Processes and challenges of the interaction betweeen research and policy from the perspective of researchers

As políticas informadas por evidências podem produzir impactos sociais e econômicos e benefícios na equidade e na saúde. A interação dos pesquisadores na política depende de interesses dos atores sociais e de ambientes políticos favoráveis. Este artigo busca compreender os significados e as perspectivas de pesquisadores sobre os processos de interação entre cientistas e tomadores de decisão que influenciam o impacto da pesquisa na política de saúde. Trata-se de estudo qualitativo, realizado em 2014, de análise de conteúdo para identificar os núcleos de sentido e as relações entre a pesquisa e a política. Baseou-se na abordagem do programa RAPID da Overseas Development Institute. Foram entrevistados 14 pesquisadores de projetos sobre morbimortalidade materna e neonatal financiados pelo Ministério da Saúde. Os pesquisadores orientaram-se para a produção de conhecimentos, o fortalecimento de capacidades de pesquisa e a divulgação dos resultados. Participaram, em algumas ocasiões, da definição de políticas de cuidado clínico e desempenho dos serviços de saúde. Apontaram barreiras para interatuar e produzir impactos na política devido às tensões do contexto político, econômico e social, às mudanças institucionais e organizacionais no setor saúde, e ao sistema de avaliação acadêmica.Evidence-informed policies can produce social and economic impacts and equity and health benefits. Interaction between researchers in politics depends on the interests of social stakeholders and favorable political environments. This paper seeks to understand the meanings and researchers’ perspectives of interaction processes between scientists and decision-makers that would influence the research impact on the health policy. This is a qualitative content analysis study conducted in 2014 to identify the core meanings and relationships between research and politics. The paper builds on the RAPID program approach of the Overseas Development Institute. Fourteen researchers who conducted maternal and neonatal morbidity and mortality studies sponsored by the Health Ministry were interviewed. Researchers focused on the production of knowledge, strengthening of research capacities and dissemination of results. On some occasions, researchers also participated in the definition of clinical care policies and performance of health services. They pointed to barriers to interact and produce an impact on politics due to tensions in the political, economic and social context, as well as to institutional and organizational changes in the health sector and to the academic evaluation system

Multiprofessional team in the elaboration of media contents on Covid-19

Em junho de 2020, a Situation Room/UnB e parceiros implementaram um projeto de vigilância comunitária participativa cuja ferramenta principal é a aplicação móvel Guardiões da Saúde. A equipe de comunicação do projeto buscou aumentar a cobertura da aplicação, manter os usuários engajados, oferecer informações confiáveis sobre a COVID-19, garantir uma boa experiência de uso e mostrar a importância da vigilância participativa através do sentimento de responsabilidade social da comunidade acadêmica. Este relato apresenta o papel dessa equipe multiprofissional de extensionistas na orientação da comunidade sobre o controle da epidemia e no enfrentamento à infodemia e notícias falsas. Os produtos da equipe pertencem a três categorias: “Postagens Informativas”, “Retorno ao Usuário” e “Pertencimento à Comunidade”. No período analisado, a maior parte do conteúdo publicado pertence à última categoria. A experiência destaca a importância da colaboração interprofissional, enfatizando a integração dos saberes, para o sucesso da comunicação com os usuários.Since June, 2020, the Situation Room/UnB and partners have been conducting a project on participatory communitary surveillance which has as its main tool a mobile application entitled “Guardiões da Saúde”. The project’s communication team seeks to increase and maintain user engagement in the application; provide reliable information on COVID-19; ensure a good user experience and express the importance of participatory surveillance through the feeling of social responsibility. This report presents the role of a multiprofessional team of university extension students on orienting the community regarding the control of the epidemics and facing infodemia and false news. The team’s products belong to three categories: “Informative Posts”, “Return to the User” and “Belonging to the Community”. On the analyzed data, most of the content published by the team belongs to the latter category. The experience highlights the importance of interprofessional collaboration, emphasizing knowledge integration to succeed communicating with users

Supplementary Material Metallomic Signatures of Lung Cancer and Chronic Obstructive Pulmonary Disease

© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).--Lung cancer (LC) is the leading cause of cancer deaths, and chronic obstructive pulmonary disease (COPD) can increase LC risk. Metallomics may provide insights into both of these tobacco-related diseases and their shared etiology. We conducted an observational study of 191 human serum samples, including those of healthy controls, LC patients, COPD patients, and patients with both COPD and LC. We found 18 elements (V, Al, As, Mn, Co, Cu, Zn, Cd, Se, W, Mo, Sb, Pb, Tl, Cr, Mg, Ni, and U) in these samples. In addition, we evaluated the elemental profiles of COPD cases of varying severity. The ratios and associations between the elements were also studied as possible signatures of the diseases. COPD severity and LC have a significant impact on the elemental composition of human serum. The severity of COPD was found to reduce the serum concentrations of As, Cd, and Tl and increased the serum concentrations of Mn and Sb compared with healthy control samples, while LC was found to increase Al, As, Mn, and Pb concentrations. This study provides new insights into the effects of LC and COPD on the human serum elemental profile that will pave the way for the potential use of elements as biomarkers for diagnosis and prognosis. It also sheds light on the potential link between the two diseases, i.e., the evolution of COPD to LC.This work has been supported by the project “Heteroatom-tagged proteomics and metabolomics to study lung cancer. Influence of gut microbiota” (Ref.: PY20_00366) (Project of Excellence, Regional Ministry of Economy, Knowledge, Business and University, Andalusia, Spain). The authors are also grateful for grants 651/2018 and 115/2020 from the Spanish Society of Pneumology and Surgery (SEPAR) and grant 08/2018 from the Association of Pneumology and Thoracic Surgery (Neumosur), which were used to facilitate recruitment at the hospitals and biobank registration. The authors also thank Instituto de Salud Carlos III (AES16/01783) and wish to express their gratitude for the unrestricted funding from the Menarini Group and AstraZeneca.Peer reviewe

Heteroatom-tagged proteomics of lung cancer and chronic obstructive pulmonary disease human serum reveal alterations in selenoproteins

Heteroatom-tagged proteomics allows the absolute quantification of selenoproteins using the heteroatom as a “tag” into a selective and sensitive atomic detector instead of a molecular one. Using this analytical method, about 90% of total selenium in human serum/plasma can be measured as selenoproteins and total selenometabolites and thus, the status of selenium can be determined. Herein, we determined the absolute concentration of selenoproteins in human serum patients with lung cancer (LC) and chronic obstructive pulmonary disease (COPD), a competing cause of morbidity and mortality in smokers as well as an independent risk factor for LC. We conducted an observational study of 154 human serum samples obtained from LC and COPD patients with varying severity of disease, including COPD patients who developed LC during follow-up and healthy controls (HC). Using heteroatom-tagged proteomics, we determined extracellular glutathione peroxidase (eGPx), selenoprotein P (SELENOP), and selenoalbumin (SeAlb). Associations between selenoproteins were also studied as potential biomarkers of disease. The concentration of eGPx was significantly higher in the all-inclusive COPD cohort compared to HC, COPD patients with LC, or those with mild obstructive lung disease, while SELENOP concentration was significantly decreased in LC patients compared to HC and COPD. We found an inverse correlation between SELENOP and SeAlb in HC, but also in LC patients, and especially in patients with COPD and LC. Moreover, we found that eGPx and selenometabolite concentrations were positively associated with LC human serum. Selenoprotein concentrations were altered in COPD and LC when compared to healthy controls suggesting a potential role of the selenoproteome in the diagnosis and/or treatment of these tobacco-related diseases.This work has been supported by the project “Heteroatom-tagged proteomics and metabolomics to study lung cancer. Influence of gut microbiota” (Ref.: PY20_00366). Project of Excellence. Regional Ministry of Economy, Knowledge, Business and University, Andalusia, Spain. The authors also thank the grants Ref. 651/2018 and 115/2020 from the Spanish Society of Pneumology and Surgery (SEPAR) and 08/2018 from the Association of Pneumology and Thoracic Surgery (Neumosur) that supported samples recruitment at the hospitals and biobank registration. The authors also thank Instituto de Salud Carlos III (AES16/01783) and unrestricted funding from Menarini Group and AstraZeneca“. Funding for open access charge: Universidad de Huelva / CBUA.Peer reviewe

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