ESPORTE E LAZER: UMA TRAJETÓRIA DAS LEIS MUNICIPAIS EM MACAPÁ

Esta pesquisa identifica as leis relacionadas ao esporte/lazer, durante processo histórico da Lei Orgânica do Município de Macapá até a atualidade. Trata-se de uma pesquisa documental, onde se utilizou a Lei Orgânica Municipal, Leis ordinárias e complementares. Para fins de análise, optamos por agrupar a discussão em três categorias: “Espaço: perdas e ganhos”; “Garantia e Construção de Direitos” e “Manutenção de uma Agenda Pós-Estruturada”. A inclusão do esporte/lazer nas leis municipais acompanha o movimento inaugurado pela Constituição Federal de 1988, o que implicou em uma trajetória de leis que abordam esporte/lazer como direito social na cidade de Macapá. Foi possível identificar dezessete leis que abarcam esse tema no município. No entanto, esse processo está calcado em contradições, revelando um hiato entre o dispositivo legal e a efetivação de políticas sociais no setor

ESPORTE E LAZER: UMA TRAJETÓRIA DAS LEIS MUNICIPAIS EM MACAPÁ

Esta pesquisa identifica as leis relacionadas ao esporte/lazer, durante processo histórico da Lei Orgânica do Município de Macapá até a atualidade. Trata-se de uma pesquisa documental, onde se utilizou a Lei Orgânica Municipal, Leis ordinárias e complementares. Para fins de análise, optamos por agrupar a discussão em três categorias: “Espaço: perdas e ganhos”; “Garantia e Construção de Direitos” e “Manutenção de uma Agenda Pós-Estruturada”. A inclusão do esporte/lazer nas leis municipais acompanha o movimento inaugurado pela Constituição Federal de 1988, o que implicou em uma trajetória de leis que abordam esporte/lazer como direito social na cidade de Macapá. Foi possível identificar dezessete leis que abarcam esse tema no município. No entanto, esse processo está calcado em contradições, revelando um hiato entre o dispositivo legal e a efetivação de políticas sociais no setor

Comparação entre três protocolos por dobra cutânea para estimativa da gordura corporal relativa em homens e mulheres universitários

The purpose of the present study was to compare the results of the body fat percentage based on the skin fold equations of Pollock et al. (1978; 1980), Faulkner (1968) and Guedes (1985) combined with the Siri equation in university men and women. Twenty volunteers (8 women and 12 men) between 18 until 41 years old and physically active. All volunteers were submitted an anthropometric evaluation by same and experienced evaluator. The Anova test was used by repetitive measures and the Bonferroni post hoc. All tests assumed   = 0.05. The results was observed a significant difference (p = 0.04) when comparing the body fat percentage result between the Pollock and Guedes equations for men (12.4 ± 1.5%  (Pollock), 13.9 ± 1.4% (Guedes) and 13.4 ± 0.8% of fat (Faulkner), compared to women there was a difference of significance (p = 0.006) in all equations 23.0 ± 1.7% (Pollock), 19.8 ± 1.1% (Guedes) and 17.0 ± 1.3% fat (Faulkner). In conclusion, the presented results evidenced a significant difference between the different equations for body fat percentage estimation in university both sexes. O objetivo do presente estudo foi comparar os resultados da gordura corporal relativa baseado nas equações por dobra cutânea de Pollock e colaboradores (1978; 1980), Faulkner (1968) e Guedes (1985) combinadas com a equação de Siri em homens e mulheres universitários. Participaram deste estudo 20 voluntários (8 mulheres e 12 homens) universitários entre 18 a 41 anos e praticante de atividade física. Todos os voluntários passaram por uma avaliação antropométrica por um único e experiente avaliador. Utilizou-se o teste de Anova para medidas repetidas, e o post hoc Bonferroni, quando encontrada diferença significativa. Observou diferença significativa (p = 0,04) ao comparar o resultado da gordura corporal relativa entre as equações de Pollock e Guedes para homens (12,4 ± 1,5 % de gordura (Pollock), 13,9 ± 1,4 % de gordura (Guedes) e 13,4 ± 0,8 % de gordura (Faulkner), em comparação a mulheres houve diferença de significância (p = 0,006) em todas as equações (23,0 ± 1,7 % de gordura; (Pollock), 19,8 ± 1,1 % de gordura (Guedes) e 17,0 ± 1,3 % de gordura (Faulkner). Em conclusão, os resultados apresentados evidenciam uma diferença significativa entre as diferentes equações para a estimativa da gordura corporal relativa em universitários ambos os sexos. ABSTRACT Comparison between the three methods of production of women and university womenThe purpose of the present study was to compare the results of the body fat percentage based on the skin fold equations of Pollock et al. (1978; 1980), Faulkner (1968) and Guedes (1985) combined with the Siri equation in university men and women. Twenty volunteers (8 women and 12 men) between 18 until 41 years old and physically active. All volunteers were submitted an anthropometric evaluation by same and experienced evaluator. The Anova test was used by repetitive measures and the Bonferroni post hoc. All tests assumed   = 0.05. The results was observed a significant difference (p = 0.04) when comparing the body fat percentage result between the Pollock and Guedes equations for men (12.4 ± 1.5%  (Pollock), 13.9 ± 1.4% (Guedes) and 13.4 ± 0.8% of fat (Faulkner), compared to women there was a difference of significance (p = 0.006) in all equations 23.0 ± 1.7% (Pollock), 19.8 ± 1.1% (Guedes) and 17.0 ± 1.3% fat (Faulkner). In conclusion, the presented results evidenced a significant difference between the different equations for body fat percentage estimation in university both sexes.

Revista Temas Agrarios Volumen 26; Suplemento 1 de 2021

1st International and 2nd National Symposium of Agronomic Sciences: The rebirth of the scientific discussion space for the Colombian Agro.1 Simposio Intenacional y 2 Nacional de Ciencias Agronómicas: El renacer del espacio de discusión científica para el Agro colombiano

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine