Características metodológicas de estudos realizados na América Latina usando sensores de movimento: revisão sistemática

A presente investigação tem como objetivo sintetizar as características metodológicas dos estudos realizados na América Latina nos quais sensores de movimento foram utilizados para medida da atividade física. Para o desenvolvimento deste estudo foram utilizadas três fontes de informações. A primeira consistiu na busca em bases de dados eletrônicas (Scielo, LILACS, Medline, ADOLEC, COCHRANE), a segunda consistiu na busca por meio do portal de periódicos eletrônicos CAPES (banco de teses e dissertações). Por fim, a terceira fonte considerada foi a busca por autores. Dez estudos satisfizeram os critérios de inclusão. Quatro envolveram crianças, quatro estudos foram caracterizados como transversais. 50% do monitoramento das atividades físicas foram realizados por meio de atividades da vida diária. Quanto à escolha dos instrumentos, 80% dos estudos utilizaram os acelerômetros. Verificou-se variações de 23 minutos/dia a 24 horas/dia por um período de um a 41 dias de avaliação.info:eu-repo/semantics/publishedVersio

Shared parental leave and the sexual family: the importance of encouraging men to care

This paper considers how shared parental leave could achieve its aim of encouraging fathers to provide care. I will argue that achieving this ambition is dependent upon the legislation continuing to be available only to those performing a parenting role, when two parents are providing childcare. Despite the problems with the two parent family model, it should be retained temporarily because it has unique potential to encourage men to care, as highlighted by Swedish legislation. This is the most effective way to challenge gender inequality. Shared parental leave should only be made available to a wider category of carers after men have been given a realistic chance to care. Widening access earlier risks reinforcing women’s association with caring work

Internet use by older adults with bipolar disorder: international survey results

Background: The world population is aging and the number of older adults with bipolar disorder is increasing. Digital technologies are viewed as a framework to improve care of older adults with bipolar disorder. This analysis quantifies Internet use by older adults with bipolar disorder as part of a larger survey project about information seeking. Methods: A paper-based survey about information seeking by patients with bipolar disorder was developed and translated into 12 languages. The survey was anonymous and completed between March 2014 and January 2016 by 1222 patients in 17 countries. All patients were diagnosed by a psychiatrist. General estimating equations were used to account for correlated data. Results: Overall, 47% of older adults (age 60 years or older) used the Internet versus 87% of younger adults (less than 60 years). More education and having symptoms that interfered with regular activities increased the odds of using the Internet, while being age 60 years or older decreased the odds. Data from 187 older adults and 1021 younger adults were included in the analysis excluding missing values. Conclusions: Older adults with bipolar disorder use the Internet much less frequently than younger adults. Many older adults do not use the Internet, and technology tools are suitable for some but not all older adults. As more health services are only available online, and more digital tools are developed, there is concern about growing health disparities based on age. Mental health experts should participate in determining the appropriate role for digital tools for older adults with bipolar disorder

Psychiatric disorders in primary focal dystonia and in Parkinson’s disease

Fernando MV Dias1, Arthur Kummer1, Flávia CP Doyle2, Estefânia Harsányi1, Francisco Cardoso2, Leonardo F Fontenelle3, Antônio Lúcio Teixeira11Neuropsychiatric Branch, 2Movement Disorders Clinic, Neurology Unit, University Hospital, Federal University of Minas Gerais, Belo Horizonte; 3Department of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilBackground: Primary focal dystonia and Parkinson’s disease are movement disorders that have contrasting motor phenotypes. The aim of this study was to compare the frequency and the severity of psychiatric disorders in primary focal dystonia and Parkinson's disease.Methods: Two groups of 30 patients matched by gender and age underwent a neurological and psychiatric assessment.Results: Parkinson’s disease patients were diagnosed with higher rates of major depression (P = 0.02) and generalized anxiety disorder (P = 0.02), and greater severity of depressive symptoms (P = 0.04), while patients with primary focal dystonia exhibited increased severity of obsessive-compulsive symptoms (P = 0.02).Discussion: The difference in pathophysiology of primary focal dystonia and Parkinson’s disease may explain the different psychiatric profiles of these two diseases. The increased frequency of affective symptoms in Parkinson’s disease may be related to the fact that Parkinson's disease is a neurodegenerative disease marked by the loss of monoaminergic neurons which does not happen in primary focal dystonia.Conclusion: The psychiatric profile differs in movement disorders with distinct neurobiological bases.Keywords: focal dystonia, Parkinson’s disease, neuropsychiatry, depression, obsessive-compulsive disorde

Características metodológicas de estudos realizados na América Latina usando sensores de movimento: revisão sistemática

A presente investigação tem como objetivo sintetizar as características metodológicas dos estudos realizados na América Latina nos quais sensores de movimento foram utilizados para medida da atividade física. Para o desenvolvimento deste estudo foram utilizadas três fontes de informações. A primeira consistiu na busca em bases de dados eletrônicas (Scielo, LILACS, Medline, ADOLEC, COCHRANE), a segunda consistiu na busca por meio do portal de periódicos eletrônicos CAPES (banco de teses e dissertações). Por fim, a terceira fonte considerada foi a busca por autores. Dez estudos satisfizeram os critérios de inclusão. Quatro envolveram crianças, quatro estudos foram caracterizados como transversais. 50% do monitoramento das atividades físicas foram realizados por meio de atividades da vida diária. Quanto à escolha dos instrumentos, 80% dos estudos utilizaram os acelerômetros. Verificou-se variações de 23 minutos/dia a 24 horas/dia por um período de um a 41 dias de avaliação.info:eu-repo/semantics/publishedVersio

Immune parameters, symptoms of upper respiratory tract infections, and training-load indicators in volleyball athletes

Rodrigo Dias1, Anelena Bueno Frollini1, Diego Trevisan Brunelli1, André Katayama Yamada1, Richard Diego Leite4, Ricardo Adamoli Simões1, Guilherme Souza Lobo Salles1, Débora Trevisan1, Idico Luiz Pellegrinotti1, Marcelo de Castro César1, Silvia Cristina Crepaldi Alves1, Rozangela Verlengia1, João Paulo Borin2, Jonato Prestes2,3, Claudia Regina Cavaglieri21Núcleo de Performance Humana, Mestrado em Educação Física, Faculdade de Ciências da Saúde, Universidade Metodista de Piracicaba, São Paulo, Brasil; 2Faculdade de Educação Física (FEF) Universidade Estadual de Campinas – UNICAMP, Campinas, Brasil; 3Programa de Mestrado e Doutorado em Educação Física, Universidade Católica de Brasília, Brasília, Brasil; 4Laboratório de Pesquisa Clínica e Experimental em Biologia Vascular (BioVasc), Departamento de Ciências Fisiológicas, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, BrasilBackground: The control of immunological alterations becomes important during in-season training, as a result of increased incidence of infectious diseases, and may assist in avoiding interruptions to training due to illness.Objective: The aim of the present study was to evaluate 28 weeks of chronic immune modulations in female volleyball athletes.Methods: The sample was composed of twelve athletes aged 19.47 ± 2.49 years, height 1.78 ± 0.08 cm, and body mass 66.77 ± 7.8 kg. Leukocytes, individual immune cell count, interleukin (IL)-2, IL-6, and tumor necrosis factor (TNF)-α plasma cytokines were measured during the competitive period.Results: Results revealed that immune variables were correlated with symptoms of upper respiratory tract infections and training-load indicators, indicating a possible marker of immune status. There was a statistically significant increase in total leukocytes, neutrophils, and monocyte count, a decrease in lymphocytes, and an increase in upper respiratory tract infection symptoms, with no change in IL-2, IL-6, and TNF-α. Correlations between subjective levels of tiredness, total leukocyte count, and neutrophils with upper respiratory tract infection symptoms were observed.Conclusion: In conclusion, these correlations can represent important tools to access the immune status of an athlete during long training periods, preventing a possible immunosuppressive status.Keywords: immune system, leukocytes, cytokine