56 research outputs found
How the populationâs perceptions influence their behaviours regarding the consumption of fibre rich foods
The association between dietary fibre, health benefits and healthy food has been studied
in recent years. The food industry, to accompany the strong interest shown by consumers, has placed
at their disposal new products, rich in dietary fibre. In order to meet this huge interest and demand for
these products, this work was elaborated, which had as main objective to evaluate the degree of
knowledge of the Portuguese population about fibre and its effects on health, as well as evaluating the
their consumption habits in respect of fibres. To achieve this goal an inquiry was carried out by
questionnaire to 182 adults. The most relevant results indicate that only 13% of the inquired eat two
meals a day with vegetables and/or salads and 9% eat at least 3 pieces of fruit. Whole grains are
never consumed by 41% and 18% do so at least once a week. The vast majority (90%) of
respondents have the notion that fibre intake contributes to the prevention and treatment of diseases.
With this work it was concluded that respondentsâ knowledge about dietary fibre is insufficient, and
that although they give great importance to their role in treatment and prevention of diseases, the level of intake is too low
Brazil in the Era of Fascism: The âNew Stateâ of GetĂșlio Vargas
The New State established in Brazil by GetĂșlio Vargas (1937â1945) is the most important case of the institutionalisation of a dictatorship of the fascism era in Latin America. During this time, an impressive spectrum of authoritarian regimes was established, some of which were very instable and poorly institutionalised, while others were more consolidated. Roger Griffin coined the concept of para-fascism for some of them, and the âNew Stateâ of GetĂșlio Vargas in Brazil is a paradigmatic case. In this essay, we analyse the processes of institutional reform in 1930s Brazil paying particular attention to how domestic political actors look at institutional models of fascism and corporatism.info:eu-repo/semantics/publishedVersio
Estudo comparativo do diagnĂłstico da infecção do sĂtio cirĂșrgico durante e apĂłs a internação
Spontaneous Breathing in Early Acute Respiratory Distress Syndrome: Insights From the Large Observational Study to UNderstand the Global Impact of Severe Acute Respiratory FailurE Study
OBJECTIVES: To describe the characteristics and outcomes of patients with acute respiratory distress syndrome with or without spontaneous breathing and to investigate whether the effects of spontaneous breathing on outcome depend on acute respiratory distress syndrome severity. DESIGN: Planned secondary analysis of a prospective, observational, multicentre cohort study. SETTING: International sample of 459 ICUs from 50 countries. PATIENTS: Patients with acute respiratory distress syndrome and at least 2 days of invasive mechanical ventilation and available data for the mode of mechanical ventilation and respiratory rate for the 2 first days. INTERVENTIONS: Analysis of patients with and without spontaneous breathing, defined by the mode of mechanical ventilation and by actual respiratory rate compared with set respiratory rate during the first 48 hours of mechanical ventilation. MEASUREMENTS AND MAIN RESULTS: Spontaneous breathing was present in 67% of patients with mild acute respiratory distress syndrome, 58% of patients with moderate acute respiratory distress syndrome, and 46% of patients with severe acute respiratory distress syndrome. Patients with spontaneous breathing were older and had lower acute respiratory distress syndrome severity, Sequential Organ Failure Assessment scores, ICU and hospital mortality, and were less likely to be diagnosed with acute respiratory distress syndrome by clinicians. In adjusted analysis, spontaneous breathing during the first 2 days was not associated with an effect on ICU or hospital mortality (33% vs 37%; odds ratio, 1.18 [0.92-1.51]; p = 0.19 and 37% vs 41%; odds ratio, 1.18 [0.93-1.50]; p = 0.196, respectively ). Spontaneous breathing was associated with increased ventilator-free days (13 [0-22] vs 8 [0-20]; p = 0.014) and shorter duration of ICU stay (11 [6-20] vs 12 [7-22]; p = 0.04). CONCLUSIONS: Spontaneous breathing is common in patients with acute respiratory distress syndrome during the first 48 hours of mechanical ventilation. Spontaneous breathing is not associated with worse outcomes and may hasten liberation from the ventilator and from ICU. Although these results support the use of spontaneous breathing in patients with acute respiratory distress syndrome independent of acute respiratory distress syndrome severity, the use of controlled ventilation indicates a bias toward use in patients with higher disease severity. In addition, because the lack of reliable data on inspiratory effort in our study, prospective studies incorporating the magnitude of inspiratory effort and adjusting for all potential severity confounders are required
- âŠ