Des interventions dans une santé publique rattachées à la efflorescences de microalgues toxiques sur une plage de Mijas (Malaga, l’Espagne)

En este artículo proporcionamos una visión general de las actuaciones de vigilancia ambiental y gestión del riesgo para la salud pública relacionadas con la declaración de un brote epidémico asociado a un episodio de microalgas nocivas y potencialmente tóxicas, identificadas durante el verano de 2010 en una playa recreativa de un municipio turístico de la costa de Málaga (España). Los análisis del fitoplancton mostraron la presencia de diferentes especies productoras de biotoxinas marinas, dominando Ostreopsis cf. ovata en los días inmediatamente seguidos al registro de 39 casos clínicos de personas que requirieron cuidados sanitarios. Los riesgos de las toxinas producidas por las microalgas deben ser tenidos en cuenta en las redes de vigilancia sanitaria de las aguas recreativas. Este estudio sugiere la posibilidad de revisar las actuaciones de los servicios de salud pública de la Administración Sanitaria, a la luz de la creciente información sobre episodios de blooms nocivos.This paper provide an overview of the surveillance environmental efforts and risk management for the public health linked to the register of a disease outbreak related to an episode of toxic potentially and harmful microalgae, identified during the summer of 2010 in a recreational beach of a touristic municipality in the coast of Málaga (Spain). Phytoplankton analyses showed the presence of different species producers of marine biotoxins, dominating Ostreopsis cf. ovata in the followed immediately days to the communication of 39 clinical cases of people that required health cares. The risks of the toxins produced by microalgae must be taken into account in the health networks surveillance for recreational waters. This study suggests the possibility to review the actions of the public health services from Public Administration, to the light of the increasing information on episodic harmful algal blooms.Dans cet article nous fournissons une vision générale des actions de surveillance environnementale et gestion du risque pour la santé publique liées avec la déclaration d’une bourgeon épidémique associé à efflorescences algales nuisibles et potentiellement toxiques, identifiées pendant l’été de 2010 dans une plage récréative d’une commune touristique de la côte de Málaga. Les analyses du phytoplancton ont montré la présence de différentes espèces productrices de biotoxines marines, en dominant Ostreopsis cf. ovata dans les jours immédiatement suivis au registre de 39 cas cliniques de personnes qu’ont requis des soins de santé. Les risques des toxines produites par les microalgues doivent être eus en compte dans les réseaux de surveillance sanitaire des eaux récréatives. Cette étude suggère la possibilité de réviser les actions des services de santé publique de l’Administration Sanitaire, à la lumière de la croissante information sur des épisodes de efflorescences algales dangereux

Diagnostic Procedure for Inter-Sector Relationships in the Model of Municipal Development

Several methods were applied to design a new diagnostic procedure of inter-sector relationships, and the coordination between development strategies and key economic sectors within the strategic planning system in the municipality of Nuevitas, province of Camaguey, Cuba. The methods included analysis-synthesis; systemic, to conceive the character of component relationships; interview, survey, and documentary research. They made possible the characterization of the current situation in the municipality. The diagnostic revealed that the analysis of inter-sector relationships is not usually made, due to ongoing deficiencies regarding a procedure design to perform situational strategic diagnostics. According to the results achieved, insufficiencies in inter-sector relationships among the institutions selected for the study were identified, as a reflection of the poor coordination among the sectors. Potentialities and restrictions, weaknesses, strengths, and opportunities were revealed, which called for the implementation of a diagnostic of inter-sector relationships in the area of development strategies. The methodological proposal rests on the supposition that diagnostics should establish methods to include analysis of horizontal relationships among the sectors, convergence with the local development strategy, and more efficiency of integrated development programs.                Several methods were applied to design a new diagnostic procedure of inter-sector relationships, and the coordination between development strategies and key economic sectors within the strategic planning system in the municipality of Nuevitas, province of Camaguey, Cuba. The methods included analysis-synthesis; systemic, to conceive the character of component relationships; interview, survey, and documentary research. They made possible the characterization of the current situation in the municipality. The diagnostic revealed that the analysis of inter-sector relationships is not usually made, due to ongoing deficiencies regarding a procedure design to perform situational strategic diagnostics. According to the results achieved, insufficiencies in inter-sector relationships among the institutions selected for the study were identified, as a reflection of the poor coordination among the sectors. Potentialities and restrictions, weaknesses, strengths, and opportunities were revealed, which called for the implementation of a diagnostic of inter-sector relationships in the area of development strategies. The methodological proposal rests on the supposition that diagnostics should establish methods to include analysis of horizontal relationships among the sectors, convergence with the local development strategy, and more efficiency of integrated development programs.               &nbsp

Stimulation of endothelial progenitor cells: a new putative effect of several cardiovascular drugs

The role of vascular endothelium in cardiovascular disorders is well recognized. Mature endothelial cells contribute to the repair of endothelial injury, but they only have a limited capacity to do so. This has led to growing interest and further investigation into circulating endothelial progenitor cells (EPCs) and their role in vascular healing, repair, and postnatal neovascularization. The current perception of vascular health is that of a balance between ongoing injury and resultant vascular repair, mediated at least in part by circulating EPCs. Circulating EPCs play an important role in accelerating endothelialization at areas of vascular damage, and EPC enumeration is a viable strategy for assessing reparative capacity. Recent studies have shown that EPCs are affected both in number and function by several cardiovascular risk factors as well as various cardiovascular disease states, such as hypertension, hypercholesterolemia, and coronary artery disease. The present review summarizes the most relevant studies on the effects of cardiovascular drugs on vascular function and EPCs, focusing on their mechanisms of action

Nonpuerperal Breast Infection

Objective: We undertook a microbiological study of purulent specimens from women with symptomatic breast abscesses

El tratamiento informativo en la decisión dela sede olímpica 2016 : Análisis del tratamiento informativo del Jornal Nacional : una aproximación a la espectacularización de la información

Análisis del Tratamiento Informativo del Jornal Nacional en Brasil en la decisión de la sede olímpica 2016. Una aproximación al estudio de las principales tendencias de la Información en TV, análisis de los contenidos informativos de televisión, desde de la perspectiva de la Espectacularización de la Información. Relación Medios de Comunicación y Juegos Olímpicos.Anàlisi del Tractament Informatiu del Jornal Nacional al Brasil en la decisió de la seu olímpica 2016. Una aproximació a l'estudi de les principals tendències de la Informació a TV, anàlisi dels continguts informatius de televisió, des de la perspectiva de l'espectacularització de la Informació. Relació Mitjans de Comunicació i Jocs Olímpics

Trends in cardiovascular diseases and cancer mortality in 45 countries from five continents (1980-2010)

Background: Cardiovascular diseases (CVD) and cancer are worldwide main causes of death with mortality trends varying across countries with different levels of economic development. Design and methods: We analysed trends in CVD and cancer mortality for 37 European countries, five high-income non-European countries and four leading emerging economies (BRICS) using data from the World Health Organization database for the period 1980–2010. Results: In high-income countries, CVD mortality trends are characterized by steep declines over the last decades, while a downward trend in cancer mortality started more recently and was less pronounced. This resulted in the gradual convergence of the CVD and cancer mortality rates, and the latter are already higher in some countries. The absolute number of CVD deaths decreased in most settings, while cancer deaths increased in nearly all countries. Among the BRICS, China and South Africa share a similar pattern of no meaningful variation in both CVD and cancer age-standardized mortality rates and an increase in the overall number of deaths by these causes. Brazil presents trends similar to those of high-income countries, except for the still increasing number of CVD deaths. Conclusions: The substantial decreases in CVD mortality over the last decades have overcome the impact of the growth and ageing of populations in the overall number of deaths, while stabilization in the number of cancer deaths was observed only in some of the high-income countries

Influência da religiosidade/espiritualidade do profissional de saúde no cuidado ao paciente crítico

Introdução: Estudos comprovam que práticas espirituais melhoram a saúde mental, qualidade de vida e relação interpessoal das pessoas. Para os profissionais de saúde, isto possibilita melhor enfrentamento do estresse no trabalho com consequente melhoria no bem estar e maior satisfação. Este estudo tem como objetivo verificar se a religiosidade/espiritualidade dos profissionais de saúde influencia no cuidado prestado ao paciente crítico. Materiais e Métodos: Estudo de caráter transversal com abordagem quantitativa, realizado com 53 profissionais que atuam em Unidades de Terapia Intensiva Adulto de uma cidade do interior do Brasil. Foi utilizado um questionário adaptado e a escala Spirituality Self Rating Scale, e realizada análise descritiva dos dados e de associação, utilizando o teste exato de Fisher com nível de significância de 5%. Resultados: Verificou-se que 77,4% da amostra eram do sexo feminino, com idade média de 37 anos, tempo médio de serviço de 11 anos e a maioria era evangélica/protestante. A maior parte dos profissionais apresentou espiritualidade elevada e informou que a sua religiosidade/espiritualidade influencia intensamente no entendimento do processo saúde-doença e na sua relação com o paciente crítico, além de modificar sua maneira de cuidar deste paciente. Discussão: Diversos estudos têm demonstrado que a religiosidade/espiritualidade pode ser capaz de gerar estado de calma e tranquilidade, melhorar a saúde física e mental, promover comportamentos e estilos de vida mais saudáveis, diminuindo o estresse e melhorando o relacionamento interpessoal. Conclusões: A religiosidade/espiritualidade dos profissionais que atuam na Unidade de Terapia Intensiva influencia no cuidado prestado ao paciente crítico.Como citar este artigo: Longuiniere ACF, Yarid SD, Silva ECS. Influência da religiosidade/espiritualidade do profissional de saúde no cuidado ao paciente crítico. Rev Cuid. 2018; 9(1): 1961-72. http://dx.doi.org/10.15649/cuidarte.v9i1.41

Anàlisi i diagnòstic de l'Unitat de Comunicació del Centre de Recerca en Sanitat Animal

La finalitat d'aquest projecte és oferir una anàlisi en profunditat sobre el context en què es troba la Unitat de Comunicació del Centre de Recerca en Sanitat Animal (CReSA), així com un conjunt de propostes i solucions adaptades a les seves necessitats específiques.La finalidad de este proyecto es ofrecer un análisis en profundidad sobre el contexto en el que se encuentra la Unidad de Comunicación del Centre de Recerca en Sanitat Animal (CReSA), así como un conjunto de propuestas y soluciones adaptadas a sus necesidades específicas.This project has the aim to provide a in-depth analysis of the context of the Communication Unit of the Centre de Recerca en Sanitat Animal (CReSA), also, to provide a set of proposals and solutions adjusted to their specific needs

Patterns of breast cancer mortality trends in Europe

Objectives: To identify patterns of variation in breast cancer mortality in Europe (1980–2010), using a model-based approach. Methods: Mortality data were obtained from the World Health Organization database and mixed models were used to describe the time trends in the age-standardized mortality rates (ASMR). Model-based clustering was used to identify clusters of countries with homogeneous variation in ASMR. Results: Three patterns were identified. Patterns 1 and 2 are characterized by stable or slightly increasing trends in ASMR in the first half of the period analysed, and a clear decline is observed thereafter; in pattern 1 the median of the ASMR is higher, and the highest rates were achieved sooner. Pattern 3 is characterised by a rapid increase in mortality until 1999, declining slowly thereafter. Conclusion: This study provides a general model for the description and interpretation of the variation in breast cancer mortality in Europe, based in three main patterns

Método para el diagnóstico de las relaciones intersectoriales en el modelo de desarrollo municipal

Con el  objetivo de diseñar un método que permita el diagnóstico de las relaciones intersectoriales, y la coordinación entre las estrategias de desarrollo, y los sectores claves de la economía  en el sistema de gestión estratégica  del municipio de Nuevitas, provincia de Camagüey, se utilizaron los métodos de análisis, síntesis, el sistémico  para concebir el carácter de las interacciones entre sus componentes, las entrevistas, encuestas,  y el análisis documental, los que posibilitaron caracterizar la situación actual del municipio. Se develó en el diagnóstico que no se introduce el análisis de las relaciones intersectoriales, lo cual se encuentra influenciado, por las deficiencias que aún existen en cuanto al diseño de la metodología para el diagnóstico estratégico situacional. De acuerdo a los resultados obtenidos, se identificaron las insuficiencias existentes en cuanto al estado de las relaciones intersectoriales en las entidades seleccionadas, lo cual manifiesta  una deficiente coordinación entre los diferentes sectores, evidenciando las  potencialidades y restricciones, debilidades y amenazas, fortalezas y oportunidades que existen en el municipio, siendo necesario se elabore en el diagnóstico la problemática que afecta las relaciones intersectoriales en las estrategias de desarrollo. La propuesta metodológica para el diagnóstico tiene como principales supuestos, que los diagnósticos deben establecer métodos para incluir el análisis de las relaciones horizontales entre los diferentes sectores, hacia el logro de la convergencia con la estrategia de desarrollo en el municipio y una mayor eficiencia en los programas de desarrollo integral.  &nbsp