Changes in the frequency of food intake among children and teenagers: monitoring in a reference service

PURPOSE: to identify changes in the food intake patterns among overweight children and teenagers, treated at a reference medical centre. METHOD: the method used is that of a cohort study, between April 2010 and April 2011. A total of 109 children and teenagers, either obese or overweight, took part in the study. The population was divided into two subgroups depending on the permanence period (more than 6 months, and less than 6 months off the treatment). The chi-square test and logistic regression were carried out. RESULTS: the group which had been longer off the treatment tended to consume more soft drinks, pasta and fried foods, and less fruit and vegetables. The group with less time showed an improvement, with a reduction of consumption of soft drinks and other goodies. There was confirmation of an increased risk for consumption of soft drinks, pasta and goodies in general, as also detachment from the treatment in adolescence. CONCLUSIONS: The group with a longer period of monitoring has had a positive change in food intake frequency. The main contribution made by this study is that of showing that multiprofissional treatment, including some nursing care, is efficient in progressively changing the food intake of children and adolescents who are overweight

Portuguese recommendations for the use of biological and targeted synthetic diseasemodifying antirheumatic drugs in patients with rheumatoid arthritis – 2020 update

Objective: To update the recommendations for the treatment of rheumatoid arthritis (RA) with biological and targeted synthetic disease-modifying antirheumatic drugs (bDMARDs and tsDMARDs), endorsed by the Portuguese Society of Rheumatology (SPR). Methods: These treatment recommendations were formulated by Portuguese rheumatologists taking into account previous recommendations, new literature evidence and consensus opinion. At a national meeting, in a virtual format, three of the ten previous recommendations were re-addressed and discussed after a more focused literature review. A first draft of the updated recommendations was elaborated by a team of SPR rheumatologists from the SPR rheumatoid arthritis study group, GEAR. The resulting document circulated among all SPR rheumatologists for discussion and input. The level of agreement with each of all the recommendations was anonymously voted online by all SPR rheumatologists. Results: These recommendations cover general aspects such as shared decision, treatment objectives, systematic assessment of disease activity and burden and its registry in Reuma.pt. Consensus was also achieved regarding specific aspects such as initiation of bDMARDs and tsDMARDs, assessment of treatment response, switching and definition of persistent remission. Conclusion: These recommendations may be used for guidance of treatment with bDMARDs and tsDMARDs in patients with RA. As more evidence becomes available and more therapies are licensed, these recommendations will be updated.info:eu-repo/semantics/publishedVersio

An enchanted modernity: Making sense of Latin America’s religious landscape

This is an interpretative, critical, and selective review of scholarly contributions that explore Latin America’s religious landscape. We present data, both qualitative and quantitative, from Latin America and analyze the explanations given to make sense of it. After assessing the literature that uses either secularization theory or the “religious economy” approach, we study explanations that highlight a Latin American style of “popular religiosity.” These three models, in different ways, put the emphasis on religious institutions—their vitality, commands, competition, and authority. We propose, instead, a focus on the religious practices of regular believers. We speculate that embarking from that focus, the idea of an “enchanted modernity” will help make sense of Latin America’s religious landscape. Nuanced elucidation of Latin America’s religious particularities will situate them in dialogue with other regions of the world, like western Europe and the United States, while also acknowledging the fact that Latin America is experiencing a modernization process distinct from the North Atlantic one.Fil: Morello SJ, Gustavo. Boston College; Estados UnidosFil: Romero, Catalina. Pontificia Universidad Católica de Perú; PerúFil: Rabbia, Hugo Hernán. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudio sobre Cultura y Sociedad. Centro de Investigaciones de la Facultad de Psicología - Grupo Vinculado CIPSI; ArgentinaFil: Da Costa, Néstor. Universidad Catolica de Uruguay; Urugua