Self-medication practices during the COVID-19 pandemic among the adult population in Peru: A cross-sectional survey

Self-medication impacts both negatively and positively the health of people, which has become evident during the COVID-19 pandemic. The study aimed to assess the prevalence of self-medicated drugs used for respiratory symptoms, as COVID-19 preventive, for its symptoms or once tested positive. To determine the perception of symptom relief and demographic variables that promote self-medication in Peru. We performed a cross-sectional, analytical, multicenter study in 3792 study respondents on the use, the reason for use, and perception of relief after the use of six drugs during the quarantine period. An online questionnaire was developed, pretested and submitted to the general public. Multivariable logistic regression was used to ascertain factors that influence an individual's desire to self-medicate, associations were considered significant at p < 0.05 and using region (coast, mountain and jungle) as cluster group. The majority of respondents self-medicated with acetaminophen for respiratory symptoms and mainly because they had a cold or flu. It was observed that all the surveyed drugs (acetaminophen, ibuprofen, azithromycin, penicillin, antiretrovirals and hydroxychloroquine) were consumed for various symptoms including: fever, fatigue, cough, sneezing, muscle pain, nasal congestion, sore throat, headache and breathing difficulty. Over 90% of respondents perceived relief of at least one symptom. Multivariable logistic regression showed that older people have a higher frequency of antiretroviral self-medication, respondents who currently have a job had a higher frequency of penicillin self-medication, and that respondents from the Andes consumed less acetaminophen, while the ones from the rainforest consumed it more. There were significant percentages of self-medication, including drugs without sufficient scientific evidence. Age, region where one lived and job status were variables associated with self-medication frequency. Continuous awareness and sensitization about the risks of self-medication are warranted.Revisión por pare

Análise da aplicabilidade do custeio-meta na etapa de concepção de empreendimentos habitacionais de interesse social

Custeio-Meta é uma estratégia desenvolvida pela indústria para melhorar sistematicamente a qualidade do produto, entregando maior valor ao consumidor, respeitando o referencial de preço do mercado e mantendo estrito controle dos custos. Estudos recentes têm apontado caminhos para a adaptação dessa estratégia para a construção civil, apesar das características ímpares da produção de edifícios. Este trabalho apresenta uma análise da aplicabilidade do Custeio-Meta na etapa de concepção de empreendimentos habitacionais de interesse social. Foi realizado um estudo de caso no Programa de Arrendamento Residencial, no qual existe o envolvimento da empresa construtora desde as primeiras fases de planejamento do empreendimento. Também foram utilizados dados secundários gerados em dois estudos realizados anteriormente sobre a cadeia de negócios de empreendimentos e o processo de desenvolvimento do produto neste Programa. Os resultados sugerem que esse contexto propicia a aplicação do custeio-meta para que as necessidades dos clientes de tais empreendimentos, as quais normalmente não são totalmente atendidas devido ao teto estabelecido para financiamento, sejam melhor contempladas. Ao final são propostas diretrizes para melhorias no processo de projeto de forma a propiciar a aplicação do custeio-meta nesse contexto

Isotemporal substitution of inactive time with physical activity and time in bed: cross-sectional associations with cardiometabolic health in the PREDIMEDPlus study

Background: This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Methods: This is a cross-sectional analysis of baseline data from 2189 Caucasian men and women (age 55-75 years, BMI 27-40 Kg/m2) from the PREDIMED-Plus study (http://www.predimedplus.com/). All participants had ≥3 components of the metabolic syndrome. Inactive time, physical activity and time in bed were objectively determined using triaxial accelerometers GENEActiv during 7 days (ActivInsights Ltd., Kimbolton, United Kingdom). Multiple adjusted linear and logistic regression models were used. Isotemporal substitution regression modelling was performed to assess the relationship of replacing the amount of time spent in one activity for another, on each outcome, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Results: Inactive time was associated with indicators of obesity and the metabolic syndrome. Reallocating 30 min per day of inactive time to 30 min per day of time in bed was associated with lower BMI, waist circumference and glycated hemoglobin (HbA1c) (all p-values < 0.05). Reallocating 30 min per day of inactive time with 30 min per day of LPA or MVPA was associated with lower BMI, waist circumference, total fat, visceral adipose tissue, HbA1c, glucose, triglycerides, and higher body muscle mass and HDL cholesterol (all p-values < 0.05). Conclusions: Inactive time was associated with a poor cardio-metabolic profile. Isotemporal substitution of inactive time with MVPA and LPA or time in bed could have beneficial impact on cardio-metabolic health

Isotemporal substitution of inactive time with physical activity and time in bed: Cross-sectional associations with cardiometabolic health in the PREDIMED-Plus study

© 2019 The Author(s). Background: This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-To-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Methods: This is a cross-sectional analysis of baseline data from 2189 Caucasian men and women (age 55-75 years, BMI 27-40 Kg/m2) from the PREDIMED-Plus study (http://www.predimedplus.com/). All participants had ≥3 components of the metabolic syndrome. Inactive time, physical activity and time in bed were objectively determined using triaxial accelerometers GENEActiv during 7 days (ActivInsights Ltd., Kimbolton, United Kingdom). Multiple adjusted linear and logistic regression models were used. Isotemporal substitution regression modelling was performed to assess the relationship of replacing the amount of time spent in one activity for another, on each outcome, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Results: Inactive time was associated with indicators of obesity and the metabolic syndrome. Reallocating 30 min per day of inactive time to 30 min per day of time in bed was associated with lower BMI, waist circumference and glycated hemoglobin (HbA1c) (all p-values < 0.05). Reallocating 30 min per day of inactive time with 30 min per day of LPA or MVPA was associated with lower BMI, waist circumference, total fat, visceral adipose tissue, HbA1c, glucose, triglycerides, and higher body muscle mass and HDL cholesterol (all p-values < 0.05). Conclusions: Inactive time was associated with a poor cardio-metabolic profile. Isotemporal substitution of inactive time with MVPA and LPA or time in bed could have beneficial impact on cardio-metabolic health. Trial registration: The trial was registered at the International Standard Randomized Controlled Trial (ISRCTN: http://www.isrctn.com/ISRCTN89898870) with number 89898870 and registration date of 24 July 2014, retrospectively registered

The manufacture of hope : religion, eschatology and the culture of optimism

This article builds on earlier research, which concludes that societies cannot sustain themselves without cultures of optimism. These cultures are reproduced by a complex of ‘optimism promoters’, all of which can be seen to be engaged in a kind of unstated or ‘implicit’ cultural policy, with the production of optimism as one of its goals. The institution of religion is part of this complex. Its role in the production of optimism is the focus of this article, with particular reference to soteriology (theories of salvation) and eschatology. From a ‘detached’ and ‘functionalist’ perspective, it analyses how religions manufacture hope through (1) the production of meaning; (2) through their models of divine justice; and (3) through theories of ultimate destiny. These matters are discussed in relation to Hinduism, Buddhism, Christianity and Islam. The article concludes that the optimisms of religion are of a quite different order from those promoted by other institutions

Desenvolvimento de aplicativo em ambiente BIM, segundo princípios da Coordenação Modular

onsiderando que a Coordenação Modular e o Building Information Modeling (BIM) surgem como estratégias para melhorar a indústria AEC, o presente estudo tem como objetivo investigar a associação de ambos, através do desenvolvimento de uma aplicação para fins demonstrativos, além do registro da sua metodologia. O artigo apresenta o processo de customização do aplicativo BIM, sendo o estudo dividido em três etapas: Concepção, Desenvolvimento e Validação. Os resultados incluem a criação da versão inicial de um plug-in, com a função de gerar automaticamente as paginações de blocos cerâmicos para a alvenaria racionalizada; a proposição de uma metodologia para o reconhecimento de regras de construção para objetos modulados, no caso, sistemas construtivos; e a verificação que BIM e Coordenação Modular utilizados em conjunto podem ampliar os benefícios obtidos por cada uma separadamente

Medição e modelagem simplificada da vegetação para simulação digital da iluminação natural

Rever o efeito da vegetação arbórea no desempenho da iluminação natural é uma tarefa complexa e difícil, pois depende da reprodução precisa da passagem da luz através de suas copas. Variáveis como tamanho da folha, sua forma, refletância e transparência, entre outras, devem ser consideradas. Assim, modelar uma árvore reproduzindo exatamente a situação real é impraticável, não só devido à quantidade e complexidade das variáveis, como também por causa da sobrecarga do modelo. Nesse quadro, esta pesquisa tem por objetivos: aprimorar um método de medição da permeabilidade da vegetação arbórea à passagem da luz natural, que chamamos de “fração de lacuna da copa”, utilizando a fotografia hemisférica e a análise de imagens; e aplicar as medidas resultantes em modelos digitais tridimensionais simplificados, para utilização em simulação computacional da luz natural. Três modelos experimentais, denominados de “persianas”, “translúcido” e “frestas”, foram desenvolvidos para simular quatro espécies arbóreas. Os níveis de iluminação em situação real e simulada de cada um foram comparados e validados segundo os indicadores MBE e RMSE relativos. O modelo “frestas”, por exemplo, mostrou-se adequado às espécies pitombeira e carolina, com MBE relativo de 0,21 e -0,12 e RMSE relativo de 0,02 e 0,03 respectivamente, o que comprova a pertinência do método desenvolvido.