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Bibliographische Detailangaben
1. Verfasser: Luis Carlos Silva
Format: Artículo científico
Sprache:en
Veröffentlicht: Medical Education Cooperation with Cuba 2014
Schlagworte:
Online-Zugang:https://www.redalyc.org/articulo.oa?id=437542105011
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Inhaltsangabe:
  • Chronic Kidney Disease in Central American Agricultural Communities: Challenges for Epidemiology and Public Health Luis Carlos Silva Pedro Ordúñez Medicina ease epidemic causality pesticides agriculture This paper contextualizes the chronic kidney disease epidemic and related burden of disease affecting Central American farm- ing communities. It summarizes the two main causal hypotheses (heat stress and agrochemicals), draws attention to the consequences of dichotomous reasoning concerning causality, and warns of potential con fl icts of interest and their role in “manufac- turing doubt.” It describes some methodological errors that compromise past study fi ndings and cautions against delaying public health actions until a conclusive understanding is reached about the epidemic’s causes and underlying mechanisms. It makes the case for a comprehensive approach to the historical, social and epidemiological facts of the epidemic, for critically assessing existing studies and for enhanced rigor in new research. 2014 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542105011 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.2 Vol.16