicable and non-communicable, as well as their interrelationships
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The coronavirus and the state of malaise: when injustice polarizes society
Vol. 6 No. 1 (2021)The global crisis caused by the coronavirus epidemic has put governments and scientific societies in check.
The urgent task of the health sciences is to carry out a critical reading of everything published and return to the scientific method, with humility recognizing our ignorance, questioning all dogmas, and denouncing the political actions disguised as medical evidence that are recommended to the population.
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El Coronavirus y la Crisis de la Medicina
Vol. 5 No. 3 (2020)La crisis mundial provocada por el coronavirus ha permitido el surgimiento de diversas narrativas en redes sociales. Asistimos a un arsenal de mentiras, alertas e informaciones falsas que involucran a falsos microbiólogos, millonarios y famosos del mundo.
La intervención de los medios de comunicación, tiende a transformar el debate científico en debate público y a difuminar la pequeña línea divisoria entre lo político y lo técnico, lo cual incrementa el riesgo del error.
La tarea de las ciencias de la salud y de las ciencias sociales, es realizar una lectura crítica de todo lo publicado, retomar el método científico y con humildad reconocer nuestro desconocimiento, y empezar investigaciones que alejen el sesgo político y las cifras manipuladas, unirse la academia y rehacer el trabajo desaprendiendo y reformulando cuantas veces sea necesario.
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Challenges of "tropical medicine" worldwide
Vol. 5 No. 2 (2020)With the world focused on containing the spread of COVID-19, human and economic resources have decreased in the care of other diseases of public health importance such as Dengue, Zika, Chikungunya, etc. This edition addresses tropical medicine topics without neglecting reflections, bibliographic reviews and clinical guidelines on the pandemic that is attacking the world at the present time.
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Autocrítica en la Salud: nuevas tendencias son necesarias
Vol. 5 No. 1 (2020)Resulta cada día más relevante la importancia de la introspección como camino para el mejoramiento de la persona, y de los procesos de maduración a la que se le invita a lo largo de su vida. En esta labor, los profesionales de la salud no son indiferentes, por cuanto la autocrítica y la capacidad propositiva se erigen como método para afrontar el complejo escenario que la realidad de la salud se enfrenta en la actualidad.
De este modo constituyen problemáticas a ser discutidas por la atención sanitaria desde una visión interna y externa entre otras: burocratización de la administración sanitaria, estudios comparados de administraciones sanitarias exitosas, necesidad de mejoras laborales y formativas, ausentes estudios de percepción en la atención de los usuarios, educación integral al personal sanitario orientado a una formación de una conciencia introspectiva y concretado en competencias blandas.
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The challenges of bioethics in interculturality
Vol. 4 No. 3 (2019)In this edition we have considered dealing with a topic that involves the whole society and its pluricultural nuances, proposing lines of research that contribute significantly to the debate on whether bioethics should have an intercultural perspective.
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The challenges of communication for health in rural areas
Vol. 4 No. 2 (2019)The objective of this edition is to address communication for health, understanding it as the study and use of communication strategies to inform and influence individual and community decisions that improve health, as proposed by the World Health Organization ( WHO), in order to improve the quality of life of people and create healthy environments for social development, both individually and collectively.
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New paradigms of the doctor-patient relationship
Vol. 8 No. 2 (2023)In a hyperconnected society, the excess of information has generated a change in the paradigm of the status quo, in daily practice many doctors no longer examine the patient, the patient is the one who looks at the doctor, or "the patient is no longer listened to, rather, the patient is the one who listens to the doctor” and validates the previously acquired information.
