Ortorexia nervosa: um desafio para o nutrólogo

The orthorexia nervosa is related with obsessive thoughts about healthy nutrition. This symptom has not been officially recognized as an eating disorder yet, not being present in the DSM -V. However, the literature discusses the concept of orthorexia nervosa that includes these characteristics, interactions, signs and symptoms and treatment. This work shows a systematic literature review of forty-three articles published since 1997 in order to map the knowledge about orthorexia to this date. This work focused on the importance of physician specialist in nutrology on diagnosis and monitoring these patients with a multidisciplinary team. The definition of risk groups and the criteria for diagnosis creating auxiliary methods as the ORTHO -15 are essential for the early diagnosis of this condition. The treatment of orthorexia requires a multidisciplinary team, involving nutritional experts, doctors, psychiatrists, psychologists, nutritionists, physical educator. In some cases, anti-serotoninergic drugs may be required as part of the treatment. Conclusion: More research is needed to define the diagnostic criteria and the prevalence of this eating disorder

Ciência para agir: experiências do primeiro ano de programa

Com objetivo de fomentar o interesse científico no jovem e discutir com a sociedade os problemas relacionados ao meio ambiente e saúde, este programa busca uma integração entre pesquisa, ensino e extensão. No ano de 2017, as atividades extensionistas focaram no tema “qualidade da água”, buscando divulgar os principais resultados de pesquisa desenvolvidos pelos pesquisadores extensionistas nas comunidades atendidas. A parceria com a ONG O Nosso Papel, permitiu que as oficinas fossem desenvolvidas nas entidades beneficiadas pelo Ponto de Cultura Fazendo diferença em Paquetá. A participação de estudantes da UNIRIO nas atividades favorece que o conhecimento adquirido através das nossas atividades se transforme em ação e mudança. Com objetivo de fomentar o interesse científico no jovem e discutir com a sociedade os problemas relacionados ao meio ambiente e saúde, este programa busca uma integração entre pesquisa, ensino e extensão. No ano de 2017, as atividades extensionistas focaram no tema “qualidade da água”, buscando divulgar os principais resultados de pesquisa desenvolvidos pelos pesquisadores extensionistas nas comunidades atendidas. A parceria com a ONG O Nosso Papel, permitiu que as oficinas fossem desenvolvidas nas entidades beneficiadas pelo Ponto de Cultura Fazendo diferença em Paquetá. A participação de estudantes da UNIRIO nas atividades favorece que o conhecimento adquirido através das nossas atividades se transforme em ação e mudança

ORGANIZADAS E MOBILIZADAS: TRABALHO, GÊNERO E POLÍTICA COM AS MULHERES DOS EMPREENDIMENTOS ECONÔMICOS SOLIDÁRIOS

Compreendendo os Empreendimentos Econômicos Solidários (EES), como espaços de inclusão por trabalho, renda e sociabilidade, bem como espaços de fortalecimento de vínculos e incentivo à participação política, tais empreendimentos funcionam também como locais de fortalecimento das relações e a participação política de mulheres, resgatando a longa luta desse segmento nos movimentos sociais, mostrando-se assim como estratégia possível para a diminuição das desigualdades de gênero no que tange ao mercado de trabalho e na política. Destarte, o projeto tem por objetivo, promover a troca de saberes acadêmicos e populares, buscando estruturar, fortalecer e fomentar EES integrados e organizados majoritariamente por mulheres, visando a construção de espaços que estimulem a identidade coletiva e a participação política desde seguimento na rede de Economia Solidária, para além da produção de renda, comercialização e consumo. O projeto de extensão tem ainda por objetivo, promover o entrelaçamento com a pesquisa e o ensino, visando a produção de conhecimentos científicos e culturais que se embasam na realidade vivenciada pelas mulheres dos EES

Latin America and the Caribbean code against cancer: Developing evidence-based recommendations to reduce the risk of cancer in Latin America and the Caribbean

Latin America and the Caribbean (LAC) has a population of more than 650 million inhabitants (8.5% of the world population),1 with a cancer incidence of more than 1.4 million new patients and more than 670,000 deaths in 2018. These figures will increase by 78% by 2040 to more than 2.5 million people diagnosed with cancer each year, and these patients will require medical attention, care, and support. However, many of these new cancer diagnoses can be prevented through public policies, supportive environments, and lifestyles that promote health and prevent cancer (Fig 1).2 In the LAC region, there are many organizations and institutions providing information on cancer prevention, including national cancer institutes, cancer societies and foundations, and public health agencies. Nevertheless, the information is frequently confusing, overwhelming, or even contradictory. The scientific source and credibility, as well as the primary message, differ according to the type of organization that provides the information (eg, patient organization, scientific or governmental institution).For the LAC region, a coalition of institutions and international organizations has joined forces to adapt the European Code to the cancer risks and situation in the LAC region. This involves collecting, analyzing, and evaluating the scientific evidence to support suitable cancer prevention recommendations to the LAC context. A multistakeholder participation in the project is a key approach to ensure that all players will be owners of the Code and true promoters. The coalition is composed of the Pan-American Health Organization (PAHO; also part of the WHO) and the IARC as leading international organizations; a Scientific Committee of senior researchers and distinguished leaders in cancer prevention from LAC; and an Advocacy Group representing important organizations in LAC, including the Latin American and Caribbean Society of Medical Oncology, the Network of Latin-American Cancer Institutes, the Healthy Caribbean Coalition, and the Association of Latin American Leagues Against Cancer.Fil: Cazap, Eduardo. Sociedad Latinoamericana y del Caribe de Oncología Médica; ArgentinaFil: de Almeida, Liz Maria. Instituto Nacional de Câncer Brasil Jose Alencar Gomes da Silva; BrasilFil: Arrossi, Silvina. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: García, Patricia J.. Universidad Cayetano Heredia; PerúFil: Garmendia, María Luisa. Universidad de Chile; ChileFil: Gil, Enrique. South America Pan-American Health Organization; PerúFil: Hassel, Trevor. Healthy Caribbean Coalition; BarbadosFil: Mayorga, Rubén. South America Pan-American Health Organization; PerúFil: Mohar, Alejandro. Universidad Nacional Autónoma de México; MéxicoFil: Murillo, Raúl. Centro Javeriano de Oncología; ColombiaFil: Owen, Gabriel O.. Healthy Caribbean Coalition; BarbadosFil: Paonessa, Diego. Liga Argentina de Lucha contra el Cancer; ArgentinaFil: Santamaría, Julio. Centro Hemato Oncológico Panamá; PanamáFil: Tortolero Luna, Guillermo. Universidad de Puerto Rico; Puerto RicoFil: Zoss, Walter. Red de Institutos e Instituciones Nacionales de Cancer; BrasilFil: Herrero, Rolando. Agencia Internacional para la Investigación del Cáncer; FranciaFil: Luciani, Silvana. Pan-American Health Organization; Estados UnidosFil: Schüz, Joachim. Agencia Internacional para la Investigación del Cáncer; FranciaFil: Espina, Carolina. Agencia Internacional para la Investigación del Cáncer; Franci

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection