Dieta cetogênica reduz o conteúdo de gangliosídios em hipotálamos de ratos jovens

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Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

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Dieta cetogênica reduz o conteúdo de gangliosídios em hipotálamos de ratos jovens

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The vision of the acquisition of Family Farming foods to the National School Food Program in a municipality from Rio Grande do Sul, Brazil

he present study aimed to analyze the participation of the municipality of Dom Pedrito/RS (Brazil) in the National School Food Program in the years 2011 to 2016. Methodologically as a way to respond to the objectives a descriptive research was carried out.  Data collection took place in two moments first data from the National Fund for Education Development were used in the reports 'Acquisitions of Family Farming' and 'Financial Funds'. Subsequently, an interview was held with the person responsible for articulating the National School Food Program in the municipality.  It was observed that the municipality of Dom Pedrito/RS presented indexes lower than the minimum value of 30% of the transfer of National Fund for Education Development funds to the state of Rio Grande do Sul for the acquisition of foodstuffs from family agriculture in the years 2012 and 2016 according to  stipulated by Law No. 11947, from 2009, due to limiting factors such as the lack of documentation by the farmers and the decentralization of the delivery points of the products. It is understood that only the use of Public Calls to ensure compliance with the minimum value of 30% required by the legislation has not proved sufficient and greater efforts are required from all those involved in the program

A concentração de S100b e atividade da SOD no líquido aminiótico de fetos com trissomia do cromossomo 21

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Ratos tratados com dieta cetogênica apresentam aumento de tecido adiposo mediado pela elevação da atividade da fosfoenolpiruvato carboxicinase

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