74 research outputs found

    Interventions carried out in primary health care to deal with overweight and obesity - a scoping review / IntervençÔes realizadas na atenção primĂĄria Ă  saĂșde para lidar com o excesso de peso e a obesidade - uma revisĂŁo do escopo

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    Introduction and objectives: overweight and obesity are important public health problems which have a negative impact on the quality of life of individuals and on health systems around the world.  Primary Health Care (PHC) becomes a crucial health care model for addressing the problem of overweight and obesity.This study presents the protocol of a scoping review that aims to describe the interventions related to dealing with overweight and obesity in PHC, identifying the obstacles and facilitators for their implementation.Methods and Analysis: the scoping review protocol presented was based on the recommendations of the Prisma Extension for Scoping Reviews (PRISMA-SCR), as well as the framework proposed by Arksey and O’Malley.The research questions were elaborated by a multidisciplinary team of researchers, graduate students and professors belonging to a research group working in the area of health policy and program evaluation. In addition, two pilot studies were carried out to refine the questions and to improve the online article research and consequently the protocol.The bibliometric databases that will be used are PUBMED, EBSCO, SCOPUS, WEB OF SCIENCE; using specific keywords for each database to orientate the search for original articles written in English.Every step of the research will be carried out by two researchers working independently. The steps include: searching the selected databases with the keywords; reading the title and summary of the articles found; reading the selected articles in full and transferring the data extracted from the articles to a table; a thematic analysis of the results.Ethics and Dissemination: the results of the scoping review will be published in a scientific journal and presented at conferences and other scientific events.It is hoped that the presentation and discussion of the findings of the scoping review proposed in this protocol can help researchers, health professionals and planners of PHC policies and programs to identify gaps in the literature, to reflect upon the experiments conducted around the world, and to explore possibilities for adapting successful interventions to varied geographical and cultural contexts

    Intervenção socioalimentar em escola municipal de Frederico Westphalen – RS

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    Nas sociedades atuais cresce a preocupação com a qualidade dos alimentos e a segurança alimentar. A presente experiĂȘncia de extensĂŁo foi realizada em Frederico Westphalen – RS, na Escola Municipal Giusto Damo, o qual teve por objetivo incentivar uma alimentação saudĂĄvel nos primeiros momentos de vida social e concomitantemente ao fomento da produção agroecolĂłgica como fatores de importĂąncia para a saĂșde. Nas atividades realizadas buscou-se transmitir informaçÔes e aprendizados sobre a importĂąncia do consumo de alimentos saldĂĄveis. Os resultados da intervenção demonstraram que a comunidade escolar estĂĄ ciente da importĂąncia de praticar uma alimentação saudĂĄvel

    Intervenção socioalimentar em escola municipal de Frederico Westphalen – RS

    Get PDF
    Nas sociedades atuais cresce a preocupação com a qualidade dos alimentos e a segurança alimentar. A presente experiĂȘncia de extensĂŁo foi realizada em Frederico Westphalen – RS, na Escola Municipal Giusto Damo, o qual teve por objetivo incentivar uma alimentação saudĂĄvel nos primeiros momentos de vida social e concomitantemente ao fomento da produção agroecolĂłgica como fatores de importĂąncia para a saĂșde. Nas atividades realizadas buscou-se transmitir informaçÔes e aprendizados sobre a importĂąncia do consumo de alimentos saldĂĄveis. Os resultados da intervenção demonstraram que a comunidade escolar estĂĄ ciente da importĂąncia de praticar uma alimentação saudĂĄvel

    DNA damage in circulating leukocytes measured with the comet assay may predict the risk of death

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    The comet assay or single cell gel electrophoresis, is the most common method used to measure strand breaks and a variety of other DNA lesions in human populations. To estimate the risk of overall mortality, mortality by cause, and cancer incidence associated to DNA damage, a cohort of 2,403 healthy individuals (25,978 person-years) screened in 16 laboratories using the comet assay between 1996 and 2016 was followed-up. Kaplan–Meier analysis indicated a worse overall survival in the medium and high tertile of DNA damage (p < 0.001). The effect of DNA damage on survival was modelled according to Cox proportional hazard regression model. The adjusted hazard ratio (HR) was 1.42 (1.06–1.90) for overall mortality, and 1.94 (1.04–3.59) for diseases of the circulatory system in subjects with the highest tertile of DNA damage. The findings of this study provide epidemiological evidence encouraging the implementation of the comet assay in preventive strategies for non-communicable diseases.This article has been corrected. Link to the correction: [https://farfar.pharmacy.bg.ac.rs/handle/123456789/3975

    Prognostic indicators and outcomes of hospitalised COVID-19 patients with neurological disease: An individual patient data meta-analysis

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    BACKGROUND: Neurological COVID-19 disease has been reported widely, but published studies often lack information on neurological outcomes and prognostic risk factors. We aimed to describe the spectrum of neurological disease in hospitalised COVID-19 patients; characterise clinical outcomes; and investigate factors associated with a poor outcome. METHODS: We conducted an individual patient data (IPD) meta-analysis of hospitalised patients with neurological COVID-19 disease, using standard case definitions. We invited authors of studies from the first pandemic wave, plus clinicians in the Global COVID-Neuro Network with unpublished data, to contribute. We analysed features associated with poor outcome (moderate to severe disability or death, 3 to 6 on the modified Rankin Scale) using multivariable models. RESULTS: We included 83 studies (31 unpublished) providing IPD for 1979 patients with COVID-19 and acute new-onset neurological disease. Encephalopathy (978 [49%] patients) and cerebrovascular events (506 [26%]) were the most common diagnoses. Respiratory and systemic symptoms preceded neurological features in 93% of patients; one third developed neurological disease after hospital admission. A poor outcome was more common in patients with cerebrovascular events (76% [95% CI 67-82]), than encephalopathy (54% [42-65]). Intensive care use was high (38% [35-41]) overall, and also greater in the cerebrovascular patients. In the cerebrovascular, but not encephalopathic patients, risk factors for poor outcome included breathlessness on admission and elevated D-dimer. Overall, 30-day mortality was 30% [27-32]. The hazard of death was comparatively lower for patients in the WHO European region. INTERPRETATION: Neurological COVID-19 disease poses a considerable burden in terms of disease outcomes and use of hospital resources from prolonged intensive care and inpatient admission; preliminary data suggest these may differ according to WHO regions and country income levels. The different risk factors for encephalopathy and stroke suggest different disease mechanisms which may be amenable to intervention, especially in those who develop neurological symptoms after hospital admission

    ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

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    Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

    Educafarma 10.0

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    Memoria ID-030. Ayudas de la Universidad de Salamanca para la innovaciĂłn docente, curso 2021-2022
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